scholarly journals Chains of (Dis)Trust: Exploring the Underpinnings of Knowledge-Sharing and Quality Care Across Mental Health Services

2016 ◽  
pp. 102-120 ◽  
Author(s):  
Patrick R. Brown ◽  
Michael W. Calnan
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Knowledge Sharing ◽  
Quality Care

School-Based Mental Health

2017 ◽  
Author(s):  
Mia Everett
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Children And Adolescents ◽  
Social Stigma ◽  
Quality Care ◽  
Assessment Tools ◽  
Health Crisis ◽  
School Based ◽  
Educational Advocacy

The majority of children and adolescents in need of mental health services do not receive adequate care. Barriers to quality care include limited financial resources, social stigma, and a paucity of appropriately trained clinicians. The deleterious effects of untreated childhood mental illness have been well documented. School-based child and adolescent psychiatrists are on the front line of managing this public health crisis. Approximately 75% of mental health services for children and adolescents are provided in educational settings. The success of school-based mental health programs is contingent upon effective collaboration between the practitioner, caregiver, child/adolescent, and educator. In this chapter, a case is used to illustrate salient features of school-based psychiatric practice, including assessment tools, interventions, educational advocacy, and logistical considerations. The practice of public psychiatry in school-based settings should optimally adhere to the principles of recovery, resilience, and cultural competence.

Quality of psychosocial care in oncology: A national survey of oncologists

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 6561-6561
Author(s):  
W. F. Pirl ◽  
A. Muriel ◽  
V. Hwang ◽  
J. Greer ◽  
A. Kornblith ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Quality Care ◽  
Psychosocial Care ◽  
The United States ◽  
Routine Screening ◽  
Nccn Guidelines ◽  
Screening For Distress

6561 Background: Little is known about the quantity and quality of psychosocial care being delivered by oncologists in the United States. This study surveyed oncologists about their management of psychosocial distress, using the National Comprehensive Cancer Network (NCCN) guidelines for psychosocial distress as a standard. Availability of mental health services and routine screening for distress were used as measures of quality care. Methods: A random sample of 1,000 oncologists in the United States belonging to ASCO were surveyed with an anonymous e-mail and mail-based questionnaire between 9/05 and 7/06. Initial univariate analyses were used to test differences in frequencies among groups using Chi-square for categorical variables, and t-tests and ANOVA for continuous variables. Variables that were associated with reported routine screening at the .05 significance level in the univariate analyses were entered into a logistic regression model to determine independent predictors of screening. Results: Forty-six percent (448/965) of oncologists responded. Almost two-thirds (63.6%, 285/448) practiced in community settings, 27.2% (122/448) at cancer centers, and 6.9% (31/448) in hospitals. Only half (50.3%, 95% CI 45.7–54.9%; 225/448) reported having any mental health services affiliated with their practice. Availability differed by practice setting, with cancer centers having the most and community having the least (P<.001). Only one-third (32.3%, 144/445) reported being at least somewhat familiar with the NCCN guidelines. Two-thirds (65.0%, 95% CI 60.6–69.4%; 290/446) reported routinely screening for distress, but only 14.3% (64/447) use a screening instrument. Availability of mental health services, knowledge of NCCN guidelines, experience, time, certainty about identifying distress and being female were independent predictors of reported screening. Conclusion: Only 36.4% (95% CI 34.1–38.7%; 162/445) reported both of our measures of quality care, available mental health services and routine screening for distress. While the majority report routinely screening for distress, only a small percentage follow NCCN guidelines by using a screening instrument, and only half report having mental health services available. No significant financial relationships to disclose.

scholarly journals Commission for Health Improvement and mental health Services

2004 ◽  
Vol 28 (7) ◽  
pp. 238-240 ◽  
Author(s):  
Femi Oyebode ◽  
Giles Berrisford ◽  
Liz Parry
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Child Protection ◽  
Quality Care ◽  
Clinical Governance ◽  
Health Improvement ◽  
Service Failures ◽  
Governance Systems ◽  
Management Capacity

The Commission for Health Improvement (CHI) ceased to function at the end of March 2004. This provides the opportunity to review its contribution and achievements as a new body, the Commission for Healthcare Audit and Inspection (CHAI), takes over its functions∗. CHI recently published its assessment of mental health services (http://www.chi.nhs.uk/eng/news/2003/dec/11.shtml). The report is based on the 35 clinical governance reviews, in England and Wales, published between July 2001 and October 2003; two investigations into serious service failures; and a report on safeguarding arrangements for children in England and a self-audit of child protection arrangements. CHI concluded that mental health services lag behind acute health services in developing clinical governance systems and processes that promote high-quality care and continuous improvement. It specifically highlighted the shortages of psychiatrists and in-patient nurses, and the reliance on agency nurses and locum staff; the unsuitability of buildings and facilities; the pressures on in-patient beds; the lack of management capacity and poor information systems; and the low priority given to services for children and older people.

