Mental Health Services Act Implementation Study: Planning and Early Implementation of Community Services and Supports in Seven Counties

People with serious and persistent mental illness require a range of community services typically provided by different specialized agencies. At the clinical level, assertive team case management is the strategy commonly used to achieve integration of services across specialized sectors. The USA also has used various financial and organizational approaches to reduce fragmentation and increase effectiveness, including development of stronger public mental health authorities, use of financial incentives to change professional and institutional behavior, requirements to allocate savings from hospital closures to community systems of care, and introduction of mental health managed care on a broad scale. These approaches have potential but also significant problems and there is often a large gap between theory and implementation. These US developments are discussed with attention to the implications for mental health services in the UK.

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The future of specialist community teams in the care of those with severe mental illness

Epidemiologia e Psichiatria Sociale ◽

10.1017/s1121189x00002323 ◽

2007 ◽

Vol 16 (3) ◽

pp. 225-230 ◽

Cited By ~ 13

Author(s):

Peter Tyrer

Keyword(s):

Mental Health ◽

Mental Illness ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Severe Mental Illness ◽

Community Mental Health Services ◽

Community Services ◽

Crisis Resolution ◽

Crisis Resolution Teams

SummaryAims – Specialist interventions in community psychiatry for severe mental illness are expanding and their place needs to be re-examined. Methods – Recent literature is reviewed to evaluate the advantages and disadvantages of specialist teams. Results – Good community mental health services reduce drop out from care, prevent suicide and unnatural deaths, and reduce admission to hospital. Most of these features have been also demonstrated by assertive community outreach and crisis resolution teams when good community services are not available. In well established community services assertive community teams do not reduce admission but both practitioners and patients prefer this service to other approaches and it leads to better engagement. Crisis resolution teams appear to be more successful than assertive community teams in preventing admission to hospital, although head- to-head comparisons have not yet been made. All specialist teams have the potential of fragmenting services and thereby reducing continuity of care. Conclusions – The assets of improved engagement and greater satisfaction with assertive, crisis resolution and home treatment teams are clear from recent evidence, but to improve integration of services they are probably best incorporated into community mental health services rather than standing alone.Declaration of Interest: The author has been the sole consultant in two assertive outreach teams since 1994 and might there- fore be expected to be in favour of this genre of service. He has received grants for evaluation of different services models from the Department of Health (UK) and the Medical Research Council (UK).

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Sharing Experience Learned Firsthand (SELF): Self-disclosure of lived experience in mental health services and supports.

Psychiatric Rehabilitation Journal ◽

10.1037/prj0000171 ◽

2016 ◽

Vol 39 (2) ◽

pp. 154-160 ◽

Cited By ~ 12

Author(s):

Casadi “Khaki” Marino ◽

Beckie Child ◽

Vanessa Campbell Krasinski

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Lived Experience ◽

Self Disclosure ◽

Services And Supports

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TeamSTEPPS to Improve Collaboration in School Mental Health: Protocol for a Mixed-Method Hybrid Effectiveness-Implementation Study (Preprint)

10.2196/preprints.26567 ◽

2020 ◽

Author(s):

Aparajita Kuriyan ◽

Grace Kinkler ◽

Zuleyha Cidav ◽

Christina Kang-Yi ◽

Ricardo Eiraldi ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Administrative Data ◽

School Mental Health ◽

Implementation Strategies ◽

Evidence Based ◽

Team Science ◽

Implementation Study ◽

Tailored Implementation

BACKGROUND Public schools in the United States are the main provider of mental health services to children but are often ill-equipped to provide quality mental health care, especially in low-income, urban communities. Schools often rely on partnerships with community organizations to provide mental health services to students. However, collaboration and communication challenges often hinder implementation of evidence-based mental health strategies. Interventions informed by team science, such as Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) have the potential to improve treatment implementation and collaboration within schools. OBJECTIVE The objective of the study is to improve communication and collaboration strategies among mental health and school staff by adapting an evidence-based team science intervention for school settings. We present a protocol for a hybrid effectiveness-implementation study to adapt TeamSTEPPS using stakeholder feedback, develop a tailored implementation plan, and pilot the adapted content in eight schools. METHODS Study participants will be recruited from public and charter schools and agencies overseeing school mental health services in the local metro area. We will characterize current services by conducting a needs assessment including stakeholder interviews, observations, and review of administrative data. Then, we will establish an advisory board to understand challenges and develop possible solutions to guide additional TeamSTEPPS adaptations along with a complementary implementation plan. In Aim 3, we will implement the adapted TeamSTEPPS plus tailored implementation strategies in eight schools using a pre-post design. Primary outcome measures include feasibility and acceptability of the adapted TeamSTEPPS. In addition, self-report measures of inter-professional collaboration and teamwork will be collected from 80 participating mental health and school personnel. School observations will be conducted prior to and at 3 time-points following the intervention along with stakeholder interviews. The analysis plan includes qualitative, quantitative, and mixed-methods analysis of feasibility and acceptability, school observations, stakeholder interviews, and administrative data of behavioral health and school outcomes for students receiving mental health services. RESULTS Recruitment for the study has begun. Goals for Aim 1 are expected to be completed in Spring 2021. CONCLUSIONS The current study utilizes team science to improve interprofessional collaboration among school and mental health staff and contributes broadly to the team science literature by developing and specifying implementation strategies to promote sustainability. Results from this study will provide knowledge about whether interventions to improve school culture and climate may ready both mental health and school systems for implementation of evidence-based mental health practices. CLINICALTRIAL This project has been registered with ClinicalTrials.gov (ID NCT04440228)

