scholarly journals From Pandemic to Progression: An Educational Framework for the Implementation of Virtual Mental Healthcare for Children and Youth as a Response to COVID-19

2020 ◽  
Author(s):  
Bridget T. Doan ◽  
Yue Bo Yang ◽  
Erin Romanchych ◽  
Seena Grewal ◽  
Suneeta Monga ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Children And Youth ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Clinics ◽  
Health Clinics ◽  
Educational Framework ◽  
Community Mental Health Clinics ◽  
Sick Children

Abstract COVID-19 restrictions have necessitated child/youth mental health providers to shift towards virtually delivering services to patients’ homes rather than hospitals and community mental health clinics. There is scant guidance available for clinicians on how to address unique considerations for the virtual mental healthcare of children and youth as clinicians rapidly shift their practices away from in-person care in the context of the COVID-19 pandemic. Therefore, we bridge this gap by discussing a six-pillar framework developed at Hospital for Sick Children (SickKids) in Toronto, Ontario, Canada, for delivering direct to patient virtual mental healthcare to children, youth and their families. We also offer a discussion of the advantages, disadvantages, and future implications of such services.

scholarly journals TRANSFORMING DEMENTIA SERVICE DELIVERY: THE MENTAL HEALTH GERO-CHAMPIONS PROGRAM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S380-S380
Author(s):  
Regina M Koepp
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Medical Center ◽  
Neurocognitive Disorders ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Clinics ◽  
Outpatient Mental Health ◽  
Health Clinics ◽  
Clinical Support

Abstract In order to provide effective mental health care to older adults with major neurocognitive disorders (e.g., Alzheimer’s disease and related dementias) within outpatient mental health clinics, mental health practitioners must possess a basic understanding of these disorders, the needs of and challenges faced by people living with dementia and their families, and effective treatment approaches for this population. The Mental Health Gero-Champions Program was established in 2015 at a large Veterans Affairs medical center with the aim of providing clinical support and opportunities for training to multidisciplinary mental health providers to enhance skills in assessing and treating older adults with neurocognitive disorders. This presentation will provide an overview of the Mental Health Gero-Champions Program, describe the development and implementation of this program, and discuss challenges and successes in sustaining this transformative initiative over time.

scholarly journals Community treatment orders and antipsychotic long-acting injections

2009 ◽  
Vol 195 (S52) ◽  
pp. s57-s62 ◽  
Author(s):  
Tim J. Lambert ◽  
Bruce S. Singh ◽  
Maxine X. Patel
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Legal Framework ◽  
Community Treatment ◽  
Mental Health Clinics ◽  
Health Clinics ◽  
Community Mental Health Clinics ◽  
Long Acting ◽  
The Relationship ◽  
Treatment Order

BackgroundThe community treatment order (CTO) is the legal framework by which people in the community are compelled to accept treatment. Both antipsychotic long-acting injections (LAIs) and CTOs are used to address treatment non-adherence.AimsTo investigate the relationship between CTOs and LAI use in patients with schizophrenia.MethodPrescribing, demographic and CTO data were collected for patients from four community mental health clinics in Melbourne, Australia, in 1998 and 2002.ResultsAgainst a background of increasing use of oral second-generation antipsychotic (SGA) medication and decreasing use of LAIs, the rates of CTO implementation doubled from 13% to 26% of patients with schizophrenia between 1998 and 2002. Proportionally more patients with a CTO are prescribed LAIs rather than oral SGAs.ConclusionsThe relationship between receiving an LAI and being subject to a CTO is significant, and reflects the consideration given to enhancing adherence in a community mental health setting.

Intake Follow-Up of “No Service” Cases

1981 ◽  
Vol 26 (3) ◽  
pp. 183-185 ◽  
Author(s):  
Arlette Lefebvre ◽  
Elliott Weiss ◽  
Nancy Cohen ◽  
Suzanne Waldron
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Local Community ◽  
Community Resources ◽  
Mental Health Clinics ◽  
Health Clinics ◽  
Number Of Patients ◽  
Central Resource ◽  
Sick Children

At The Hospital for Sick Children in Toronto, an attempt was made to bypass long pre-assessment waiting lists by referring an increasing number of patients to local community resources at the point of the initial intake call. During the pilot study, we contacted 40 families who had been redirected along these lines between January and June 1979. We found that 31 (78%)families had followed our recommendations and most were satisfied with the treatment they were receiving. This suggests that “re-referral” upon intake can often be a highly effective and useful service when provided by a central resource and consultation centre. A further systematic follow-up of all applications to children's mental health clinics, including a careful appraisal of no-show cases (families who are accepted for assessment but cancel or fail to attend), is essential so that we can tailor our services to the specific child psychiatry needs of our varied clientèle.

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