Finding mental health providers in the United States: a national survey and implications for policy and practice

2019 ◽  
pp. 1-7
Author(s):  
Erin F. Ward-Ciesielski ◽  
Shireen L. Rizvi
Keyword(s):  
Mental Health ◽  
United States ◽  
National Survey ◽  
The United States ◽  
Mental Health Providers ◽  
Health Providers ◽  
Policy And Practice

Systematic Reviews of Clinical of Acupuncture as Treatment for Depression:How Systematic and Accurate Are They?

CNS Spectrums ◽  
2008 ◽  
Vol 13 (4) ◽  
pp. 293-300 ◽  
Author(s):  
Uriel Halbreich
Keyword(s):  
Mental Health ◽  
United States ◽  
Medical Education ◽  
Affective Disorders ◽  
The United States ◽  
Treatment Seeking ◽  
Mental Health Providers ◽  
Health Providers ◽  
Education Programs ◽  
Number Of Patients

Complementary and alternative medicine (CAM) is very popular in the United States, Canada and other Western societies, and the number of patients seeking treatment by CAM practitioners is increasing. This trend also affects treatment-seeking patients with affective disorders. Many patients and mental health providers update their information and formulate opinions and decisions based on second-hand digested summaries and scientific reviews of the literature. This results in the proliferation of review articles and journals that are exclusively dedicated to reviews. Since most medical schools do not teach CAM and most continuing medical education programs still ignore these subjects, it is of interest to examine the reliability of reviews that claim to be “systematic” and not to take their procedures and conclusions for granted.

scholarly journals Implementation Strategies to Promote Measurement-Based Care in Schools: Evidence from Mental Health Experts Across the United States

2021 ◽  
Author(s):  
Elizabeth H Connors ◽  
Aaron R Lyon ◽  
Kaylyn Garcia ◽  
Corianna Sichel ◽  
Sharon Hoover ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Implementation Strategies ◽  
Health Service Delivery ◽  
The United States ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Service Delivery ◽  
Measurement Based Care ◽  
Patient Reported

Abstract Background: Despite an established, comprehensive taxonomy of implementation strategies, minimal guidance exists for how to select and adapt strategies to specific services and contexts. We employed a replicable method to identify the most feasible and important implementation strategies to increase mental health providers’ use of measurement-based care (MBC) in schools. MBC is the routine use of patient-reported progress measures throughout treatment to inform patient-centered, data-driven treatment adjustments. Methods: A national sample of 52 school mental health providers and researchers completed two rounds of modified Delphi surveys to rate the relevance, importance, and feasibility of 33 implementation strategies identified for school settings. Strategies were reduced and definitions refined using a multimethod approach. Final importance and feasibility ratings were plotted on “go-zone” graphs and compared across providers and researchers to identify top-rated strategies. Results: The initial 33 strategies were rated as “relevant” or “relevant with changes” to MBC in schools. Importance and feasibility ratings were high overall for both survey rounds; importance ratings (3.61 - 4.48) were higher than feasibility ratings (2.55 – 4.06) on average. Survey 1 responses resulted in a reduced, refined set of 21 strategies, and six were rated most important and feasible on Survey 2: 1) assess for readiness and identify barriers and facilitators; 2) identify and prepare champions; 3) develop a usable implementation plan; 4) offer a provider-informed menu of free, brief measures; 5) develop and provide access to training materials; and 6) make implementation easier by removing burdensome documentation tasks. Provider and researcher ratings were not significantly different, with a few exceptions: providers reported higher feasibility and importance of removing burdensome paperwork than researchers, and providers reported higher feasibility of train-the trainer approaches than researchers; researchers reported higher importance of monitoring fidelity than providers. Conclusions: The education sector is the most common setting for child and adolescent mental health service delivery in the United States. Effective MBC implementation in schools has the potential to elevate the quality of care received by many children, adolescents and their families. This empirically-derived, targeted list of six implementation strategies offers potential efficiencies for future testing of MBC implementation in schools.

