Patient Driven Service Delivery Models in Mental Health Care

2016 ◽  
pp. 111-135
Author(s):  
Patricia E. Alafaireet ◽  
Howard Houghton
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Service Delivery ◽  
Mental Health Care ◽  
Service Delivery Models ◽  
Delivery Models

scholarly journals Efforts and Challenges to Ensure Continuity of Mental Healthcare Service Delivery in a Low Resource Settings During COVID-19 Pandemic—A Case of a Kenyan Referral Hospital

2021 ◽  
Vol 11 ◽  
Author(s):  
Edith Kwobah ◽  
Florence Jaguga ◽  
Kiptoo Robert ◽  
Elias Ndolo ◽  
Jane Kariuki
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Service Delivery ◽  
Mental Health Care ◽  
Healthcare Service ◽  
Healthcare Delivery ◽  
Mental Healthcare ◽  
Referral Hospital ◽  
Number Of Patients

The rising number of patients with Covid-19 as well as the infection control measures have affected healthcare service delivery, including mental healthcare. Mental healthcare delivery in low and middle income countries where resources were already limited are likely to be affected more during this pandemic. This paper describes the efforts of ensuring mental healthcare delivery is continued in a referral hospital in Kenya, Moi Teaching and Referral hospital, as well as the challenges faced. These efforts are guided by the interim guidelines developed by the Kenyan ministry of health. Some of the adjustments described includes reducing number of patients admitted, shortening the stay in the inpatient setting, using outdoors for therapy to promote physical distancing, utilization of electronic platforms for family therapy sessions, strengthening outpatient services, and supporting primary care workers to deliver mental health care services. Some of the challenges include limited ability to move about, declining ability for patients to pay out of pocket due to the economic challenges brought about by measures to control Covid-19, limited drug supplies in primary care facilities, inability to fully implement telehealth due to connectivity issues and stigma for mental health which results in poor social support for the mentally ill patients. It is clear that current pandemic has jeopardized the continuity of usual mental healthcare in many settings. This has brought to sharp focus the need to decentralize mental health care and promote community based services. Meanwhile, there is need to explore feasible alternatives to ensure continuity of care.

scholarly journals Changing practices in mental health care: a lesson from America

1990 ◽  
Vol 14 (12) ◽  
pp. 730-732
Author(s):  
Tom Butler ◽  
Philip Thomas
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Service Delivery ◽  
Mental Health Care ◽  
Social Care ◽  
The Political ◽  
Rehabilitation Services ◽  
Health And Social Care ◽  
The Usa ◽  
Changing Practices

Health and social care in Britain is undergoing the most profound changes in its structure and organisation since its inception (Griffiths, 1988); indeed, some would argue that it is about to change beyond recognition. The purpose of this article is to describe contemporary developments in the delivery of such services in the USA. Given that many of the political changes here have been directly influenced by thinking and practice in that country, it is argued that there are two important lessons to be learnt. The first concerns the coordination of service delivery between different agencies, the second involves an emphasis on the delivery of acute and rehabilitation services in the community. In short the traditional distinctions between the two would be blurred.

scholarly journals Mental Health Service in Ghana: A Review of the Case

2017 ◽  
Vol 6 (4) ◽  
pp. 299 ◽  
Author(s):  
Samuel Adu-Gyamfi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Care ◽  
Psychiatric Hospitals ◽  
The Government

Mental health care in Ghana has been fraught with several challenges leading to stagnant growth in mental health service delivery and in some cases a severe depreciation in the nature of care. The Government of Ghana pays little or no attention to mental health care in the country, a situation that has led to poor service delivery in the three major psychiatric hospitals in Ghana. The implementation of the Ghana Mental Act of 2012 has also been faced with major challenges with no significant progress being made. This studytherefore sought to review and document the development of mental health care services in Ghana. Specifically, the study examined the various legislations on mental health that have been enacted  in Ghana since 1900; investigated the implementation of the current Mental Health Act of Ghana; found out whether the Ghanaian government has prioritise mental health services in the country and assessed the challenges and problems that confronted mental health services in Ghana since 1900.The study concludes that, since 1888 efforts have been made by various governments to legislate the provision of mental services in Ghana. However, these legislations have not always protected the rights and interest of the mentally ill.

