8,622 results
Search Results
2. Applying Integrated Enhanced Cognitive Behaviour Therapy (I-CBTE) to Severe and Longstanding Eating Disorders (SEED) Paper 1: I am no longer a SEED patient.
- Author
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Collins, Lorna
- Subjects
- *
MENTAL health services , *BEHAVIOR therapy , *EATING disorders , *ANOREXIA nervosa , *COGNITIVE therapy - Abstract
This autobiographical paper recounts the recovery journey of Lorna Collins, a survivor of severe and enduring anorexia nervosa (SE-AN). Her story begins with a traumatic brain injury at the age of 18, leading to a complex eating disorder that persisted for over two decades. Despite over 30 hospital admissions and various treatment modalities, her condition only worsened, compounded by other mental health challenges. The paper describes these multifaceted struggles, including mistreatment in healthcare, self-harm, further trauma and near-fatal illness. The author aims to culminate her story in an uplifting manner, by highlighting the pivotal role that integrated cognitive behaviour therapy, artistic expression, and a renewed connection with her family have made on her recovery. Collins' account is not only a personal testimony but also offers critical insights into the shortcomings of traditional eating disorder treatments and the importance of personalised, holistic approaches in mental health care. Lorna's story aims to bring hope, challenge the concept of SEED and form part of a growing evidence-base that recovery is possible irrespective of duration or eating disorder severity. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Service design for children and young people with common mental health problems: literature review, service mapping and collective case study.
- Author
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Pryjmachuk S, Kirk S, Fraser C, Evans N, Lane R, Neill L, Camacho E, Bower P, Bee P, and McDougall T
- Subjects
- Humans, Child, Adolescent, COVID-19 epidemiology, England, Wales, Cost-Benefit Analysis, Health Services Accessibility organization & administration, Male, Female, Child Health Services organization & administration, SARS-CoV-2, Mental Health Services organization & administration, Mental Disorders therapy
- Abstract
Background: The mental health of children/young people is a growing concern internationally. Numerous reports and reviews have consistently described United Kingdom children's mental health services as fragmented, variable, inaccessible and lacking an evidence base. Little is known about the effectiveness of, and implementation complexities associated with, service models for children/young people experiencing 'common' mental health problems like anxiety, depression, attention deficit hyperactivity disorder and self-harm., Aim: To develop a model for high-quality service design for children/young people experiencing common mental health problems by identifying available services, barriers and enablers to access, and the effectiveness, cost effectiveness and acceptability of such services., Design: Evidence syntheses with primary research, using a sequential, mixed-methods design. Inter-related scoping and integrative reviews were conducted alongside a map of relevant services across England and Wales, followed by a collective case study of English and Welsh services., Setting: Global (systematic reviews); England and Wales (service map; case study)., Data Sources: Literature reviews: relevant bibliographic databases and grey literature. Service map: online survey and offline desk research. Case study: 108 participants (41 children/young people, 26 parents, 41 staff) across nine case study sites., Methods: A single literature search informed both reviews. The service map was obtained from an online survey and internet searches. Case study sites were sampled from the service map; because of coronavirus disease 2019, case study data were collected remotely. 'Young co-researchers' assisted with case study data collection. The integrative review and case study data were synthesised using the 'weaving' approach of 'integration through narrative'., Results: A service model typology was derived from the scoping review. The integrative review found effectiveness evidence for collaborative care, outreach approaches, brief intervention services and the 'availability, responsiveness and continuity' framework. There was cost-effectiveness evidence only for collaborative care. No service model appeared to be more acceptable than others. The service map identified 154 English and Welsh services. Three themes emerged from the case study data: 'pathways to support'; 'service engagement'; and 'learning and understanding'. The integrative review and case study data were synthesised into a coproduced model of high-quality service provision for children/young people experiencing common mental health problems., Limitations: Defining 'service model' was a challenge. Some service initiatives were too new to have filtered through into the literature or service map. Coronavirus disease 2019 brought about a surge in remote/digital services which were under-represented in the literature. A dearth of relevant studies meant few cost-effectiveness conclusions could be drawn., Conclusions: There was no strong evidence to suggest any existing service model was better than another. Instead, we developed a coproduced, evidence-based model that incorporates the fundamental components necessary for high-quality children's mental health services and which has utility for policy, practice and research., Future Work: Future work should focus on: the potential of our model to assist in designing, delivering and auditing children's mental health services; reasons for non-engagement in services; the cost effectiveness of different approaches in children's mental health; the advantages/disadvantages of digital/remote platforms in delivering services; understanding how and what the statutory sector might learn from the non-statutory sector regarding choice, personalisation and flexibility., Study Registration: This study is registered as PROSPERO CRD42018106219., Funding: This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: 17/09/08) and is published in full in Health and Social Care Delivery Research ; Vol. 12, No. 13. See the NIHR Funding and Awards website for further award information.
- Published
- 2024
- Full Text
- View/download PDF
4. 'Boost Camp', a universal school-based transdiagnostic prevention program targeting adolescent emotion regulation; evaluating the effectiveness by a clustered RCT: a protocol paper.
- Author
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Volkaert B, Wante L, Vervoort L, and Braet C
- Subjects
- Adolescent, Adolescent Behavior, Cluster Analysis, Emotions, Female, Humans, Male, Mental Health, Parents, Randomized Controlled Trials as Topic, Reproducibility of Results, Surveys and Questionnaires, Mental Disorders prevention & control, Mental Health Services, School Health Services, Self-Control psychology, Students psychology
- Abstract
Background: The transition from childhood into adolescence can be considered as a critical developmental period. Moreover, adolescence is associated with a decreased use of adaptive emotion regulation strategies and an increased use of maladaptive emotion regulation strategies increasing the risk of emotional problems. Targeting emotion regulation is therefore seen as an innovative prevention approach. The present study aims to evaluate the effectiveness of Boost camp, an innovative school-based prevention program targeting ER, on adolescents' emotion regulation skills and emotional wellbeing. Also secondary outcomes and possible moderators will be included., Methods: The aim is to reach 300 adolescents (16 class groups, 6 schools) in their first year of high school. A clustered Randomized Controlled Trial (RCT) with two conditions, intervention (n = 150) and control (n = 150), will be set up. Adolescents in the intervention condition will receive 14 lessons over the course of 2 days, followed by Booster sessions, and will be compared with adolescents in a non-intervention control group. The outcomes will be measured by self-report questionnaires at baseline, immediately after Boost camp, and at three and 6 months follow-up., Discussion: Data-collection is planned to be completed in May 2018. Data-analyses will be finished the end of 2018. The presented paper describes the Boost camp program and the clustered RCT design to evaluate its effectiveness. It is expected that Boost camp will have beneficial effects. If found effective, Boost camp will have the potential to increase adolescent's ER and well-being, and reduce the risk to become adults in need. The trials is registered on the 13th of June 2017 in ISRCTN registry [ISRCTN68235634].
- Published
- 2018
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5. Destination: recovery Te Unga Ki Uta:Te Oranga. Future responses to mental distress and loss of well-being--a discussion paper from the Mental Health Advocacy Coalition.
- Author
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Rodenburg H
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- Humans, Mental Disorders diagnosis, Mental Disorders therapy, Mental Health Services organization & administration, Patient Advocacy, Primary Health Care organization & administration
- Published
- 2009
6. A comparison of electronic records to paper records in mental health centers.
- Author
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Tsai J and Bond G
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- Female, Humans, Information Storage and Retrieval, Male, Middle Aged, Quality of Health Care organization & administration, Antipsychotic Agents therapeutic use, Medical Records Systems, Computerized organization & administration, Mental Health Services organization & administration, Schizophrenia drug therapy
- Abstract
Objective: Medication documentation is a critical aspect of quality patient care. The current study examined whether electronic medical records provide medication documentation that is more complete and faster to retrieve than traditional paper records., Method: This study involves a comparison of archived paper medical records to recent electronic medical records through chart review. A convenient sample of three large community mental health centers in Indiana was used. Medical charts for 180 patients with schizophrenia were rated on a checklist composed of 16 items that was adapted from a national project. Documentation that existed before implementation of the electronic medical record system was compared with that after implementation at each of the three centers. The main outcome measures were completeness and retrieval time of medication documentation., Results: Electronic medical records provided medication documentation that was more complete and faster to retrieve than paper records across all centers and within each center. On average, electronic medical records were 40% more complete and 20% faster to retrieve., Conclusion: Electronic records have potential to improve medication management for patients in mental health centers over traditional records. However, medication documentation for patients diagnosed with schizophrenia was found to be deficient in many areas, regardless of documentation format.
- Published
- 2008
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7. Commentary to the Paper 'Prevalence of the Most Frequent Neuropsychiatric Diagnoses in Hospitalized SARS-CoV-2 Patients Evaluated by Liaison Psychiatry: Cross-Sectional Study'
- Author
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Gabriela Andrade, Rodrigo Saraiva, Licínia Ganança, Carlos Góis, and Filipa Novais
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COVID-19 ,Delirium ,Mental Health Services ,Psychiatry ,Referral and Consultation ,Medicine ,Medicine (General) ,R5-920 - Abstract
N/a.
- Published
- 2022
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8. Leading by example. MHCA and SATVA work together to produce a white paper on successful EHR implementation.
- Author
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Connors WR
- Subjects
- Decision Making, Health Care Sector, Humans, Interinstitutional Relations, Planning Techniques, United States, Guidelines as Topic, Medical Records Systems, Computerized standards, Mental Health Services organization & administration, Software standards
- Published
- 2006
9. Computer-administered versus paper-and-pencil mental health surveys.
- Author
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Eisen SV, Toche-Manley LL, and Grissom GR
- Subjects
- Adult, Computer Literacy, Female, Humans, Male, Middle Aged, Psychological Tests statistics & numerical data, Reproducibility of Results, Statistics as Topic, Health Surveys, Mental Health Services statistics & numerical data, Outcome Assessment, Health Care statistics & numerical data, Software
- Published
- 2004
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10. Conceptual framework on barriers and facilitators to implementing perinatal mental health care and treatment for women: the MATRIx evidence synthesis.
