Program description and implementation findings of MyCare: enhancing community mental health care in Tasmania, Australia

2020 ◽  
Vol 26 (5) ◽  
pp. 374
Author(s):  
Renee O'Donnell ◽  
Darshini Ayton ◽  
Bengianni Pizzirani ◽  
Melissa Savaglio ◽  
Debra Fast ◽  
...  
Keyword(s):  
Mental Health ◽  
Implementation Strategy ◽  
Controlled Trial ◽  
Implementation Strategies ◽  
Health Programs ◽  
Successful Implementation ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues ◽  
Mental Health Programs

Since 2014, Tasmania has experienced unprecedented rates of hospitalisations related to mental health issues. To address reliance on such acute-based care, government funding was invested to enhance community-based care, which, in turn, led to the development of MyCare. This paper represents the initial phase of a larger body of work (i.e. an effectiveness-controlled trial of MyCare) that describes the MyCare program and the successful implementation strategy underpinning the program. The implementation of MyCare was evaluated with 41 key stakeholders (staff, clients and senior executives) using semistructured interviews and focus groups, informed by the Consolidated Framework for Implementation Research (CFIR). According to stakeholders, three CFIR constructs that were directly addressed by the program, namely Tension for Change, Evidence Strength and Quality, and Available Resources for Implementation, facilitated the successful implementation of MyCare. In contrast, a feature of the program that impeded implementation was Patient Needs and Resources, which restricted program access to those with the most severe mental health issues. The reporting of implementation strategies underpinning mental health programs is rare. This study describes the implementation strategy underpinning a community-based mental health program that was successful in facilitating program uptake. We encourage other researchers to not only report on implementation findings, which may help avoid replication failure, but also to apply these innovative implementation processes (i.e. address the tension for change and ensure the program is evidence informed and that sufficient resources are available for implementation) within mental health programs to aid successful uptake.

What E-Mental Health Can Offer to Saudi Arabia Using an Example of Australian E-Mental Health

2017 ◽  
pp. 1412-1421
Author(s):  
Yamam Abuzinadah ◽  
Bader Binhadyan ◽  
Nilmini Wickramasinghe
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Treatment ◽  
Health Issues ◽  
Mental Health Issues ◽  
Seeking Help ◽  
Mental Health Programs

Mental health have become a very influential topic around the world due to the increase of mental health issues that have been reported through national research and surveys. Many studies have been done along the years around the barriers in regards to seeking help in deferent countries and communities. This research aims to look closely into these barriers targeting issues and potential solutions, specifically for Saudi Arabia. Recently, the use of e-mental health services have proven to be an effective method to improve is barriers to mental health treatment. However, this chapter addresses the application and suitably of e-mental health programs for Saudi Arabia mental health services. To do so, a case study of Australian e-mental health services was selected to assist with the investigations.

scholarly journals The Effect of Mindfulness-Based Interventions on Stress, Depression and Anxiety During the Perinatal Period in Women Without Pre-existing Stress, Depressive or Anxiety Disorders: a Systematic Review and Meta-analysis of Controlled Trials

Mindfulness ◽  
2021 ◽  
Author(s):  
Linda Corbally ◽  
Mick Wilkinson
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Perinatal Period ◽  
Health Issues ◽  
Symptoms Of Depression ◽  
Mental Health Issues ◽  
Meta Analyses ◽  
Trial Evidence

Abstract Objectives The objective of this systematic review and meta-analysis was to examine controlled trial evidence for the effectiveness of mindfulness-based interventions on stress, anxiety and depression in the perinatal period in women without pre-existing mental health issues. Methods Six databases were searched for studies exploring the effects of mindfulness-based interventions on mental health outcomes of women during the perinatal period. Quality of both controlled trial meeting inclusion criteria were assessed using a tool specifically designed for meta-analyses of mindfulness-based interventions. Effect sizes were extracted for measures of mindfulness, depression, stress and anxiety outcomes. Effects were pooled in separate meta-analyses for all outcomes except anxiety which lacked sufficient studies. Results Twelve studies were analysed. Pooled effects suggest that mindfulness-based interventions cause small but clear increases in mindfulness and reductions in depression in women without pre-existing disorders. Effects of mindfulness-based interventions on other outcomes were unclear and confounded by heterogeneity. Conclusions Available controlled trial evidence suggests that mindfulness-based interventions improve mindfulness and decrease symptoms of depression during pregnancy in women without pre-existing mental health issues and might be a useful approach to prevent or attenuate the development of depression in the perinatal period.

scholarly journals MENTAL HEALTH ISSUES AND RELEVANT LEGISLATION IN A DEVELOPING COUNTRY

1970 ◽  
Vol 7 (2) ◽  
pp. 122-126
Author(s):  
Shafquat Inayat
Keyword(s):  
Mental Health ◽  
Developing Country ◽  
Mental Health Policy ◽  
Fundamental Rights ◽  
Health Law ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues ◽  
Mental Health Legislation ◽  
Health Legislation

Mental health legislation compiles and integrates fundamental doctrine, principles, goals, objectives and mental health policy. This legislation is required to assure that the self-respect and the dignity of patients is conserved and that their fundamental rights are protected. This article considers legislation in the Indo-Pak subcontinent, especially the Mental Health Act in Pakistan, and asserts that the act has limitation that serve as a barrier to mental health services currently provided in Pakistan. The purpose of this article is to identify the mental health legislation in a developing country like Pakistan. It also emphasizes the need of a modern mental health law that provides priority to protect the rights of patient with mental disorder to promote development of community based care and improves its access.

