The Potential Role of Psychedelic Drugs in Mental Health Care of the Future

2021 ◽  
Author(s):  
Gerhard Gründer ◽  
Henrik Jungaberle
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Treatment Practices ◽  
Psychedelic Drugs ◽  
Treatment Paradigm ◽  
New Treatment ◽  
Definition Of ◽  
The Right ◽  
Psychological Integration

AbstractSerotonergic psychedelics such as psilocybin, lysergic acid diethylamide (LSD), or dimethyltryptamine (DMT), as well as psychoactive drugs that trigger phenomenologically- related experiences like 3,4-methylenedioxymethamphetamine (MDMA) and ketamine, belong to the most promising treatment approaches in contemporary psychiatry. Psychedelic-assisted psychotherapy is not only a new treatment paradigm in psychopharmacology, but it also requires a redefinition of psychotherapeutic processes and the contextualization of psychopharmacological interventions within a new treatment infrastructure. Crucial for future practice and research in the field are (1) informed patient referral and co-treatment practices, (2) screening (e. g., choosing the right patients for these therapies), (3) the dosing preparation sessions, (4) the assisted dosing sessions as well as after-care procedures such as (5) psychological integration and (6) supporting the development of structured patient communities. Definition of future treatment delivery infrastructures and requirements for therapist training are further challenges for research and practice. Finally, the implementation of psychedelic-assisted psychotherapy in routine mental health care must be embedded into public communication about the potential and risks of these innovative therapeutic approaches. This paper provides a synopsis of challenges for practitioners, researchers, and regulators to be addressed in the approval processes of psychedelics.

scholarly journals Spirituality and Mental Health Care in a Religiously Homogeneous Country: Definitions, Opinions, and Practices Among Polish Mental Health Professionals

2019 ◽  
Vol 59 (1) ◽  
pp. 113-134 ◽  
Author(s):  
Edyta Charzyńska ◽  
Irena Heszen-Celińska
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Specific Context ◽  
Spirituality In Therapy ◽  
Definition Of ◽  
Insufficient Knowledge ◽  
Human Characteristic

Abstract This qualitative study involved a sample of 121 Polish mental health professionals who were interviewed about their definitions of spirituality and their opinions and practices concerning the inclusion of clients’ spirituality in therapy. Using inductive content analysis, we identified seven categories regarding the definitions of spirituality: (1) relationship, (2) transcendence, (3) dimension of functioning, (4) a specific human characteristic, (5) searching for the meaning of life, (6) value-based lifestyle, and (7) elusiveness and indefinability. The majority of respondents claimed to include elements of spirituality in therapy. However, some participants included spirituality only under certain circumstances or conditions, or did not include it at all, citing lack of need, lack of a clear definition of spirituality, their own insufficient knowledge, lack of experience, fear, or concern over ethical inappropriateness. Implicit techniques were primarily used when working on clients’ spirituality. This article deepens the knowledge on including spirituality in mental health care, with special consideration for a specific context of a highly religious and religiously homogenous culture.

Co‐designing the InnoWell Platform to deliver the right mental health care first time to regional youth

2020 ◽  
Vol 28 (2) ◽  
pp. 190-194 ◽  
Author(s):  
Shelley C. Rowe ◽  
Tracey A. Davenport ◽  
Michael A. Easton ◽  
Tanya A. Jackson ◽  
Jennifer Melsness ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
The Right ◽  
First Time

scholarly journals Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model (Preprint)

2017 ◽  
Author(s):  
Milou A Feijt ◽  
Yvonne AW de Kort ◽  
Inge MB Bongers ◽  
Wijnand A IJsselsteijn
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Clinical Practice ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Clinical Psychologists ◽  
Qualitative Descriptive ◽  
New Treatment ◽  
Health Model ◽  
Structured Representation

