Improving access to mental health services via a clinic-wide mental health intervention in a Southeastern US infectious disease clinic

AIDS Care ◽  
2010 ◽  
Vol 22 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Kathryn A. Bottonari ◽  
Lara M. Stepleman
Keyword(s):  
Mental Health ◽  
Infectious Disease ◽  
Mental Health Services ◽  
Health Services ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Infectious Disease Clinic ◽  
Southeastern Us ◽  
Disease Clinic

scholarly journals Evaluation of ReachOut.com, an Unstructured Digital Youth Mental Health Intervention: Prospective Cohort Study

10.2196/21280 ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. e21280
Author(s):  
Bianca Lorraine Kahl ◽  
Hilary May Miller ◽  
Kathryn Cairns ◽  
Hayley Giniunas ◽  
Mariesa Nicholas
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Retention Rate ◽  
Well Being ◽  
Evidence Base ◽  
Preliminary Evidence ◽  
Health Intervention ◽  
Mental Health Intervention

Background Young people experience a disproportionate burden associated with mental illness that Australia’s mental health care system is ill-equipped to handle. Despite improvements in the provision of mental health services, the rates of service utilization among young people remain suboptimal, and there are still considerable barriers to seeking help. Digital mental health services can overcome a number of barriers and connect young people requiring support; however, the evidence base of digital interventions is limited. Objective The aim of this study is to examine the effectiveness of a brief, self-directed, unstructured digital intervention, ReachOut.com (hereafter ReachOut), in reducing depression, anxiety, stress, and risk of suicide. Methods A cohort of 1982 ReachOut users participated in a 12-week longitudinal study, with a retention rate of 81.18% (1609/1982) across the duration of the study. Participants completed web-based surveys, with outcome measures of mental health status and suicide risk assessed at 3 time points across the study period. Results The results demonstrated that over the 12-week study period, young people using ReachOut experienced modest yet significant reductions in symptoms of depression, anxiety, and stress. Significant, albeit modest, reductions in the proportion of participants at high risk of suicide were also observed. Conclusions The findings of this research provide preliminary evidence of the promise of an unstructured digital mental health intervention, ReachOut, in alleviating symptoms of mental ill-health and promoting well-being in young people. These findings are particularly important given that digital services are not only acceptable and accessible but also have the potential to cater to the diverse mental health needs of young people at scale, in a way that other services cannot.

A Community-Based Mental Health Intervention: Promoting Mental Health Services in Rwanda

2021 ◽  
pp. 1103-1119
Author(s):  
Donatilla Mukamana ◽  
Lisa López Levers ◽  
Kenya Johns ◽  
Darius Gishoma ◽  
Yvonne Kayiteshonga ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Community Based

The challenge to prioritise infant mental health in South Africa

2019 ◽  
Vol 50 (2) ◽  
pp. 207-217
Author(s):  
Katherine Bain
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Mental Health Services ◽  
Health Services ◽  
Health Intervention ◽  
Infant Mental Health ◽  
Collective Unconscious ◽  
Mental Health Intervention ◽  
Practical Constraints

Despite clear evidence that infant mental health intervention is imperative, mental health services for infants and their caregivers worldwide remain under-prioritised, under-funded, and inaccessible to most populations. South Africa is no exception. This article proposes some potential explanations for this, exploring both practical constraints and possible resistances within the currents of our collective unconscious.

A Community-Based Mental Health Intervention: Promoting Mental Health Services in Rwanda

2019 ◽  
pp. 1-17
Author(s):  
Donatilla Mukamana ◽  
Lisa Lopez Levers ◽  
Kenya Johns ◽  
Darius Gishoma ◽  
Yvonne Kayiteshonga ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Community Based

scholarly journals Evaluation of ReachOut.com, an Unstructured Digital Youth Mental Health Intervention: Prospective Cohort Study (Preprint)

2020 ◽  
Author(s):  
Bianca Lorraine Kahl ◽  
Hilary May Miller ◽  
Kathryn Cairns ◽  
Hayley Giniunas ◽  
Mariesa Nicholas
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Retention Rate ◽  
Well Being ◽  
Evidence Base ◽  
Preliminary Evidence ◽  
Health Intervention ◽  
Mental Health Intervention

BACKGROUND Young people experience a disproportionate burden associated with mental illness that Australia’s mental health care system is ill-equipped to handle. Despite improvements in the provision of mental health services, the rates of service utilization among young people remain suboptimal, and there are still considerable barriers to seeking help. Digital mental health services can overcome a number of barriers and connect young people requiring support; however, the evidence base of digital interventions is limited. OBJECTIVE The aim of this study is to examine the effectiveness of a brief, self-directed, unstructured digital intervention, ReachOut.com (hereafter ReachOut), in reducing depression, anxiety, stress, and risk of suicide. METHODS A cohort of 1982 ReachOut users participated in a 12-week longitudinal study, with a retention rate of 81.18% (1609/1982) across the duration of the study. Participants completed web-based surveys, with outcome measures of mental health status and suicide risk assessed at 3 time points across the study period. RESULTS The results demonstrated that over the 12-week study period, young people using ReachOut experienced modest yet significant reductions in symptoms of depression, anxiety, and stress. Significant, albeit modest, reductions in the proportion of participants at high risk of suicide were also observed. CONCLUSIONS The findings of this research provide preliminary evidence of the promise of an unstructured digital mental health intervention, ReachOut, in alleviating symptoms of mental ill-health and promoting well-being in young people. These findings are particularly important given that digital services are not only acceptable and accessible but also have the potential to cater to the diverse mental health needs of young people at scale, in a way that other services cannot.