scholarly journals Assessing the Impact of COVID-19 on Mental Health Providers in the Southeastern United States

2021 ◽  
pp. 114055
Author(s):  
Henry Slone ◽  
Arianna Gutierrez ◽  
Caroline Lutzky ◽  
Demi Zhu ◽  
Hannah Hedriana ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Southeastern United States ◽  
Mental Health Providers ◽  
Health Providers ◽  
The Impact

Implementing Screening as Part of Enhanced Care: Screening Alone is Not Enough

2009 ◽  
Author(s):  
Simon Gilbody ◽  
Dan Beck
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Health Problems ◽  
The United States ◽  
Necessary Condition ◽  
Policy Recommendations ◽  
Policy And Practice ◽  
Screening Programs ◽  
Outcomes Of Care

There are conflicting conclusions and policy recommendations relating to the effects of screening on the outcome of depression, but what does the latest evidence suggest? Based on the best available information to date, it emerges that screening alone is not a sufficient intervention to improve the quality and outcomes of care for depression. What is less clear is whether screening is a necessary condition for enhanced and improved quality of care and, given additional components, to what extent screening programs can potentially improve quality of routine care. Depression is the most common mental health problem and is associated with decrements in functioning and quality of life comparable to other chronic physical diseases. The prevalence, chronicity, and burden of suffering are such that the World Bank has predicted that depression will become the second leading cause of global disability by 2020. The economic consequences of depression are also profound, with the healthcare costs, welfare costs, and losses to productivity amounting to £9 billion ($20 billion) in the United Kingdom3 and $53 billion in the United States. Depression is most commonly encountered in primary care and in hospital settings, yet it often goes unrecognized by healthcare professionals. This has led to calls to implement screening programs to aid in the detection and management of this problem. The rationale and evidence base to support screening for depression is the focus of the present book and is discussed extensively in other chapters (see Chapters 2, 4, and 9). In the United States, screening has shifted from being an intervention that was not initially supported in national policy recommendations to being one that is regarded as being of proven effectiveness. An evolution in thinking has occurred that places screening at the center of mental health policy and practice, and is based upon the general assumption that screening will logically lead to improvements in the quality and outcome of care. Some have termed this the screening– detection–treatment–improvement paradigm. Recently screening for common mental health problems in the United States has become the cornerstone of the president’s agenda to improve the mental health of the U.S. population.

HIV pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP): What mental health providers should know

2016 ◽  
Vol 33 (S1) ◽  
pp. S70-S71
Author(s):  
T. Hall
Keyword(s):  
Mental Health ◽  
Risk Reduction ◽  
Hiv Risk ◽  
Undetectable Viral Load ◽  
Developed Countries ◽  
The United States ◽  
Treatment As Prevention ◽  
Mental Health Providers ◽  
Health Providers ◽  
Exposure Prophylaxis

Pharmacologic methods of treating and preventing HIV have advanced tremendously in recent years. Understandings of HIV risk and recommendations for risk-reduction strategies have also changed substantially. A majority of new cases of HIV in many developed countries are now acquired through sex with long-term partners who are unaware of their HIV-positive status, rather than from casual or anonymous sexual encounters. Persons with bipolar disorder and substance use disorders are at particularly high risk. Mental health providers who work with LGBT persons and other populations at higher risk for HIV need to understand strategies their patients are using for HIV risk reduction, and to refer appropriate patients for consideration for pre-exposure prophylaxis (PrEP). PrEP is the daily use of an antiretroviral (ARV) medication for prevention of HIV infection in higher-risk individuals. The United States approved tenofovir + emtracitabine for PrEP in 2012; this is under review in several European countries, Canada, and Australia, and is already prescribed off-label in many. Additionally, studies have shown that treatment with ARV medications to an “undetectable viral load” greatly reduces the risk of further transmission by persons already infected with HIV, called “treatment as prevention” (TasP). As of September 2015, WHO recommends early ARV treatment for all persons with HIV, and consideration of PrEP for men who have sex with men. This paper reviews findings from the PrEP studies (especially iPrEx, iPrEx Ole, IPERGAY, and PROUD) and TasP, and looks at their impact on LGBT and HIV+ communities, with relevance for mental health providers.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Weapon Involvement in the Victimization of Children

