Mental health care in the community: an evaluative study

1975 ◽  
Vol 5 (4) ◽  
pp. 372-380 ◽  
Author(s):  
B. Cooper ◽  
B. G. Harwin ◽  
C. Depla ◽  
Michael Shepherd
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Worker ◽  
Patient Population ◽  
Control Group ◽  
Group Practice ◽  
Evaluative Study ◽  
Therapeutic Value ◽  
The Status ◽  
One Year

SynopsisA study was designed to assess the therapeutic value of attaching a social worker to a metropolitan group practice in the management of chronic neurotic illness. The psychiatric and social status of a group of patients before treatment and after one year was compared with the status of a control group treated more conventionally over the same period. The results indicate that the experimental service conferred some benefit on the patient population.

One-Year Cost Implications of Using Mental Health Care After Discharge From a General Medical Hospitalization

2012 ◽  
Vol 63 (7) ◽  
pp. 672-678 ◽  
Author(s):  
Justin K. Benzer ◽  
Jennifer L. Sullivan ◽  
Sandra Williams ◽  
James F. Burgess
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
One Year ◽  
Cost Implications

Primary Care Practice Redesign: Challenges in Improving Behavioral Health Care for a Vulnerable Patient Population

2019 ◽  
Vol 35 (2) ◽  
pp. 101-109
Author(s):  
Deborah Swavely ◽  
David T. O’Gurek ◽  
Veronica Whyte ◽  
Alexandra Schieber ◽  
Daohai Yu ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Behavioral Health ◽  
Severe Depression ◽  
Behavioral Health Care ◽  
Urban Setting ◽  
Care Practice ◽  
Control Group ◽  
Post Traumatic Stress ◽  
Significant Difference

This study examined a program focused on integrating mental health in a family medicine practice in an economically challenged urban setting. The program included using a behavioral health technology platform, a behavioral health collaborative composed of community mental health agencies, and a community health worker (CHW). Of the 202 patients screened, 196 were used for analysis; 56% were positive for anxiety, 38% had scores consistent with moderate to severe depression, and 34% were positive for post-traumatic stress disorder. There was a statistically significant difference in the diagnosis of depression when comparing the screened group to a control group. Only 27% of patients followed through with behavioral health referrals despite navigational assistance provided by a CHW and assured access to care through a community agency engaged with the Behavioral Health Alliance. Further qualitative analysis revealed that there were complex patient factors that affected patient decision making regarding follow-up with behavioral health care.

scholarly journals Effectiveness of Resiliency Training in the Mental Health of the Red Crescent Health Care Teams

2018 ◽  
Vol 10 (1.SP) ◽  
pp. 64 ◽  
Author(s):  
Haleh ADIBI LARIJANI ◽  
Gholamreza GARMAROUDI
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Performance ◽  
Physical Symptoms ◽  
Control Group ◽  
Health Care Teams ◽  
Resiliency Training ◽  
Before And After ◽  
Post Test ◽  
Experimental Group

Background and Objectives: Iran is considered as a country prone to accidents due to its geographical situations. The health and medical teams at the National and International Crescent Society have always played a central role in responding to crises. In addition to financial and psychological damage, psychological damage is one of the indemnities that people living in affected areas and relief workers pay in natural and man-made disasters. Therefore, improving the mental health of emergency forces is essential.Method: This study was an experimental study with control group. The research community comprised 126 members of the Primary Care teams in the Red Crescent Health Care. Sampling was done randomly from among the health care teams of the Red Crescent society. Subjects in both experimental and control groups completed the Mental Health Questionnaire (GHQ) in the pre-test and post-test. At last, the data were analyzed using SPSS software and descriptive statistical tests such as Kolmogorov-Smirnov, Mann–Whitney U test and Wilcoxon.Results: The results of this study showed that resiliency training has been effective in promoting the mental health of members in the Red Crescent Health Care Teams. Indices of physical symptoms, anxiety, social performance and depression were not significantly different in the control group before and after the training. Indices of physical symptoms, anxiety and social performance were significant in the exerimrntal group before and after the training. However, the depression index was not significant in the experimental group before and after the training (55 = p). Indices of physical symptoms, anxiety, social performance and depression were not significantly different in the pretest between the control and the experimental group. Indices of physical symptoms, anxiety and depression were significant in the post test between the control and experimental groups. However, social performance index was not significantly different between the two groups in the post test (291 = P).Conclusion: Regarding to the fact that the mental health of the members of Red Crescent health care teams have been enhanced by resiliency training and will ultimately affect the future performance of the health and medical personnel in crisis situations, it’s recommended that coherent training courses be held in all the provinces.

