Needs for mental health care and service provision in single homeless people

2001 ◽  
Vol 36 (4) ◽  
pp. 207-216 ◽  
Author(s):  
H. J. Salize ◽  
A. Horst ◽  
C. Dillmann-Lange ◽  
U. Killmann ◽  
G. Stern ◽  
...  
2018 ◽  
Vol 26 (6) ◽  
pp. 590-594 ◽  
Author(s):  
Mary Anne Furst ◽  
Jose A Salinas-Perez ◽  
Luis Salvador-Carulla

Objectives: Concerns raised about the appropriateness of the National Disability Insurance Scheme (NDIS) in Australia for people with mental illness have not been given full weight due to a perceived lack of available evidence. In the Australian Capital Territory (ACT), one of the pilot sites of the Scheme, mental health care providers across all relevant sectors who were interviewed for a local Atlas of Mental Health Care described the impact of the scheme on their service provision. Methods: All mental health care providers from every sector in the ACT were contacted. The participation rate was 92%. We used the Description and Evaluation of Services and Directories for Long Term Care to assess all service provision at the local level. Results: Around one-third of services interviewed lacked funding stability for longer than 12 months. Nine of the 12 services who commented on the impact of the NDIS expressed deep concern over problems in planning and other issues. Conclusions: The transition to NDIS has had a major impact on ACT service providers. The ACT was a best-case scenario as it was one of the NDIS pilot sites.


2005 ◽  
Vol 20 (S2) ◽  
pp. s266-s269 ◽  
Author(s):  
D.L. Tosevski ◽  
B. Pejuskovic

AbstractAimTo describe principles and characteristics of mental health care in Belgrade.MethodsBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.ResultsDisastrous events in the country and the region caused an increase of mental and behavioral disorders for 13.5% in the last few years, thus making them the second largest public health problem (after cerebro-vascular diseases). The overall morbidity and mortality are on the rise. Intense acute and chronic stress, as well as the accumulated traumas caused significant psychological sequelae, especially to vulnerable people.DiscussionWhilst various issues of mental health care in Belgrade overlap with those in other European capitals, there are also some specific problems and features. Due to prolonged adversities, the health system has deteriorated and is facing specific challenges. However, the transformation of mental health services has been initiated, with a lot of positive movements, such as preparation of the National policy for mental health care as well as the Law for protection of mentally ill individuals.


2003 ◽  
Vol 43 (2) ◽  
pp. 105-110
Author(s):  
Sharon Riordan ◽  
Stuart Wix ◽  
M Sayeed Haque ◽  
Martin Humphreys

A diversion at the point of arrest (DAPA) scheme was set up in five police stations in South Birmingham in 1992. In a study of all referrals made over a four-year period a sub group of multiple contact individuals was identified. During that time four hundred and ninety-two contacts were recorded in total, of which 130 were made by 58 individuals. The latter group was generally no different from the single contact group but did have a tendency to be younger. This research highlights the need for a re-evaluation of service provision and associated education of police officers and relevant mental health care professionals.


Author(s):  
Kathleen Markey ◽  
Anne MacFarlane ◽  
Maria Noonan ◽  
Mairead Moloney ◽  
Susann Huschke ◽  
...  

There is a need to understand the specific perinatal mental health care needs of migrant subgroups who often have differing health care needs and specific barriers to accessing and engaging with health care services. It is important to have evidence about the WHO European context given the rising numbers of refugees and asylum seekers in the region. The aim of this scoping review is to map the factors that enable and prevent access and engagement of refugee and asylum-seeking women with perinatal mental health care services in the WHO European Region, from the perspectives of service providers and service users. The database search will include PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL complete, Scopus, Academic Search Complete, and Maternity and Infant Care (OVID). Search results will be exported to an online tool that provides a platform to help manage the review process, including title, abstract, and full-text screening and voting by reviewers independently. Data concerning access and engagement with health care services will be mapped on to the candidacy framework. Systematically searching evidence within the WHO European region and examining this evidence through the candidacy lens will help develop a more comprehensive and a deeper conceptual understanding of the barriers and levers of access and engagement with perinatal mental health care services, whilst identifying gaps in existing evidence. Exploring factors that influence access and engagement for refugee and asylum-seeking women from the perspective of key stakeholders in the service provision and/or service utilisation of perinatal mental health care services will add a more comprehensive understanding of the recursive relationship between service provision and use.


