Integrated Behavioral Health in Public Health Care Contexts: Community Health and Mental Health Safety Net Systems

BACKGROUND Patient portals are a safe and secure way for patients to connect with providers for video-based telepsychiatry and help to overcome the financial and logistical barriers associated with face-to-face mental health care. Due to the coronavirus disease 2019 (COVID-19) pandemic, telepsychiatry has become increasingly important to obtaining mental health care. However, financial, and technological barriers, termed the “digital divide,” prevent some patients from accessing the technology needed to utilize telepsychiatry services. OBJECTIVE As part of an outreach project during COVID-19 to improve patient engagement with video-based visits through the hospital’s patient portal among adult behavioral health patients at an urban safety net hospital, we aimed to assess patient preference for patient portal-based video visits or telephone-only visits, and to identify the demographic variables associated with their preference. METHODS Patients in an outpatient psychiatry clinic were contacted by phone and preference for telepsychiatry by phone or video through a patient portal, as well as device preference for video-based visits, were documented. Patient demographic characteristics were collected from the electronic medical record. RESULTS One hundred and twenty-eight patients were reached by phone. Seventy-nine patients (61.7%) chose video-based visits and 69.6% of these patients preferred to access the patient portal through a smartphone. Older patients were significantly less likely to agree to video-based visits. CONCLUSIONS Among behavioral health patients at a safety-net hospital, there was a relatively low engagement with video-based visits through the hospital’s patient portal, particularly among older adults.

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State Mental Health Policy: Mending Missouri's Safety Net: Transforming Systems of Care by Integrating Primary and Behavioral Health Care

Psychiatric Services ◽

10.1176/ps.2009.60.5.585 ◽

2009 ◽

Vol 60 (5) ◽

pp. 585-588 ◽

Cited By ~ 4

Author(s):

Dorn Schuffman ◽

Benjamin G. Druss ◽

Joseph J. Parks

Keyword(s):

Mental Health ◽

Health Care ◽

Health Policy ◽

Behavioral Health ◽

Systems Of Care ◽

Mental Health Policy ◽

Behavioral Health Care ◽

Safety Net ◽

State Mental Health ◽

State Mental

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Health behavior of school students in early adolescence in light of the Corona pandemic and its relationship to some variables: السلوك الصحي لدى طلبة المدارس في مرحلة المراهقة المبكرة في ظل جائحة كورونا وعلاقته ببعض المتغيرات

المجلة العربية للعلوم ونشر الأبحاث مجلة العلوم التربوية والنفسية ◽

10.26389/ajsrp.i180521 ◽

2021 ◽

Vol 5 (38) ◽

pp. 156-140

Author(s):

Hani M.S Al-Shudifat Hani M.S Al-Shudifat

Keyword(s):

Public Health ◽

Mental Health ◽

Health Care ◽

Health Behavior ◽

Early Adolescence ◽

Social Adjustment ◽

Public Health Care ◽

Average Level ◽

School Students ◽

Healthy Behavior

This study aimed to identify the level of health behavior among early adolescence students and to reveal differences in health behavior among early adolescence students according to the variables of sex and grade, and to achieve the objectives of the study, the descriptive analytical approach was used, where a scale was developed to measure the level of healthy behavior, consisting of (21) A paragraph distributed on three dimensions: (public health care, body care, and mental health). The indicators of its validity and reliability were verified. It was applied to a stratified random sample of (305) students from grades (seventh, eighth and ninth). The study found that the level of healthy behavior among school students in early adolescence in light of the Corona pandemic was average with a mathematical average (3.36) and it came after (public health care) in the first place, with an average level, and an average of (3.43), while it came after (mental health) In the last place and at an average level, where his average was (3.27), and there were differences in the level of healthy behavior between the two sexes and in favor of females, and the existence of differences attributable to the grade class between the seventh and ninth grades and in favor of ninth grade students, while the results did not show differences attributable to the interaction between sex And the classroom. The study recommended the necessity of implementing counseling programs for parents about methods and strategies that help in developing healthy behavior for their children, and teaching healthy behavior skills to adolescent students because they are linked to disease prevention, social adjustment and success in life.

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Academic health services and health needs of college students around the era of the Covid-19 pandemic

Medical Science and Discovery ◽

10.36472/msd.v8i4.505 ◽

2021 ◽

Vol 8 (4) ◽

pp. 193-197

Author(s):

Eirini Kotsalou ◽

Evanthia Sakellari ◽

Areti Lagiou ◽

Evaggelia Kotsalou

Keyword(s):

Public Health ◽

Mental Health ◽

College Students ◽

Health Care ◽

Health Services ◽

Help Seeking ◽

Mental Health Problems ◽

Health Problems ◽

Health Needs ◽

Public Health Care

Objective: The university medical services vary around the world (even within each university), but there are only a few publications on the utilization of these services by the students. The available on-campus services of public health care might include general health care, women’s centers, mental health care, disability services, wellness resource centers, career counseling, and alcohol and other drug education programs. Evidence Acquisition: This paper reviews the current literature on the overtime and current (due to Covid-19 pandemic) public health needs of college students based on studies that report the commonest specific diagnostic reasons for using the on-campus health care services. Results: Special reference is done on mental health problems among students generally and the students of health professions fields (a specific category themselves). Besides, other issues of interest are the substance-related problems among students and their perceptions about mental health problems and on- campus help- seeking services. Conclusions: It is unanimous that we need further educational and promotional campaigns to enhance the students; help-seeking behaviors, reduce stigmatizing behaviors and create more preventive public health services on campus, but also out-campus due to the Covid-19 pandemic.

