Detection and Treatment of Mental Disorders in General Health Care

SummaryMental health service delivery in the general health care sector is restricted with regard to understanding the magnitude and impact of mental illness in the medically ill (co-morbidity), as well as the significance of current mental health service delivery. A new model in development in the framework of a Biomed2 grant is presented. It consists of case-finding through complexity of hospital care prediction (COMPRI) followed by an integral health service needs assessment (INTERMED). It might serve to develop a more structural relation with the general health care sector for the management of mentally co-morbid high utilizing patients.

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Examining Models of Mental Health Service Delivery in the Emergency Department

Australian & New Zealand Journal of Psychiatry ◽

10.1080/00048670701579033 ◽

2007 ◽

Vol 41 (10) ◽

pp. 784-791 ◽

Cited By ~ 25

Author(s):

Timothy Wand ◽

Kathryn White

Keyword(s):

Mental Health ◽

Health Care ◽

Emergency Department ◽

Mental Health Service ◽

Mental Health Services ◽

Health Service ◽

Health Services ◽

Service Delivery ◽

Health Service Delivery ◽

Mental Health Service Delivery

The purpose of the present paper was to review the current models of mental health service delivery used in the emergency department (ED) setting. A search was conducted of the nursing and medical literature from 1990 to 2007 for relevant articles and reports. Consideration was also given to the global and local context influencing contemporary mental health services. Wider sociopolitical and socioeconomic influences and systemic changes in health-care delivery have dictated a considerable shift in attention for mental health services worldwide. The ED is a topical location that has attracted interest and necessitated a response. The mental health liaison nurse (MHLN) role embedded within the ED structure has demonstrated the most positive outcomes to date. This model aims to raise mental health awareness and address concerns over patient-focused outcomes such as reduced waiting times, therapeutic intervention and more efficient coordination of care and follow up for individuals presenting to the ED in psychological distress. Further research is required into all methods of mental health service delivery to the ED. The MHLN role is a cost-effective approach that has gained widespread approval from ED staff and mental health patients and is consistent with national and international expectations for mental health services to become fully integrated within general health care. The mental health nurse practitioner role situated within the ED represents a potentially promising alternative for enhanced public access to specialized mental health care.

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Flip the Clinic: A Digital Health Approach to Youth Mental Health Service Delivery During the COVID-19 Pandemic and Beyond (Preprint)

10.2196/preprints.24578 ◽

2020 ◽

Author(s):

Tracey A Davenport ◽

Vanessa Wan Sze Cheng ◽

Frank Iorfino ◽

Blake Hamilton ◽

Eva Castaldi ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Service ◽

Health Service ◽

Service Delivery ◽

Digital Health ◽

Youth Mental Health ◽

Health Service Delivery ◽

Model Of Care ◽

Mental Health Service Delivery

UNSTRUCTURED The demand for mental health services is projected to rapidly increase as a direct and indirect result of the COVID-19 pandemic. Given that young people are disproportionately disadvantaged by mental illness and will face further challenges related to the COVID-19 pandemic, it is crucial to deliver appropriate mental health care to young people as early as possible. Integrating digital health solutions into mental health service delivery pathways has the potential to greatly increase efficiencies, enabling the provision of “right care, first time.” We propose an innovative digital health solution for demand management intended for use by primary youth mental health services, comprised of (1) a youth mental health model of care (ie, the Brain and Mind Centre Youth Model) and (2) a health information technology specifically designed to deliver this model of care (eg, the InnoWell Platform). We also propose an operational protocol of how this solution could be applied to primary youth mental health service delivery processes. By “flipping” the conventional service delivery models of majority in-clinic and minority web-delivered care to a model where web-delivered care is the default, this digital health solution offers a scalable way of delivering quality youth mental health care both in response to public health crises (such as the COVID-19 pandemic) and on an ongoing basis in the future.

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Flip the Clinic: A Digital Health Approach to Youth Mental Health Service Delivery During the COVID-19 Pandemic and Beyond

JMIR Mental Health ◽

10.2196/24578 ◽

2020 ◽

Vol 7 (12) ◽

pp. e24578

Author(s):

Tracey A Davenport ◽

Vanessa Wan Sze Cheng ◽

Frank Iorfino ◽

Blake Hamilton ◽

Eva Castaldi ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Service ◽

Health Service ◽

Service Delivery ◽

Digital Health ◽

Youth Mental Health ◽

Health Service Delivery ◽

Model Of Care ◽

Mental Health Service Delivery

The demand for mental health services is projected to rapidly increase as a direct and indirect result of the COVID-19 pandemic. Given that young people are disproportionately disadvantaged by mental illness and will face further challenges related to the COVID-19 pandemic, it is crucial to deliver appropriate mental health care to young people as early as possible. Integrating digital health solutions into mental health service delivery pathways has the potential to greatly increase efficiencies, enabling the provision of “right care, first time.” We propose an innovative digital health solution for demand management intended for use by primary youth mental health services, comprised of (1) a youth mental health model of care (ie, the Brain and Mind Centre Youth Model) and (2) a health information technology specifically designed to deliver this model of care (eg, the InnoWell Platform). We also propose an operational protocol of how this solution could be applied to primary youth mental health service delivery processes. By “flipping” the conventional service delivery models of majority in-clinic and minority web-delivered care to a model where web-delivered care is the default, this digital health solution offers a scalable way of delivering quality youth mental health care both in response to public health crises (such as the COVID-19 pandemic) and on an ongoing basis in the future.

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