BACKGROUND The internet offers major opportunities in supporting mental health care, and a variety of technology-mediated mental and behavioral health services have been developed. Yet, despite growing evidence for the effectiveness of these services, their acceptance and use in clinical practice remains low. So far, the current literature still lacks a structured insight into the experienced drivers and barriers to the adoption of electronic mental health (eMental health) from the perspective of clinical psychologists. OBJECTIVE The aim of this study was to gain an in-depth and comprehensive understanding of the drivers and barriers for psychologists in adopting eMental health tools, adding to previous work by also assessing drivers and analyzing relationships among these factors, and subsequently by developing a structured representation of the obtained findings. METHODS The study adopted a qualitative descriptive approach consisting of in-depth semistructured interviews with clinical psychologists working in the Netherlands (N=12). On the basis of the findings, a model was constructed that was then examined through a communicative validation. RESULTS In general, a key driver for psychologists to adopt eMental health is the belief and experience that it can be beneficial to them or their clients. Perceived advantages that are novel to literature include the acceleration of the treatment process, increased intimacy of the therapeutic relationship, and new treatment possibilities due to eMental health. More importantly, a relation was found between the extent to which psychologists have adopted eMental health and the particular drivers and barriers they experience. This differentiation is incorporated in the Levels of Adoption of eMental Health (LAMH) model that was developed during this study to provide a structured representation of the factors that influence the adoption of eMental health. CONCLUSIONS The study identified both barriers and drivers, several of which are new to the literature and found a relationship between the nature and importance of the various drivers and barriers perceived by psychologists and the extent to which they have adopted eMental health. These findings were structured in a conceptual model to further enhance the current understanding. The LAMH model facilitates further research on the process of adopting eMental health, which will subsequently enable targeted recommendations with respect to technology, training, and clinical practice to ensure that mental health care professionals as well as their clients will benefit optimally from the current (and future) range of available eMental health options.

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 Evidence of content validity on the mental health care needs scale

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J M T Mendonca ◽  
A A Freire ◽  
T Rewa ◽  
D Zorzi ◽  
C N Monteiro ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Content Validity ◽  
Latent Variable ◽  
Clinical History ◽  
Stepped Care ◽  
Health Care Needs ◽  
Care Needs ◽  
The Right

Abstract Background The gap in care for psychological distress has been one of the greatest challenges for health systems. Stepped care models represent attempts to maximize the effectiveness and efficiency of decisions about resource allocation in therapy. In Brazil, there are no tools that support this process. The Hospital Israelita Albert Einstein executes the project entitled PlanificaSUS to organize the health care network and strengthen PHC. We aimed to develop and search for evidence of Content validity on the Mental Health Care Needs Stratification Scale. Methods The latent variable is the need for mental health care. The 130 items considered the literature and 73 experts' opinion. The items were categorized into six dimensions referred by users (social, autonomy, functionality, interpersonal relationship, spirituality, and clinical history) and a dimension evaluated by the professional (clinic). The invitation was made by the snowball method. Content validity was based on clarity, relevance, and semantics, and calculated by Content Validity Ratio (CVR), considering a critical CVR value> 0.11. This study was approved by the research ethics committee. Results A total of 73 professionals including health service professionals, teachers, and psychometrists, from all regions of Brazil participated, most of them female (73%), the average age was 40 years old, most with specialization (47%). Most were nurses (36.8%), psychologists (15.8%), PHC doctors (10.5%), social workers (9.2%), with more than 10 years of experience in the service (28.9%). At the end of the content validation, the scale presented 43 items with CVR between 0.11 and 0.25. Conclusions There is evidence of content validity of the scale, and it will supports professionals in making decisions about which is the right therapy, at the right time, for the right patient. Key messages The scale will be a powerful tool for the coordination of care between Primary Health Care and Mental Health specialized services. For practice use, it still is necessary to validate the internal structure.

scholarly journals Defining when specialised mental health care is needed: a focus group study

BJGP Open ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. bjgpopen20X101004
Author(s):  
Marit Nymoen ◽  
Eva Biringer ◽  
Jostein Helgeland ◽  
Harald Bjarne Hellesen ◽  
Liv Alsaker Sande ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Focus Group ◽  
Mental Health Care ◽  
Research Process ◽  
Shared Understanding ◽  
Focus Group Study ◽  
Timely Access ◽  
Patient Representatives ◽  
Definition Of

BackgroundShared understanding between GPs and hospital specialists concerning when patients need specialised mental health care is important to ensure patients receive appropriate care. The large amount of rejected referrals often indicates a lack of such shared understanding.AimTo explore how patient representatives, GPs, and mental health specialists understand ‘need for specialised mental health care’, meaning that primary care is no longer sufficient.Design & settingThis qualitative study was conducted in western Norway. The study has a service user-involved research design in which GPs and patient representatives participated in all stages of the research process.MethodSix semi-structured focus group interviews were conducted. The groups were homogenous as they included only the perspectives of either GPs, mental health specialists, or patient representatives. Data were analysed using thematic analysis.ResultsThe need for specialised mental health care was assessed using two continuums: (a) the patient’s level of functioning and symptoms; and (b) characteristics of the healthcare system and the patient’s informal support networks. Assessment along these continuums were often overruled by the evaluation of expected usefulness of specialised mental health care. In addition, all participants reported they often adapted their definition of need to fit other stakeholders’ interpretations of need.ConclusionEvaluation of need for specialised mental health care is complex and depends on several factors. This may explain some of the current challenges that exist with regard to equity and timely access to appropriate healthcare interventions.