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Prevalence of Mental Health Problems During Virus Epidemics in the General Public, Health Care Workers and Survivors: A Rapid Review of the Evidence

10.1101/2020.05.19.20103788 ◽

2020 ◽

Cited By ~ 1

Author(s):

Simeon J Zuercher ◽

Philipp Kerksieck ◽

Christine Adamus ◽

Christian Burr ◽

Anja I Lehmann ◽

...

Keyword(s):

Public Health ◽

Mental Health ◽

Health Care ◽

Health Care Workers ◽

Mental Health Problems ◽

Public Health Care ◽

Rapid Review ◽

Prevalence Rates ◽

Care Workers

Background: The swift spread of SARS-CoV-2 provides a challenge worldwide. As a consequence of restrictive public health measures like isolation, quarantine, and community containment, the provision of mental health services is a major challenge. Evidence from past virus epidemics and the current SARS-CoV-2 outbreak indicate high prevalence rates of mental health problems (MHP) as short- and long-term consequences. However, a broader picture of MHP among different populations is still lacking. Methods: We conducted a rapid review on MHP prevalence rates published since 2000, during and after epidemics, including the general public, health care workers, and survivors. Any quantitative articles reporting on MHP rates were included. Out of 2855 articles screened, a total of 74 were included in this review. Results: Most original studies on MHP were conducted in China in the context of SARS-CoV-1, and reported on anxiety, depression, post-traumatic stress symptoms/disorder, general psychiatric morbidity, and psychological symptoms. The MHP rates across studies, populations, and epidemics vary substantially. While some studies show high and persistent rates of MHP in populations directly affected by isolation, quarantine, threat of infection, infection, or life-threatening symptoms (e.g. health care workers), other studies report minor effects. Furthermore, even less affected populations (e.g. distant to epidemic epicenter, no contact history with suspected or confirmed cases) can show high rates of MHP. Discussion: MHP vary largely across countries and risk-groups in reviewed studies. The results call attention to potentially high MHP during epidemics. Individuals affected directly by an epidemic might be at a higher risk of short or even long-term mental health impairments. This study delivers insights stemming from a wide range of psychiatric instruments and questionnaires. The results call for the use of validated and standardized instruments, reference norms, and pre-post measurements to better understand the magnitude of the MHP during and after the epidemics. Nevertheless, emerging MHP should be considered during epidemics including the provision of access to mental health care to mitigate potential mental impairments.

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Does integrated behavioral health care reduce mental health disparities for Latinos? Initial findings.

Journal of Latina/o Psychology ◽

10.1037/lat0000009 ◽

2014 ◽

Vol 2 (1) ◽

pp. 37-53 ◽

Cited By ~ 46

Author(s):

Ana J. Bridges ◽

Arthur R. Andrews ◽

Bianca T. Villalobos ◽

Freddie A. Pastrana ◽

Timothy A. Cavell ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Health Disparities ◽

Behavioral Health ◽

Behavioral Health Care ◽

Mental Health Disparities ◽

Integrated Behavioral Health

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Nurse competence in implementing public health care

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v10i2.20711 ◽

2021 ◽

Vol 10 (2) ◽

pp. 428

Author(s):

Suprapto Suprapto ◽

Trimaya Cahya Mulat ◽

Nur Syamsi Norma Lalla

Keyword(s):

Public Health ◽

Health Care ◽

Health Services ◽

Community Health ◽

Health Center ◽

Community Health Services ◽

Public Health Care ◽

Community Health Care ◽

Public Health Center ◽

And Training

Health development is a way of increasing awareness, willingness and ability to live healthy for everyone so that an optimal degree of public health can be achieved. The purpose of knowing how the relationship between nurse competence and community health care activities. This study employed quantitative approach and correlation analysis. The population was nurses who work at public health center in Makassar City, Indonesia, however there were 118 nurses who meet the criteria in their selection. There were relationships between attitudes, skills, and competencies with the level of implementation of community health services and that there is an interaction between competence and training. The results of the competency analysis obtained an OR value of 6.429, meaning that public health center nurses who have good competence have a chance of 6.429 times to carry out community health care activities optimally. Most dominant with the implementation of public health care is the interaction between competence and training. The competence of nurses need to be improved in order to optimize the implementation of community health services through training, coaching through assigned teams, and collaborating with peers and providing support in the form of policies for rewards and sanctions such as nurse career paths.

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Practical Approaches for Achieving Integrated Behavioral Health Care in Primary Care Settings

American Journal of Medical Quality ◽

10.1177/1062860615618783 ◽

2016 ◽

Vol 32 (2) ◽

pp. 117-121 ◽

Cited By ~ 6

Author(s):

Anna Ratzliff ◽

Kathryn E. Phillips ◽

Jonathan R. Sugarman ◽

Jürgen Unützer ◽

Edward H. Wagner

Keyword(s):

Primary Care ◽

Health Care ◽

Behavioral Health ◽

National Policy ◽

Behavioral Health Care ◽

Safety Net ◽

Patient Centered ◽

Integrated Behavioral Health ◽

Behavioral Health Integration ◽

Primary Care Settings

Behavioral health problems are common, yet most patients do not receive effective treatment in primary care settings. Despite availability of effective models for integrating behavioral health care in primary care settings, uptake has been slow. The Behavioral Health Integration Implementation Guide provides practical guidance for adapting and implementing effective integrated behavioral health care into patient-centered medical homes. The authors gathered input from stakeholders involved in behavioral health integration efforts: safety net providers, subject matter experts in primary care and behavioral health, a behavioral health patient and peer specialist, and state and national policy makers. Stakeholder input informed development of the Behavioral Health Integration Implementation Guide and the GROW Pathway Planning Worksheet. The Behavioral Health Integration Implementation Guide is model neutral and allows organizations to take meaningful steps toward providing integrated care that achieves access and accountability.

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