Helping Abused Children from Various Minorities in the Greek Context

2017 ◽  
Vol 41 (S1) ◽  
pp. S622-S622
Author(s):  
A. Kanellopoulos ◽  
K. Dionysopoulou ◽  
X. Antoniou ◽  
E. Marini ◽  
G. Nikolaidis
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Ethnic Minorities ◽  
Mental Health Problems ◽  
Quality Care ◽  
Psychosocial Rehabilitation ◽  
Mental Illnesses ◽  
Social Model ◽  
Racial And Ethnic Minorities

IntroductionChildren's abuse and neglect is widely studied as a major risk factor for emotional and behavioural disorders, various somatic and psychiatric problems during adulthood.ObjectiveMental health is fundamental to health. Mental illnesses are real, disabling conditions affecting all populations regardless of race or ethnicity but disparities in mental health services exist for racial and ethnic minorities, and thus, mental illnesses exact a greater toll on their overall health and productivity.AimThe most important aim when working with ethnic minorities is to better understand the roles of culture, race and ethnicity, and overcome obstacles that would keep anyone with mental health problems from seeking or receiving effective treatment.MethodsThe Day Centre “The House of the Child” is a community unit which provides customized clinical mental health services for therapeutic treatment and psychosocial rehabilitation of children victims of abuse, neglect or domestic violence. The Day Centre was founded by the non-profit voluntary organization “THE SMILE OF THE CHILD”. The services are based on the bio-psycho-social model approach and treatment, which aim at early detection, and treatment of possible mental disorders and the overall psychosocial rehabilitation of victims of abuse/neglect and the support of their carers.ResultsBy identifying the many barriers to quality care faced by racial and ethnic minorities, the Day Center provides mental health services also to children who come from minority populations.ConclusionsDifferent case studies highlight challenges and various levels of difficulties in this specific scheme of cooperation aiming to open an interesting dialogue on the topic.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Mental Health Research

2017 ◽  
Author(s):  
Shaun M. Eack
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Research ◽  
Quality Care ◽  
Well Being ◽  
Mental Health Research ◽  
Mental Health And Illness ◽  
Health And Illness ◽  
Psychosocial Approaches

Mental health research is the study of the causes and correlates of mental health and illness, approaches to improve mental well-being, and the delivery of effective mental health services to those in need. Social workers have been leading researchers in each of these areas of inquiry, and this article provides an overview of the broad field of mental health research, with particular emphasis on the contributions of social work. A biopsychosocial review of research on the correlates of mental health and illness is provided, followed by a synthesis of studies examining pharmacological and psychosocial approaches to improving mental health. Research on mental health services is then presented, with a focus on studies seeking to improve access to quality care and reduce service disparities. Key directions for future mental health research include identifying specific causal predictors of mental illness, improving existing treatments, and disseminating advances to the community.

Advocacy in the mental health services field

1997 ◽  
Vol 6 (1) ◽  
pp. 29-39 ◽  
Author(s):  
Nicole Fontaine ◽  
Elisabeth Allard
Keyword(s):  
Mental Health ◽  
North America ◽  
Mental Health Services ◽  
Health Services ◽  
Western Europe ◽  
Quality Care ◽  
Traditional Role ◽  
Mental Health Patient ◽  
Patient Will ◽  
Effective Advocacy

SUMMARYObjective — Advocacy in the mental health services field is gaining importance since the traditional role of mental health hospitals is changing, particularly in North America and in Western Europe. This review will define advocacy, its goals and fundamental principles. It will then delineate the skills and strategies needed for any intervention on behalf of a patient or a group of patients. It will also deal with the issues and approaches most frequently raised and used, and finally, with the limits of advocacy. Method — The method used for this review was mainly a recension of the literature concerning advocacy throughout North America and Europe, having in view to see emerging the principal stakes and concerns related to this process. Results — Advocacy has a significant impact patients' awareness of their rights and their capacity to exercise them. It also prevents potential abuse of patients. On the other hand, some patients have an increased opportunity to cease treatment, and this could lead to serious medical consequences. There is also the possibility of retaliation from staff, as a result of being involved with an advocate. The combination of high quality care and effective advocacy is the best guarantee that a mental health patient will get the care he wants and needs with human dignity.

scholarly journals Lessons from and for Japan on service delivery

2005 ◽  
Vol 29 (8) ◽  
pp. 309-311 ◽  
Author(s):  
Peter Kennedy
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Mental Hospital ◽  
Community Care ◽  
Quality Care ◽  
Chronic Schizophrenia ◽  
Mental Hospitals ◽  
Good Quality Care

On a recent visit to Japan, I saw some good quality care of patients with chronic schizophrenia in a rural mental hospital. The Japanese staff were keen to hear about community care alternatives being developed in Britain. However, being a strong protagonist of community care, who has managed the closure of three English mental hospitals, I found myself recommending caution. There are lessons for Japan from the mistakes we have made; and there may be lessons for us in the ways Japan manages delivery of its mental health services.

Building the Rural Mental Health System: From De Facto System to Quality Care

2008 ◽  
Vol 26 (1) ◽  
pp. 143-173 ◽  
Author(s):  
Emily J. Hauenstein
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services Research ◽  
Health Services ◽  
Quality Care ◽  
Rural Mental Health ◽  
Mental Health Systems ◽  
Services Research ◽  
Mental Health Services Research ◽  
Systems Model

About 20% of Americans live in rural America, yet the rural mental health infrastructure has yet to be firmly established. This is due in part to a pervasive belief about the tranquility of rural places and the relatively stress-free environment that they produce. In this chapter an adaptation of the Rural De Facto Mental Health Systems Model produced by Fox and her associates at the Southeastern Rural Mental Health Research Center is presented and used to organize the scientific state of the field of rural mental health services research. As many nurses have stood at the forefront of that research, the research of several prominent rural mental health nurse researchers and the innovative research they have produced are reviewed. The chapter concludes with a discussion of research that is needed to move the science of rural mental health services research forward, as well as a discussion of policy initiatives that may be necessary to foster the development and implementation of that research agenda.

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