EPA Guidance on Building Trust in Mental Health Services

2014 ◽  
Vol 29 (2) ◽  
pp. 83-100 ◽  
Author(s):  
W. Gaebel ◽  
M. Muijen ◽  
A.E. Baumann ◽  
D. Bhugra ◽  
D. Wasserman ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Utilization ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Mental Health Care Service ◽  
Care Services ◽  
Health Care Service Utilization

AbstractPurposeTo advance mental health care use by developing recommendations to increase trust from the general public and patients, those who have been in contact with services, those who have never been in contact and those who care for their families in the mental health care system.MethodsWe performed a systematic literature search and the retrieved documents were evaluated by two independent reviewers. Evidence tables were generated and recommendations were developed in an expert and stakeholder consensus process.ResultsWe developed five recommendations which may increase trust in mental health care services and advance mental health care service utilization.DiscussionTrust is a mutual, complex, multidimensional and dynamic interrelationship of a multitude of factors. Its components may vary between individuals and over time. They may include, among others, age, place of residence, ethnicity, culture, experiences as a service user, and type of disorder. For mental health care services, issues of knowledge about mental health services, confidentiality, continuity of treatment, dignity, safety and avoidance of stigma and coercion are central elements to increase trust.ConclusionEvidence-based recommendations to increase mutual trust of service users and psychiatrists have been developed and may help to increase mental health care service utilization.

scholarly journals Conventional health care service utilization among cancer survivors that visit traditional and complementary providers in the Tromsø study: a cross-sectional study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Kiwumulo Nakandi ◽  
Dana Mora ◽  
Trine Stub ◽  
Agnete E. Kristoffersen
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Cancer Patients ◽  
Service Utilization ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Conventional Health Care ◽  
Health Care Service Utilization

Abstract Background Traditional and complementary medicine (T&CM) is commonly used among cancer patients worldwide. Cancer patients in Norway mainly visit T&CM providers in addition to conventional health care services. It is not known how their utilization of T&CM providers influences their use of conventional health care services. The aim of this study was to investigate the difference between the utilization of conventional health care services among cancer survivors that visit T&CM providers and those that do not, and their associated factors. Method Health care service utilization data were obtained from cancer survivors 40 years and above participating in the Tromsø Study: Tromsø 7 conducted in 2015–2016. Data were collected from self-administered questionnaires. Pearson chi-square tests, Fisher exact tests, t-test, and logistic regression were used, with the significance level considered at p < 0.05. Results Of 1553 individuals, 10% (n = 155) reported visiting T&CM providers in the past 12 months. As both cancer survivors visiting and not visiting T&CM providers were frequent users of conventional health care, no significant differences were found in the overall use of conventional health care (98.1vs.94.5%, p = .056). Users of T&CM providers were however more likely to visit physiotherapists (40.1% vs 25%, p < .001), emergency rooms (29.2% vs 16.5%, p < .001), chiropractors (17% vs 6%, p < .001), and psychologist/psychiatrist (8.9% vs 3.4%, p < .001). They also had more frequent visits to conventional health care (11.45 vs 8.31 yearly visits, p = 0.014), particularly to general practitioners (5.21 visits vs. 3.94 visits, p = .002). Conclusion Results from this study show that visits to T&CM providers are associated with more visits to conventional health care services among cancer survivors. Further studies are needed to investigate the reasons for this high use behavior.

scholarly journals Step-up, step-down mental health care service: evidence from Western Australia’s first – a mixed-method cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanh Ngo ◽  
Priscilla Ennals ◽  
Serhat Turut ◽  
Elizabeth Geelhoed ◽  
Antonio Celenza ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Cohort Study ◽  
Mental Health Care ◽  
Mixed Method ◽  
Care Service ◽  
Health Care Service ◽  
Mental Health Care Service ◽  
Step Down

Developing a culturally appropriate mental health care service for Samoa

2012 ◽  
Vol 5 (2) ◽  
pp. 108-111 ◽  
Author(s):  
Matamua Iokapeta Sina Enoka ◽  
Aliilelei Tenari ◽  
Tupou Sili ◽  
Latama Peteru ◽  
Pisaina Tago ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Culturally Appropriate ◽  
Mental Health Care Service

scholarly journals The Relation between Food Insecurity and Mental Health Care Service Utilization in Ontario

2018 ◽  
Vol 63 (8) ◽  
pp. 557-569 ◽  
Author(s):  
Valerie Tarasuk ◽  
Joyce Cheng ◽  
Craig Gundersen ◽  
Claire de Oliveira ◽  
Paul Kurdyak
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Food Insecurity ◽  
Service Utilization ◽  
Care Service ◽  
Health Care Service ◽  
Household Food Insecurity ◽  
The Past ◽  
Household Food ◽  
Health Care Service Utilization

Objective: To determine the relationship between household food insecurity status over a 12-month period and adults’ use of publicly funded health care services in Ontario for mental health reasons during this period. Methods: Data for 80,942 Ontario residents, 18 to 64 years old, who participated in the Canadian Community Health Survey in 2005, 2007-2008, 2009-2010, or 2011-2012 were linked to administrative health care data to determine individuals’ hospitalizations, emergency department visits, and visits to psychiatrists and primary care physicians for mental health reasons. Household food insecurity over the past 12 months was assessed using the Household Food Security Survey Module. Logistic regression models were used to estimate the odds of mental health service utilization in the past 12 months by household food insecurity status, adjusting for sociodemographic factors and prior use of mental health services. Results: In our fully adjusted models, in comparison to food-secure individuals, the odds of any mental health care service utilization over the past 12 months were 1.15 (95% confidence interval [CI], 1.04 to 1.29) for marginally food-insecure individuals, 1.39 (95% CI, 1.19 to 1.42) for moderately food-insecure individuals, and 1.50 (95% CI, 1.35 to 1.68) for severely food-insecure individuals. A similar pattern persisted across individual types of services, with odds of utilization highest with severe food insecurity. Conclusions: Household food insecurity status is a robust predictor of mental health service utilization among working-age adults in Ontario. Policy interventions are required to address the underlying causes of food insecurity and the particular vulnerability of individuals with mental illness.

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