An indigenous community mental health service on the Tohono O'odham (Papago) Indian reservation: Seventeen years later

1988 ◽  
Vol 16 (3) ◽  
pp. 369-379 ◽  
Author(s):  
Marvin W. Kahn ◽  
Linda Lejero ◽  
Marion Antone ◽  
Dorene Francisco ◽  
Jerome Manuel
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Indigenous Community ◽  
Community Mental Health Service ◽  
Tohono O'odham ◽  
Indian Reservation

Colocating an accredited practising dietitian to an adult community mental health service: An exploratory study

2018 ◽  
Vol 27 (6) ◽  
pp. 1709-1718 ◽  
Author(s):  
Trentham Furness ◽  
Elizabeth Wallace ◽  
Jo McElhinney ◽  
Brian McKenna ◽  
Celeste Cuzzillo ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Exploratory Study ◽  
Community Mental Health Service

Quality of mental health services: a self audit in the South Verona mental health service

2006 ◽  
Vol 15 (2) ◽  
pp. 138-147 ◽  
Author(s):  
Liliana Allevi ◽  
Giovanni Salvi ◽  
Mirella Ruggeri
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Service ◽  
Health Services ◽  
Community Mental Health Services ◽  
Community Mental Health Service ◽  
Continuous Quality ◽  
One Year

SUMMARYAims – To start a process of Continuous Quality Improvement (CQI) in an Italian Community Mental Health Service by using a quality assurance questionnaire in a self audit exercise. Methods – The questionnaire was administered to 14 key workers and clinical managers with different roles and seniority. One senior manager's evaluation was used as a benchmark for all the others. Changes were introduced in the service practice according to what emerged from the evaluation. Meetings were scheduled to monitor those changes and renew the CQI process. Results – There was a wide difference in the key workers' answers. Overall, the senior manager's evaluation was on the 60th percentile of the distribution of the other evaluations. Those areas that required prompt intervention were risk management, personnel development, and CQI. The CQI process was followed up for one year: some interventions were carried out to change the practice of the service. Conclusions – A self audit exercise in Community Mental Health Services was both feasible and useful. The CQI process was easier to start than to carry on over the long term.

scholarly journals Effectiveness of embedding a specialist preventive care clinician in a community mental health service in increasing preventive care provision: A randomised controlled trial

2020 ◽  
Vol 54 (6) ◽  
pp. 620-632
Author(s):  
Caitlin MC Fehily ◽  
Kate M Bartlem ◽  
John H Wiggers ◽  
Paula M Wye ◽  
Richard V Clancy ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Confidence Interval ◽  
Usual Care ◽  
Preventive Care ◽  
Risk Ratio ◽  
Community Mental Health Service ◽  
Risk Behaviours

Objective: Clinical practice guidelines recommend that community mental health services provide preventive care for clients’ chronic disease risk behaviours; however, such care is often not routinely provided. This study aimed to assess the effectiveness of offering clients an additional consultation with a specialist clinician embedded within a community mental health service, in increasing client-reported receipt of, and satisfaction with, preventive care. Method: A randomised controlled trial was undertaken in one Australian community mental health service. Participants ( N = 811) were randomised to receive usual care (preventive care in routine consultations; n = 405) or usual care plus the offer of an additional consultation with a specialist preventive care clinician ( n = 406). Blinded interviewers assessed at baseline and 1-month follow-up the client-reported receipt of preventive care (assessment, advice and referral) for four key risk behaviours individually (smoking, poor nutrition, alcohol overconsumption and physical inactivity) and all applicable risks combined, acceptance of referrals and satisfaction with preventive care received. Results: Analyses indicated significantly greater increases in 12 of the 18 preventive care delivery outcomes in the intervention compared to the usual care condition from baseline to follow-up, including assessment for all risks combined (risk ratio = 4.00; 95% confidence interval = [1.57, 10.22]), advice for all applicable risks combined (risk ratio = 2.40; 95% confidence interval = [1.89, 6.47]) and offer of referral to applicable telephone services combined (risk ratio = 20.13; 95% confidence interval = [2.56, 158.04]). For each component of care, there was a significant intervention effect for at least one of the individual risk behaviours. Participants reported high levels of satisfaction with preventive care received, ranging from 77% (assessment) to 87% (referral), with no significant differences between conditions. Conclusion: The intervention had a significant effect on the provision of the majority of recommended elements of preventive care. Further research is needed to maximise its impact, including identifying strategies to increase client uptake.

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