- Author
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Webb R, Ford E, Shakespeare J, Easter A, Alderdice F, Holly J, Coates R, Hogg S, Cheyne H, McMullen S, Gilbody S, Salmon D, and Ayers S
- Subjects
- Female, Humans, Pregnancy, Health Services Accessibility organization & administration, Mental Disorders therapy, Mental Health Services organization & administration, Perinatal Care organization & administration
- Abstract
Background: Perinatal mental health difficulties can occur during pregnancy or after birth and mental illness is a leading cause of maternal death. It is therefore important to identify the barriers and facilitators to implementing and accessing perinatal mental health care., Objectives: Our research objective was to develop a conceptual framework of barriers and facilitators to perinatal mental health care (defined as identification, assessment, care and treatment) to inform perinatal mental health services., Methods: Two systematic reviews were conducted to synthesise the evidence on: Review 1 barriers and facilitators to implementing perinatal mental health care; and Review 2 barriers to women accessing perinatal mental health care. Results were used to develop a conceptual framework which was then refined through consultations with stakeholders., Data Sources: Pre-planned searches were conducted on MEDLINE, EMBASE, PsychInfo and CINAHL. Review 2 also included Scopus and the Cochrane Database of Systematic Reviews., Review Methods: In Review 1, studies were included if they examined barriers or facilitators to implementing perinatal mental health care. In Review 2, systematic reviews were included if they examined barriers and facilitators to women seeking help, accessing help and engaging in perinatal mental health care; and they used systematic search strategies. Only qualitative papers were identified from the searches. Results were analysed using thematic synthesis and themes were mapped on to a theoretically informed multi-level model then grouped to reflect different stages of the care pathway., Results: Review 1 included 46 studies. Most were carried out in higher income countries and evaluated as good quality with low risk of bias. Review 2 included 32 systematic reviews. Most were carried out in higher income countries and evaluated as having low confidence in the results. Barriers and facilitators to perinatal mental health care were identified at seven levels: Individual (e.g. beliefs about mental illness); Health professional (e.g. confidence addressing perinatal mental illness); Interpersonal (e.g. relationship between women and health professionals); Organisational (e.g. continuity of carer); Commissioner (e.g. referral pathways); Political (e.g. women's economic status); and Societal (e.g. stigma). These factors impacted on perinatal mental health care at different stages of the care pathway. Results from reviews were synthesised to develop two MATRIx conceptual frameworks of the (1) barriers and (2) facilitators to perinatal mental health care. These provide pictorial representations of 66 barriers and 39 facilitators that intersect across the care pathway and at different levels., Limitations: In Review 1 only 10% of abstracts were double screened and 10% of included papers methodologically appraised by two reviewers. The majority of reviews included in Review 2 were evaluated as having low ( n = 14) or critically low ( n = 5) confidence in their results. Both reviews only included papers published in academic journals and written in English., Conclusions: The MATRIx frameworks highlight the complex interplay of individual and system level factors across different stages of the care pathway that influence women accessing perinatal mental health care and effective implementation of perinatal mental health services., Recommendations for Health Policy and Practice: These include using the conceptual frameworks to inform comprehensive, strategic and evidence-based approaches to perinatal mental health care; ensuring care is easy to access and flexible; providing culturally sensitive care; adequate funding of services; and quality training for health professionals with protected time to do it., Future Work: Further research is needed to examine access to perinatal mental health care for specific groups, such as fathers, immigrants or those in lower income countries., Trial Registration: This trial is registered as PROSPERO: (R1) CRD42019142854; (R2) CRD42020193107., Funding: This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR 128068) and is published in full in Health and Social Care Delivery Research ; Vol. 12, No. 2. See the NIHR Funding and Awards website for further award information.
- Published
- 2024
- Full Text
- View/download PDF
11. A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper.
- Author
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Hilton, Claire, Morris, Abigail, Burnside, Girvan, Harris, Rebecca, Aggarwal, Vishal R., Procter, Sarah, Griffiths, Robert, French, Paul, Laverty, Louise, Lobban, Fiona, Berry, Katherine, Shiers, David, Golby, Rebecca, Fazekas, Fanni, Valemis, Kyriakos, Perry, Antonia, Newens, Connie, Kerry, Eirian, Mupinga, Pauline, and Gkioni, Efstathia
- Subjects
- *
PEOPLE with mental illness , *DENTAL care utilization , *MENTAL health services , *DENTAL personnel , *MEDICAL care - Abstract
Background: People with severe mental illness (e.g. psychosis, bipolar disorder) experience poor oral health compared to the general population as shown by more decayed, missing and filled teeth and a higher prevalence of periodontal disease. Attending dental services allows treatment of oral health problems and support for prevention. However, people with severe mental illness face multiple barriers to attending routine dental appointments and often struggle to access care. Link work interventions use non-clinical support staff to afford vulnerable populations the capacity, opportunity, and motivation to navigate use of services. The authors have co-developed with service users a link work intervention for supporting people with severe mental illness to access routine dental appointments. The Mouth Matters in Mental Health Study aims to explore the feasibility and acceptability of this intervention within the context of a feasibility randomised controlled trial (RCT) measuring outcomes related to the recruitment of participants, completion of assessments, and adherence to the intervention. The trial will closely monitor the safety of the intervention and trial procedures. Methods: A feasibility RCT with 1:1 allocation to two arms: treatment as usual (control) or treatment as usual plus a link work intervention (treatment). The intervention consists of six sessions with a link worker over 9 months. Participants will be adults with severe mental illness receiving clinical input from secondary care mental health service and who have not attended a planned dental appointment in the past 3 years. Assessments will take place at baseline and after 9 months. The target recruitment total is 84 participants from across three NHS Trusts. A subset of participants and key stakeholders will complete qualitative interviews to explore the acceptability of the intervention and trial procedures. Discussion: The link work intervention aims to improve dental access and reduce oral health inequalities in people with severe mental illness. There is a dearth of research relating to interventions that attempt to improve oral health outcomes in people with mental illness and the collected feasibility data will offer insights into this important area. Trial registration: The trial was preregistered on ISRCTN (ISRCTN13650779) and ClinicalTrials.gov (NCT05545228). [ABSTRACT FROM AUTHOR]
- Published
- 2023
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12. The New Collected Papers of Biodynamic Psychology, Massage and Psychotherapy: 2022.
- Author
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Ludwig, Mark
- Subjects
- *
PSYCHOTHERAPY , *SOCIAL workers , *MENTAL health services , *PSYCHOLOGY , *DANCE therapy - Published
- 2023
13. Response to the white paper on MHA reform: marginalisation of patients detained under part III of the MHA
- Author
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Sarah Markham
- Subjects
Psychiatry ,Government ,medicine.medical_specialty ,Common law ,Mental Health Act ,RC435-571 ,risk assessment ,mental health services ,Civil liberties ,forensic psychiatry ,Statute ,Psychiatry and Mental health ,White paper ,Neurology ,Political science ,Law ,Forensic psychiatry ,Commentary ,Duty of care ,medicine ,Neurology (clinical) ,risk - Abstract
In England and Wales, the Mental Health Act (MHA) 1983 provides the legal framework for the detention of individuals suffering from a mental disorder if they are judged to present a risk of harm to self or others. The MHA removes from certain psychiatric patients civil liberties otherwise inherent in our legal system. Through both statute and common law, it balances a patient’s right to autonomy with psychiatrists' duty of care by reference to the health and safety of the patient. It also balances the civil rights of individual patients against the right of society to protection.1 The 2018 Independent Review of the Mental Health Act (1983) set out recommendations for the government on how the MHA and associated practice needed to change in its final report ‘Modernising the Mental Health Act’.2 This led to the development of the government’s plans to reform the Act, together with the associated policy and practice, as set out in the white paper.3 The proposals take forward the recommendations made by the Independent Review and the full government response. The government is now consulting on its proposals before bringing forward a bill to amend the act. This commentary highlights the white paper’s marginalisation of patients detained under part III of the MHA. As a member of the Independent Review’s Department of Health and Social Care Topic Groups tasked with formulating recommendations for revision of the detention criteria and part III of the MHA, I am delighted that so many of our recommendations have been approved or are being given serious consideration by the government. However, I have substantial concerns about the white paper’s differential approach to civil (part II) and forensic (part III) patients, specifically the exclusion of forensic patients from the proposed changes to the detention criteria in the MHA. …
- Published
- 2021
14. Graphic Paper: The impact of digital communication on adolescent to adult mental health service transitions.
- Author
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Brenchley, Alex
- Abstract
Background: Inaccessible services and poor communication are barriers to successful transitions between adolescent and adult mental health services, for which digital communications (DC) offer a possible solution. Aims: To investigate the role of DC, including smartphone apps, email and text, given the known barriers and facilitators of mental health service transitions reported in the literature. Methods: Use of Neale's (2016) iterative categorisation technique to undertake a secondary analysis of qualitative data collected for the Long-term conditions Young people Networked Communication (LYNC) study. Results: DC were used successfully by young people and staff in ways that ameliorated known barriers to service transitions. They engendered responsibility in young people, promoted service access and contributed to client safety, particularly in times of crisis. DC risks included over-familiarity between young people and staff, and the possibility that messages could go unread. Conclusions: DC have the potential to facilitate trust and familiarity during and after transition to adult mental health services. They can strengthen young people's perceptions of adult services as supportive, empowering and available. DC can be used for frequent 'check-ins' and remote digital support for social and personal problems. They provide an additional safety net for at-risk individuals, but require careful boundary setting. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
15. Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot.
