Understanding E-Mental Health for People with Depression: An Evaluation Study

2021 ◽  
pp. 34-51
Author(s):  
Kim Janine Blankenhagel ◽  
Johannes Werner ◽  
Gwendolyn Mayer ◽  
Jobst-Hendrik Schultz ◽  
Rüdiger Zarnekow
Keyword(s):  
Mental Health ◽  
Evaluation Study

scholarly journals The Mental Health Parity and Addiction Equity Act evaluation study: Impact on specialty behavioral health utilization and expenditures among “carve-out” enrollees

2016 ◽  
Vol 50 ◽  
pp. 131-143 ◽  
Author(s):  
Susan L. Ettner ◽  
Jessica M. Harwood ◽  
Amber Thalmayer ◽  
Michael K. Ong ◽  
Haiyong Xu ◽  
...  
Keyword(s):  
Mental Health ◽  
Behavioral Health ◽  
Evaluation Study ◽  
Mental Health Parity ◽  
Health Utilization

scholarly journals Supporting Clinicians to Use Technology to Deliver Highly Personalized and Measurement-Based Mental Health Care to Young People: Protocol for an Evaluation Study

10.2196/24697 ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. e24697
Author(s):  
Henriette C Dohnt ◽  
Mitchell J Dowling ◽  
Tracey A Davenport ◽  
Grace Lee ◽  
Shane P Cross ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Training Program ◽  
Digital Health ◽  
Youth Mental Health ◽  
Evaluation Study ◽  
Education And Training ◽  
Knowledge And Skills ◽  
And Training

Background Australia’s mental health care system has long been fragmented and under-resourced, with services falling well short of demand. In response, the World Economic Forum has recently called for the rapid deployment of smarter, digitally enhanced health services to facilitate effective care coordination and address issues of demand. The University of Sydney’s Brain and Mind Centre (BMC) has developed an innovative digital health solution that incorporates 2 components: a highly personalized and measurement-based (data-driven) model of youth mental health care and a health information technology (HIT) registered on the Australian Register of Therapeutic Goods. Importantly, research into implementation of such solutions considers education and training of clinicians to be essential to adoption and optimization of use in standard clinical practice. The BMC’s Youth Mental Health and Technology Program has subsequently developed a comprehensive education and training program to accompany implementation of the digital health solution. Objective This paper describes the protocol for an evaluation study to assess the effectiveness of the education and training program on the adoption and optimization of use of the digital health solution in service delivery. It also describes the proposed tools to assess the impact of training on knowledge and skills of mental health clinicians. Methods The evaluation study will use the Kirkpatrick Evaluation Model as a framework with 4 levels of analysis: Reaction (to education and training), Learning (knowledge acquired), Behavior (practice change), and Results (client outcomes). Quantitative and qualitative data will be collected using a variety of tools, including evaluation forms, pre- and postknowledge questionnaires, skill development and behavior change scales, as well as a real-time clinical practice audit. Results This project is funded by philanthropic funding from Future Generation Global. Ethics approval has been granted via Sydney Local Health District’s Human Research Ethics Committee. At the time of this publication, clinicians and their services were being recruited to this study. The first results are expected to be submitted for publication in 2021. Conclusions The education and training program teaches clinicians the necessary knowledge and skills to assess, monitor, and manage complex needs; mood and psychotic syndromes; and trajectories of youth mental ill-health using a HIT that facilitates a highly personalized and measurement-based model of care. The digital health solution may therefore guide clinicians to help young people recover low functioning associated with subthreshold diagnostic presentations and prevent progression to more serious mental ill-health. International Registered Report Identifier (IRRID) PRR1-10.2196/24697

Une Approche Pro-Active D'intervention Communautaire en Milieu Rural

1993 ◽  
Vol 12 (1) ◽  
pp. 177-200 ◽  
Author(s):  
Denis Chabot ◽  
Céline Mercier ◽  
Jérome Guay
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Service Management ◽  
Local Community ◽  
Collaborative Work ◽  
Health Centre ◽  
Evaluation Study ◽  
Multidisciplinary Teams ◽  
Intervention Design ◽  
Self Help

This paper reports an evaluation study of a pilot project held in a “CLSC” (Local Community Health Centre) located in a rural community. The intervention design is based on multidisciplinary teams created to meet specific local community needs. Mental health intervention is part of community-based approach open to all kinds of requests for support. Practitioners in the field give support not only to the individual with a mental health problem, but also to existing self-help networks in the community. The intervention is also designed to change the relationship between a professional, seen as the one who provides services, and a client, defined as a consumer. The term “client” gains a wider meaning, and collaborative work with informal self-help networks induces a closer relationship between the community and the practitioner. The practitioner is more open to local community values and adjusts his or her practice to match variable contexts. The evaluation study has expanded knowledge on this type of intervention design, on its impact upon service demand, intervention modalities, and service management and organization. This project was coupled with a similar project in an urban environment and was financed by the Health and Social Services Ministry in Québec.

