Translating evidence-based psychological interventions for older adults with depression and anxiety into public and private mental health settings using a stepped care framework: Study protocol

2021 ◽  
Vol 104 ◽  
pp. 106360
Author(s):  
Denise Meuldijk ◽  
Viviana M. Wuthrich ◽  
Ronald M. Rapee ◽  
Brian Draper ◽  
Henry Brodaty ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Study Protocol ◽  
Stepped Care ◽  
Psychological Interventions ◽  
Evidence Based ◽  
Depression And Anxiety ◽  
Public And Private ◽  
Mental Health Settings

scholarly journals EFFECTIVENESS OF A COLLABORATIVE STEPPED-CARE MODEL FOR OLDER ADULTS WITH DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S512-S513
Author(s):  
Terry Lum ◽  
Gloria Wong ◽  
Tianyin Liu ◽  
Shiyu Lu ◽  
Dara Leung ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Community Mental Health ◽  
Health Center ◽  
Community Mental Health Center ◽  
Mental Health Center ◽  
Stepped Care ◽  
Depression And Anxiety ◽  
Care Model ◽  
Quasi Experimental

Abstract Background: Depression is common among older adults and creates a substantial burden on individuals, caregivers, and healthcare system. This paper presents an innovative collaborative stepped care intervention that promotes the coordination between elderly center and community mental health center to provide nonpharmacological intervention to elders with mild to moderate level of depression. Methods: The stepped care model were implemented in four districts in Hong Kong between September 2017 and February 2019. In each district, one community mental health center and one elderly center worked together to implement this stepped care model. A quasi-experimental design was used to study the effectiveness of this intervention. Findings: A total of 853 older adults completed the intervention and additional 500 elders were recruited as control. The average age of intervention participants was 76.3 years. Their levels of depression and anxiety were measured by Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder 7-item (GAD-7) respectively. The average intervention lasted for 10 months. Their average PhQ9 score reduced from 7.2 before intervention to 2.7 after intervention (t= 34.7, p < .001). Their level of anxiety was lowered from 4.9 to 2.0 (t=16.9, p < .001). The different between the intervention and control groups were statistically significant. Conclusion: The stepped care model was effective in reducing the levels of depression and anxiety among Chinese older people. This paper will give detailed information about the stepped care model and its implementation.

scholarly journals Increasing Access to Mental Health Care for People Living in Lebanon through an E-Mental Health Intervention: study protocol for two randomised controlled trials (RCTs) (Preprint)

2020 ◽  
Author(s):  
Edith van 't Hof ◽  
Eva Heim ◽  
Jinane Abi Ramia ◽  
Sebastian Burchert ◽  
Ilja Cornelisz ◽  
...  
Keyword(s):  
Mental Health ◽  
Study Protocol ◽  
Depressive Symptomatology ◽  
Online Advertising ◽  
Scale Up ◽  
Health Intervention ◽  
Psychological Interventions ◽  
Controlled Trials ◽  
Evidence Based ◽  
Mental Health Intervention

BACKGROUND The lack of availability of evidence-based services for people exposed to adversity globally has led to the development of psychological interventions with features that will likely make them more scalable. The evidence for the efficacy of e-mental health from high-income countries is compelling and the use of these interventions could be a way to increase the coverage of evidence--based psychological interventions in low- and middle-income countries. Step-by-Step, is a brief (5 session) intervention proposed by WHO as an innovative approach to reducing the suffering and disability associated with depression. OBJECTIVE This study aims to evaluate the effectiveness and cost-effectiveness of a locally adapted version of Step-by-Step with Syrian nationals (trial 1) and Lebanese nationals and other populations residing in Lebanon (trial 2). METHODS This Step-by-Step trial involves two parallel, two-armed randomized controlled trials (RCTs) comparing the e-intervention Step-by-Step to enhanced care as usual (ECAU) in participants with depressive symptoms and impaired functioning. The RCTs are designed and powered to detect effectiveness in two populations: Syrians in Lebanon (n=568) and other people residing in Lebanon (n=568) (Lebanese nationals and other populations resident in Lebanon). The primary outcomes are depressive symptomatology (measured by the Patient Health Questionnaire [PHQ-9]) and functioning (measured by the WHODAS 2.0). Secondary outcomes include anxiety symptoms, posttraumatic stress disorder (PTSD) symptoms, personalized measures of psychosocial problems, subjective wellbeing and economic effectiveness. Participants are mainly recruited through online advertising. Additional outreach methods will be used if required, for example through dissemination of information through partner agencies and organizations. They can access the intervention on a computer, tablet and mobile phone through a hybrid app. Step-by-Step has 5-sessions and users are guided by trained non-specialist “e-helpers” providing phone or message-based support for around 15 minutes a week. RESULTS The trials were funded in 2018. The study protocol was last verified 20.06.2019 (WHO ERC.0002797) and registered with ClinicalTrials.gov (NCT03720769). The trials started recruitment as of December 9th, 2019 and all data collection will likely be completed by November 2020. CONCLUSIONS The Step-by-Step trials will provide evidence about the effectiveness of an E-mental health intervention in Lebanon. If the intervention proves to be effective, this will inform future scale up of this and similar interventions in Lebanon and in other settings across the world. CLINICALTRIAL NCT03720769