- Author
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Lindsey MA, Mufson L, Vélez-Grau C, Grogan T, Wilson DM, Reliford AO, Gunlicks-Stoessel M, and Jaccard J
- Subjects
- Humans, Adolescent, Depression diagnosis, Depression prevention & control, Suicide Prevention, Randomized Controlled Trials as Topic, Mental Health Services, Interpersonal Psychotherapy, School Mental Health Services
- Abstract
Background: Depression continues to be an ongoing threat to adolescent well-being with Black adolescents being particularly vulnerable to greater burdens of depression as well as lower mental health service utilization. Black adolescents are likely to have untreated depression due to social network influences, varied perceptions of services and providers, or self-stigma associated with experiencing depressive symptoms. Furthermore, if or when treatment is initiated, low engagement and early termination are common. To address this gap, a trial is being conducted to preliminarily test the effectiveness of an engagement intervention targeting Black adolescents with depression in school mental health services in New York City., Methods: A total of 60 Black middle and high school adolescents displaying depressive symptoms are equally randomized (based on school site) to the treatment arms. Both trial arms deliver Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), a time-limited, evidence-based treatment for depression. Additionally, one arm pairs IPT-A with a brief, multi-level engagement intervention, the Making Connections Intervention (MCI), involving adolescents, caregivers, and clinicians. Outcomes of interest are group differences in depression and suicide ideation, adolescent and caregiver engagement, and mental health service use., Discussion: This trial will serve as an efficacy assessment of the MCI among a sample of Black adolescent students with depressive symptoms. Clinical and implementation results will be used to inform future research to further test the MCI intervention in a larger sample., Trial Registration: Registered by ClinicalTrials.gov on May 3, 2019, identifier: NCT03940508., (© 2024. The Author(s).)
- Published
- 2024
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16. Open Dialogue, need‐adapted mental health care, and implementation fidelity: A discussion paper
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Anna Sidis, Lisa Dawson, Steven Mayers, Edward K. Waters, Andrea McCloughen, Alan Rosen, Niels Buus, Kristof Mikes-Liu, and Benjamin Ong
- Subjects
Mental Health Services ,Evidence-based nursing ,media_common.quotation_subject ,Psychological intervention ,Fidelity ,03 medical and health sciences ,0302 clinical medicine ,nursing ,Health care ,Humans ,Quality (business) ,Finland ,media_common ,implementation science ,Medical education ,philosophy ,030504 nursing ,business.industry ,Perspective (graphical) ,Flexibility (personality) ,evidence-based nursing ,Mental health ,030227 psychiatry ,Mental Health ,psychiatric nursing ,Pshychiatric Mental Health ,0305 other medical science ,business ,Psychology ,mental health - Abstract
Open Dialogue is a need-adapted approach to mental health care that was originally developed in Finland. Like other need-adapted approaches, Open Dialogue aims to meet consumer’s needs and promote collaborative person-centred dialogue to support recovery. Need-adapted mental health care is distinguished by flexibility and responsiveness. Fidelity, defined from an implementation science perspective as the delivery of distinctive interventions in a high quality and effective fashion is a key consideration in health care. However, flexibility presents challenges for evaluating fidelity, which is much easier to evaluate when manualization and reproducible processes are possible. Hence, it remains unclear whether Open Dialogue and other need-adapted mental health interventions can be meaningfully evaluated for fidelity. The aim of this paper was to critically appraise and advance the evaluation of fidelity in need-adapted mental health care, using Open Dialogue as a case study. The paper opens a discussion about how fidelity should be evaluated in flexible, complex interventions, and identifies key questions that need to be asked by practitioners working in need-adapted mental health care to ensure they deliver these interventions as intended and in an evidence-based fashion.
- Published
- 2021
17. Physician Suicide Prevention and the Ethics and Role of a Healing Community: an American College of Physicians Policy Paper.
- Author
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DeCamp, Matthew and Levine, Mark
- Subjects
- *
SUICIDE prevention , *SUICIDE victims , *MENTAL health services , *SUICIDE statistics , *MENTAL health screening , *UNIVERSITY towns , *PHYSICIANS , *PUBLIC health - Abstract
Suicide is a major global public health issue, and in recent years, there has been increasing recognition of the problem of physician suicide. This American College of Physicians policy paper examines, from the perspective of ethics, the issues that arise when individuals and institutions respond to physician suicides and when they engage in broader efforts aimed at physician suicide prevention. Emphasizing the medical profession as a unique moral community characterized by ethical and professional commitments of service to patients, each other, and society, this paper offers guidance regarding physician suicide and the role of a healing community. The response to an individual physician suicide should be characterized by respect and concern for those who are grieving, the creation of a supportive environment for suicide loss survivors, and careful communication about the event. Because suicide is a complex problem, actions aimed at preventing suicide must occur at the individual, interpersonal, community, and societal levels. The medical community has an obligation to foster a culture that supports education, screening, and access to mental health treatment, beginning at the earliest stages of medical training. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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18. Program Report: Children and Families.
- Author
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Currie, Janet and Aizer, Anna
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MENTAL health services ,MEDICAL care ,POOR families ,NATIVE American children ,FOOD stamps ,HEAD Start programs ,SCHOOL year - Abstract
The article discusses the renaming of the Program on Children to the Program on Children and Families, reflecting the broad range of research conducted by its affiliates. It highlights the importance of early-life conditions and public programs in shaping children's outcomes. The article also explores the effects of the social safety net on child health and well-being, as well as the impact of cash transfers and early childhood education programs. Additionally, it discusses the positive effects of access to medical care, particularly for marginalized Black children. The text discusses various research studies on the impact of different factors on children and families. It highlights the positive effects of increasing access to medical care through community health centers on birth outcomes. It also emphasizes the benefits of Medicaid coverage for undocumented women during pregnancy and its positive impact on prenatal care and birth weight. The text further explores intergenerational impacts of Medicaid expansions and the importance of parental investments in children's well-being. It touches on emerging areas of research such as child mental health, abortion access, gun violence, and the impact of COVID-19 on families and children. This document contains a list of research papers and working papers related to various topics concerning children's well-being, social safety nets, and related issues. The papers cover a range of subjects, including the effects of welfare programs on crime, the impact of cash transfers on employment outcomes, the benefits of early childhood education, the consequences of poor childhood health, and the effects of restrictive abortion legislation. The papers provide valuable insights into these topics and can be useful [Extracted from the article]
- Published
- 2024
19. Service user experiences of participating in a Recovery and Collaborative Care Planning Café framed with CHIME: 'A co-produced narrative paper'.
- Author
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Williams, Lyn, Armitage, Claire, Richardson, Azar, Davies, Firoza, Smith, April, and Adnath, Jayshree
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PATIENT participation ,CONVALESCENCE ,SERIAL publications ,ATTITUDES of medical personnel ,CONSUMER attitudes ,INTERVIEWING ,MEDICAL protocols ,QUALITATIVE research ,NATIONAL health services ,LEARNING strategies ,ADVANCE directives (Medical care) ,INTERPROFESSIONAL relations ,QUALITY assurance ,THEMATIC analysis ,PATIENT-professional relations ,MENTAL health services ,VIDEO recording ,STORYTELLING - Abstract
This paper builds on a previous article describing an innovative approach to enhance the service user and practitioner's experience of novel collaborative approach to service improvement. It aims to explore the impact of this through the voices of service users as collaborators and co-authors. The Recovery and Collaborative Care Planning Café (RCCPC) designed with World Café principles, created a safe space to foster inquiry and learning about recovery between service users, carers, and practitioners in an NHS Trust. An important part of the method was in changing conversations towards recovery and living well with conditions applying CHIME concepts (Connectedness, Hope, Identity, Meaning, and Empowerment). Story is a qualitative method known as a well-established effective means of engaging others in sharing experiences and perspectives. Through the stories of service users' experiences participating in the RCCP Cafe, it was clear that they felt that CHIME concepts had a positive impact on the way that their conversations evolved. Accounts of how these conversations had resulted in personal growth and increased connectedness emerged. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
20. Analysis and critique of 'Transforming children and young people's mental health provision: A green paper': Some implications for refugee children and young people
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Pat Cox and Jane March McDonald
- Subjects
Mental Health Services ,Adolescent ,Service delivery framework ,Refugee ,media_common.quotation_subject ,Social Stigma ,B760 ,Pediatrics ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Humans ,Sociology ,Child ,media_common ,Government ,Refugees ,Wales ,030504 nursing ,business.industry ,Green paper ,B730 ,Public relations ,Mental health ,Culturally Competent Care ,England ,Paradigm shift ,Scale (social sciences) ,Pediatrics, Perinatology and Child Health ,Wounds and Injuries ,0305 other medical science ,business ,Diversity (politics) - Abstract
Adopting a children’s rights perspective, a critique and analysis underpinned by documentary research methodology was undertaken in order to assess the extent to which the government’s Green Paper (Department of Health and Social Care and Department of Education, 2017. Transforming children and young people’s mental health provision: a green paper. Available at: https://www.gov.uk/government/consultations/transforming-children-and-young-peoples-mental-health-provision-a-green-paper (accessed 7 December 2017)) addresses the mental health and well-being needs of refugee children and young people in England and Wales, identifying strengths, limitations and challenges for future policy and practice. Findings suggest that there is much of potential benefit to refugee children and young people’s future mental health and well-being. However, a paradigm shift, explicit in implications, scale and time frame, will be required, if the Green Paper is to achieve those changes in attitudes, practice and service delivery which it anticipates. We argue that this Green Paper’s overarching challenge is that it is premised on Western-centric models in its understanding of the experiences of refugee children and young people, and management of trauma and mental health. It fails to recognize the meanings and significance of culture, and of diversity and difference, and the need to invest in all communities in facilitating engagement and support for children and young people’s mental health issues.
- Published
- 2018
21. Integration, effectiveness and costs of different models of primary health care provision for people who are homeless: an evaluation study.
