scholarly journals Optimizing the Geriatric Mental Health Workforce Through Innovative Approaches

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 29-30
Author(s):  
Ana Jessica Alfaro ◽  
Rachel Rodriguez ◽  
Michele Karel
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Mental Healthcare ◽  
Institute Of Medicine ◽  
Health Providers ◽  
Geriatric Mental Health ◽  
Mental Health Director ◽  
Aging Adults ◽  
The Impact ◽  
Innovative Approaches

Abstract The drastic demand for geriatrics-trained providers in medical and mental healthcare persists years after the Institute of Medicine first highlighted this need (2008; 2012). New innovative approaches must instead optimize the current workforce through leveraging existing geriatric experts’ knowledge and skills related to working aging adults. This symposium will highlight four approaches spanning post-licensure education to using technology to deliver specialized services and training. First, Dr. Gregg will discuss the evaluation of an advanced topics workshop in Geropsychology which has significantly enhanced depth of Geropsychology competencies for psychologists working in primarily rural areas. Next, Dr. Asghar-Ali will describe the multi-modal interactive geriatric educational opportunities for interprofessional staff developed by the South East Texas Geriatric Workforce Enhancement Program (SETx GWEP). He will discuss how these training opportunities have been tailored to address the impact of COVID-19 and healthcare disparities among older adults. Third, Dr. Filips will present an evaluation of a consultation model in which a geriatric psychiatrist provides tele-consultation in a 5-state region to rural aging Veterans with complex medical and behavioral comorbidities. Finally, Dr. Beaudreau will describe adaptations to a national VA Problem Solving Training program for mental health clinicians of older Veterans with complex comorbidities. Dr. Karel, VA National Geriatric Mental Health Director, will serve as discussant and comment on the ways in which these novel approaches are meeting the ever-growing need for competent geriatric mental health providers.

scholarly journals 4151 Understanding barriers and solutions towards access to mental health among rural adolescents

2020 ◽  
Vol 4 (s1) ◽  
pp. 150-151
Author(s):  
Brandy Davis ◽  
Kimberly B. Garza ◽  
Salisa Westrick ◽  
Edward Chou ◽  
Cherry Jackson
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Health Conditions ◽  
Rural Adolescents ◽  
Health Providers ◽  
Mental Health Conditions ◽  
Preferred Solutions

OBJECTIVES/GOALS: There are two objectives: 1) To identify healthcare providers’ (HCP) barriers and potential solutions towards rural adolescents’ access to mental healthcare. Healthcare providers include pharmacists, physicians, and mental healthcare providers (MHPs). 2) To identify rural high schoolers’ barriers and potential solutions towards access to mental healthcare. METHODS/STUDY POPULATION: Fifteen HCPs will be recruited via email listserv and the snowball method. Perceived barriers of rural adolescents, personal barriers, current practices to address mental health in adolescents, and preferred solutions will be discussed. Twenty student and parent dyads will be recruited using fliers in school systems and will be interviewed individually outside of class time on school grounds or over the phone. Barriers to care and preferred solutions will be discussed. All interviews will be semi-structured, recorded, conducted in person or over the phone, and last for 30 minutes to an hour. Compensation will be $25 for students and parents each, $50 for pharmacists and mental health providers and $100 for physicians. Thematic qualitative data analysis will be performed using Atlas.ti software. RESULTS/ANTICIPATED RESULTS: Data collection is ongoing. Anticipated results for barriers include absence of mental healthcare providers in rural areas, inability to access mental healthcare providers further away, stigma towards mental healthcare, and lack of knowledge of mental health conditions and treatment. Anticipated results for potential solutions may include promoting mobile applications to assist with telehealth and self-care. Other solutions may be collaboration among rural healthcare providers for adolescents with mental health conditions. Preferred solutions may also include pharmacists disseminating knowledge to rural adolescents and their parents or referrals to mental healthcare providers. DISCUSSION/SIGNIFICANCE OF IMPACT: This project will identify barriers and solutions to access to mental healthcare among rural adolescents. These solutions can then be applied towards the creation of programs that address salient issues within rural communities with a greater chance of uptake and use so that rates of depression and suicide will decrease. CONFLICT OF INTEREST DESCRIPTION: Funding through UAB TL1 award.

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

A systematic review of Karen refugee health

2016 ◽  
Vol 12 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Sarah J. Hoffman ◽  
Cheryl L. Robertson
Keyword(s):  
Mental Health ◽  
Forced Migration ◽  
The Body ◽  
Health Needs ◽  
Health Providers ◽  
Physical And Mental Health ◽  
Content Type ◽  
And Migration ◽  
Karen Refugees ◽  
The Impact

Purpose – The purpose of this paper is to provide a comprehensive perspective of the documented physical and mental health issues Karen refugees from Burma face as a result of war and refugee trauma, and migration. The review will address the question: What is the impact of trauma and migration on the physical and mental health of Karen refugees? Design/methodology/approach – A total of 18 articles were systematically selected for inclusion in the final review. The focal content for included articles includes qualitative and quantitative research representative of the health and migration experiences of Karen refugees. Findings – The findings of this review demonstrate significance for health providers from a public health standpoint as programs and services are targeted to meet the specific health needs of the Karen community. It also highlights the contribution of the Karen forced migration experience to the complexity of individual and community health needs, particularly as a result of the protracted conflict. Originality/value – This critical appraisal of the body of literature describing the health experiences of Karen refugees from Burma, with a particular focus on outcomes relevant to resettlement, demonstrates value as programs are developed with an integrated refugee perspective.

