scholarly journals Assessing the Impact of COVID-19 on Mental Health Providers in the Southeastern United States

2021 ◽  
pp. 114055
Author(s):  
Henry Slone ◽  
Arianna Gutierrez ◽  
Caroline Lutzky ◽  
Demi Zhu ◽  
Hannah Hedriana ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Southeastern United States ◽  
Mental Health Providers ◽  
Health Providers ◽  
The Impact

Systematic Reviews of Clinical of Acupuncture as Treatment for Depression:How Systematic and Accurate Are They?

CNS Spectrums ◽  
2008 ◽  
Vol 13 (4) ◽  
pp. 293-300 ◽  
Author(s):  
Uriel Halbreich
Keyword(s):  
Mental Health ◽  
United States ◽  
Medical Education ◽  
Affective Disorders ◽  
The United States ◽  
Treatment Seeking ◽  
Mental Health Providers ◽  
Health Providers ◽  
Education Programs ◽  
Number Of Patients

Complementary and alternative medicine (CAM) is very popular in the United States, Canada and other Western societies, and the number of patients seeking treatment by CAM practitioners is increasing. This trend also affects treatment-seeking patients with affective disorders. Many patients and mental health providers update their information and formulate opinions and decisions based on second-hand digested summaries and scientific reviews of the literature. This results in the proliferation of review articles and journals that are exclusively dedicated to reviews. Since most medical schools do not teach CAM and most continuing medical education programs still ignore these subjects, it is of interest to examine the reliability of reviews that claim to be “systematic” and not to take their procedures and conclusions for granted.

scholarly journals Implementation Strategies to Promote Measurement-Based Care in Schools: Evidence from Mental Health Experts Across the United States

2021 ◽  
Author(s):  
Elizabeth H Connors ◽  
Aaron R Lyon ◽  
Kaylyn Garcia ◽  
Corianna Sichel ◽  
Sharon Hoover ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Implementation Strategies ◽  
Health Service Delivery ◽  
The United States ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Service Delivery ◽  
Measurement Based Care ◽  
Patient Reported

Abstract Background: Despite an established, comprehensive taxonomy of implementation strategies, minimal guidance exists for how to select and adapt strategies to specific services and contexts. We employed a replicable method to identify the most feasible and important implementation strategies to increase mental health providers’ use of measurement-based care (MBC) in schools. MBC is the routine use of patient-reported progress measures throughout treatment to inform patient-centered, data-driven treatment adjustments. Methods: A national sample of 52 school mental health providers and researchers completed two rounds of modified Delphi surveys to rate the relevance, importance, and feasibility of 33 implementation strategies identified for school settings. Strategies were reduced and definitions refined using a multimethod approach. Final importance and feasibility ratings were plotted on “go-zone” graphs and compared across providers and researchers to identify top-rated strategies. Results: The initial 33 strategies were rated as “relevant” or “relevant with changes” to MBC in schools. Importance and feasibility ratings were high overall for both survey rounds; importance ratings (3.61 - 4.48) were higher than feasibility ratings (2.55 – 4.06) on average. Survey 1 responses resulted in a reduced, refined set of 21 strategies, and six were rated most important and feasible on Survey 2: 1) assess for readiness and identify barriers and facilitators; 2) identify and prepare champions; 3) develop a usable implementation plan; 4) offer a provider-informed menu of free, brief measures; 5) develop and provide access to training materials; and 6) make implementation easier by removing burdensome documentation tasks. Provider and researcher ratings were not significantly different, with a few exceptions: providers reported higher feasibility and importance of removing burdensome paperwork than researchers, and providers reported higher feasibility of train-the trainer approaches than researchers; researchers reported higher importance of monitoring fidelity than providers. Conclusions: The education sector is the most common setting for child and adolescent mental health service delivery in the United States. Effective MBC implementation in schools has the potential to elevate the quality of care received by many children, adolescents and their families. This empirically-derived, targeted list of six implementation strategies offers potential efficiencies for future testing of MBC implementation in schools.

Embedding interagency working between schools and mental health specialists: A service evaluation of theMental Health Services and Schools and Colleges Link Programmeworkshops

2019 ◽  
Vol 24 (4) ◽  
pp. 906-920 ◽  
Author(s):  
Melissa A. Cortina ◽  
Judith Shipman ◽  
Felicity Saunders ◽  
Laurie Day ◽  
Rachel Blades ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Good Practice ◽  
Service Evaluation ◽  
Mental Health Providers ◽  
Health Providers ◽  
Building Relationships ◽  
Continuous Contact ◽  
The Impact

There is increasing focus on the need for schools to work more effectively with specialist mental health providers, but there have been historic challenges in embedding closer interagency working. This article reports the results of a service evaluation of a 2-day workshop designed to facilitate improved working between schools and children and young people’s mental health services (CYPMHS). Mental health leads from 255 schools, mental health professionals and other key stakeholders all took part in one of 26 two-day workshops across the United Kingdom. The impact on interagency working was examined using changes in pre- and post-survey results, changes in self-reported aspects of interagency working and 10 local reviews of practice. The pre–post questionnaires showed improvements in interagency working (e.g. 55% of school leads reported being in ‘monthly’ or ‘continuous’ contact with the National Health Service (NHS) CYPMHS1at follow-up, compared with 24% at baseline). The group-completed CASCADE framework showed an overall increase in collaborative working, although some areas continued to report significant challenges such as in relation to common outcome measures. The local reviews found positive changes in interagency working, in terms of building relationships, improved communication and sharing good practice. This service evaluation of the workshops found some evidence of improved interagency working between schools and CYPMHS, but more controlled research is needed to consider generalisability and scalability.

