Decisional conflict in mental health care: a cross-sectional study

2017 ◽  
Vol 53 (2) ◽  
pp. 161-169 ◽  
Author(s):  
Margot J. Metz ◽  
Marjolein A. Veerbeek ◽  
Christina M. van der Feltz-Cornelis ◽  
Edwin de Beurs ◽  
Aartjan T. F. Beekman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Decisional Conflict ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Complexity Assessed by the INTERMED in Patients With Somatic Symptom Disorder Visiting a Specialized Outpatient Mental Health Care Setting: A Cross-sectional Study

2017 ◽  
Vol 58 (4) ◽  
pp. 427-436 ◽  
Author(s):  
Jonna F. van Eck van der Sluijs ◽  
Lars de Vroege ◽  
Annick S. van Manen ◽  
Cees A.Th Rijnders ◽  
Christina M. van der Feltz-Cornelis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Somatic Symptom ◽  
Care Setting ◽  
Cross Sectional Study ◽  
Somatic Symptom Disorder ◽  
Sectional Study ◽  
Cross Sectional ◽  
Outpatient Mental Health

scholarly journals A cross-sectional study of the barriers for seeking mental health care among medical undergraduates

2020 ◽  
Vol 21 (1) ◽  
pp. 16
Author(s):  
Vishnu Gade ◽  
LakshmiShodhana Kasam ◽  
Raghuram Macharapu ◽  
PramodK R. Mallepalli ◽  
RavulapatiSateesh Babu ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Undergraduates

scholarly journals Assessing the Care Modality Preferences and Predictors for Digital Mental Health Treatment Seekers in a Technology-Enabled Stepped Care Delivery System: Cross-sectional Study (Preprint)

2021 ◽  
Author(s):  
Elissa Kozlov ◽  
Meghan McDarby ◽  
Maximo Prescott ◽  
Myra Altman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Treatment ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Stepped Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Treatment

BACKGROUND Access to mental health services continues to be a systemic problem in the United States and around the world owing to a variety of barriers including the limited availability of skilled providers and lack of mental health literacy among patients. Individuals seeking mental health treatment may not be aware of the multiple modalities of digital mental health care available to address their problems (eg, self-guided and group modalities, or one-to-one care with a provider). In fact, one-to-one, in-person treatment is the dominant care model with a masters- or doctoral-level trained mental health provider, and it may or may not be the appropriate or preferred level of care for an individual. Technology-enabled mental health platforms may be one way to improve access to mental health care by offering stepped care, but more research is needed to understand the care modality preferences of digital mental health care seekers because additional modalities become increasingly validated as effective treatment options. OBJECTIVE The purpose of this study was to describe and evaluate the predictors of care modality preferences among individuals enrolled in a technology-enabled stepped mental health care platform. METHODS This exploratory, cross-sectional study used employee data from the 2021 Modern Health database, an employer-sponsored mental health benefit that uses a technology-enabled platform to optimize digital mental health care delivery. Chi-square tests and one-way analysis of variance (ANOVA) were conducted to evaluate associations among the categorical and continuous factors of interest and the preferred care modality. Bivariate logistic regression models were constructed to estimate the odds ratios (ORs) of preferring a one-on-one versus self-guided group, or no preference for digital mental health care modalities. RESULTS Data were analyzed for 3661 employees. The most common modality preference was one-on-one care (1613/3661, 44.06%). Approximately one-fourth of the digital mental health care seekers (881/3661, 24.06%) expressed a preference for pursuing self-guided care, and others (294/3661, 8.03%) expressed a preference for group care. The ORs indicated that individuals aged 45 years and above were significantly more likely to express a preference for self-guided care compared to individuals aged between 18 and 24 years (OR 2.47, 95% CI 1.70-3.59; <i>P</i>&lt;.001). Individuals screening positive for anxiety (OR 0.73, 95% CI 0.62-0.86; <i>P</i>&lt;.001) or depression (OR 0.79, 95% CI 0.66-0.95; <i>P</i>=.02) were more likely to prefer one-on-one care. CONCLUSIONS Our findings elucidated that care modality preferences vary and are related to clinical severity factors and demographic variables among individuals seeking digital mental health care. CLINICALTRIAL

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