- Author
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Crane M, Joly L, Daly BJ, Gage H, Manthorpe J, Cetrano G, Ford C, and Williams P
- Subjects
- Child, Humans, Mental Health, England epidemiology, Primary Health Care, Mental Health Services, Ill-Housed Persons
- Abstract
Background: There is a high prevalence of health problems among single people who are homeless. Specialist primary health care services for this population have been developed in several locations across England; however, there have been very few evaluations of these services., Objectives: This study evaluated the work of different models of primary health care provision in England to determine their effectiveness in engaging people who are homeless in health care and in providing continuity of care for long-term conditions. It concerned single people (not families or couples with dependent children) staying in hostels, other temporary accommodation or on the streets. The influence on outcomes of contextual factors and mechanisms (service delivery factors), including integration with other services, were examined. Data from medical records were collated on participants' use of health care and social care services over 12 months, and costs were calculated., Design and Setting: The evaluation involved four existing Health Service Models: (1) health centres primarily for people who are homeless (Dedicated Centres), (2) Mobile Teams providing health care in hostels and day centres, (3) Specialist GPs providing some services exclusively for patients who are homeless and (4) Usual Care GPs providing no special services for people who are homeless (as a comparison). Two Case Study Sites were recruited for each of the specialist models, and four for the Usual Care GP model., Participants: People who had been homeless during the previous 12 months were recruited as 'case study participants'; they were interviewed at baseline and at 4 and 8 months, and information was collected about their circumstances and their health and service use in the preceding 4 months. Overall, 363 participants were recruited; medical records were obtained for 349 participants. Interviews were conducted with 65 Case Study Site staff and sessional workers, and 81 service providers and stakeholders., Results: The primary outcome was the extent of health screening for body mass index, mental health, alcohol use, tuberculosis, smoking and hepatitis A among participants, and evidence of an intervention if a problem was identified. There were no overall differences in screening between the models apart from Mobile Teams, which scored considerably lower. Dedicated Centres and Specialist GPs were more successful in providing continuity of care for participants with depression and alcohol and drug problems. Service use and costs were significantly higher for Dedicated Centre participants and lower for Usual Care GP participants. Participants and staff welcomed flexible and tailored approaches to care, and related services being available in the same building. Across all models, dental needs were unaddressed and staff reported poor availability of mental health services., Limitations: There were difficulties recruiting mainstream general practices for the Usual Care GP model. Medical records could not be accessed for 14 participants of this model., Conclusions: Participant characteristics, contextual factors and mechanisms were influential in determining outcomes. Overall, outcomes for Dedicated Centres and for one of the Specialist GP sites were relatively favourable. They had dedicated staff for patients who were homeless, 'drop-in' services, on-site mental health and substance misuse services, and worked closely with hospitals and homelessness sector services., Funding: This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (HSDR 13/156/03) and will be published in full in Health and Social Care Delivery Research ; Vol. 11, No. 16. See the NIHR Journals Library website for further project information.
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- 2023
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22. A scoping review of trauma informed approaches in acute, crisis, emergency, and residential mental health care.
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Saunders KRK, McGuinness E, Barnett P, Foye U, Sears J, Carlisle S, Allman F, Tzouvara V, Schlief M, Vera San Juan N, Stuart R, Griffiths J, Appleton R, McCrone P, Rowan Olive R, Nyikavaranda P, Jeynes T, K T, Mitchell L, Simpson A, Johnson S, and Trevillion K
- Subjects
- Pregnancy, Humans, Female, Mental Health, Mental Health Services
- Abstract
Experiences of trauma in childhood and adulthood are highly prevalent among service users accessing acute, crisis, emergency, and residential mental health services. These settings, and restraint and seclusion practices used, can be extremely traumatic, leading to a growing awareness for the need for trauma informed care (TIC). The aim of TIC is to acknowledge the prevalence and impact of trauma and create a safe environment to prevent re-traumatisation. This scoping review maps the TIC approaches delivered in these settings and reports related service user and staff experiences and attitudes, staff wellbeing, and service use outcomes.We searched seven databases (EMBASE; PsycINFO; MEDLINE; Web of Science; Social Policy and Practice; Maternity and Infant Care Database; Cochrane Library Trials Register) between 24/02/2022-10/03/2022, used backwards and forwards citation tracking, and consulted academic and lived experience experts, identifying 4244 potentially relevant studies. Thirty-one studies were included.Most studies (n = 23) were conducted in the USA and were based in acute mental health services (n = 16). We identified few trials, limiting inferences that can be drawn from the findings. The Six Core Strategies (n = 7) and the Sanctuary Model (n = 6) were the most commonly reported approaches. Rates of restraint and seclusion reportedly decreased. Some service users reported feeling trusted and cared for, while staff reported feeling empathy for service users and having a greater understanding of trauma. Staff reported needing training to deliver TIC effectively.TIC principles should be at the core of all mental health service delivery. Implementing TIC approaches may integrate best practice into mental health care, although significant time and financial resources are required to implement organisational change at scale. Most evidence is preliminary in nature, and confined to acute and residential services, with little evidence on community crisis or emergency services. Clinical and research developments should prioritise lived experience expertise in addressing these gaps., (© 2023. BioMed Central Ltd., part of Springer Nature.)
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- 2023
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23. Current insights of community mental healthcare for people with severe mental illness: A scoping review.
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van Genk, Caroline, Roeg, Diana, van Vugt, Maaike, van Weeghel, Jaap, and Van Regenmortel, Tine
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PEOPLE with mental illness ,MENTAL health services ,COMMUNITIES ,COMMUNITY mental health services ,SOCIAL support ,HUMANISTIC psychology ,SOCIAL integration - Abstract
Background: For the last four decades, there has been a shift in mental healthcare toward more rehabilitation and following a more humanistic and comprehensive vision on recovery for persons with severe mental illness (SMI). Consequently, many community-based mental healthcare programs and services have been developed internationally. Currently, community mental healthcare is still under development, with a focus on further inclusion of persons with enduring mental health problems. In this review, we aim to provide a comprehensive overview of existing and upcoming community mental healthcare approaches to discover the current vision on the ingredients of community mental healthcare. Methods: We conducted a scoping review by systematically searching four databases, supplemented with the results of Research Rabbit, a hand-search in reference lists and 10 volumes of two leading journals. We included studies on adults with SMI focusing on stimulating independent living, integrated care, recovery, and social inclusion published in English between January 2011 and December 2022 in peer-reviewed journals. Results: The search resulted in 56 papers that met the inclusion criteria. Thematic analysis revealed ingredients in 12 areas: multidisciplinary teams; collaboration within and outside the organization; attention to several aspects of health; supporting full citizenship; attention to the recovery of daily life; collaboration with the social network; tailored support; well-trained staff; using digital technologies; housing and living environment; sustainable policies and funding; and reciprocity in relationships. Conclusion: We found 12 areas of ingredients, including some innovative topics about reciprocity and sustainable policies and funding. There is much attention to individual ingredients for good community-based mental healthcare, but very little is known about their integration and implementation in contemporary, fragmented mental healthcare services. For future studies, we recommend more empirical research on community mental healthcare, as well as further investigation(s) from the social service perspective, and solid research on general terminology about SMI and outpatient support. [ABSTRACT FROM AUTHOR]
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- 2023
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24. The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee
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Ariadna Forray, Andrew M. Siegel, Thomas M. Soeprono, Carrie L. Ernst, Mallika Lavakumar, Paula C. Zimbrean, Ann C. Schwartz, and Scott R. Beach
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Mental Health Services ,medicine.medical_specialty ,animal diseases ,education ,Psychological intervention ,MEDLINE ,Collaborative Care ,PsycINFO ,digestive system ,Ambulatory Care Facilities ,Article ,03 medical and health sciences ,0302 clinical medicine ,consultation-liaison psychiatry ,Arts and Humanities (miscellaneous) ,Outpatients ,medicine ,collaborative care ,Humans ,Curriculum ,Referral and Consultation ,Applied Psychology ,integrated care ,Psychiatry ,Education, Medical ,business.industry ,Delivery of Health Care, Integrated ,Internship and Residency ,bacterial infections and mycoses ,Mental health ,030227 psychiatry ,Integrated care ,Psychiatry and Mental health ,stomatognathic diseases ,Family medicine ,Liaison psychiatry ,business ,medical education ,030217 neurology & neurosurgery - Abstract
Background As mental health services in outpatient medical clinics expand, psychiatrists must be trained to practice in these settings. Objectives The Academy of Consultation-Liaison Psychiatry residency education subcommittee convened a writing group with the goal of summarizing the current evidence about outpatient consultation-liaison psychiatry (CLP) training and providing a framework for CLP educators who are interested in developing outpatient CLP rotations within their programs. Method MEDLINE (via PubMed), Embase, and PsycINFO (via OVID) were reviewed each from inception to December 2019, for psychiatric CLP services in ambulatory settings that involved residents or fellows. The CLP education guidelines were reviewed for recommendations relevant to outpatient CLP. We also searched MedEd portal for published curriculums relevant to CLP. The group held 2 conferences to reach consensus about recommendations in setting up outpatient CLP rotations. Results Seventeen articles, 3 Academy of Consultation-Liaison Psychiatry–supported guidelines, and 8 online didactic resources were identified as directly reporting on the organization and/or impact of an outpatient CLP rotation. These manuscripts indicated that residents found outpatient CLP rotations effective and relevant to their future careers. However, the literature provided few recommendations for establishing formal outpatient CLP training experiences. Conclusions Outpatient CLP rotations offer multiple benefits for trainees, including exposure to specific clinical scenarios and therapeutic interventions applicable only in the outpatient setting, increased continuity of care, and the unique experience of providing liaison and education to non-mental health providers. The article outlines recommendations and examples for developing outpatient CLP rotations which CLP educators can incorporate in their programs.
- Published
- 2020
25. Shared Decision Making in a Youth Mental Health Service Design and Research Project: Insights From the Pan-Canadian ACCESS Open Minds Network.
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Guinaudie C, Mireault C, Tan J, Pelling Y, Jalali S, Malla A, and Iyer SN
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- Adolescent, Canada, Decision Making, Decision Making, Shared, Health Services Accessibility, Humans, Mental Disorders therapy, Mental Health Services
- Abstract
Shared decision making (SDM) is the process by which health care providers and patients collaborate to make health care decisions. This collaboration leads to informed decision making and improved outcomes. However, research on SDM specific to the field of youth mental health is scarce. ACCESS Open Minds (ACCESS OM) is a youth mental health research and evaluation project that implemented and evaluated SDM practices within its various activities and operations. The ACCESS OM network spans a diversity of youth mental health settings across Canada, and includes various stakeholders such as youth, family members and carers, clinicians, researchers, and policy makers. The project values all types of knowledge (specifically, experiential, cultural, clinical, and scientific knowledge) as necessary to lead to better health research, care delivery, and outcomes for patients and their communities. Similarly, it acknowledges the lived experience of patients and, family and carers as expertise. Through the integration of SDM practices, ACCESS OM has formulated valuable insights that can be applied to other health problems and settings. This paper, written by youth and family council members, operational staff, and researchers from the project, will share challenges and solutions that arose in the integration of SDM practices within ACCESS OM's knowledge translation strategy, governance structures, clinical contexts, and capacity-building initiatives. Shared Decision Making in a Youth Mental Health Service Design and Research Project: Insights From the Pan-Canadian ACCESS Open Minds Network (MP4 234838 kb).