Change in Benzodiazepine Prescribing Practices of Mental Health Providers After Implementation of an Agency-Specific Protocol

2016 ◽  
Vol 9 (1) ◽  
pp. 29-37
Author(s):  
Donna Voica
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
Prescribing Patterns ◽  
Audit And Feedback ◽  
Mental Health Providers ◽  
Health Providers ◽  
Prescribing Practices ◽  
Convenience Sample ◽  
Specific Protocol ◽  
The Impact

Purpose: As a class of drugs, benzodiazepines are highly effective in treating anxiety disorders. However, the use of benzodiazepines carries a risk for dependence with an increased incidence in individuals with cooccurring disorders. The project evaluated the impact of a benzodiazepine prescribing protocol on mental health providers’ prescribing practices. Methods: A retrospective chart review (N = 237) was conducted to assess changes in benzodiazepine prescribing patterns prior to and following the implementation of an agency-specific protocol. A convenience sample of 15 providers included nurse practitioners and psychiatrists from a regional mental health center in East Tennessee. For the diagnoses of anxiety disorders, the number of benzodiazepine prescriptions written, dose reduced or discontinued was determined along with concordance to current recommendations for benzodiazepine use. Results: No statistically significant differences were found in scores between study periods, even though there was a decrease in the number of prescriptions written between the pre- (n = 81) and postmeasures (n = 34). Conclusion: The implementation of a benzodiazepine protocol does not necessarily bring about significant changes in providers’ prescribing practices. Audit and feedback are an essential part of the intervention strategy and are often required to change performance-related outcomes.

Adolescence

2017 ◽  
Author(s):  
Rachel Mandel ◽  
Ruth Gerson
Keyword(s):  
Mental Health ◽  
Systems Of Care ◽  
Age Group ◽  
Mental Health Providers ◽  
Health Providers ◽  
Health Issues ◽  
Remarkable Change ◽  
Family Trauma ◽  
The Impact ◽  
Universal Stage

Adolescence is a time of remarkable change—a time of physical and emotional growth with many potential problems. It is a turbulent yet universal stage of life, and mental health providers can be flummoxed in approaching, diagnosing, and treating adolescents, with the ongoing question of “What is normal adolescent behavior?” Providers sometimes lose sight of central issues in adolescent life, such as school, family, trauma, foster care, and burgeoning responsibilities. This chapter provides a case example of a typical teen presentation in the emergency department and uses it to illustrate the complexity of adolescent mental health issues. Favorable outcomes are possible when clinicians are mindful of the special needs of this age group, including risky behavior, the impact of bullying, and academic stress, and when clinicians can navigate the corresponding systems of care.

scholarly journals An observational study of the impact of COVID-19 and the rapid implementation of telehealth on community mental health center providers

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Marisa Sklar ◽  
Kendal Reeder ◽  
Kristine Carandang ◽  
Mark G. Ehrhart ◽  
Gregory A. Aarons
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Center ◽  
Health Service Delivery ◽  
Community Mental Health Service ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Service Delivery ◽  
Provider Perspectives ◽  
The Impact

Abstract Background The COVID-19 pandemic has remarkably altered community mental health service delivery through the rapid implementation of telehealth. This study reports provider perspectives on the impact that COVID-19 and the transition to telehealth had on their work and their ability to deliver evidence-based practices (EBPs). Methods Providers (n = 93) completed online surveys with quantitative measures and open-ended items exploring their reactions to COVID-19 and to the transition to providing services via telehealth. Results Perceptions of personal risk and rumination around COVID-19 were low, while telehealth was viewed positively by providers. Three major themes emerged regarding the major impacts of COVID-19 on work: (1) the altered nature of interactions between patient/client and provider due to telehealth implementation, (2) changes in provider expectations regarding productivity, and (3) challenges maintaining work-life balance. In regard to the major impacts of COVID-19 on EBP delivery, three themes emerged: (1) increased difficulty delivering certain therapies via telehealth, (2) potential limitations to session confidentiality, and (3) challenge of engaging children in telehealth. Conclusions In the context of the COVID-19 pandemic, community mental health providers continued to engage with clients and deliver EBPs while navigating a number of changes related to the rapid transition to and implementation of telehealth. This study highlights the need for further work on what supports providers need to effectively engage with clients and deliver EBPs via telehealth, and has implications for how telehealth is sustained or de-implemented post-COVID-19.

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