Fragmented Pathways to Care

Crisis ◽  
2006 ◽  
Vol 27 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Carol Strike ◽  
Anne E. Rhodes ◽  
Yvonne Bergmans ◽  
Paul Links
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Status ◽  
Personality Disorder ◽  
Health Care Providers ◽  
Mental Health Status ◽  
Pathways To Care ◽  
Care Providers ◽  
Cyclical Pattern ◽  
History Of

Using qualitative methods, this study examined how, and under what circumstances, suicidal men used mental health services. In particular, the analyses focused on fragmented pathways to care. Fifteen men with a history of suicidal and aggressive behaviors and a diagnosis of borderline personality disorder and/or antisocial personality disorder participated in semistructured interviews that consisted of questions about their mental health status and experiences with mental health and addiction services. Interviews were taped and transcribed. An iterative, inductive qualitative analytic process was used. Men followed a cyclical pattern wherein negative experiences with health care providers were said to be followed by avoidance of health care settings, crisis, and then by involuntary service utilization. Men identified five health care provider and three personal practices, and two types of episodes they believed to contribute to their fragmented pathways to care. Implementation of specialized interventions, and providing patients with more information and more opportunity to participate in decisions, may improve interactions between patients and providers and improve patients' mental health status.

A review on children and adolescents’ mental health indicators: Towards a valid mental health assessment in Hungarian youth

2021 ◽  
Vol 25 (4) ◽  
pp. 357-383
Author(s):  
Beáta Erika Nagy ◽  
◽  
Karolina Eszter Kovács ◽  
Tamás Varga ◽  
Péter Boris ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Status ◽  
Health Care System ◽  
Health Indicators ◽  
Mental Health Status ◽  
Care Providers ◽  
Effective Prevention ◽  
International Trends ◽  
Care System

The application of appropriate qualitative and quantitative indicators of youth’s mental health is vital for the entire health care system, including the individuals, health care providers, and health policy. These can enable both researchers and policymakers to carry out comparisons across time, interindividual differences and culture. In our scoping review, we aimed to identify psychological, social and systemrelated indicators that can provide direct and indirect information regarding Hungarian youth’s mental health status. Additionally, we focused on providing a model regarding mental health evaluation measures, comparable to the international models. To determine the indicators of mental health, international and Hungarian literature was reviewed through primary and secondary sources. During the analysis, the following databases were searched: ERIC, Google Scholar, MedLine, Pubmed, ResearchGate and Science Direct. A total of 76 papers met the criteria, containing 38 Hungarian studies and 38 international ones. The review revealed that, similar to the international trends, the Hungarian assessment of positive (e.g., satisfaction with life, aspiration index, social support, coping skills, health-preserving behavior), negative (e.g., emotional symptoms, social difficulties, sadness, depression, anxiety) and other mental health indicators (e.g., alcohol abuse, drug-related disorders, suicide, bullying,) can be measured by standardized, validated tests. The indicators identified in the current review can support professionals and policymakers to systematically improve the quality of health care. With the use of appropriate indicators, more accurate results concerning the current mental health status of the children and youth can be provided, which would enable more effective prevention and intervention in the health care system and related domains.

scholarly journals Correction to: Mental health status among family members of health care workers in Ningbo, China, during the coronavirus disease 2019 (COVID-19) outbreak: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuchen Ying ◽  
Liemin Ruan ◽  
Fanqian Kong ◽  
Binbin Zhu ◽  
Yunxin Ji ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Status ◽  
Health Care Workers ◽  
Family Members ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Factors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers

2018 ◽  
Vol 09 (04) ◽  
pp. 772-781 ◽  
Author(s):  
Meghan Reading ◽  
Dawon Baik ◽  
Melissa Beauchemin ◽  
Kathleen Hickey ◽  
Jacqueline Merrill
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Care Providers ◽  
Self Monitoring ◽  
Major Barrier ◽  
Utaut Model ◽  
History Of ◽  
Mhealth Technology

Background Patient-generated health data (PGHD) collected digitally with mobile health (mHealth) technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation (AF), a common cardiac arrhythmia. However, sustained engagement is a major barrier to collection of PGHD. Little is known about barriers to sustained engagement or strategies to intervene upon engagement through application design. Objective This article investigates individual patient differences in sustained engagement among individuals with a history of AF who are self-monitoring using mHealth technology. Methods This qualitative study involved patients, health care providers, and research coordinators previously involved in a randomized, controlled trial involving electrocardiogram (ECG) self-monitoring of AF. Patients were adults with a history of AF randomized to the intervention arm of this trial who self-monitored using ECG mHealth technology for 6 months. Semistructured interviews and focus groups were conducted separately with health care providers and research coordinators, engaged patients, and unengaged patients. A validated model of sustained engagement, an adapted unified theory of acceptance and use of technology (UTAUT), guided data collection, and analysis through directed content analysis. Results We interviewed 13 patients (7 engaged, 6 unengaged), 6 providers, and 2 research coordinators. In addition to finding differences between engaged and unengaged patients within each predictor in the adapted UTAUT model (perceived ease of use, perceived usefulness, facilitating conditions), four additional factors were identified as being related to sustained engagement in this population. These are: (1) internal motivation to manage health, (2) relationship with health care provider, (3) supportive environments, and (4) feedback and guidance. Conclusion Although it required some modification, the adapted UTAUT model was useful in understanding of the parameters of sustained engagement. The findings of this study provide initial requirement specifications for the design of applications that engage patients in this unique population of adults with AF.

Organisational impact of the National Disability Insurance Scheme transition on mental health care providers: the experience in the Australian Capital Territory

2018 ◽  
Vol 26 (6) ◽  
pp. 590-594 ◽  
Author(s):  
Mary Anne Furst ◽  
Jose A Salinas-Perez ◽  
Luis Salvador-Carulla
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Service Provision ◽  
Care Providers ◽  
Australian Capital Territory ◽  
Insurance Scheme ◽  
Mental Health Care Providers ◽  
The Impact

Objectives: Concerns raised about the appropriateness of the National Disability Insurance Scheme (NDIS) in Australia for people with mental illness have not been given full weight due to a perceived lack of available evidence. In the Australian Capital Territory (ACT), one of the pilot sites of the Scheme, mental health care providers across all relevant sectors who were interviewed for a local Atlas of Mental Health Care described the impact of the scheme on their service provision. Methods: All mental health care providers from every sector in the ACT were contacted. The participation rate was 92%. We used the Description and Evaluation of Services and Directories for Long Term Care to assess all service provision at the local level. Results: Around one-third of services interviewed lacked funding stability for longer than 12 months. Nine of the 12 services who commented on the impact of the NDIS expressed deep concern over problems in planning and other issues. Conclusions: The transition to NDIS has had a major impact on ACT service providers. The ACT was a best-case scenario as it was one of the NDIS pilot sites.

Sign in / Sign up

Export Citation Format

Share Document