Development of Geriatric Mental Health Learning Objectives for Medical Students: A Response to the Institute of Medicine 2012 Report

2017 ◽  
Vol 25 (10) ◽  
pp. 1041-1047 ◽  
Author(s):  
Susan W. Lehmann ◽  
William B. Brooks ◽  
Dennis Popeo ◽  
Kirsten M. Wilkins ◽  
Mary C. Blazek
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Learning Objectives ◽  
Institute Of Medicine ◽  
Geriatric Mental Health

Telepsychiatry Use in Rural Areas in the United States

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson
Keyword(s):  
Mental Health ◽  
United States ◽  
Quality Of Care ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Access And Quality

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.

Geriatric Mental Healthcare Training: A Mini-Fellowship Approach to Interprofessional Assessment and Management of Geriatric Mental Health Issues

2019 ◽  
Vol 27 (7) ◽  
pp. 706-711 ◽  
Author(s):  
LalithKumar K. Solai ◽  
Keerthana Kumar ◽  
Elizabeth Mulvaney ◽  
Daniel Rosen ◽  
Juleen Rodakowski ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Mental Health Issues ◽  
Geriatric Mental Health ◽  
Healthcare Training

scholarly journals Vital spaces and mental health

2019 ◽  
Vol 45 (2) ◽  
pp. 131-140
Author(s):  
Steven D Brown ◽  
Paula Reavey
Keyword(s):  
Mental Health ◽  
Research Agenda ◽  
Mental Healthcare ◽  
Community Based ◽  
Diagnostic Categories ◽  
Material Conditions ◽  
The Impact ◽  
Individual Body

The impact of social and material conditions on mental health is well established but lacking in a coherent approach. We offer the concept of ‘vitality’ as means of describing how environments facilitate ‘feelings of being alive’ that cut across existing diagnostic categories. Drawing on the work of Stern, Fuchs, Worms and Duff, we argue that vitality is not solely a quality of an individual body, but rather emerges from attunements and resonances between bodies and materials. We use vitality as a lens to explore how movements within and between assembled sets of relations can facilitate or disable feelings and expressions of being alive. Building on extended discussions of both inpatient and community-based mental healthcare, we sketch out a research agenda for analysing ‘vital spaces’.

scholarly journals Mental Healthcare Delivery in Rural Greece: A 10-year Account of a Mobile Mental Health Unit

2017 ◽  
Vol 08 (04) ◽  
pp. 556-561 ◽  
Author(s):  
Vaios Peritogiannis ◽  
Thiresia Manthopoulou ◽  
Afroditi Gogou ◽  
Venetsanos Mavreas
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Community Mental Health ◽  
Rural Areas ◽  
Catchment Area ◽  
Mental Healthcare ◽  
Community Mental Health Service ◽  
Primary Care System ◽  
Mobile Mental Health ◽  
Care System

ABSTRACTIntroduction: Patients living in rural and remote areas may have limited access to mental healthcare due to lack of facilities and socioeconomic reasons, and this is the case of rural areas in Eastern Europe countries. In Greece, community mental health service delivery in rural areas has been implemented through the development of the Mobile Mental Health Units (MMHUs). Methods: We present a 10-year account of the operation of the MMHU of the prefectures of Ioannina and Thesprotia (MMHU I-T) and report on the impact of the service on mental health delivery in the catchment area. The MMHU I-T is a multidisciplinary community mental health team which delivers services in rural and mountainous areas of Northwest Greece. Results: The MMHU I-T has become an integral part of the local primary care system and is well known to the population of the catchment area. By the end of 2016, the majority of patients (60%) were self-referred or family-referred, compared to 24% in the first 2 years. Currently, the number of active patients is 293 (mean age 63 years, 49.5% are older adults), and the mean caseload for each member of the team is 36.6. A significant proportion of patients (28%) receive care with regular domiciliary visits, and the provision of home-based care was correlated with the age of the patients. Within the first 2 years of operation of the MMHU I-T hospitalizations of treatment, engaged patients were reduced significantly by 30.4%, whereas the treatment engagement rates of patients with psychotic disorders were 67.2% in 5 years. Conclusions: The MMHU I-T and other similar units in Greece are a successful paradigm of a low-cost service which promotes mental health in rural, remote, and deprived areas. This model of care may be informative for clinical practice and health policy given the ongoing recession and health budget cuts. It suggests that rural mental healthcare may be effectively delivered by integrating generic community mental health mobile teams into the primary care system.

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