scholarly journals Between Tolerant Containment and Concerted Constraint: Managing Madness for the City and the Privileged Family

2019 ◽  
Vol 84 (4) ◽  
pp. 664-689 ◽  
Author(s):  
Neil Gong
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Los Angeles ◽  
Mental Health Care ◽  
Public Space ◽  
Urban Poverty ◽  
Safety Net ◽  
Health Providers ◽  
Liberal Societies ◽  
The Right

How do public safety net and elite private mental health providers cope with a key dilemma since psychiatric deinstitutionalization—managing madness when people have the right to refuse care? I observed two approaches to voluntary community-based services, one that tolerates “non-compliance” and deviant choices, and another that attempts to therapeutically discipline clientele. The puzzle, given theories of the paternalistic governance of poverty, is that select poor patients are given autonomy while the privileged are micro-managed. Drawing on comparative fieldwork in Los Angeles, I show how contrasting ecological pressures and resource bases shape divergent practices. In the context of urban poverty governance, mental health care and low-barrier housing offer a way to remove problem people from public space. This “tolerant containment” is linked to limited therapeutic capacity and the construction of clients as beyond transformation. In the context of family systems governance, elite private mental health care is a project to reform wayward relatives and equip them with respectable futures. A “concerted constraint” of deviance, akin to Lareau’s theory of privileged childrearing, is reserved for those who can afford rehabilitation and conceivably recover. Using these cases, I contribute to theories of social control and inequality in advanced liberal societies.

scholarly journals Tackling Neglect and Mental Health Reform in a Devolved System of Welfare Governance

2010 ◽  
Vol 40 (2) ◽  
pp. 295-312 ◽  
Author(s):  
JOAN COSTA-FONT ◽  
LUIS SALVADOR-CARULLA ◽  
JUAN M. CABASES ◽  
JORDI ALONSO ◽  
DAVID McDAID
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Scale Up ◽  
Autonomous Communities ◽  
Mental Health Reform ◽  
Policy Awareness ◽  
Path Dependent ◽  
Definition Of

AbstractA system of devolved welfare governance, it is argued, increases participation in welfare services. However, limited empirical evidence has been reported on how it influences welfare reform. This paper draws upon evidence from the mental health system in Spain, where health care is devolved to the regional states (autonomous communities), to examine whether policy reform of neglected policy areas may be triggered through heightened policy awareness and better participation of interested stakeholders. We find that regional devolution has helped to scale up mental health in some of Spain's autonomous regions relative to support for other services. Evidence suggests that whilst fragmentation and certain historical legacies remain path dependent, regional devolution has indeed enhanced experimentation, reform and policy innovation in mental health care. However, the expansion of mental health care coverage has been constrained by the lack of a clear definition of public coverage, as well as the need to meet the demands of evidence-based policy in an era of cost-containment. Inequalities in access to mental health care remain; they are compounded by the stigma and discrimination experienced by people with mental health problems, which is a common challenge for all health systems in Europe.

scholarly journals Selvmordsforebyggelse: Inddragelse af pårørende

2015 ◽  
Vol 10 (2) ◽  
pp. 132
Author(s):  
Jens Peter Dam Eckardt Jensen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Early Detection ◽  
Suicide Attempt ◽  
Mental Health Care ◽  
Suicidal Behavior ◽  
Health Care Services ◽  
Care Services ◽  
The Right ◽  
Do So

<p>Preventing suicide: Involvement of relatives</p><p>In addition to the devastating consequences of suicide attempt and suicide contemplation, suicidal behavior also has dramatic consequences for family and loved ones. However, close connections may play an important role in the prevention of suicide if they are capable of aiding the mental health care services with early detection and management. To do so, they should be informed and given the right tools. This article sums up existing knowledge and recommendations on the topic but further studies are needed before definite conclusions can be drawn.</p>

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