Innovative Ways to Address the Mental Health and Medical Needs of Marginalized Patients: Collaborations Between Family Physicians, Family Therapists, and Family Psychologists.

2004 ◽  
Vol 74 (3) ◽  
pp. 242-252 ◽  
Author(s):  
Warren L. Holleman ◽  
James H. Bray ◽  
Lisa Davis ◽  
Marsha C. Holleman
Keyword(s):  
Mental Health ◽  
Family Physicians ◽  
Family Therapists ◽  
Medical Needs

scholarly journals Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

2021 ◽  
Vol 18 (4) ◽  
pp. 2093
Author(s):  
Tina Vilovic ◽  
Josko Bozic ◽  
Marino Vilovic ◽  
Doris Rusic ◽  
Sanja Zuzic Furlan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Depression Scale ◽  
Family Physicians ◽  
Knowledge Score ◽  
Well Being ◽  
Anxiety And Depression ◽  
Event Scale ◽  
The Impact

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

Caring for Children and Youth with Ongoing Mental Health Problems: Perspectives of Family Physicians, Nurse Practitioners, Social Workers and Psychologists in Primary Health Care

2020 ◽  
Vol 39 (3) ◽  
pp. 51-73
Author(s):  
Graham J. Reid ◽  
Judith B. Brown ◽  
Stephanie Mowat
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Nurse Practitioners ◽  
Mental Health Problems ◽  
Family Physicians ◽  
Children And Youth ◽  
Scope Of Practice ◽  
Care Coordinator ◽  
Primary Health ◽  
Ongoing Monitoring

Few studies have examined a diversity of professionals’ perspectives in providing children’s mental health (CMH) care, particularly for ongoing-complex problems. Based on interviews with 16 primary healthcare (PHC) providers, care for ongoing-complex CMH problems depended on provider interest and scope of practice. Most providers felt PHC is where ongoing-complex CMH problems should be cared for, where providers can emphasize advocacy, coordination, and ongoing monitoring; few felt able to provide this type of care. A comprehensive approach for incorporating PHC with specialized MH services is needed. Defining a care coordinator would be a clear step toward improving collaboration and care.

On the same page or in a different book? A pilot project on the perceptions of educational needs in an era of shifting mental health care to primary care (Preprint)

2021 ◽  
Author(s):  
Stephanie Sutherland ◽  
Dahn Jeong ◽  
Michael Cheng ◽  
Mireille St-Jean ◽  
Alireza Jalali
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Medical Management ◽  
Family Physicians ◽  
Educational Needs ◽  
Health Conditions ◽  
Care Providers ◽  
Mental Health Conditions

BACKGROUND There is an unmet need for mental health care in Canada. Seventy-five percent of visits for mental health services are related to mood and anxiety disorder, which occur most frequently in the primary care setting. Primary care providers such as general practitioners and family physicians are essential part of mental health care services. However, it is currently not well known what is needed to increase care providers’ willingness, comfort and skills to adequately provide care. OBJECTIVE The aim of this study was to understand the caregiver and family physician needs regarding the care and medical management of individuals with mental health conditions. METHODS A needs assessment was designed to understand the educational needs of caregivers and family physicians with regard to the provision of mental health care, specifically, to seek advice of the format and delivery mode for an educational curriculum to be accessed by both stakeholder groups. Exploratory qualitative interviews were conducted and data was collected and analysed iteratively until thematic saturation was achieved. RESULTS Caregivers of individuals with mental health conditions (n=24) and family physicians (n=10) were interviewed. Both caregivers and family physicians expressed dissatisfaction with the status quo regarding the provision of mental health care at the family physician’s office. They stated that there was a need for more educational materials as well as additional supports. Caregivers expressed a general lack of confidence in family physicians to manage their son/daughter’s mental health condition, while family physicians sought more networking opportunities to improve and facilitate provision of mental health care. CONCLUSIONS Robust qualitative studies are necessary to identify the educational and medical management needs of caregivers and family physicians. Understanding each other’s perspectives is an essential first step to collaboratively designing, implementing, and the subsequent evaluation of community-based mental health care. Fortunately, there are initiatives underway already to address these need areas (e.g. websites such as eMentalHealth.ca/PrimaryCare as well as mentorship and collaborative care network) and information from this study can help inform the gaps in those existing initiatives. CLINICALTRIAL NA