Introduction

2013 ◽  
Author(s):  
K.W.M. Fulford ◽  
Martin Davies ◽  
Richard G.T. Gipps ◽  
George Graham ◽  
John Z. Sadler ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Natural Kinds ◽  
World View ◽  
First Century ◽  
Scientific World ◽  
Imaging Results ◽  
The Status ◽  
Twenty First Century

This section concerns the question of how best to understand the scientific status of mental health care in general and psychiatry in particular. On the assumption that psychiatry is based, in part at least, on natural science, what is the nature or the general shape of that science? Some of the chapters aim at shedding light on component parts of a scientific world view: causation, explanation, natural kinds, models of medicine, etc. Others concern potentially fruitful scientific approaches to mental health care, drawing on brain imaging results, phenomenology, enactivism and what can be learnt from debate of the status of psychoanalysis. One overall lesson is that twenty-first-century psychiatry needs twenty-first-century philosophy of science.

One Year's Survey of Child Psychiatry Consultations in a Pediatric Hospital, by William Sack, M.D., Stanley Cohen, Ph.D., and Christine Grout, B.A

PEDIATRICS ◽  
1978 ◽  
Vol 62 (3) ◽  
pp. 335-335
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care System ◽  
Child Psychiatry ◽  
Pediatric Hospital ◽  
Retrospective Survey ◽  
Pediatric Hospitalization ◽  
Mental Health Care System ◽  
One Year

A one-year retrospective survey of child psychiatry consultations in a pediatric hospital is presented and the findings are compared to a previous study from another part of the country. Over half of the children in this series came from families who had experienced significant stress in the year prior to hospitalization. These "disordered" families used the mental health care system after hospitalization less frequently than did the "nondisordered" families. The pediatric hospitalization is conceptualized as an implicit form of crises intervention for some children in families showing significant psychosocial disarray.

International human rights law and mental illness

2007 ◽  
Vol 24 (1) ◽  
pp. 31-39 ◽  
Author(s):  
John Tobin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Standard Of Care ◽  
International Human Rights Law ◽  
International Treaties ◽  
Human Right ◽  
The Status ◽  
The Right

AbstractThe Irish State has been party to a collection of international treaties and declarations that directly affect the care of those who suffer from mental disorders. These documents set up what are considered as minimum core standards that outline the standard of care that should be provided as a basic human right. This article reviews the relevant sections of these documents and reflects as to how they have been applied in Ireland. International conventions, which have the status of a treaty, are monitored and interpreted by various commissions and committees. This article draws on the comments of these bodies as to how a state should provide for those with mental illness. Areas such as the rights of children who are mentally ill and those who are detained by the state are examined in detail. Other areas covered are the right to the highest attainable level of mental health care, the right not to be subjected to a clinical trial, equal access to mental health care, and the right to be safeguarded against unjust involuntary detention.

scholarly journals Telepsychiatry consultation for primary care treatment of children and adolescents under child protection services: a feasibility study from Chile (Preprint)

2020 ◽  
Author(s):  
Adrian Mundt ◽  
Matías Irarrázabal ◽  
Pablo Martínez ◽  
Olga Fernández ◽  
Vania Martínez ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Children And Adolescents ◽  
Child Protection ◽  
Patient Population ◽  
Population Connectivity ◽  
Perceived Usefulness ◽  
Care Needs ◽  
Child Protection Services

BACKGROUND Children and adolescents living under child protection services (CPS) have complex mental health care needs. The scarcity and geographical centralization of specialized mental health teams in Chile may limit the provision and quality of care for this vulnerable population. Telepsychiatry can address such health inequities. OBJECTIVE The objective of this study was to evaluate the feasibility of a telepsychiatry consultation program (TCP) for the primary health care (PHC) treatment of children and adolescents living under CPS. METHODS We developed a TCP for two rural PHC clinics located in central Chile (Valparaíso Region) and evaluated the implementation using a mixed methods study design. The TCP consisted of videoconferencing mental health consultation (MHC) sessions scheduled twice per month (90 minutes), over a six-month period, delivered by child and adolescent psychiatrists based in Santiago, Chile. We analyzed the number of MHC sessions, participant characteristics, perceived usefulness and acceptability, and experiences with the TCP. RESULTS During the six-month study period fifteen videoconferencing MHC sessions were held. The TCP assisted PHC clinicians in assigning the most adequate diagnoses and making treatment decisions on pharmacotherapy, psychotherapy of 11 minors with complex care needs. The intervention was perceived to be useful by primary care clinicians for improving the resolution capacity in the treatments of this patient population. Connectivity issues were limitations that could be resolved in most sessions. CONCLUSIONS TCP was feasible and potentially useful to support PHC clinicians in the management of institutionalized children and adolescents with complex psychosocial care needs living in a resource poor setting. A larger scale trial should assess clinical outcomes in the patient population. Regulations and resources for this service model are needed to facilitate sustainability over time.

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