Piloting Case Conferencing Between GPs and Mental Health Services: Phase II of the Northern Queensland Rural Division of General Practice Mental Health Program

2000 ◽  
Vol 6 (2) ◽  
pp. 78 ◽  
Author(s):  
Maureen Alsop ◽  
Mark F. Harris ◽  
Gawaine Powell-Davies ◽  
Kristine Battye ◽  
Karin Gerhardt
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Rural Communities ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Program ◽  
Service Providers ◽  
Mental Health Program ◽  
Clinical Work ◽  
Health Service Providers

Phase two of the Northern Queensland Rural Division of General Practice Mental Health program involved the piloting of case conferencing between General Practitioners (GPs) and mental health professionals in three rural communities. The initial findings suggest that this model supports GPs by increasing their confidence in the management of patients with whom they find it most challenging to work. Mental health professionals indicate that the opportunity to consult with GPs on a regular basis is important to their clinical work, and see the primary focus of these consultations as a means for communicating with GPs. The case conferencing also led to modest improvements in relationships between GPs and mental health service providers.

Integration of General Practitioners and Mental Health Services: The Northern Queensland Integrated Mental Health Program

1999 ◽  
Vol 5 (2) ◽  
pp. 20
Author(s):  
Maureen Alsop ◽  
Kristine Battye
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Program ◽  
Mental Health Problems ◽  
Mental Health Program ◽  
Integrated Mental Health

The Integrated Mental Health Program is a joint initiative of the Northern Queensland Rural Division of General Practice, Townsville Division of General Practice, and the Townsville District Integrated Mental Health Service (IMHS).The program seeks to empower general practitioners (GPs) to meet current gaps in mental health service delivery in North Queensland, and establish better liaison and integration of services provided by GPs and by hospital and community based mental health professionals. Sixty-three GPs and twenty-four mental health professionals were interviewed across the two divisions to identify barriers encountered in the management of people with mental health problems. The barriers identified fell into three broad categories: those related to referral, to discharge, and to communication. A two-week audit of the IMHS intake and discharge processes provided further data to clarify the difficulties involved in the integrated management of patients with mental health problems. Two-week audits are to be conducted at six monthly intervals throughout the course of the program as a tool for evaluation of the program's effectiveness. General findings from the audit indicate that, although the levelof GP referrals judged by mental health professionals to be inappropriate is low, the lack of information GPs provide when referring may create ambiguity regarding the appropriateness of their referrals, thus creating the perception that they make inappropriate referrals at a higher rate than is in fact the case. Strategies for improving communication between GPs and existing mental health services are being explored, with early initiatives towards a system of shared care being developed.

scholarly journals Structuring Roles and Gender Identities Within Families Explaining Suicidal Behavior in South India

Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Reena A. Lasrado ◽  
Khatidja Chantler ◽  
Rubina Jasani ◽  
Alys Young
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Suicidal Behavior ◽  
Health Professionals ◽  
South India ◽  
Attempted Suicide ◽  
Service Providers ◽  
Social Systems ◽  
Traditional Healers ◽  
Problem Situation

Abstract. Background: This paper examines the social structures, culture, gendered roles, and their implications for suicidal behavior in South India. Exploring the cultural process within the structures of family and society to understand suicide and attempted suicide from the perspectives of survivors, mental health professionals, and traditional healers has not been achieved in the existing suicide-related research studies conducted in India to date. Aims: This study aimed to explore the cultural implications of attempted suicide by examining the survivors' life stories, their perceptions, and service providers’ interpretations of problem situation. Method: A qualitative design was used drawing on constant comparison method and thematic analysis. The analysis was underpinned by the theoretical concepts of Bourdieu's work. In-depth interviews were conducted with 15 survivors of attempted suicide, eight mental health professionals, and eight traditional healers from Southern India. Results: The study found interactions among visible and invisible fields such as faith, power, control, culture, family, religion, and social systems to have strengthened the disparities in gender and role structures within families and societies and to have impacted survivors’ dispositions to situations. Conclusion: The role of culture in causing suicide and attempted suicide is explained by unraveling the negative impact of interacting cultural and structural mechanisms.

Working with interpreters

2021 ◽  
pp. 335-342
Author(s):  
Rachel Tribe
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Meaning Making ◽  
Clinical Work ◽  
Cultural Factors ◽  
Service Users ◽  
Cultural Brokers ◽  
New Knowledge ◽  
Ways Of Thinking

Psychiatrists will come into contact with service users who do not use English or the language of the country to which they have migrated. The professional responsibilities of all mental health professionals carry an obligation to serve all members of our communities equitably and impartially; this will include people who have migrated and are not fluent in the language of their chosen country of migration. Working with interpreters and cultural brokers can be an enriching and informative experience for psychiatrists, which can lead to the development of new knowledge. This is in addition to the challenging of what may be taken-for-granted knowledge, as well as the development of additional skills and ways of thinking about mental health. Interpreters and cultural brokers can, in addition to translating the language, explain relevant cultural factors, which are important to the clinical work and the meaning-making of service users and gain additional perspectives.

scholarly journals Mental Health Professionals' Experiences with Applying a Family-Centred Care Focus in Their Clinical Work