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Transforming youth mental health services and supports in Ireland

Early Intervention in Psychiatry ◽

10.1111/j.1751-7893.2010.00236.x ◽

2011 ◽

Vol 5 ◽

pp. 22-27 ◽

Cited By ~ 25

Author(s):

Robert J. Illback ◽

Tony Bates

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Youth Mental Health ◽

Services And Supports

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Tele-social work and mental health in rural and remote communities in Australia

International Social Work ◽

10.1177/0020872815606794 ◽

2015 ◽

Vol 61 (1) ◽

pp. 143-155 ◽

Cited By ~ 11

Author(s):

Lia Bryant ◽

Bridget Garnham ◽

Deirdre Tedmanson ◽

Sophie Diamandi

Keyword(s):

Mental Health ◽

Social Work ◽

Mental Health Services ◽

Health Services ◽

Information And Communication Technologies ◽

Social Work Practice ◽

Rural And Remote ◽

Remote Communities ◽

The Social ◽

Services And Supports

Rural and remote communities often have complex and diverse mental health needs and inadequate mental health services and infrastructure. Information and communication technologies (ICTs) provide an array of potentially innovative and cost-effective means for connecting rural and remote communities to specialist mental health practitioners, services, and supports, irrespective of physical location. However, despite this potential, a review of Australian and international literature reveals that ICT has not attained widespread uptake into social work practice or implementation in rural communities. This article reviews the social work literature on ICT, draws on research on tele-psychology and tele-education, and provides suggestions on how to enhance engagement with ICT by social workers to implement and provide mental health services and supports tailored to community values, needs, and preferences that are commensurate with the values of the social work profession.

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Advancing the Provision of Mental Health Services and Supports on College and University Campuses: Toolkit and Resource Guide

Psychiatry Information in Brief ◽

10.7191/pib.1174 ◽

2018 ◽

Vol 18 (9) ◽

pp. 1174

Author(s):

Keyword(s):

Mental Health ◽

Substance Abuse ◽

Mental Health Services ◽

Health Services ◽

Colleges And Universities ◽

Health Administration ◽

Individual Counseling ◽

Resource Guide ◽

Support Provision ◽

Services And Supports

The purpose of this Toolkit and Resource Guide is to provide a framework for US-based colleges and universities to advance their approach to mental health services and supports to their students. At a time when student demand for mental health services and supports has never been greater, so, too, has the challenge never been greater for universities to find ways to keep pace with this demand. In practice for colleges and universities, this means re-thinking their approach to mental health service and support provision, identifying areas of improvement with respect to how current systems are structured, examining novel ways of providing mental health services and supports, and finding new opportunities for collaboration beyond traditional individual counseling. This Toolkit and Resource Guide aims to support colleges and universities in this important journey. The Toolkit contains the following modules, which each examine a different aspect of this journey. Disclaimer: The content of this publication does not necessarily reflect the views, opinions or policies of the Center for Mental Health Services (CMHS), the Substance Abuse and Mental Health Services Administration (SAMHSA) or the Department of Health and Human Services (HHS), and the inclusion of information about campus programs and select resources does not constitute official endorsement of the programs and resources. This publication was produced for the Substance Abuse and Mental Health Administration (SAMHSA). It was prepared by Social Solutions International, Inc. under contract HHSP233201700193A.

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Reducing the revolving door phenomenon

Irish Journal of Psychological Medicine ◽

10.1017/s0790966700000896 ◽

2010 ◽

Vol 27 (1) ◽

pp. 27-34

Author(s):

Antoinette Daly ◽

Donna Tedstone Doherty ◽

Dermot Walsh

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Current Model ◽

Community Mental Health Services ◽

Community Services ◽

Revolving Door ◽

Community Based ◽

Policy Document ◽

The Impact

AbstractObjectives: De-institutionalisation and the expansion of community services have resulted in a reduction in the number of inpatient admissions in Ireland having fallen by 31% between 1986 and 2006. However, despite this, readmissions continue to account for over 70% of all admissions. The policy document A Vision for Change identified many shortcomings in the current model of provision of mental health services, making recommendations for the future development of community-based services with emphasis on outreach components such as homecare, crisis intervention and assertive outreach approaches. These recommendations are reviewed in relation to readmissions and the impact they may have on reducing the revolving door phenomenon.Method: Three main intervention programmes essential to the delivery of an effective community-based service outlined and recommended by A Vision for Change, along with other pertinent factors, are discussed in relation to how they might reduce readmissions in Ireland. A series of Pearson correlations between Irish inpatient admissions rates and rates of outpatient attendances and provision of community mental health services are carried out and examined to explain possible relationships between increasing/decreasing admission rates and provision/attendances at community services. International literature is reviewed to determine the effectiveness of these intervention programmes in reducing admissions and readmissions and their relevance to the Irish situation is discussed.Conclusions: Whilst A Vision for Change goes a long way towards advocating a more person-centred, recovery oriented and integrated model of service delivery, it is apparent from the consistently high proportion of readmissions in Ireland that there are still many shortcomings in service provision. The availability of specialised community-based programmes of care is as yet relatively uncommon in Ireland and uneven in geographical distribution. A considerable improvement in their provision, quantitatively and qualitatively, is required to impact on the revolving door phenomenon. In addition a re-configuration of existing catchment populations is required if they are to be successfully introduced and expanded.

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