Pediatric disaster preparedness in the medical setting: Integrating mental health

2009 ◽  
Vol 4 (3) ◽  
pp. 137-146 ◽  
Author(s):  
Jeffrey I. Gold, PhD ◽  
Zorash Montano, BA ◽  
Sandra Shields, LMFT, ATR-BC, CTS ◽  
Nicole E. Mahrer, BA ◽  
Viktoria Vibhakar, LCSW, LMSW ◽  
...  
Keyword(s):  
Mental Health ◽  
Los Angeles ◽  
Hurricane Katrina ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Medical Setting ◽  
Physical Damage ◽  
Medical Needs ◽  
Psychological Harm ◽  
Disaster Preparedness And Response

Introduction: The increasing prevalence of disasters worldwide highlights the need for established and universal disaster preparedness plans.The devastating events of September 11 and Hurricane Katrina have spurred the development of some disaster response systems. These systems, however, are predominantly focused on medical needs and largely overlook mental health considerations. Negative outcomes of disasters include physical damage as well as psychological harm. Mental health needs should be considered throughout the entire disaster response process, especially when caring for children, adolescents, and their families.Objective: To provide an overview and recommendations for the integration of mental health considerations into pediatric disaster preparedness and response in the medical setting.Methods: Recommendations were developed by a panel of disaster preparedness and mental health experts during the Childrens Hospital Los Angeles Pediatric Disaster Resource and Training Center: Workshop on Family Reunification in Los Angeles, California, March 31-April 1, 2008. Experts discussed the inclusion of mental health-specific considerations and services at all stages of disaster preparedness and response. Recommendations involve the integration of mental health into triage and tracking, the adoption of a child ambassador model, environment, and developmentally appropriate interventions, education, communication, death notification, and family reunification.Conclusions: The inclusion of mental health concerns into pediatric disaster preparedness may help prevent further and unnecessary psychological harm to children and adolescent survivors following a disaster.

Planning considerations for persons with access and functional needs in a disaster—Part 1: Overview and legal

2018 ◽  
Vol 13 (2) ◽  
pp. 69-83
Author(s):  
Sharon E. Mace, MD ◽  
Constance J. Doyle, MD ◽  
Kim Askew, MD ◽  
Stuart Bradin, DO ◽  
Mark Baker, MD ◽  
...  
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Disaster Management ◽  
Comprehensive Approach ◽  
Morbidity And Mortality ◽  
Community Or ◽  
Medical Needs ◽  
Medical Aspect ◽  
The Third ◽  
Disaster Situation

Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

scholarly journals Updates in Health Care of Adolescents: A Simple Review Article

2021 ◽  
pp. 91-99
Author(s):  
Hassan Tag Elkhatim Mohamed ◽  
Rawan Dubas Alanazi ◽  
Nawal Saud B. Alanazi ◽  
Itizaz Hatim R. Alanazi ◽  
Razan Ahmed Muaythif Alanazi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Professionals ◽  
Family Physicians ◽  
Review Article ◽  
Health Issues ◽  
Alcohol And Drug Use ◽  
Pregnancy And Childbirth ◽  
Intentional Injuries ◽  
Comprehensive Health

The purpose of this study was to identify what topics adolescents would like to have discussed or addressed when visiting family physicians and to assess the extent to which such discussion is taking place. The main health issues in adolescents are; injuries as intentional injuries are the leading cause of death and disability among adolescents. Violence, mental health, alcohol and drug use, tobacco use, HIV/AIDS, other infectious diseases and early pregnancy and childbirth. There seems to be a need for more comprehensive health education in schools and for health professionals, particularly general practitioners, to opportunistically address these problems in their adolescent patients. Also parents should take their teens to their GP for treatment for these problems, hoped their doctor would be comfortable with such treatment, and wanted their doctor to discuss these problems with their teens.

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