Convergence Mental Health

2021 ◽  
pp. 527-544
Author(s):  
James A Randall ◽  
Cara M. Altimus
Keyword(s):  
Mental Health ◽  
Data Sharing ◽  
Scientific Evidence ◽  
Mental Healthcare ◽  
Insufficient Data ◽  
Government Institutions ◽  
Current State ◽  
State Of The Science ◽  
Technological Integration ◽  
Precision Health

Precision health arose from a need to treat not just a person’s symptoms retroactively, but a holistic person proactively. Its tenants involve incorporating one’s genome, social, and medical characteristics, in addition to environmental and day-to-day factors in effort to not just treat people, but to keep them healthy. Many of the procedures and technologies in place to foster precision health in the physical medical space may also be extrapolated onto the mental health sphere as well, otherwise known as convergence mental health. This chapter outlines the principles and practices of precision health, including its current state of the science; how private, public, and government institutions may collaborate to foster better preventative mental healthcare; and the barriers and solutions to the universal adoption of precision health/technological integration into mental health-based practices. The four major identified barriers are (i) insufficient scientific evidence; (ii) insufficient data sharing between relevant health partners; (iii) lack of field-wide coordination; and (iv) difficulties with access, including: insurance, providers, and availability of practice.

A Systematic Review of the Current State and Validity of Digital Assessment Tools for Psychiatry (Preprint)

2021 ◽  
Author(s):  
Nayra Anna Martin-Key ◽  
Benedetta Spadaro ◽  
Erin Funnell ◽  
Eleanor Jane Barker ◽  
Thea Sofie Schei ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Depressive Disorder ◽  
Diagnostic Accuracy ◽  
Mental Healthcare ◽  
Risk Of Bias ◽  
Assessment Tools ◽  
Cochrane Library ◽  
Digital Assessment ◽  
Current State

BACKGROUND Given the role digital technologies are likely to play in the future of mental healthcare, there is a need for a comprehensive appraisal of the current state and validity (i.e., screening/diagnostic accuracy) of digital mental health assessments. OBJECTIVE To explore the current state and validity of question-and-answer-based digital tools for diagnosing and screening psychiatric conditions in adults. METHODS This systematic review was based on the Population, Intervention, Comparison, and Outcome (PICO) framework and was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MEDLINE, Embase, Cochrane Library, ASSIA, Web of Science Core Collection, CINAHL, and PsycINFO were systematically searched for articles published between 2005 and 2020. A descriptive evaluation of the study characteristics and digital solutions and a quantitative appraisal of the screening/diagnostic accuracy of the included tools was conducted. Risk of bias and applicability were assessed using the Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) guidelines. RESULTS A total of 25 studies met the inclusion criteria, with the most frequently evaluated conditions encompassing generalized anxiety disorder (GAD), major depressive disorder (MDD), and any depressive disorder. The majority of the studies employed digitized versions of existing pen-and-paper questionnaires, with findings revealing poor to excellent screening/diagnostic accuracy (sensitivity = 0.36-1.00, specificity = 0.37-1.00, AUC = 0.57-0.98) and a high risk of bias for most of the included studies. CONCLUSIONS The current state of the field of digital mental health tools is in its early stages and high-quality evidence is lacking. INTERNATIONAL REGISTERED REPORT RR2-10.2196/25382

scholarly journals State of mental healthcare systems in Eastern Europe: do we really understand what is going on?

2016 ◽  
Vol 13 (4) ◽  
pp. 96-99 ◽  
Author(s):  
Dzmitry Krupchanka ◽  
Petr Winkler
Keyword(s):  
Mental Health ◽  
Eastern Europe ◽  
Mental Healthcare ◽  
Healthcare Systems ◽  
World Health ◽  
Quality Data ◽  
Service Development ◽  
Future Research ◽  
Current State ◽  
Development Analysis

The article examines the current state of mental healthcare systems in countries of Eastern Europe and derives implications for future research and service development. Analysis of available statistics from the World Health Organization's Mental Health Atlas suggests the need for better-quality data collection. Nonetheless, there appear to be insufficient resources allocated to mental health, lack of involvement of service users in policy-making and, to a large extent, systems continue to rely on mental hospitals. Based on the data presented, a set of directions for future reforms was drafted.

scholarly journals A Literature Review on Psychosocial Support for Disaster Responders: Qualitative Synthesis with Recommended Actions for Protecting and Promoting the Mental Health of Responders

2020 ◽  
Vol 17 (6) ◽  
pp. 2011 ◽  
Author(s):  
Maki Umeda ◽  
Rie Chiba ◽  
Mie Sasaki ◽  
Eni Nuraini Agustini ◽  
Sonoe Mashino
Keyword(s):  
Mental Health ◽  
Disaster Response ◽  
Psychosocial Support ◽  
Scientific Evidence ◽  
Qualitative Synthesis ◽  
Educational Materials ◽  
Current State ◽  
Activity Phase ◽  
Long Term Follow Up ◽  
State Of Research