“It’s changed my life!” Evaluation and improvement of a pilot Tier 2 weight management course, “Balance”

2021 ◽  
Vol 26 (1) ◽  
pp. 71-86
Author(s):  
Sally McGuire ◽  
Alex Stephens ◽  
Emma Griffith
Keyword(s):  
Mental Health ◽  
Weight Management ◽  
Evaluation Study ◽  
Service Evaluation ◽  
Service Users ◽  
Tier 2 ◽  
Content Type ◽  
Management Interventions ◽  
Cognitive Behavioural

Purpose This paper aims to describe a service evaluation study of “Balance” – a National Health Service Tier 2 pilot weight management course delivered in a primary care mental health service. The 12 weekly sessions included dietetic, psychological and behavioural elements underpinned by cognitive behavioural theory and “third-wave” approaches, including acceptance and commitment therapy, compassion-focused therapy and mindfulness. Design/methodology/approach A mixed-methods design was used in this service evaluation study that included analysis of outcome measures (weight, eating choices, weight-related self-efficacy and mental health) and focus group data (n = 6) analysed using thematic analysis. Eleven clients with a body mass index of 25–40 kg/m2 enrolled, and nine clients completed the course. Outcome data were collected weekly with follow-up at three and six months. Findings Quantitative data analysis using non-parametric Wilcoxon signed-rank tests showed that the group mean weight decreased significantly (p = 0.030) by the end of Balance, but the group mean weight loss was not statistically significant at the three-month (p = 0.345) or six-month (p = 0.086) follow-up. The qualitative results showed that participants valued the course ethos of choice and also welcomed learning new tools and techniques. Balance was very well-received by participants who reported benefitting from improved well-being, group support and developing new weight management skills. Research limitations/implications Only one client attended all sessions of the group, and it is possible that missed sessions impacted effectiveness. Some of the weight change data collected at the six-month follow-up was self-reported (n = 4), which could reduce data reliability. Focus group participants were aware that Balance was a pilot with a risk that the group would not be continued. As the group wanted the pilot to be extended, the feedback may have been positively skewed. A small sample size limits interpretation of the results. A group weight management intervention, including dietetic, psychological and behavioural elements, underpinned by cognitive behavioural theory was well-received by service users and effective for some. Commissioners and service users may have different definitions of successful outcomes in weight management interventions. Practical implications Longer-term support and follow-up after Tier 2 weight management interventions may benefit service users and improve outcomes. Originality/value The paper contributes to a small but growing evidence base concerned with the design and delivery of weight management interventions. Areas of particular interest include: a gap analysis between the course content and National Institute for Health and Care Excellence clinical guidelines, participants’ views on the most impactful course features and recommendations for course development. The results also show a disconnect between evidence-based guidelines (mandatory weight monitoring), participants’ preferences and clinicians' experience. The difference between client and commissioner priorities is also discussed.

Undergraduate paramedics' understanding of mental health insight placements

2020 ◽  
Vol 12 (10) ◽  
pp. 397-400
Author(s):  
Anita Green ◽  
Amy Pound
Keyword(s):  
Mental Health ◽  
Evaluation Study ◽  
Mental Health Practitioners ◽  
Health Issues ◽  
Mental Health Patients ◽  
Health Practitioners ◽  
Mental Health Difficulties ◽  
Health Concepts ◽  
Health Theory ◽  
Insight Into

Aims: Paramedics are often patients' first point of contact during mental health crises, and are increasingly responding to mental health emergencies. Paramedic training focuses predominantly on trauma and emergency physical healthcare rather than mental health difficulties. A UK-based pilot evaluation study aimed to find out whether providing mental health ‘insight’ placements for paramedic students in a local mental health trust would improve their understanding of patients with mental health issues, particularly from working alongside mental health practitioners. Methods: A pre- and post-experience questionnaire was used to elicit the students' understanding of mental health. Conclusion: The tentative conclusion is that the placement increased students' understanding of mental health services and mental health patients' needs, and they gained a greater understanding of mental health concepts. Being in direct contact with mental health colleagues in practice ensured that they could link mental health theory learned as part of their degree to their experience and gain insight into multiprofessional working.

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