scholarly journals Erratum to: Identification and Treatment of TBI and Co-occurring Psychiatric Symptoms Among OEF/OIF/OND Veterans Seeking Mental Health Services Within the State of Colorado: Establishing Consensus for Best Practices

2014 ◽  
Vol 50 (3) ◽  
pp. 373-373
Author(s):  
Jennifer H. Olson-Madden ◽  
◽  
Lisa A. Brenner ◽  
Bridget B. Matarazzo ◽  
Gina M. Signoracci
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Best Practices ◽  
Psychiatric Symptoms ◽  
The State

Mental Health Services for Children: Concerns and Challenges

2016 ◽  
Vol 41 (3) ◽  
pp. 237-239
Author(s):  
Wynne Sandra Korr
Keyword(s):  
Mental Health ◽  
United States ◽  
Human Rights ◽  
Mental Health Services ◽  
Health Services ◽  
Best Practices ◽  
The United States ◽  
The State ◽  
Restrictive Settings

At various times in my career, I have focussed on mental health services for children and their basis in human rights principles. This year I returned to examining best practices and how they could be implemented in a particular place – the State of Illinois, in the United States, where I reside. I found myself reflecting on improvements in services over the last 40 years, but even more, on the significant challenges and gaps in our knowledge that remain. I want to focus this commentary on two topics I found most salient: Contradictions between principles and practice; and need for more research on how to provide services in the most restrictive settings – inpatient and residential.

scholarly journals Prevalence of Psychiatric Symptoms and Mental Health Services in Students with Specific Learning Disabilities in Tehran, Iran

2015 ◽  
Vol 14 (4) ◽  
pp. 438-448 ◽  
Author(s):  
Samaneh Karamali Esmaili ◽  
Narges Shafaroodi ◽  
Afsoon Hassani Mehraban ◽  
Akram Parand ◽  
Mostafa Qorbani ◽  
...  
Keyword(s):  
Mental Health ◽  
Learning Disabilities ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Symptoms ◽  
Specific Learning Disabilities ◽  
Specific Learning

scholarly journals Divided we fall: clinicians and academic psychiatrists need to stand together

2017 ◽  
Vol 25 (5) ◽  
pp. 437-439
Author(s):  
Stephen Allison ◽  
Tarun Bastiampillai ◽  
Malcolm Battersby
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health System ◽  
Mental Health System ◽  
State Mental Health ◽  
The State ◽  
Services Research ◽  
Academic Units ◽  
State Mental

Objective: Psychiatry faces urgent problems requiring united action. These problems affect academic psychiatrists in the universities, and clinicians in publicly funded mental health services. Academic units are isolated and endangered, finding it difficult to recruit. They could benefit from closer relationships with public mental health services, in terms of recruitment, shared teaching and clinical research. However, mental health services are preoccupied with their own problems, particularly in relation to acute clinical demand. How can we stand together to improve academic units and clinical psychiatry? Conclusions: Clinicians and academic psychiatrists can stand together on important matters, but it takes initiatives from local leaders to overcome the structural barriers between health services and the universities. An example is given of united action by clinicians and academic psychiatrists to address a crisis within a state mental health system. First, psychiatrists undertook independent health services research that compared the state system with those in other Australian and international jurisdictions. The comparative data was used to generate solutions, which were presented at every level from ministerial offices through to service managers. Finally, psychiatrists took up joint academic and clinical leadership roles in the university and the mental health system. This united research-led approach turned around the crisis in the state mental health system.

scholarly journals The Substance Abuse and Mental Health Services Administration Buprenorphine Practitioner Locator Misrepresents Access to Buprenorphine

2021 ◽  
Author(s):  
Precious Anyanwu ◽  
Tyler J Varisco ◽  
Matthew A. Wanat ◽  
Shweta Bapat ◽  
Kasey Claborn ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Mental Health Services ◽  
Health Services ◽  
Poverty Line ◽  
Cross Sectional Study ◽  
The State ◽  
County Level ◽  
Cross Sectional ◽  
Health Services Administration

