The necessity to look at co-existing z-codes co-morbidity in children attending the mental health services, 2 university hospitals experience

Rationale: Referrer satisfaction is an often-neglected outcome measure in mental health services and can inform service improvements. We examined referrer satisfaction with a specialist OCD service for young people.Method: An online satisfaction questionnaire, comprising 19 closed and one open-ended question, was sent to 155 referrers of whom 30 (19.4%) responded.Results: Satisfaction was high overall. However, higher levels of satisfaction were noted with respect to treatment plans as compared to treatment outcome. Referrers also made recommendations for service improvements, such as increased communication during treatment, recommendations for after-care, managing co-morbidity and improving patient engagement.Conclusions: Referrer satisfaction may be improved by addressing these aspects of the service.

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Planning Mental Health Services: I. Background and Key Issues*

The Canadian Journal of Psychiatry ◽

10.1177/070674379203700311 ◽

1992 ◽

Vol 37 (3) ◽

pp. 199-206 ◽

Cited By ~ 16

Author(s):

Donald Wasylenki ◽

Paula Goering ◽

Eric Macnaughton

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

General Hospital ◽

Health Planning ◽

Community Support ◽

Psychiatric Hospitals ◽

Co Morbidity ◽

Psychiatric Units ◽

Key Issues

Planning mental health services is a complex task requiring an understanding of background developments and key issues related to mental health services. In Canada, the deinstitutionalization of patients attempted to shift the locus of care from provincial psychiatric hospitals to general hospital psychiatric units. This resulted in the isolation of provincial psychiatric hospitals, general hospital psychiatric units and community mental health programs, with little overall accountability for the services provided — three solitudes. To move toward the creation of responsible, integrated systems a number of issues must be addressed: target population(s); the roles of provincial psychiatric and general hospitals; community support services; continuity of care; co-morbidity; consumerism; and methods of integration. In the development of a comprehensive mental health plan, each issue should be recognized and decisions made which are in keeping with current knowledge. A companion report will survey Canadian initiatives in mental health planning and discuss approaches to many of the issues identified.

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Practice Nurses Educational Needs in Mental Health: a Descriptive Exploratory Survey

10.26686/wgtn.16967404 ◽

2021 ◽

Author(s):

◽

Anne Patricia Prince

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Community Mental Health Services ◽

Postal Survey ◽

Health Concern ◽

Learning Needs ◽

Practice Nurses ◽

Co Morbidity ◽

Wide Range

<p>Background-Large numbers of patients see practice nurses (PNs) daily for their health care. Many of these patients will have a mental illness or a mental health (MH) need. International research suggests that the practice nurses are undertaking mental health assessment and interventions without the requisite skills and knowledge. This thesis reports on a study designed to quantify PNs work in mental health, to determine their education requirements and establish their confidence in the field of mental health. Methods-A postal survey was used to examine the nature of MH problems encountered by PNs, describe the MH interventions currently being used by them and identify the perceived learning needs of PNs in MH. Practice nurses in Hawkes Bay and Tairawhiti regions were surveyed. The questionnaire consisted of 33 open, closed and likert questions. Analysis was by descriptive, correlation and inferential statistics plus content analysis for open questions. Findings-52 respondents completed the questionnaire and the results demonstrate that these PNs are caring for patients with an extensive range of mental health concerns daily. Most common are people with depression and anxiety. The nurses perform a wide range of MH interventions such as counselling and advice on medication and have minimal confidence in their skill level. The nurses expressed learning needs included recognition and management of a wide range of mental health conditions such as suicidal ideation and all types of depression, reflecting the range of conditions met. Other learning requirements included understanding of co-morbidity and how to screen for mental health. The preferred provider of education was community mental health services by means of a short course specifically designed to meet their needs. Discussion-Practice nurses require education and support specifically designed to meet their identified needs in mental health to help then improve the care to patients. This will require collaboration between secondary mental health services, primary mental health nurses and tertiary institutions. With targeted education these nurses should become more confident and competent in their dealings with people who present to their practice with a mental health concern.</p>

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Practice Nurses Educational Needs in Mental Health: a Descriptive Exploratory Survey

10.26686/wgtn.16967404.v1 ◽

2021 ◽

Author(s):

◽

Anne Patricia Prince

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Community Mental Health Services ◽

Postal Survey ◽

Health Concern ◽

Learning Needs ◽

Practice Nurses ◽

Co Morbidity ◽

Wide Range

<p>Background-Large numbers of patients see practice nurses (PNs) daily for their health care. Many of these patients will have a mental illness or a mental health (MH) need. International research suggests that the practice nurses are undertaking mental health assessment and interventions without the requisite skills and knowledge. This thesis reports on a study designed to quantify PNs work in mental health, to determine their education requirements and establish their confidence in the field of mental health. Methods-A postal survey was used to examine the nature of MH problems encountered by PNs, describe the MH interventions currently being used by them and identify the perceived learning needs of PNs in MH. Practice nurses in Hawkes Bay and Tairawhiti regions were surveyed. The questionnaire consisted of 33 open, closed and likert questions. Analysis was by descriptive, correlation and inferential statistics plus content analysis for open questions. Findings-52 respondents completed the questionnaire and the results demonstrate that these PNs are caring for patients with an extensive range of mental health concerns daily. Most common are people with depression and anxiety. The nurses perform a wide range of MH interventions such as counselling and advice on medication and have minimal confidence in their skill level. The nurses expressed learning needs included recognition and management of a wide range of mental health conditions such as suicidal ideation and all types of depression, reflecting the range of conditions met. Other learning requirements included understanding of co-morbidity and how to screen for mental health. The preferred provider of education was community mental health services by means of a short course specifically designed to meet their needs. Discussion-Practice nurses require education and support specifically designed to meet their identified needs in mental health to help then improve the care to patients. This will require collaboration between secondary mental health services, primary mental health nurses and tertiary institutions. With targeted education these nurses should become more confident and competent in their dealings with people who present to their practice with a mental health concern.</p>

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