scholarly journals Impact of integrating mental health services within existing tuberculosis treatment facilities

2021 ◽  
Vol 5 ◽  
pp. 239920262110113
Author(s):  
Aneeta Pasha ◽  
Hasha Siddiqui ◽  
Shiza Ali ◽  
Meredith B Brooks ◽  
Naveen R Maqbool ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Treatment Completion ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Tb Treatment ◽  
Treatment Facilities

Introduction: Depression and anxiety among tuberculosis (TB) patients can adversely affect TB treatment adherence and completion. Aim: We studied whether integrating mental health services into existing TB treatment programs would reduce symptoms of depression and anxiety and improve treatment completion among patients with drug-susceptible TB. Methods: Integrated practice units (IPUs) for TB and mental health were established within six existing TB treatment facilities in Karachi, Pakistan. Patients were screened for depression and anxiety and, if symptomatic, offered a mental health intervention consisting of at least four counseling sessions. We measured changes in reported levels of depression and anxiety symptoms from baseline following completion of counseling sessions, and rates of TB treatment completion. Results: Between February 2017 and June 2018, 3500 TB patients were screened for depression and anxiety. 1057 (30.2%) symptomatic patients received a baseline adherence session. 1012 enrolled for a mental health intervention received at least 1 counseling session. 522 (51.5%) reported no symptoms after four to six sessions. Symptomatic patients who completed at least four counseling sessions had higher rates of TB treatment completion than those who did not (92.9% vs 75.1%; p < 0.0001). Conclusion: Mental health interventions integrated within TB programs can help reduce symptoms of depression and anxiety and improve TB treatment completion.

scholarly journals Community strengthening and mental health system linking after flooding in two informal human settlements in Peru: a model for small-scale disaster response

2018 ◽  
Vol 5 ◽  
Author(s):  
C. Contreras ◽  
M. Aguilar ◽  
B. Eappen ◽  
C. Guzmán ◽  
P. Carrasco ◽  
...  
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Health Services ◽  
Health System ◽  
Disaster Response ◽  
Subsequent Development ◽  
Health Intervention ◽  
Small Scale ◽  
Mental Health Intervention ◽  
Human Settlements

BackgroundMental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in 2017.MethodsTwo informal human settlements on the outskirts of Lima were selected for a mental health intervention that included: (1) screening for depression and domestic violence, (2) children's activities to strengthen social and emotional skills and diminish stress, (3) participatory theater activities to support conflict resolution and community resilience, and (4) community health worker (CHW) accompaniment to government health services.ResultsA total of 129 people were screened across both conditions, of whom 12/116 (10%) presented with depression and 21/58 (36%) reported domestic violence. 27 unique individuals were identified with at least one problem. Thirteen people (48%) initially accepted CHW accompaniment to government-provided services.ConclusionsThis intervention provides a model for a small-scale response to disasters that can effectively and acceptably identify individuals in need of mental health services and link them to a health system that may otherwise remain inaccessible.

scholarly journals Engaging patients and parents to improve mental health intervention for youth with rheumatological disease

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Oluwatunmise A. Fawole ◽  
◽  
Michelle V. Reed ◽  
Julia G. Harris ◽  
Aimee Hersh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Health Resources ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Mental Health Providers ◽  
Health Providers ◽  
Patients Âgés ◽  
Rheumatological Disease

Abstract Background Mental health disorders are common in youth with rheumatological disease yet optimal intervention strategies are understudied in this population. We examined patient and parent perspectives on mental health intervention for youth with rheumatological disease. Methods We conducted a mixed methods cross-sectional study, via anonymous online survey, developed by researchers together with patient/parent partners, to quantitatively and qualitatively examine youth experiences with mental health services and resources in North America. Patients ages 14–24 years with juvenile idiopathic arthritis, juvenile dermatomyositis, or systemic lupus erythematous, and parents of patients ages 8–24 with these diseases were eligible (not required to participate in pairs). Participants self-reported mental health problems (categorized into clinician-diagnosed disorders vs self-diagnosed symptoms) and treatments (e.g. therapy, medications) received for the youth. Multivariate linear regression models compared patient and parent mean Likert ratings for level of: i) comfort with mental health providers, and ii) barriers to seeking mental health services, adjusting for potential confounders (patient age, gender, disease duration, and patient/parent visual analog score for disease-related health). Participants indicated usefulness of mental health resources; text responses describing these experiences were analyzed by qualitative description. Results Participants included 123 patients and 324 parents. Patients reported clinician-diagnosed anxiety (39%) and depression (35%); another 27 and 18% endorsed self-diagnosed symptoms of these disorders, respectively. 80% of patients with clinician-diagnosed disorders reported receiving treatment, while 11% of those with self-diagnosed symptoms reported any treatment. Patients were less comfortable than parents with all mental health providers. The top two barriers to treatment for patients and parents were concerns about mental health providers not understanding the rheumatological disease, and inadequate insurance coverage. Over 60% had used patient mental health resources, and over 60% of these participants found them to be helpful, although text responses identified a desire for resources tailored to patients with rheumatological disease. Conclusion Self-reported mental health problems are prevalent for youth in this sample with rheumatological disease, and obstacles to mental health treatment include disease-related and logistic factors. Strategies are needed to improve acceptance and accessibility of mental health intervention, including routine mental health screening and availability of disease-specific mental health resources.

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