2001 ◽  
Vol 24 (3) ◽  
pp. 100
Author(s):  
Margret Scheil

Individual Program Planning is an action research tool that facilitates consumer-oriented service provision. It is basedon four guiding principles to promote constructive interaction between consumers, significant others and services.Agreements for action are cooperatively developed in relation to the identification of issues. These are documented andmonitored in the form of ongoing meetings. The process supports coordination and accountability of activity betweenthose significant to treatment outcome across the continuum of care.


Author(s):  
Hossein Tabatabaei-Jafari ◽  
Jose A. Salinas-Perez ◽  
Mary Anne Furst ◽  
Nasser Bagheri ◽  
John Mendoza ◽  
...  

Australia has a population of around 4 million people aged 65 years and over, many of whom are at risk of developing cognitive decline, mental illness, and/or psychological problems associated with physical illnesses. The aim of this study was to describe the pattern of specialised mental healthcare provision (availability, placement capacity, balance of care and diversity) for this age group in urban and rural health districts in Australia. The Description and Evaluation of Services and DirectoriEs for Long Term Care (DESDE-LTC) tool was used in nine urban and two rural health districts of the thirty-one Primary Health Networks across Australia. For the most part service provision was limited to hospital and outpatient care across all study areas. The latter was mainly restricted to health-related outpatient care, and there was a relative lack of social outpatient care. While both acute and non-acute hospital care were available in urban areas, in rural areas hospital care was limited to acute care. Limited access to comprehensive mental health care, and the uniformity in provision across areas in spite of differences in demographic, socioeconomic and health characteristics raises issues of equity in regard to psychogeriatric care in this country. Comparing patterns of mental health service provision across the age span using the same classification method allows for a better understanding of care provision and gap analysis for evidence-informed policy.


Author(s):  
Adrienne Formentos ◽  
Kenneth Ayuurebobi Ae-Ngibise ◽  
Solomon Nyame ◽  
Kwaku Poku Asante

Abstract Background Prevalence among adolescents with mental disorders are about 20% worldwide. In 2012, Ghana enacted the Mental Health Act, Act 846 to regulate mental health care, but did not include specific programmatic details of service provision nor any measurable indicators for adolescent mental health. Currently no service programmes focused on adolescents and no aggregated data exists documenting prevalence of mental and neurological disorders among adolescents. In the Brong Ahafo region, mental health providers carry out simultaneous programmes to diagnose, treat, and counsel patients. There is a need to investigate how these service programmes are currently functioning as measured by World Health Organisation guidelines. This study therefore, investigated quality of service provision for adolescents with mental disorders in Kintampo North and South districts of central Ghana. Methods Mixed method approach of quantitative and qualitative data collection, organization, and analysis was implored. Quantitative method data collection used case registers to identify mental and neurological disorders among adolescents. Qualitative methods used in-depth interviews of service providers, primary caregivers, and users of healthcare on the services available to treat mental and neurological disorders among adolescents. A combination of quality standards tools was used to assess services. Results Epilepsy was the most common treated disorder among adolescents receiving services at the four facilities in the two districts. Providers and stakeholders had limited or no training in adolescent mental health. Validated diagnostic tools were not being used to rule out differential diagnosis; medication procurement was a challenge to consistent treatment. Data collection and analysis was not standardized. Providers, stakeholders, patients, and their primary caregivers reported challenges with funding, transportation logistics, and stigma against people with mental and neurological disorders. Conclusion There are few mental health service providers for people living with mental disorders in the two Kintampo districts, with no specific services for adolescents. The Mental Health Act 846 of 2012 is an important milestone in mental health care but there are not specific plans for its implementation. Community sensitization, education in mental health and neurological disorders, and advocacy against stigma are all successful programmes that have the potential to be scaled up.


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