2020 ◽  
Vol 41 (9) ◽  
pp. 815-823
Author(s):  
Hege Skundberg-Kletthagen ◽  
Marianne Thorsen Gonzalez ◽  
Agneta Schröder ◽  
Øyfrid Larsen Moen
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Work

The tele-assessment of cognitive state: a review

1997 ◽  
Vol 3 (3) ◽  
pp. 126-131 ◽  
Author(s):  
Chris Ball ◽  
Paul Mclaren
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Early Stage ◽  
Clinical Work ◽  
Cognitive Testing ◽  
Assessment Instrument ◽  
Cognitive State ◽  
Clinical Tool ◽  
Stage Of Development

The telephone is used by all mental health professionals and many of their clients. Despite this, the telephone has been formally evaluated only occasionally. This paper reviews the literature on cognitive testing by telephone and by videoconferencing, and summarizes the different strategies employed to do this task. There remain weaknesses in the use of the telephone for cognitive testing but it could certainly be used more extensively in both clinical work and research, although the choice of test must be made with a clear view of what the assessment is designed to achieve and the limitations of the assessment instrument itself. Assessment by videoconferencing remains at an early stage of development, with much work to be done before it can be routinely employed as a clinical tool. However, videoconferencing shows promise for the future because it allows a much wider range of assessment than the telephone.

scholarly journals Clinical Training with Undocumented Latinx Immigrant Minors: Case Examples and Reflections using the Multicultural Developmental Supervisory Model (MDSM) as a Framework.

2020 ◽  
Vol 9 (3) ◽  
pp. 127-141
Author(s):  
B.E. Galicia ◽  
C.A. Bailey ◽  
M. Briones ◽  
K.Z. Salinas ◽  
A,C. Venta
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Training ◽  
Developmental Stages ◽  
Clinical Work ◽  
The United States ◽  
Multicultural Competency ◽  
Case Examples ◽  
Clinical Interviews

As of 2017, the number of international immigrants worldwide increased from 220 million to 248 million, and will continue to rise [16]. Growing diversity worldwide requires a stronger emphasis on multicultural competency among mental health professionals. Learning multicultural competency skills is a career-long commitment that begins in practicum training and is modeled and reinforced through supervision. The Multicultural Developmental Supervisory Model (MDSM) is an evidence-based model that focuses on supervisory dyads and multicultural competence [12]. Using the MDSM [12] as a guide reflective of our training, four graduate supervisees share their supervision experiences in learning to conduct clinical interviews in Spanish with undocumented Latinx immigrant minors in government custody in the United States, a rising population with unique clinical considerations. Our supervisor includes her experience in training and fortifying beginning mental health professionals’ skills in conducting these evaluations. In this contribution, we illustrate our trajectory from different training developmental stages, including the process of conceptualizing clinical cases, and transitioning languages in conducting clinical interviews, as well as considering our own cultural identities in clinical work. While our experience focuses on bicultural and bilingual training in the U.S., this aspect of clinical training is growing increasingly relevant around the world, especially in Europe where 54% of tчёёhe population is multilingual [10]. Although we used the MDSM model as a helpful framework in guiding our multicultural development, empirical research is needed to examine the utility of this model.

Benefits of “Decentered and Influential” Practices During Telehealth: Establishing, Slipping, and Re-Establishing Position in a Therapeutic Conversation

2021 ◽  
Vol 40 (2) ◽  
pp. 26-42
Author(s):  
Marie-Nathalie Beaudoin ◽  
Ronald Jean Estes
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Prior Experience ◽  
Family Members ◽  
Clinical Work ◽  
Viable Option ◽  
Therapeutic Services ◽  
Common Platform

Telehealth therapy has become a common platform to provide therapeutic services during the COVID-19 pandemic and is expected to remain a viable option for services. Most mental health professionals had little prior experience in using this modality and have been experimenting with various ways of ensuring respectful, collaborative and effective ways of offering their services. A Decentered and Influential position offers numerous benefits that support anchoring therapists in a mindset that is conducive to optimized therapeutic conversations especially with people from socio-cultural and generational backgrounds different from their own. The value of this therapeutic position is illustrated by clinical work with a teenager struggling with violence towards family members during the quarantine. A description of clinical work where the therapist slipped to a centered position, and the re-engagement of a Decentered and Influential position, is exemplified by a discussion and preventive suggestions.

Attachment and survival in the face of Covid-19

2020 ◽  
Vol 14 (2) ◽  
pp. 171-187
Author(s):  
Arturo Ezquerro
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Digital Technology ◽  
Clinical Work ◽  
Current Health ◽  
Psychotherapy Practice ◽  
The Social ◽  
Vulnerable People ◽  
The Face

This article aims to explore some of the implications of the coronavirus pandemic on attachment-based psychotherapy practice, in the wider context of lockdown in a traumatised society fighting for survival. In the midst of this unprecedented crisis, it is a duty for psychotherapists and other mental health professionals to carry on working with emotionally vulnerable people, maximising the use of digital technology. The article suggests that this traditional duty may fall short under exceptional circumstances and, so, it might become necessary to go beyond the comfort of the consulting room — in order to address problems effectively in the social, cultural, and political arenas. This article includes an ongoing piece of online clinical work with a patient recovering from psychosis, whilst further reflecting on the current health, economic, and social emergency.

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