What E-Mental Health Can Offer to Saudi Arabia Using an Example of Australian E-Mental Health

2017 ◽  
pp. 178-187
Author(s):  
Yamam Abuzinadah ◽  
Bader Binhadyan ◽  
Nilmini Wickramasinghe
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Treatment ◽  
Health Issues ◽  
Mental Health Issues ◽  
Seeking Help ◽  
Mental Health Programs

Mental health have become a very influential topic around the world due to the increase of mental health issues that have been reported through national research and surveys. Many studies have been done along the years around the barriers in regards to seeking help in deferent countries and communities. This research aims to look closely into these barriers targeting issues and potential solutions, specifically for Saudi Arabia. Recently, the use of e-mental health services have proven to be an effective method to improve is barriers to mental health treatment. However, this chapter addresses the application and suitably of e-mental health programs for Saudi Arabia mental health services. To do so, a case study of Australian e-mental health services was selected to assist with the investigations.

scholarly journals An ARC-Informed Family Centered Care Intervention for Children’s Community Based Mental Health Programs

2015 ◽  
Vol 25 (1) ◽  
pp. 275-289 ◽  
Author(s):  
Su-chin Serene Olin ◽  
Anthony L. Hemmelgarn ◽  
Kappy Madenwald ◽  
Kimberly E. Hoagwood
Keyword(s):  
Mental Health ◽  
Health Programs ◽  
Family Centered Care ◽  
Community Based ◽  
Care Intervention ◽  
Centered Care ◽  
Mental Health Programs ◽  
Family Centered

scholarly journals Use of community-based mental health programs by HMOs: evidence from a Medicaid demonstration.

1992 ◽  
Vol 82 (6) ◽  
pp. 790-796 ◽  
Author(s):  
J B Christianson ◽  
N Lurie ◽  
M Finch ◽  
I S Moscovice ◽  
D Hartley
Keyword(s):  
Mental Health ◽  
Health Programs ◽  
Community Based ◽  
Mental Health Programs

scholarly journals Understanding mental health and wellbeing among aboriginal postsecondary students

2021 ◽  
Author(s):  
Caitlin Joy Davey
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Health Knowledge ◽  
Health Issues ◽  
Community Based ◽  
Post Secondary ◽  
Aboriginal Students ◽  
Mental Health Issues ◽  
Mental Health Knowledge

First Nations, Inuit and Métis youth in Canada report higher rates of mental health (i.e., depression, anxiety, addiction and suicide) issues than the non-Aboriginal population of youth, which impacts their ability to achieve their educational goals. Understanding mental health from an Aboriginal worldview and through culturally safe strategies designed to translate mental health information to Aboriginal people is lacking. The objectives of the present study were to develop, implement and evaluate a knowledge translation (KT) strategy to enhance wellbeing knowledge and self-efficacy in coping with mental health issues among Aboriginal postsecondary students using a community-based approach. The Tool Development Phase involved focus groups and interviews with Aboriginal post-secondary students (n=9) and community members (n=3) to develop a KT activity. The KT Phase involved a pre/post design where participants (n=4) were asked about their mental health knowledge and self-efficacy in improving their wellbeing prior to and after the KT activity. All students participated in an individual interview one month later about their knowledge and the helpfulness of activity. Key informants (n=4) were interviewed during a Follow-Up and Debriefing phase regarding the community-based approach. Mental health was defined wholistically, as related to community and as being impacted by identity, stigma, cultural connection, intergenerational trauma, and a clash between Aboriginal and positivist Western worldviews. KT preferences included incorporating traditional ceremonies; covering particular topics such as resources, traditional teachings and coping strategies; and incorporating active participation. The KT activity increased knowledge and self-efficacy related to mental health and some knowledge was retained and used at one-month follow-up. As well, participants appreciated the sense of community that the activity created and provided feedback regarding what could be changed (e.g., more active participation). Key informants thought the project addressed some community needs and that it was built on relationships. This study will contribute to increasing the wellbeing of Aboriginal students by expanding upon their mental health knowledge, and sense of self-efficacy in coping with their own mental health issues, with the aim of addressing mental health barriers to the completion of post-secondary education among Aboriginal students.

scholarly journals Mental health education in New York state schools : the teachers' perspective

2020 ◽  
Author(s):  
◽  
Neethu Arikupurathu
Keyword(s):  
Mental Health ◽  
New York ◽  
Health Education ◽  
Qualitative Content Analysis ◽  
New York State ◽  
Successful Implementation ◽  
Health Issues ◽  
Mental Health Education ◽  
York State ◽  
Mental Health Issues

In response to the rise in mental health issues among youth, New York State (NYS) now requires all schools' curriculums to include mental health education. The purpose of this study was to understand the perspectives of high school teachers in NYS -- on school-based mental health education, its implementation, its effectiveness, and its impact on student and teacher mental health outcomes. The Theory of Organizational Readiness for Change can be used in an organization, such as a school system, to determine if the necessary factors are present for the successful implementation of new policies as incorporating a mental health educational program into the existing curriculum. Participants (N=20) with a minimum of 3 years of classroom experience were recruited through Facebook and snowball sampling. Using a qualitative descriptive approach, a semi-structured, open-ended interview guide was developed and used to interview participants. Qualitative content analysis was used to analyze interviews and derive common themes. The main themes that emerged included the following: (a) a broken system, (b) mental health issues impact teachers and the classroom environment, (c) student mental health challenges in schools are complex and multifaceted, and (d) effective school mental health education needs a multi-faceted approach. Teachers play a pivotal role in the academic, social, and emotional development of students. This study highlights a need for policy changes that will support teachers in dealing with mental health issues in the classroom.

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