Abstract: Aims: To compare county-level differences in the number of buprenorphine prescribers listed in the publicly available Substance Abuse and Mental Health Services Administration (SAMHSA) Buprenorphine Practitioner Locator and in the Drug Enforcement Administration’s (DEA) Controlled Substance Act (CSA) database and to determine if disparities in access exist in poorer areas with more non-white residents. Design: Cross-sectional study Setting: TexasMeasurements: County-level counts of buprenorphine prescribers were calculated from both the publicly available SAMHSA buprenorphine practitioner locator list and the DEA CSA database. These were then used to estimate the number of providers per 100,000 residents in each county. Regional variation in access to buprenorphine was compared descriptively across the state using poverty data from the US Census and county-level demography from the Texas Demographic Center. Results: This study found 68.8% more X-waivered providers on the DEA CSA database (n=2,622) with at least one provider reported in 125 of 144 counties in the state (49.2%) compared to the SAMHSA Buprenorphine Practitioner Locator (n=1,553) with at least one provider reported in 103 counties (40.5%). This difference was magnified in Texas Public Health Region 11. This is the poorest region of the state (23.7% of residents below the federal poverty line) and contains the most non-white residents 87.4% vs 54.9% (SD: 13.6%). This region had the lowest number of buprenorphine prescribers with 3.8 providers per 100,000 on the DEA CSA database and 2.5 providers per 100,000 in the SAMHSA Buprenorphine Practitioner Locator.Conclusions: The lack of a complete, public registry of buprenorphine prescribers makes it difficult for patients to identify a convenient buprenorphine prescriber and for referring physicians to help their patients access care. This may be especially true in poorer and more diverse areas with fewer buprenorphine prescribers.

How we roll: A fire engine to every call? Fire department resource allocation and firefighter support in the United States

2020 ◽  
Vol 9 (3) ◽  
pp. 409-419
Author(s):  
John Clark Griffith ◽  
Donna L. Roberts
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Best Practices ◽  
Emergency Services ◽  
Fire Service ◽  
Content Type ◽  
Tiered Approach ◽  
Fire Chiefs ◽  
Fire Engine

PurposeEmergency service departments face changing mission requirements, budget constraints and a demanding work environment. This study examined the perceptions of fire chiefs, officers and firefighters who attended the National Professional Development Symposium on the use of a tiered approach when responding to calls, the continued increase in medical calls and mental health services available to fire service personnel.Design/methodology/approachThis study examined the perceptions of fire chiefs, officers and firefighters who attended the National Professional Development Symposium on the use of a tiered approach when responding to calls, the continued increase in medical calls and mental health services available to fire service personnel.FindingsSurvey respondents indicated that they either are currently or would consider using a tiered approach to sending a fire engine and crew or a lighter vehicle to medical or other calls based requirements identified using a tiered approach.Research limitations/implicationsThis idea has future implications regarding the vehicle mix of fire stations as administrators seek to meet the needs of the public most effectively. Survey responses also noted the need for mental health services arguing that care seeking firefighters should have the option of getting mental health services within the station or at an external location. Calls involving babies or young children were overwhelming cited as the most difficult. Additionally, 95% of respondents indicated a belief that most firefighters suffer from PTSD.Practical implicationsRecommendations include: A larger scale survey and analysis of first responder perceptions based on this study. Identifying “best practices” of the most effective “tiered response” approaches to deploying emergency services resources to calls. Studying Mental Health services combating PTSD to identify best practices. Lastly, emergency services administrators should consider changes to the “vehicle mix” when equipping or reequipping stations.Social implicationsSocial implications include use of a “tiered response” approach to emergency calls and focusing how best to support the mental health needs of firefighters.Originality/valueFire Departments are only beginning to explore the idea of using a tiered response to respond to emergencies. This study identifies both short and long term implications of using a tired approach. A secondary emphasis of this study explores difficult calls and PTSD issues faced by firefighters.

What Causes More Destruction, AIDS or AID? Psychiatry in Zambia

2002 ◽  
Vol 10 (2) ◽  
pp. 166-167 ◽  
Author(s):  
John Gleisner
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
The State

Objective: To describe the state of mental health services in Zambia. Conclusions: Mental health services in Zambia are in a dreadful state, partly brought about by being afforded a low priority rating, in turn through a miscalculation. Richer countries may be in a position to help remedy Zambia's problems in this area.

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