scholarly journals Stepped care for depression and anxiety in visually impaired older adults: multicentre randomised controlled trial

BMJ ◽  
2015 ◽  
pp. h6127 ◽  
Author(s):  
Hilde P A van der Aa ◽  
Ger H M B van Rens ◽  
Hannie C Comijs ◽  
Tom H Margrain ◽  
Francisca Gallindo-Garre ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Visually Impaired ◽  
Controlled Trial ◽  
Stepped Care ◽  
Depression And Anxiety ◽  
Randomised Controlled

Positive psychology: resilience and its role within mental health nursing

2021 ◽  
Vol 10 (1) ◽  
pp. 1-14
Author(s):  
Jan Macfarlane
Keyword(s):  
Mental Health ◽  
Positive Psychology ◽  
Psychological Interventions ◽  
Evidence Based ◽  
Mental Health Nursing ◽  
Mental Health Workforce ◽  
Positive Psychological Interventions ◽  
Health Nursing ◽  
The Individual ◽  
User Friendly

This is the ninth article in a series that explores the meaning of positive psychology and the importance it has on the wellbeing of the mental health workforce. It will focus on positive psychology interventions that help to develop resilience and to consider how the uplifting effect of resilience through contemporary use in the field of mental health nursing can be experienced. This article will explain what the term resilience means and how it is embedded in the practice of positive psychological interventions. Finally, it will emphasise how the application of positive psychological interventions can benefit the individual and the organisation. The practical tasks provided in the boxes throughout the article will help the reader identify what resilience means for them and understand how to further develop its transferability through evidence-based, user-friendly exercises.

scholarly journals Smokefree mental health inpatient settings – a matter of debate?

2019 ◽  
Vol 65 (1) ◽  
pp. 42-49 ◽  
Author(s):  
Elena Ratschen
Keyword(s):  
Mental Health ◽  
Policy Implementation ◽  
Mental Health Treatment ◽  
Evidence Based ◽  
Smoking Abstinence ◽  
Inpatient Stay ◽  
National Guidance ◽  
Smokefree Policy ◽  
Mental Health Settings ◽  
Inpatient Settings

Abstract. Background: The prevalence of tobacco smoking among people with severe mental illness (SMI) substantially exceeds smoking rates in the general population and has been identified as the largest contributor to health inequalities in this group. Historically deeply embedded in the culture of mental health treatment environments, smoking until very recently was the norm in inpatient settings and still prevails in many settings internationally. In England however, mental health Trusts are currently implementing recent national guidance, according to which mental health settings will become entirely smokefree, with no exemptions, providing comprehensive evidence-based support to patients for smoking cessation and smoking abstinence during the inpatient stay. Aim: The aim of this article is to summarise the rationale for and the debate surrounding smokefree mental health inpatient settings, and to review and discuss the evidence on challenges, opportunities and impact of smokefree policy implementation in these settings, with a focus on the English debate and experience to date.

The Dissemination of Evidence-Based Practices by Federal and State Mental Health Agencies

2015 ◽  
Author(s):  
Jeanne C. Rivard ◽  
Vijay K. Ganju ◽  
Kristin A. Roberts ◽  
G. Michael Lane
Keyword(s):  
Mental Health ◽  
State Mental Health ◽  
Psychological Interventions ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Mental Health Agencies ◽  
Health Agencies ◽  
Financial Infrastructure ◽  
State Mental ◽  
Improve Access

This chapter provides an overview of state efforts initiated at both the federal and state levels to improve access to evidence-based psychological interventions (EBPIs). Several novel strategies for facilitating implementation, such as university-state mental health system collaborations, as well as the importance of the development of financial infrastructure for the initiation and maintenance of these efforts are described.

Sign in / Sign up

Export Citation Format

Share Document