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- 2020
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26. Reliability of Paper-Based Routine Documentation in Psychiatric Inpatient Care and Recommendations for Further Improvement.
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Fröhlich, Daniela, Bittersohl, Christin, Schroeder, Katrin, Schöttle, Daniel, Kowalinski, Eva, Borgwardt, Stefan, Lang, Undine E., and Huber, Christian G.
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MENTAL health services ,INPATIENT care ,DOCUMENTATION ,RELIABILITY in engineering ,ORGANIZATIONAL change ,UNIVERSITY hospitals - Abstract
Background: Health services research is of increasing importance in current psychiatry. Therefore, large datasets and aggregation of data generated by electronic routine documentation due to legal, financial, or administrative purposes play an important role. However, paper-based routine documentation is still of interest. It remains relevant in less developed health care systems, in emergency settings, and in long-term retrospective and historical studies. Whereas studies examining the reliability of electronic routine documentation support the application of routine data for research purposes, our knowledge regarding reliability of paper-based routine documentation is still very sparse. Methods: Basic documentation (BADO) was completed on paper forms and digitalized manually for all inpatients of the Department of Psychiatry and Psychotherapy, University Hospital Hamburg-Eppendorf, Germany, treated within the time period from 1998 to 2006. Four hundred twelve cases of first-episode psychosis patients were chosen for comparison with clinical data from paper-based patient files. The percentage of missing information, the percentage of correct classifications, sensitivity, and positive predictive value were calculated for all applicable variables. Results: In eight cases (1.9%), a BADO form was available, but was not filled in. In 37 cases (7.0%), the patient files were lost and could not be obtained from the centralized archive. Routine data were available for all other cases in 20 (58.8%) of the examined 34 variables, and the percentage of missing data for the remaining variables ranged between 0.3% and 22.9%, with only the variables education and suicidality during treatment having more than 5% missing data. In general, the overall rate of correct classifications was high, with a median percentage of 86.4% to 99.7% for the examined variables. Sensitivity was above 75% for eight and <75% but above 50% for six of the examined 17 variables. Values for the positive predictive value were above 75% for nine and <75% but above 50% for three variables. Conclusion: In summary, paper-based routine documentation reaches acceptable reliability, but this is dependent on the chosen documentation categories and variables. Based on the present findings, paper-based routine documentation can indeed be used for quality management, organizational development, and health services research. Its limitations, however, have to be kept in mind. [ABSTRACT FROM AUTHOR]
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- 2020
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27. A Brief Reflection on Paper Titled "Mental Health Training of Primary Health Care Workers: Case Reports from Sri Lanka, Pakistan, and Jordan".
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Budosan, Boris
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- *
EVALUATION of human services programs , *MENTAL health , *PRIMARY health care , *MENTAL health services - Published
- 2023
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28. ‘Boost Camp’, a universal school-based transdiagnostic prevention program targeting adolescent emotion regulation; evaluating the effectiveness by a clustered RCT: a protocol paper
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Caroline Braet, Brenda Volkaert, Laura Wante, and Leentje Vervoort
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Male ,Mental Health Services ,Parents ,050103 clinical psychology ,medicine.medical_specialty ,Adolescent ,Emotions ,Adolescents ,Prevention program ,Self-Control ,law.invention ,Study Protocol ,Randomized controlled trial ,law ,Surveys and Questionnaires ,Intervention (counseling) ,Epidemiology ,Cluster Analysis ,Humans ,Medicine ,0501 psychology and cognitive sciences ,Students ,Set (psychology) ,Randomized Controlled Trials as Topic ,School Health Services ,Protocol (science) ,business.industry ,Mental Disorders ,Emotion regulation ,lcsh:Public aspects of medicine ,Public health ,05 social sciences ,Public Health, Environmental and Occupational Health ,Reproducibility of Results ,lcsh:RA1-1270 ,Emotional wellbeing ,Mental Health ,Adolescent Behavior ,Female ,School based ,Biostatistics ,business ,School-based ,050104 developmental & child psychology ,Clinical psychology - Abstract
Background The transition from childhood into adolescence can be considered as a critical developmental period. Moreover, adolescence is associated with a decreased use of adaptive emotion regulation strategies and an increased use of maladaptive emotion regulation strategies increasing the risk of emotional problems. Targeting emotion regulation is therefore seen as an innovative prevention approach. The present study aims to evaluate the effectiveness of Boost camp, an innovative school-based prevention program targeting ER, on adolescents’ emotion regulation skills and emotional wellbeing. Also secondary outcomes and possible moderators will be included. Methods The aim is to reach 300 adolescents (16 class groups, 6 schools) in their first year of high school. A clustered Randomized Controlled Trial (RCT) with two conditions, intervention (n = 150) and control (n = 150), will be set up. Adolescents in the intervention condition will receive 14 lessons over the course of 2 days, followed by Booster sessions, and will be compared with adolescents in a non-intervention control group. The outcomes will be measured by self-report questionnaires at baseline, immediately after Boost camp, and at three and 6 months follow-up. Discussion Data-collection is planned to be completed in May 2018. Data-analyses will be finished the end of 2018. The presented paper describes the Boost camp program and the clustered RCT design to evaluate its effectiveness. It is expected that Boost camp will have beneficial effects. If found effective, Boost camp will have the potential to increase adolescent’s ER and well-being, and reduce the risk to become adults in need. The trials is registered on the 13th of June 2017 in ISRCTN registry [ISRCTN68235634].
- Published
- 2018
29. The ReCoN intervention: a co-created comprehensive intervention for primary mental health care aiming to prevent involuntary admissions.
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Wormdahl I, Hatling T, Husum TL, Kjus SHH, Rugkåsa J, Brodersen D, Christensen SD, Nyborg PS, Skolseng TB, Ødegård EI, Andersen AM, Gundersen E, and Rise MB
- Subjects
- Adult, Coercion, Hospitalization, Humans, Mental Health, Mental Disorders psychology, Mental Disorders therapy, Mental Health Services
- Abstract
Background: Reducing involuntary psychiatric admissions is a global concern. In Norway, the rate of involuntary admissions was 199 per 100,000 people 16 years and older in 2020. Individuals' paths towards involuntary psychiatric admissions usually unfold when they live in the community and referrals to such admissions are often initiated by primary health care professionals. Interventions at the primary health care level can therefore have the potential to prevent such admissions. Interventions developed specifically for this care level are, however, lacking. To enhance the quality and development of services in a way that meets stakeholders' needs and facilitates implementation to practice, involving both persons with lived experience and service providers in developing such interventions is requested., Aim: To develop a comprehensive intervention for primary mental health care aiming to prevent involuntary admissions of adults., Methods: This study had an action research approach with a participatory research design. Dialogue conferences with multiple stakeholders in five Norwegian municipalities, inductive thematic analysis of data material from the conferences, and a series of feedback meetings were conducted., Results: The co-creation process resulted in the development of the ReCoN (Reducing Coercion in Norway) intervention. This is a comprehensive intervention that includes six strategy areas: [1] Management, [2] Involving Persons with Lived Experience and Family Carers, [3] Competence Development, [4] Collaboration across Primary and Specialist Care Levels, [5] Collaboration within the Primary Care Level, and [6] Tailoring Individual Services. Each strategy area has two to four action areas with specified measures that constitute the practical actions or tasks that are believed to collectively impact the need for involuntary admissions., Conclusions: The ReCoN intervention has the potential for application to both national and international mental health services. The co-creation process with the full range of stakeholders ensures face validity, acceptability, and relevance. The effectiveness of the ReCoN intervention is currently being tested in a cluster randomised controlled trial. Given positive effects, the ReCoN intervention may impact individuals with a severe mental illness at risk of involuntary admissions, as more people may experience empowerment and autonomy instead of coercion in their recovery process., (© 2022. The Author(s).)
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- 2022
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30. Forced Migration: A Relational Wellbeing Approach.
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Kohli, Ravi K. S., Fylkesnes, Marte Knag, Kaukko, Mervi, and White, Sarah C.
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FORCED migration ,WELL-being ,MENTAL health services ,KINSHIP ,YOUNG adults ,RELIGIOUS communities - Abstract
This document is a summary of a special issue in the journal "Social Sciences" that examines the concept of relational wellbeing among young refugees. The papers in the issue explore various dimensions of relational wellbeing and highlight the challenges and resilience of young refugees. The authors emphasize the importance of relationships and call for a relational approach in policy and resource distribution to better support the needs of young refugees. [Extracted from the article]
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- 2024
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31. Professional Considerations for Improving the Neuropsychological Evaluation of Hispanics: A National Academy of Neuropsychology Education Paper
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Tedd, Judd, Darla, Capetillo, José, Carrión-Baralt, Leonardo M, Mármol, Liza San, Miguel-Montes, M Gina, Navarrete, Antonio E, Puente, Heather Rodas, Romero, Jacqueline, Valdés, and Cheryl H, Silver
- Subjects
Mental Health Services ,Psychometrics ,Service delivery framework ,Population ,Commission ,Neuropsychological Tests ,Health Services Accessibility ,Developmental psychology ,Professional Competence ,Education, Professional ,Neuropsychology ,Cultural diversity ,Interview, Psychological ,Humans ,Cultural Competency ,education ,Competence (human resources) ,Human services ,Medical education ,education.field_of_study ,Cultural Diversity ,Hispanic or Latino ,General Medicine ,Translating ,United States ,Acculturation ,Psychiatry and Mental health ,Clinical Psychology ,Neuropsychology and Physiological Psychology ,Practice Guidelines as Topic ,Professional ethics ,Psychology - Abstract
In a national survey, 82% of U.S. neuropsychologists who offered services to Hispanics self-reported inadequate preparation to work with this population (Echemendia, Harris, Congett, Diaz, & Puente, 1997). The purpose of this paper is to improve the quality and accessibility of neuropsychological services for Hispanic people living in the United States by giving guidance for service delivery, training, and organizational policy. General guidance towards this end comes from professional ethics for psychologists and interpreters/translators, federal civil rights law, the International Test Commission, and the Office of Minority Health of the U.S. Department of Health and Human Services, among others. This guidance is specifically applied here to cover professional cultural and linguistic competence of neuropsychologists, psychometrists, interpreters, translators, and consultants; languages of evaluation; use of interpreters; evaluation of acculturation; test translation, adaptation, and interpretation; application of test norms; intervention issues; reimbursement; and organizational issues.