Mental Health and Addictions Workforce Development

2019 ◽  
pp. 24-58
Author(s):  
Ann M. Roche ◽  
Roger S. Nicholas
Keyword(s):  
Mental Health ◽  
Service Delivery ◽  
Systems Thinking ◽  
Workforce Development ◽  
Contextual Factors ◽  
Workforce Planning ◽  
Learning Models ◽  
Service Delivery Models ◽  
Use Of Technology ◽  
Delivery Models

This chapter addresses changes in the conceptualization of workforce development and its implications for mental health and addiction1 workers, services, and sectors. First we provide an overview of the background, historical and contextual factors impacting current approaches to workforce development. Next, an examination of systems thinking, service delivery models and goals, workforce planning, leadership and worker recruitment, retention and wellbeing are provided. Finally, theories of knowledge and innovation dissemination, learning models and theories, and emerging use of technology are examined.

scholarly journals Challenges and opportunities of the COVID-19 pandemic for perinatal mental health care: a mixed-methods study of mental health care staff

2021 ◽  
Author(s):  
C. A. Wilson ◽  
C. Dalton-Locke ◽  
S. Johnson ◽  
A. Simpson ◽  
S. Oram ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mixed Methods ◽  
Service Delivery ◽  
Mental Health Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Health And Social Care ◽  
The Impact ◽  
Perinatal Women

AbstractThe aim of this study was to explore staff perceptions of the impact of the COVID-19 pandemic on mental health service delivery and outcomes for women who were pregnant or in the first year after birth (‘perinatal’ women). Secondary analysis was undertaken of an online mixed-methods survey open to all mental health care staff in the UK involving 363 staff working with women in the perinatal period. Staff perceived the mental health of perinatal women to be particularly vulnerable to the impact of stressors associated with the pandemic such as social isolation (rated by 79.3% as relevant or extremely relevant; 288/363) and domestic violence and abuse (53.3%; 192/360). As a result of changes to mental health and other health and social care services, staff reported feeling less able to assess women, particularly their relationship with their baby (43.3%; 90/208), and to mobilise safeguarding procedures (29.4%; 62/211). While 42% of staff reported that some women engaged poorly with virtual appointments, they also found flexible remote consulting to be beneficial for some women and helped time management due to reductions in travel time. Delivery of perinatal care needs to be tailored to women’s needs; virtual appointments are perceived not to be appropriate for assessments but may be helpful for some women in subsequent interactions. Safeguarding and other risk assessment procedures must remain robust in spite of modifications made to service delivery during pandemics.

scholarly journals An Integrated Blueprint for Digital Mental Health Services Amidst COVID-19 (Preprint)

2020 ◽  
Author(s):  
Luke Balcombe ◽  
Diego De Leo
Keyword(s):  
Mental Health ◽  
Machine Learning ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Care ◽  
Real Time ◽  
Health Care Services ◽  
Care Services

UNSTRUCTURED In-person traditional approaches to mental health care services are facing difficulties amidst the coronavirus disease (COVID-19) crisis. The recent implementation of social distancing has redirected attention to nontraditional mental health care delivery to overcome hindrances to essential services. Telehealth has been established for several decades but has only been able to play a small role in health service delivery. Mobile and teledigital health solutions for mental health are well poised to respond to the upsurge in COVID-19 cases. Screening and tracking with real-time automation and machine learning are useful for both assisting psychological first-aid resources and targeting interventions. However, rigorous evaluation of these new opportunities is needed in terms of quality of interventions, effectiveness, and confidentiality. Service delivery could be broadened to include trained, unlicensed professionals, who may help health care services in delivering evidence-based strategies. Digital mental health services emerged during the pandemic as complementary ways of assisting community members with stress and transitioning to new ways of living and working. As part of a hybrid model of care, technologies (mobile and online platforms) require consolidated and consistent guidelines as well as consensus, expert, and position statements on the screening and tracking (with real-time automation and machine learning) of mental health in general populations as well as considerations and initiatives for underserved and vulnerable subpopulations.

