Measuring service system coordination in managed mental health care for children and youth

Children’s mental health care plays a vital role in many social, health care, and education systems, but there is evidence that appropriate targeting strategies are needed to allocate limited mental health care resources effectively. The aim of this study was to develop and validate a methodology for identifying children who require access to more intense facility-based or community resources. Ontario data based on the interRAI Child and Youth Mental Health instruments were analysed to identify predictors of service complexity in children’s mental health. The Resource Intensity for Children and Youth (RIChY) algorithm was a good predictor of service complexity in the derivation sample. The algorithm was validated with additional data from 61 agencies. The RIChY algorithm provides a psychometrically sound decision-support tool that may be used to inform the choices related to allocation of children’s mental health resources and prioritisation of clients needing community- and facility-based resources.

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Improving mental health care transitions for children and youth: a protocol to implement and evaluate an emergency department clinical pathway

Implementation Science ◽

10.1186/s13012-016-0456-9 ◽

2015 ◽

Vol 11 (1) ◽

Cited By ~ 5

Author(s):

Mona Jabbour ◽

S. Reid ◽

C. Polihronis ◽

P. Cloutier ◽

W. Gardner ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Emergency Department ◽

Mental Health Care ◽

Clinical Pathway ◽

Care Transitions ◽

Children And Youth ◽

Health Care Transitions

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User Experiences of Different Treatment Cultures in Mental Health Care

Ethical Human Psychology and Psychiatry ◽

10.1891/1559-4343.11.2.97 ◽

2009 ◽

Vol 11 (2) ◽

pp. 97-111 ◽

Cited By ~ 3

Author(s):

Ragnfrid Eline Kogstad ◽

Jan Kaare Hummelvoll ◽

Bengt G. Eriksson

Keyword(s):

Mental Health ◽

Health Care ◽

Health Service ◽

Mental Health Care ◽

Service System ◽

Qualitative Content Analysis ◽

User Experiences ◽

Negative Experiences ◽

Mental Health Care System ◽

Health Service System

Background: Clients have mixed experiences with mental health services. Historically there have been quite different and also incompatible approaches to treatment in mental health care. Some antagonisms may have been overcome, but clients’ experiences still seem to mirror approaches that are in contrast to each other. Aim: To describe different treatment approaches as clients experience them, discuss essential factors in, and differences between the approaches and the degree to which they appear corresponding or antagonistic. Method: Qualitative content analysis of stories from approximately 492 users dealing with positive, negative, or both positive and negative experiences with the health service system. Results: Clients experience different treatment cultures side by side within the mental health care system. The cultures exist on a continuum where monologue and dialogic cultures represent endpoints. Conclusion: It is important to acknowledge the contrasts clients have experienced between different treatment cultures. Realizing the contrast between approaches, it emerges as important that clients are given a choice and can get the kind of treatment they prefer.

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