- Published
- 2009
32. Hospital management of self harm in adults in England: study contains important data not reported in the paper
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Mitchell, Alex J
- Subjects
Adult ,Hospitalization ,Mental Health Services ,England ,Risk Factors ,Humans ,Suicide, Attempted ,Letters ,Delivery of Health Care ,Risk Assessment ,Self-Injurious Behavior - Published
- 2016
33. Addressing distress management challenges: Recommendations from the consensus panel of the American Psychosocial Oncology Society and the Association of Oncology Social Work.
- Author
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Deshields TL, Wells-Di Gregorio S, Flowers SR, Irwin KE, Nipp R, Padgett L, and Zebrack B
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- Delivery of Health Care organization & administration, Health Services Accessibility organization & administration, Health Services Accessibility standards, Healthcare Disparities, Humans, Mass Screening organization & administration, Neoplasms complications, Patient Reported Outcome Measures, Delivery of Health Care standards, Mass Screening standards, Mental Health Services organization & administration, Mental Health Services standards, Neoplasms psychology, Psychological Distress, Stress, Psychological diagnosis, Stress, Psychological etiology, Stress, Psychological therapy
- Abstract
Distress management (DM) (screening and response) is an essential component of cancer care across the treatment trajectory. Effective DM has many benefits, including improving patients' quality of life; reducing distress, anxiety, and depression; contributing to medical cost offsets; and reducing emergency department visits and hospitalizations. Unfortunately, many distressed patients do not receive needed services. There are several multilevel barriers that represent key challenges to DM and affect its implementation. The Consolidated Framework for Implementation Research was used as an organizational structure to outline the barriers and facilitators to implementation of DM, including: 1) individual characteristics (individual patient characteristics with a focus on groups who may face unique barriers to distress screening and linkage to services), 2) intervention (unique aspects of DM intervention, including specific challenges in screening and psychosocial intervention, with recommendations for resolving these challenges), 3) processes for implementation of DM (modality and timing of screening, the challenge of triage for urgent needs, and incorporation of patient-reported outcomes and quality measures), 4) organization-inner setting (the context of the clinic, hospital, or health care system); and 5) organization-outer setting (including reimbursement strategies and health-care policy). Specific recommendations for evidence-based strategies and interventions for each of the domains of the Consolidated Framework for Implementation Research are also included to address barriers and challenges., (© 2021 The Authors. CA: A Cancer Journal for Clinicians published by Wiley Periodicals LLC on behalf of American Cancer Society.)
- Published
- 2021
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34. Educational interventions: equipping general practice for youth mental health and substance abuse. A discussion paper
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Elisabeth Schaffalitzky, Andrew O’Regan, and Walter Cullen
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Mental Health Services ,medicine.medical_specialty ,Adolescent ,Substance-Related Disorders ,media_common.quotation_subject ,Population ,General Practice ,Psychological intervention ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Intervention (counseling) ,Health care ,medicine ,Humans ,030212 general & internal medicine ,Psychiatry ,education ,Health policy ,media_common ,Patient Care Team ,education.field_of_study ,Primary Health Care ,business.industry ,Addiction ,General Medicine ,Patient Acceptance of Health Care ,medicine.disease ,Mental health ,3. Good health ,030227 psychiatry ,Substance abuse ,Mental Health ,Adolescent Health Services ,Education, Medical, Graduate ,Research Design ,business ,Ireland - Abstract
Youth mental health issues and substance abuse are important causes of morbidity and mortality in Ireland. General practice is a frequent point of contact for young people, however, reluctance amongst this population group to disclose mental health issues and a lack of confidence amongst GPs in dealing with them have been reported. Focussed training interventions with formal evaluation of their acceptability and effectiveness in achieving learning, behavioural change and impact on clinical practice are needed. This paper aims to examine the literature on general practice in youth mental health, specifically, factors for an educational intervention for those working with young people in the community. This review paper was carried out by an online search of PubMed on the recent literature on mental health and on educational interventions for health care workers in primary care. A number of papers describing educational interventions for GPs and primary care workers were found and analysed. Key areas to be addressed when identifying and treating mental health problems were prevention, assessment, treatment, interaction with other services and ongoing support. Important elements of an educational intervention were identified. Several barriers exist that prevent the identification and treatment of these problems in primary care. An educational intervention should help GPs address these issues. Any intervention should be rigorously evaluated. With the shift in services to the community in Irish health policy, the GP with appropriate training could take the lead in early intervention in youth mental health and addiction.
- Published
- 2014
35. Comparing the feasibility, acceptability, clinical-, and cost-effectiveness of mental health e-screening to paper-based screening on the detection of depression, anxiety, and psychosocial risk in pregnant women: a study protocol of a randomized, parallel-group, superiority trial
- Author
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Marie Lane-Smith, Glenda MacQueen, Sarah D. McDonald, Sheila McDonald, Marie-Paule Austin, Rebecca Giallo, Arto Ohinmaa, Sander Veldhuyzen van Zanten, Dawn Kingston, Anne Biringer, Wendy Sword, Kathy Hegadoren, and Gerri Lasiuk
- Subjects
Research design ,Psychometrics ,Cost effectiveness ,Medicine (miscellaneous) ,Anxiety ,law.invention ,Study Protocol ,0302 clinical medicine ,Clinical Protocols ,Randomized controlled trial ,Pregnancy ,Risk Factors ,law ,Surveys and Questionnaires ,Urban Health Services ,Pharmacology (medical) ,Online ,030212 general & internal medicine ,030219 obstetrics & reproductive medicine ,Depression ,Prenatal Care ,3. Good health ,Mental Health ,Research Design ,Computers, Handheld ,Screening ,Female ,medicine.symptom ,Psychosocial ,Mental Health Services ,Canada ,medicine.medical_specialty ,Prenatal care ,Psychosocial assessment ,Stress ,03 medical and health sciences ,Predictive Value of Tests ,medicine ,Humans ,Psychiatry ,Psychiatric Status Rating Scales ,Internet ,business.industry ,Mental health ,Pregnancy Complications ,Family medicine ,Feasibility Studies ,business - Abstract
Background Stress, depression, and anxiety affect 15% to 25% of pregnant women. However, substantial barriers to psychosocial assessment exist, resulting in less than 20% of prenatal care providers assessing and treating mental health problems. Moreover, pregnant women are often reluctant to disclose their mental health concerns to a healthcare provider. Identifying screening and assessment tools and procedures that are acceptable to both women and service providers, cost-effective, and clinically useful is needed. Methods/Design The primary objective of this randomized, parallel-group, superiority trial is to evaluate the feasibility and acceptability of a computer tablet-based prenatal psychosocial assessment (e-screening) compared to paper-based screening. Secondary objectives are to compare the two modes of screening on: (1) the level of detection of prenatal depression and anxiety symptoms and psychosocial risk; (2) the level of disclosure of symptoms; (3) the factors associated with feasibility, acceptability, and disclosure; (4) the psychometric properties of the e-version of the assessment tools; and (5) cost-effectiveness. A sample of 542 women will be recruited from large, primary care maternity clinics and a high-risk antenatal unit in an urban Canadian city. Pregnant women are eligible to participate if they: (1) receive care at one of the recruitment sites; (2) are able to speak/read English; (3) are willing to be randomized to e-screening; and (4) are willing to participate in a follow-up diagnostic interview within 1 week of recruitment. Allocation is by computer-generated randomization. Women in the intervention group will complete an online psychosocial assessment on a computer tablet, while those in the control group will complete the same assessment in paper-based form. All women will complete baseline questionnaires at the time of recruitment and will participate in a diagnostic interview within 1 week of recruitment. Research assistants conducting diagnostic interviews and physicians will be blinded. A qualitative descriptive study involving healthcare providers from the recruitment sites and women will provide data on feasibility and acceptability of the intervention. We hypothesize that mental health e-screening in primary care maternity settings and high-risk antenatal units will be as or more feasible, acceptable, and capable of detecting depression, anxiety, and psychosocial risk compared to paper-based screening. Trial registration ClinicalTrials.gov Identifier: NCT01899534.
- Published
- 2014
36. Artificial Intelligence in Mental Health Care: Management Implications, Ethical Challenges, and Policy Considerations.
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Hoose, Stephan and Králiková, Kristína
- Subjects
MENTAL health personnel ,ARTIFICIAL intelligence ,MENTAL health services ,DATA privacy ,MENTAL health policy - Abstract
Adopting AI (Artificial Intelligence) in the provision of psychiatric services has been groundbreaking and has presented other means of handling some of the issues related to traditional methods. This paper aims at analyzing the applicability and efficiency of AI in mental health practices based on business administration paradigms with a focus on managing services and policies. This paper engages a systematic and synoptic process, where current AI technologies in mental health are investigated with reference to the current literature as to their usefulness in delivering services and the moral considerations that surround their application. The study indicates that AI is capable of improving the availability, relevance, and effectiveness of mental health services, information that can be useful for policymakers in the management of health care. Consequently, specific concerns arise, such as how the algorithm imposes its own bias, the question of data privacy, or how a mechanism could reduce the human factor in care. The review brought to light an area of understanding of AI-driven interventions that has not been explored: the effect of such interventions in the long run. The field study suggests that further research should be conducted regarding ethical factors, increasing the ethical standards of AI usage in administration, and exploring the cooperation of mental health practitioners and AI engineers with respect to the application of AI in psychiatric practice. Proposed solutions, therefore, include enhancing the AI functions and ethical standards and guaranteeing that policy instruments are favorable for the use of AI in mental health. [ABSTRACT FROM AUTHOR]
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- 2024
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37. Solution-focused approaches in adult mental health research: A conceptual literature review and narrative synthesis.
