WEAVING A NEW SAFETY NET OF MENTAL HEALTH CARE IN RURAL AMERICA: A MODEL OF INTEGRATED PRACTICE

2002 ◽  
Vol 23 (3) ◽  
pp. 263-278 ◽  
Author(s):  
Susan McCabe ◽  
Carol L. Macnee
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Safety Net ◽  
Rural America ◽  
Integrated Practice

Behavioral Health Patient Engagement in Video-based Visits through a Patient Portal at an Urban Safety-Net Hospital During COVID-19: Direct Patient Outreach and Case-Control Study (Preprint)

2021 ◽  
Author(s):  
Han Yue ◽  
Victoria Mail ◽  
Maura DiSalvo ◽  
Christina Borba ◽  
Joanna Piechniczek-Buczek ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Patient Engagement ◽  
Safety Net ◽  
Patient Portal ◽  
Patient Portals ◽  
Safety Net Hospital ◽  
Urban Safety

BACKGROUND Patient portals are a safe and secure way for patients to connect with providers for video-based telepsychiatry and help to overcome the financial and logistical barriers associated with face-to-face mental health care. Due to the coronavirus disease 2019 (COVID-19) pandemic, telepsychiatry has become increasingly important to obtaining mental health care. However, financial, and technological barriers, termed the “digital divide,” prevent some patients from accessing the technology needed to utilize telepsychiatry services. OBJECTIVE As part of an outreach project during COVID-19 to improve patient engagement with video-based visits through the hospital’s patient portal among adult behavioral health patients at an urban safety net hospital, we aimed to assess patient preference for patient portal-based video visits or telephone-only visits, and to identify the demographic variables associated with their preference. METHODS Patients in an outpatient psychiatry clinic were contacted by phone and preference for telepsychiatry by phone or video through a patient portal, as well as device preference for video-based visits, were documented. Patient demographic characteristics were collected from the electronic medical record. RESULTS One hundred and twenty-eight patients were reached by phone. Seventy-nine patients (61.7%) chose video-based visits and 69.6% of these patients preferred to access the patient portal through a smartphone. Older patients were significantly less likely to agree to video-based visits. CONCLUSIONS Among behavioral health patients at a safety-net hospital, there was a relatively low engagement with video-based visits through the hospital’s patient portal, particularly among older adults.

Mental Health and Mental Health Care in Rural America: The Hope of Redesigned Primary Care

2012 ◽  
Vol 58 (11) ◽  
pp. 629-638 ◽  
Author(s):  
May Nawal Lutfiyya ◽  
Joseph A. Bianco ◽  
Sharon K. Quinlan ◽  
Cynthia Hall ◽  
Stephen C. Waring
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Rural America

Mental health services for homeless mentally ill people

2012 ◽  
pp. 1500-1502
Author(s):  
Tom K. J. Craig
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Safety Net ◽  
Multidisciplinary Teams ◽  
Urban Mental Health ◽  
Homeless Mentally Ill

Specialist multidisciplinary teams for homeless mentally ill people provide an essential safety net for those who have fallen out of the wider mental health care system. They offer distinct advantages in terms of their capacity to work across traditional geographical and bureaucratic barriers, to take the longer-term view of the task of engagement, and to bring together the multiple strands of care across different provider agencies. Introduced as a temporary measure over a decade ago, they are still with us and likely to remain a permanent fixture of urban mental health care.

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.

Evaluating transdiagnostic, evidence-based mental health care in a safety-net setting serving homeless individuals.

Psychotherapy ◽  
2019 ◽  
Vol 56 (1) ◽  
pp. 100-114 ◽  
Author(s):  
Shannon Sauer-Zavala ◽  
Amantia A. Ametaj ◽  
Julianne G. Wilner ◽  
Kate H. Bentley ◽  
Santiago Marquez ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Safety Net ◽  
Evidence Based

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Handbook of Person-Centered Mental Health Care

2020 ◽  
Author(s):  
Nosheen Akhtar ◽  
Cheryl Forchuk ◽  
Katherine McKay ◽  
Sandra Fisman ◽  
Abraham Rudnick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care
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