scholarly journals Challenges and opportunities of the COVID-19 pandemic for perinatal mental health care: a mixed methods study of mental health care staff

2020 ◽  
Author(s):  
Claire A Wilson ◽  
Christian A Dalton-Locke ◽  
Sonia Johnson ◽  
Alan Simpson ◽  
Sian Oram ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mixed Methods ◽  
Service Delivery ◽  
Mental Health Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Health And Social Care ◽  
The Impact ◽  
Perinatal Women

Purpose: the aim of this study was to explore staff perceptions of the impact of the COVID-19 pandemic on mental health service delivery and outcomes for women who were pregnant or in the first year after birth (perinatal women). Methods: secondary analysis of an online mixed-methods survey open to all mental health care staff in the UK involving 363 staff working with women in the perinatal period. Results: staff perceived the mental health of perinatal women to be particularly vulnerable to the impact of stressors associated with the pandemic such as social isolation (rated by 79.3% as relevant or extremely relevant; 288/363) and domestic violence and abuse (53.3%; 192/360). As a result of changes to mental health and other health and social care services, staff reported feeling less able to assess women, particularly their relationship with their baby (43.3%; 90/208), and to mobilise safeguarding procedures (29.4%; 62/211). While 42% of staff reported that some women engaged poorly with virtual appointments, they also found flexible remote consulting to be beneficial for some women and helped time management due to reductions in travel time. Conclusions: delivery of perinatal care needs to be tailored to the needs of women; virtual appointments are perceived not to be appropriate for assessments but may be helpful for some women in subsequent interactions. Safeguarding and other risk assessment procedures must remain robust in spite of modifications made to service delivery during pandemics.

School Mental Health Services for Adolescents

2017 ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
School Mental Health ◽  
Autism Spectrum ◽  
Health Providers ◽  
Implementation Barriers ◽  
Service Delivery Models ◽  
Delivery Models

School Mental Health Services for Adolescents is composed of 15 chapters, written by well-known authors in the fields of psychology, education, social work, and counseling, who discuss and describe services for adolescents that can be implemented in secondary schools by school-based professionals. The authors present methods of overcoming implementation barriers through strategic service-delivery models. The volume is divided into three sections. The first chapters describe the history and need for services, explore the identity of professionals that serve as school mental health providers, and describe methods of engaging adolescents in school. The next chapters focus on issues of identification and referral for treatment in schools and provide a description of interventions. Proposed service delivery models are organized by target topics, including attention and organization, disruptive behavior, internalizing behaviors, autism spectrum disorders, substance abuse, and chronic health concerns. The final chapters describe assessment and the integration of school mental health in schools.

scholarly journals A review of a primary mental health service 10 years on

2015 ◽  
Vol 27 (3) ◽  
pp. 78-85
Author(s):  
Sarah Taylor
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Care ◽  
Brief Intervention ◽  
Social Worker ◽  
Intervention Service

The past 10 years have seen a shift in mental health care in Aotearoa New Zealand towards early intervention and treatment at a primary care level providing a range of levels of mental health interventions in a variety of settings. Previously specialist mental health care had been the responsibility of community mental health teams and secondary service inpatient care which provided care for people with severe mental illness (3% of the population). In this article, I look at the move towards the provision of primary mental health care. I describe and review the Mental Health Brief Intervention Service in South Canterbury, one of the earliest primary mental health services initiated by the South Canterbury District Health Board, which started in 2005. I present research fi from my Master’s thesis Mental Health Brief Intervention – does it work? An evaluation of practice, and discuss how the Mental Health Brief Intervention Service has made a positive change for general practitioners, the client, the interface with other services including secondary mental health services and service delivery in general. Forms of consumer feedback are discussed along with the changes in the service over the last 10 years. It is written by myself, a social worker, who played an integral part in initiating and establishing the service and continues to have an active role as a clinician within the Mental Health Brief Intervention Service. This article is written to provide social workers with an overview of the establishment of the Mental Health Brief Intervention Service and the impact on service delivery. The role of the social worker is discussed as is the role of other health professionals within the team. 

Sign in / Sign up

Export Citation Format

Share Document