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Jerome, Lauren, McNamee, Philip, Abdel-Halim, Nadia, Elliot, Kathryn, and Woods, Jonathan
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PSYCHIATRIC research ,MENTAL health services ,SOLUTION-focused therapy ,ADULTS ,THEMATIC analysis - Abstract
Solution-focused approaches are one approach to treatment used in a wide variety of settings in modern mental healthcare services. As yet, there has been no overall synthesis of how this approach is understood in the adult mental health literature. This conceptual review aimed to synthesize the ways that solutionfocused approaches have been conceptualized and understood, within the adult mental health literature, in the five decades since their conception. A systematic search followed by multiple techniques from the narrative synthesis approach were used to develop a conceptual framework of the extracted data. Fifty-six papers published between 1993 and 2019 were included in the review. These papers spanned a variety of clinical contexts and countries, but despite this the underlying key principles and concepts of solution-focused approaches were remarkably similar over time and setting. Thematic analysis of extracted data outlined five key themes relevant to the conceptualization of this approach. This conceptual framework will help support clinicians using solution-focused techniques or therapies by giving them a coherent understanding of such approaches, by what mechanisms they work, and how key principles of this approach can be utilized in adult mental health settings. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
38. Editorial - IJIH Volume 19, Issue 1.
- Author
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Dickson, Michelle
- Subjects
INDIGENOUS Australians ,MENTAL health services ,COVID-19 pandemic ,AUSTRALIANS ,INDIGENOUS youth - Abstract
This document is an editorial from the International Journal of Indigenous Health, Volume 19, Issue 1. The guest editors, from the Poche Centre for Indigenous Health at the University of Sydney, present a collection of research papers that focus on research collaborations that enhance and embed Indigenous ways of Knowing, Being, and Doing. The papers highlight the importance of privileging Indigenous voices in research and emphasize the potential for transforming health experiences for Indigenous people globally. The editorial also provides Australian context, discussing the recent national referendum on constitutional recognition of Aboriginal and Torres Strait Islander people, which resulted in a rejection of recognition. Despite this setback, the editorial emphasizes the ongoing fight for recognition, voice, and truth-telling and the importance of research collaborations that center Indigenous knowledges. [Extracted from the article]
- Published
- 2024
39. Call for Papers: PLOS Medicine Special Issue on the COVID-19 Pandemic and Global Mental Health.
- Author
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PLOS Medicine Editors
- Subjects
- *
COVID-19 pandemic , *MENTAL health , *WORLD health , *MENTAL health services , *MEDICAL care , *MENTAL health policy - Abstract
The editors of I PLOS Medicine i together with Guest Editors Vikram Patel, Daisy Fancourt, Toshi A Furukawa, and Lola Kola are excited to announce a forthcoming special issue devoted to the impact of the COVID-19 pandemic on global mental health. In this forward-looking Special Issue, I PLOS Medicine i and our Guest Editors wish to invite work with the potential to mitigate the mental health consequences of the current pandemic and strengthen the global response to future pandemics. [Extracted from the article]
- Published
- 2022
- Full Text
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40. A comparison of electronic records to paper records in mental health centers
- Author
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Gary R. Bond and Jack Tsai
- Subjects
Male ,Mental Health Services ,medicine.medical_specialty ,Medical Records Systems, Computerized ,MEDLINE ,Information Storage and Retrieval ,Electronic records ,Documentation ,Medicine ,Humans ,Quality of Health Care ,business.industry ,Health Policy ,Medical record ,Public Health, Environmental and Occupational Health ,Electronic medical record ,Outcome measures ,General Medicine ,Middle Aged ,medicine.disease ,Mental health ,Checklist ,Family medicine ,Schizophrenia ,Female ,Medical emergency ,business ,Antipsychotic Agents - Abstract
Objective. Medication documentation is a critical aspect of quality patient care. The current study examined whether electronic medical records provide medication documentation that is more complete and faster to retrieve than traditional paper records. Method. This study involves a comparison of archived paper medical records to recent electronic medical records through chart review. A convenient sample of three large community mental health centers in Indiana was used. Medical charts for 180 patients with schizophrenia were rated on a checklist composed of 16 items that was adapted from a national project. Documentation that existed before implementation of the electronic medical record system was compared with that after implementation at each of the three centers. The main outcome measures were completeness and retrieval time of medication documentation. Results. Electronic medical records provided medication documentation that was more complete and faster to retrieve than paper records across all centers and within each center. On average, electronic medical records were 40% more complete and 20% faster to retrieve. Conclusion. Electronic records have potential to improve medication management for patients in mental health centers over traditional records. However, medication documentation for patients diagnosed with schizophrenia was found to be deficient in many areas, regardless of documentation format.
- Published
- 2007
41. Visualizing healthcare system variability and resilience: a longitudinal study of patient movements following discharge from a Swedish psychiatric clinic.
- Author
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Svensson J and Bergström J
- Subjects
- Ambulatory Care Facilities statistics & numerical data, Emergency Service, Hospital statistics & numerical data, Health Services Research, Humans, Longitudinal Studies, Mental Health Services statistics & numerical data, Patient Safety, Retrospective Studies, Risk Management, Sweden, Ambulatory Care Facilities organization & administration, Mental Disorders therapy, Mental Health Services organization & administration, Patient Discharge, Transitional Care organization & administration
- Abstract
Background: As healthcare becomes increasingly complex, new methods are needed to identify weaknesses in the system that could lead to increased risk. Traditionally, the focus for patient safety is to study incident reports and adverse events, but that starting point has been contested with a new era of safety investigations: the analysis of everyday clinical work, and the resilient healthcare. This study introduces a new approach of system monitoring as a way to strengthen patient safety and has focused on discharge in psychiatry as a risk for adverse outcomes. The aim was to analyse a psychiatric clinic's everyday 'normal' performance variability of discharge from inpatient psychiatric care to outpatient care., Method: A retrospective longitudinal correlation study with a strategic selection. Data consist of 70,797 patient visits within one psychiatric clinic, and the visits were compared between 81 different wards in Stockholm County by using a model of time-lapse visualization., Results: The time-lapse visualization shows a discrepancy in types of visits and the proportion of cancelled visits to the outward units. 42% of all patients that were scheduled as an outward patient, did not complete this transition, but instead, they revisit the clinics' emergency ward and did not receive the planned care treatment. The patients who visit the emergency ward instead of their planned outpatient visit did this within 20 days., Conclusions: The findings show a potential increased demand for emergency psychiatric care from 2010 to 2018 within the clinic. It also suggests that the healthcare system creates a space of temporal as well as functional variability, and that patients use this space to adapt to their changing conditions. This understanding can assist management in prioritising allocation of resources and thereby strengthen patient safety. Today's incident reporting systems in healthcare are ineffective in monitoring patterns of more cancelled visits in outward units and sooner visit to the emergency ward. By using time-lapse visualization of patient interactions, stakeholders might analyse current-, and estimate future, stressors within the system to identify and understand potential system migration towards risk in healthcare. This could help healthcare management understand where resources should be prioritized.
- Published
- 2020
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42. Destination: recovery Te Unga Ki Uta:Te Oranga. Future responses to mental distress and loss of well-being--a discussion paper from the Mental Health Advocacy Coalition
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Helen, Rodenburg
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Mental Health Services ,Primary Health Care ,Mental Disorders ,Humans ,Patient Advocacy - Published
- 2010
43. Abstracts of the 18th European Congress of Psychology.
- Subjects
MIND-wandering ,EXPERIENTIAL learning ,MENTAL health services ,CHANGE (Psychology) ,IDENTITY (Psychology) ,PSYCHOTHERAPY ,PSYCHOLOGY - Abstract
This document contains concise summaries of four research papers. The first paper explores the application of control theory in neurofeedback for PTSD, aiming to improve the efficacy of neurofeedback protocols. The second paper examines the relationship between personality and intelligence, finding a significant relationship between certain personality traits and cognitive functioning. The third paper investigates the relationships between emotional intelligence, emotional regulation, and emotional response, highlighting the impact of emotional intelligence within these processes. The fourth paper explores the impact of motherhood on the relationship between eco-anxiety and active participation in climate change prevention, suggesting that motherhood may reduce individuals' eco-anxiety and preventive behavior. [Extracted from the article]
- Published
- 2023
- Full Text
- View/download PDF
44. Intensive community care services for children and young people in psychiatric crisis: an expert opinion.
- Author
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Keiller, Eleanor, Masood, Saba, Wong, Ben Hoi-ching, Avent, Cerian, Bediako, Kofi, Bird, Rebecca Margaret, Boege, Isabel, Casanovas, Marta, Dobler, Veronika Beatrice, James, Maya, Kiernan, Jane, Martinez-Herves, Maria, Ngo, Thinh Vinh Thanh, Pascual-Sanchez, Ana, Pilecka, Izabela, Plener, Paul L, Prillinger, Karin, Lim, Isabelle Sabbah, Saour, Tania, and Singh, Nidhita
- Subjects
YOUNG adults ,CRITICAL care medicine ,MENTAL health services ,COMMUNITY services ,CHILD care ,PSYCHIATRIC nursing ,PSYCHIATRIC clinics - Abstract
Background: Children and young people's (CYP) mental health is worsening, and an increasing number are seeking psychiatric and mental health care. Whilst many CYPs with low-to-medium levels of psychiatric distress can be treated in outpatient services, CYPs in crisis often require inpatient hospital treatment. Although necessary in many cases, inpatient care can be distressing for CYPs and their families. Amongst other things, inpatient stays often isolate CYPs from their support networks and disrupt their education. In response to such limitations, and in order to effectively support CYPs with complex mental health needs, intensive community-based treatment models, which are known in this paper as intensive community care services (ICCS), have been developed. Although ICCS have been developed in a number of settings, there is, at present, little to no consensus of what ICCS entails. Methods: A group of child and adolescent mental health clinicians, researchers and academics convened in London in January 2023. They met to discuss and agree upon the minimum requirements of ICCS. The discussion was semi-structured and used the Dartmouth Assertive Community Treatment Fidelity Scale as a framework. Following the meeting, the agreed features of ICCS, as described in this paper, were written up. Results: ICCS was defined as a service which provides treatment primarily outside of hospital in community settings such as the school or home. Alongside this, ICCS should provide at least some out-of-hours support, and a minimum of 90% of CYPs should be supported at least twice per week. The maximum caseload should be approximately 5 clients per full time equivalent (FTE), and the minimum number of staff for an ICCS team should be 4 FTE. The group also confirmed the importance of supporting CYPs engagement with their communities and the need to remain flexible in treatment provision. Finally, the importance of robust evaluation utilising tools including the Children's Global Assessment Scale were agreed. Conclusions: This paper presents the agreed minimum requirements of intensive community-based psychiatric care. Using the parameters laid out herein, clinicians, academics, and related colleagues working in ICCS should seek to further develop the evidence base for this treatment model. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
45. Editorial: Community series in mental illness, culture, and society: dealing with the COVID-19 pandemic, volume VIII.