2017 ◽  
pp. 50-57
Author(s):  
Kimberly J. Mitchell ◽  
Sherry L. Hamby ◽  
Heather A. Turner ◽  
Anne Shattuck ◽  
Lisa M. Jones
Keyword(s):  
Mental Health ◽  
United States ◽  
National Survey ◽  
Life Experiences ◽  
Exposure To Violence ◽  
The United States ◽  
Age Group ◽  
Safety Practices ◽  
Nationally Representative ◽  
Children’S Exposure

OBJECTIVE To report the prevalence of weapons involved in the victimization of youth with particular emphasis on weapons with a “high lethality risk” and how such exposure fits into the broader victimization and life experiences of children and adolescents. METHODS Data were collected as part of the Second National Survey of Children’s Exposure to Violence, a nationally representative telephone survey of youth ages 2 to 17 years and caregivers (N = 4114) conducted in 2011. RESULTS Estimates from the Second National Survey of Children’s Exposure to Violence indicate that almost 14 million youth, ages 2–17, in the United States have been exposed to violence involving a weapon in their lifetimes as witnesses or victims, or >1 in 5 children in this age group. More than 2 million youth in the United States (1 in 33) have been directly assaulted in incidents where the high lethality risk weapons of guns and knives were used. Differences were noted between victimizations involving higher and lower lethality risk weapons as well as between any weapon involvement versus none. Poly-victims, youth with 7 or more victimization types, were particularly likely to experience victimization with any weapon, as well as victimization with a highly lethal weapon compared with nonpoly-victims. CONCLUSIONS Findings add to the field’s broadening conceptualization of youth victimization highlighting the potentially highly consequential risk factor of weapon exposure as a component of victimization experiences on the mental health of youth. Further work on improving gun safety practices and taking steps to reduce children’s exposure to weapon-involved violence is warranted to reduce this problem.

scholarly journals Governance of Protecting Patients

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S126-S126
Author(s):  
Sureshkumar Bhatt
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
The United States ◽  
Involuntary Commitment ◽  
Mental Health Providers ◽  
Health Providers ◽  
Legal Structure ◽  
Protective Custody

AimsInvoluntary commitment is a legal process through which an individual with symptoms of severe mental illness is court-ordered into inpatient or outpatient treatment. These criteria vary between nations. The goal of this presentation is to compare the governance of protecting patients among different parts of the world.BackgroundUnderstanding the relevance of the judicial committeemen in psychiatry is an essential part of good psychiatric practice. A majority of patients who need inpatient psychiatric treatment fall into one of the following categories: dangerous to self, dangerous to others, or gravely disabled.In the United States, the Parens Patriate doctrine has had great application in the treatment of mentally ill persons, children, and other individuals who are legally incompetent to manage their affairs. The states, which act as parens patriae, can make decisions regarding mental health treatment. State law governs involuntary commitment, and procedures may vary among states.MethodOne of the essential duties of St. Tammany Parish Coroner Office, Louisiana, USA is Mental Health Service, From January 2017 to October 2019, 887 Order of Protective Custody (OPC), 17,838 Physician Emergency Certificates (PEC), and 13096 Coroner Emergency Certificates (CEC) were issued. These certificates allow legal authority to transport a patient to the nearest ER for assessment by physician and mental health providers.ResultPatients with active Physician Certificate are examined by a coroner according to patient's mental history and clinical presentation. Coroner Certificate helps the treatment facilty detail the patient for diagnosis and treatment for fifteen days.ConclusionSt. Tammany Parish Coroner Office is fulfilling its responsibility to provide proper mental health to psychiatric patients. It is necessary for each country/state/parish to have legal structure and provide proper care who are dangerous to self or others, or gravely disabled. The procedures of OPC, PEC, and CEC will be presented.

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