Mental Health, Diabetes and Endocrinology

2021 ◽  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Health Care Professionals ◽  
Mortality Rates ◽  
Mental Capacity ◽  
Evidence Based ◽  
Anti Psychotic ◽  
Specific Setting ◽  
Recent Developments

Mental Health, Diabetes and Endocrinology examines the main areas of clinical overlap between endocrinology and mental health to address key clinical conundrums. Drawing on the most recent developments from literature and clinical practice, this book gives specific attention to the main areas where clinical conundrums and treatment challenges arise across endocrinology, psychiatry, psychology and primary care. Common challenges in this area include depression which can impact on the person's ability to self-care and to adhere to treatment with consequences for their morbidity and mortality; 'diabulaemia' associated with high mortality rates; obesity and associated mental disorders; cognitive impairment and mental capacity; anti-psychotic medications and their endocrine sequelae; and specific setting-related considerations. Mental Health, Diabetes and Endocrinology is a useful resource for the overlapping conditions across these specialities, and provides clinically-focussed evidence-based resources for all health care professionals who encounter these issues.

scholarly journals Treatment dropout at a secondary mental health service

2012 ◽  
Vol 34 (4) ◽  
pp. 207-214
Author(s):  
Mário Sérgio Ribeiro ◽  
José Cândido Caldeira Xavier Júnior ◽  
Tiago Rodrigues Mascarenhas ◽  
Priscila Matthiesen Silva ◽  
Eveline Maria de Melo Vieira ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Health Care Professionals ◽  
Mental Health Treatment ◽  
Process Variable ◽  
Dropout Rate ◽  
Care Process ◽  
Treatment Dropout ◽  
Independent Variables

OBJECTIVE: To investigate mental health dropout rates in secondary care and to identify possible associations between this variable and social, demographic, psychopathologic, and health care process-related variables. METHOD: This prospective, observational study included 994 patients referred to a secondary service by four primary care units and evaluated by a specialist mental health team between 2004 and 2008. The dependent variable was treatment dropout. Bivariate analyses investigated possible associations between treatment dropout and 57 independent variables. RESULTS: The overall dropout rate from specialist mental health treatment was relatively low (mean = 25.6%). Only four independent variables were associated with dropout: one socioeconomic, two psychopathological, and one health care process variable. All associations were marginally significant (p < 0.1). CONCLUSION: Our findings suggest that family members, patients, and health care professionals are well engaged in this mental health care system based on a model of primary care. The use of this mental health model of care should be extended to other regions of our country.

scholarly journals Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions

2020 ◽  
Vol 29 ◽  
Author(s):  
R. Caruso ◽  
W. Breitbart
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Cancer Patients ◽  
Health Care Professionals ◽  
Health Anxiety ◽  
Evidence Based ◽  
Extensive Literature ◽  
Psychosocial Burden ◽  
Psychosocial Disorders

Abstract With cancer incidence increasing over time worldwide, attention to the burden of psychiatric and psychosocial consequences of the disease is now mandatory for both cancer and mental health care professionals. Psychiatric disorders have been shown to affect at least 30–35% of cancer patients during all phases of the disease trajectory, and differ in nature according to stage and type of cancer. Other clinically relevant distressing psychosocial and existential conditions (e.g. demoralisation, health anxiety, loss of meaning and existential distress) not included as ‘disorders’ in the usual diagnostic and nosological systems (i.e. meta-diagnostic conditions) have also been shown to be present in another 15–20% of cancer patients. In this editorial, we will present a summary of the extensive literature regarding the epidemiology of the several psychosocial disorders affecting cancer patients as a cause of distress and burden to be taken into consideration and addressed in cancer care through evidence-based intervention.

A Creative Action Plan for Mental Wellness: Tools for Primary Care in Rural and Underserved Settings

2020 ◽  
Vol 26 (4) ◽  
pp. e102-e109
Author(s):  
Mary Icenogle ◽  
Cara A. Busenhart ◽  
Carol Buller ◽  
JoAnn M. Peterson ◽  
Lori Schwartz ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Health Care Professionals ◽  
Action Plan ◽  
Health Care Students ◽  
Mental Health Awareness ◽  
Primary Care Settings ◽  
Mental Wellness ◽  
Education Tool

Primary care settings have many opportunities to support patients who have anxiety and/or depression, but resources are often scarce. Our faculty team developed an education tool to support mental health awareness and provide suggested wellness activities. Health-care professionals from various disciplines and settings have demonstrated eagerness to use this tool with patients and with health-care students to improve resilience and mental wellness.

scholarly journals Implementing nudges for suicide prevention in real-world environments: project INSPIRE study protocol

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Molly Davis ◽  
Courtney Benjamin Wolk ◽  
Shari Jager-Hyman ◽  
Rinad S. Beidas ◽  
Jami F. Young ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Behavioral Economics ◽  
Suicide Prevention ◽  
Implementation Strategies ◽  
Evidence Based ◽  
Specialty Mental Health ◽  
Suicide Screening ◽  
Screening Assessment

Abstract Background Suicide is a global health issue. There are a number of evidence-based practices for suicide screening, assessment, and intervention that are not routinely deployed in usual care settings. The goal of this study is to develop and test implementation strategies to facilitate evidence-based suicide screening, assessment, and intervention in two settings where individuals at risk for suicide are especially likely to present: primary care and specialty mental health care. We will leverage methods from behavioral economics, which involves understanding the many factors that influence human decision making, to inform strategy development. Methods We will identify key mechanisms that limit implementation of evidence-based suicide screening, assessment, and intervention practices in primary care and specialty mental health through contextual inquiry involving behavioral health and primary care clinicians. Second, we will use contextual inquiry results to systematically design a menu of behavioral economics-informed implementation strategies that cut across settings, in collaboration with an advisory board composed of key stakeholders (i.e., behavioral economists, clinicians, implementation scientists, and suicide prevention experts). Finally, we will conduct rapid-cycle trials to test and refine the menu of implementation strategies. Primary outcomes include clinician-reported feasibility and acceptability of the implementation strategies. Discussion Findings will elucidate ways to address common and unique barriers to evidence-based suicide screening, assessment, and intervention practices in primary care and specialty mental health care. Results will yield refined, pragmatically tested strategies that can inform larger confirmatory trials to combat the growing public health crisis of suicide.

scholarly journals Collaborative care models for integrating mental health and primary care

2017 ◽  
Vol 86 (2) ◽  
pp. 13-15
Author(s):  
Rachelle Maskell ◽  
Anna Rudkovska ◽  
Marisa Kfrerer ◽  
Shannon Sibbald
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Primary Care Providers ◽  
Evidence Based ◽  
Policy Recommendations ◽  
Care Providers ◽  
Evidence Based Policy ◽  
Collaborative Mental Health Care

Background: Mental health service demands in Ontario often result in long wait times and a lack of access to specialized services. As a result, primary care providers are frequently required to provide mental health care for patients with complex diagnoses despite a lack of support or sufficient training. To address these issues, a shift toward collaborative models of mental health care delivery is occurring. Objective: This paper aims to assess whether evidence-based policy recommendations to improve collaborative mental health care are addressed in the recent Patients First documents. Methods: To achieve this, a qualitative analysis was conducted using NVivo10©. Results: While many of the evidence-based policy recommendations were mirrored in the Patients First documents, very few addressed collaborative mental health care directly. Implications: More research is required to fully understand the effects of the implementation of Patients First on mental health systems and services.

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

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