- Author
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de Filippis, Renato, El Hayek, Samer, and Shalbafan, Mohammadreza
- Subjects
COVID-19 pandemic ,MENTAL illness ,MEDICAL personnel ,MENTAL health services ,MEDICAL students ,OCCUPATIONAL therapists ,PSYCHIATRIC nursing - Abstract
This document is an editorial from the journal Frontiers in Psychiatry that explores the cultural and social implications of the COVID-19 pandemic. It discusses how different countries, minorities, and special populations have experienced and adapted to the pandemic. The editorial highlights various research articles that examine the impact of COVID-19 on healthcare professionals, students, trainees, residents, and special populations. The document provides a summary of these papers, which cover a range of topics including help-seeking messages, art therapy, mental health policies, behavioral patterns, medication trends, suicide rates, burnout among healthcare workers, and the management of long-term consequences. The document concludes by acknowledging the global impact of the pandemic and expressing hope for better understanding and addressing its challenges. [Extracted from the article]
- Published
- 2024
- Full Text
- View/download PDF
46. UDL and the Social/Emotional Aspects of Learning: Embedding Mental Wellbeing is Everyone's Business.
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Davies, Rachel, Merry, Kevin, and Allman, Zoë
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TEACHER development ,MENTAL health services ,TRAINING of student teachers ,UNIVERSAL design ,WELL-being - Abstract
The emotional aspects of learning are important but sometimes neglected elements of Universal Design for Learning (UDL). This paper discusses a multi-faceted project to embed mental wellbeing at De Montfort University, Leicester, a UK university with an established UDL policy. The project encompassed the development of teacher training to consider student variability in emotional responses to learning; the provision of tutor resources to support the embedding of learning about wellbeing within the curriculum; and approaches to sharing practice across the campus. This paper argues that academic staff are key players in the support of students' mental wellbeing and that a whole organisation approach, rather than a narrow focus on the provision of mental health support services, is an effective route to improving students' mental wellbeing. [ABSTRACT FROM AUTHOR]
- Published
- 2024
47. Leading by example. MHCA and SATVA work together to produce a white paper on successful EHR implementation
- Author
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William R, Connors
- Subjects
Mental Health Services ,Interinstitutional Relations ,Medical Records Systems, Computerized ,Decision Making ,Health Care Sector ,Humans ,Guidelines as Topic ,Planning Techniques ,Software ,United States - Published
- 2006
48. Recovery for all in the community; position paper on principles and key elements of community-based mental health care.
- Author
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Keet, René, de Vetten-Mc Mahon, Marjonneke, Shields-Zeeman, Laura, Ruud, Torleif, van Weeghel, Jaap, Bahler, Michiel, Mulder, Cornelis L., van Zelst, Catherine, Murphy, Billy, Westen, Koen, Nas, Chris, Petrea, Ionela, and Pieters, Guido
- Subjects
- *
MENTAL health services , *COMMUNITY mental health services , *MEDICAL care - Abstract
Background: Service providers throughout Europe have identified the need to define how high-quality community-based mental health care looks to organize their own services and to inform governments, commissioners and funders. In 2016, representatives of mental health care service providers, networks, umbrella organizations and knowledge institutes in Europe came together to establish the European Community Mental Health Services Provider (EUCOMS) Network. This network developed a shared vision on the principles and key elements of community mental health care in different contexts. The result is a comprehensive consensus paper, of which this position paper is an outline. With this paper the network wants to contribute to the discussion on how to improve structures in mental healthcare, and to narrow the gap between evidence, policy and practice in Europe. Main text: The development of the consensus paper started with an expert workshop in April 2016. An assigned writing group representing the workshop participants built upon the outcomes of this meeting and developed the consensus paper with the input from 100 European counterparts through two additional work groups, and two structured feedback rounds via email. High quality community-based mental health care: 1) protects human rights; 2) has a public health focus; 3) supports service users in their recovery journey; 4) makes use of effective interventions based on evidence and client goals; 5) promotes a wide network of support in the community and; 6) makes use of peer expertise in service design and delivery. Each principle is illustrated with good practices from European service providers that are members of the EUCOMS Network. Conclusions: Discussion among EUCOMS network members resulted in a blueprint for a regional model of integrated mental health care based upon six principles. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
49. Impacts of health care service changes implemented due to COVID‐19 on children and young people with long‐term disability: A mapping review.
- Author
-
Merrick, Hannah, Driver, Helen, Main, Chloe, Kenny, Ryan P. W., Richmond, Catherine, Allard, Amanda, Bola, Kulwinder, Morris, Christopher, Parr, Jeremy R., Pearson, Fiona, Pennington, Lindsay, Exley, Cath, Teare, Dawn, Yu, Ge, Carr, Sara, Haining, Shona, Platts, Lesley, Gray, Laura, and Heslop, Philip
- Subjects
CHILDREN with disabilities ,YOUNG adults ,MEDICAL care ,MENTAL health services ,PEOPLE with disabilities ,COVID-19 pandemic - Abstract
Aim: To identify the research on childhood disability service adaptations and their impact on children and young people with long‐term disability during the COVID‐19 pandemic. Method: A mapping review was undertaken. We searched the World Health Organization Global COVID‐19 database using the search terms 'children', 'chronic/disabling conditions', and 'services/therapies'. Eligible papers reported service changes for children (0–19 years) with long‐term disability in any geographical or clinical setting between 1st January 2020 and 26th January 2022. Papers were charted across the effective practice and organization of care taxonomy of health system interventions and were narratively synthesized; an interactive map was produced. Results: Reduction of face‐to‐face care and usual provision had a huge impact on children and families. Adoption of telehealth provided continuity for the care and management of some conditions. There was limited evidence of changes to mental health services, transitions of care, social care, or child‐reported satisfaction or acceptability of service changes. Interpretation: The long‐term impacts of service change during the pandemic need full evaluation. However, widespread disruption seems to have had a profound impact on child and carer health and well‐being. Service recovery needs to be specific to the individual needs of children with a disability and their families. This should be done through coproduction to ensure that service changes meet needs and are accessible and equitable. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
50. Clinical, legal and ethical implications of coercion and compulsory treatment in eating disorders: do rapid review findings identify clear answers or more muddy waters?
- Author
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Touyz, Stephen, Aouad, Phillip, Carney, Terry, Ong, Shu Hwa, Yager, Joel, Newton, Richard, Hay, Phillipa, Maguire, Sarah, and Bryant, Emma
- Subjects
INVOLUNTARY treatment ,MENTAL health services ,THROMBOSIS ,PATIENT refusal of treatment ,EATING disorders ,VOICE disorders - Abstract
Introduction: This Rapid Review (RR) aimed to assess the current literature over the past decade to determine the prevailing evidence regarding compulsory treatment* in eating disorders (ED). It is hoped that the review will help inform a consensus opinion as to whether this course of action confers significant clinical benefit, and importantly, to whom it should apply. The review also explores alternative options to involuntary care. Methods: Four indexing databases (OVID; ProQuest; Web of Science; PubMed/MedLine) were searched using variations of the following keywords: "coercive/detained/involuntary/least restrictive care" "treatment refusal" "incarcerated/forced/compulsory admission" "moral/ethic/legal/mental health act" "eating disorder". Research was restricted to articles published between 2013 and 2023 and included grey literature. Results: Of 9911 articles retrieved, 34 were included for final analyses, exploring ethical, legal, and physical and mental health outcomes of compulsory treatment. Studies comprised review papers, cohort studies, cross sectional research, case series reports, ethnography, commentary papers and grey literature. The majority of studies focused on individuals with anorexia nervosa (AN). Only two papers considered compulsory treatment in individuals with other eating disorders (EDs) Findings largely align with previous reviews suggesting compulsory treatment saves lives but comes at a therapeutic and personal cost. It remains unknown as to who may benefit from compulsory treatment. The decision to invoke compulsory treatment remains with the clinician and is a responsibility that is likely to be faced by most in their care of individuals with EDs. Conclusions: Significant gaps remain in the published literature and a clear road map for a clinician-informed decision on the submission of a compulsory treatment for a person with ED does not yet exist. Further, there is little evidence as to who is most likely to benefit from compulsory treatment. There is consensus that efforts should be concentrated on reducing instances of compulsory treatment and minimising coercion through the development of open, transparent and trusting relationships between individuals and their treating clinician. Co-produced research and the development of clinical guidelines guided by the voices of individuals with lived experience are needed to ensure minimisation of potential harm. Plain English Summary: Eating disorders are complex psychological disorders with numerous significant physical health consequences associated with lethality including heart attack, irregular heartbeat, dehydration, blood clots, and risk of suicide. Without indicated intervention for physical deterioration in the acute stages of illness, individuals are likely at best to develop a chronic course and at worst to lose their life. Despite this, individuals frequently refuse intervention and medical treatment due to fear of weight gain, the interruption of behaviours that are experienced as protective and the effects of past experiences of care. Many report a sense of hopelessness and fear due to past unsuccessful and at times harmful treatments. This presents treating clinicians with a practical and ethical conundrum: should treatment be delivered to an individual against their will? Researchers, policymakers, law professionals and lived experience alike are challenged as to the legal and ethical bounds around which practitioners can act with beneficence when considering compulsory treatment of an individual with an eating disorder. A Rapid Review was commissioned by the Victorian Government Department of Health to summarise the extant literature on the compulsory treatment* of individuals with eating disorders. * Involuntary treatment' and 'compulsory treatment' are synonymous, but we have chosen the term that is best understood by the general public/informed readers. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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