Little scientific evidence exists on ways to decrease the psychological stress experienced by disaster responders, or how to maintain and improve their mental health. In an effort to grasp the current state of research, we examined research papers, agency reports, the manuals of aid organisations, and educational materials, in both English and Japanese. Using MEDLINE, Ichushi-Web (Japanese search engine), Google Scholar, websites of the United Nations agencies, and the database of the Grants System for Japan’s Ministry of Health, Labour, and Welfare, 71 pertinent materials were identified, 49 of which were analysed. As a result, 55 actions were extracted that could potentially protect and improve the mental health of disaster responders, leading to specific recommendations. These include (1) during the pre-activity phase, enabling responders to anticipate stressful situations at a disaster site and preparing them to monitor their stress level; (2) during the activity phase, engaging in preventive measures against on-site stress; (3) using external professional support when the level of stress is excessive; and (4) after the disaster response, getting back to routines, sharing of experiences, and long-term follow-up. Our results highlighted the need to offer psychological support to disaster responders throughout the various phases of their duties.

scholarly journals The current state of psychiatric and mental healthcare in Argentina

2016 ◽  
Vol 22 (4) ◽  
pp. 260-262 ◽  
Author(s):  
Juan Carlos Stagnaro
Keyword(s):  
Mental Health ◽  
Health Information ◽  
Mental Healthcare ◽  
Health It ◽  
Research Projects ◽  
Healthcare Needs ◽  
Current State ◽  
Mental Health Legislation ◽  
Argentine Republic ◽  
Health Legislation

SummaryThis brief article gives key demographic, socio-economic and health information for the Argentine Republic, with special emphasis in the field of psychiatry and mental health. It also informs about the country's mental health legislation and ongoing epidemiological research projects. It points out deficiencies and obstacles encountered in meeting the population's healthcare needs, and suggests developments to improve this situation.

Measurement of Childhood Serious Emotional Disturbance: State of the Science and Issues for Consideration

2016 ◽  
Vol 25 (4) ◽  
pp. 195-210 ◽  
Author(s):  
Heather Ringeisen ◽  
Leyla Stambaugh ◽  
Jonaki Bose ◽  
Cecilia Casanueva ◽  
Sarra Hedden ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Disturbance ◽  
Expert Panel ◽  
The United States ◽  
Serious Emotional Disturbance ◽  
Block Grants ◽  
Health Services Administration ◽  
Current State ◽  
Prevalence Estimates ◽  
State Of The Science

Surveys suggest that between 4.3% and 11.5% of children living in the United States have a serious emotional disturbance (SED). SED is defined in the Federal Register, and federal block grants are allocated to states based on the prevalence of SED. Accurate measurement of SED is critical, yet surveys have used different methodologies and instrumentation to obtain prevalence estimates. Two expert panels were convened by the Substance Abuse and Mental Health Services Administration (SAMHSA) in the fall of 2014 to discuss the current state of the field in operationalizing and measuring SED. The aims of this article are to (a) provide an update on SED prevalence rates from survey research, (b) summarize key discussion points that emerged during the SAMHSA expert panel meetings, and (c) make specific recommendations for next steps in measuring the prevalence of SED. Issues addressed in this article are important not only for federal allocation of service dollars to meet the needs of children with SED, but also for broader mental health surveillance efforts within the context of large national research surveys.

scholarly journals The balanced care model: the case for both hospital- and community-based mental healthcare

2013 ◽  
Vol 202 (4) ◽  
pp. 246-248 ◽  
Author(s):  
Graham Thornicroft ◽  
Michele Tansella
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Scientific Evidence ◽  
Mental Healthcare ◽  
System Change ◽  
Care Model ◽  
Community Based ◽  
Health System Change

SummaryThe balanced care model proposes that a comprehensive mental health system needs to include both community-and hospital-based care. The model is based on a structured review of scientific evidence, and is also informed by the experience of experts active in mental health system change in many countries worldwide.

scholarly journals The current state of mental healthcare in Bangladesh: part 2 – setting priorities

2021 ◽  
pp. 1-3
Author(s):  
M. Tasdik Hasan ◽  
Tasnim Anwar ◽  
Enryka Christopher ◽  
Sahadat Hossain ◽  
Md Mahbub Hossain ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Research ◽  
Mental Healthcare ◽  
Public Mental Health ◽  
Mental Health Research ◽  
Financial Resources ◽  
Current State ◽  
Mental Health Facilities

This is the second of a two-part profile on mental healthcare in Bangladesh. It describes the state of mental health research in the country and presents a set of priorities for addressing improvements to the fundamental gaps in mental healthcare highlighted in part 1. Focus on building infrastructure for public mental health facilities, training skilled mental health professionals, adequate distribution of financial resources and addressing stigma are all priorities that will contribute to significantly improving mental healthcare in Bangladesh.

scholarly journals Payment by results in mental health: the current state of play in England

2007 ◽  
Vol 13 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Andrew Fairbairn
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Healthcare ◽  
Healthcare Sector ◽  
Department Of Health ◽  
Current State ◽  
The Uk ◽  
Acute Healthcare

The Department of Health is introducing a ‘payment by results’ system for mental health services in the UK. The system is already being used in the acute healthcare sector, but is still under development for application in mental healthcare. This article outlines the concept of payment by results, briefly reports on its use in other countries and describes the pilot study underway in England to define currencies to be used in a payment by results system planned for NHS mental healthcare throughout England and Wales.

scholarly journals Cybersecurity: A Critical Priority for Digital Mental Health

2021 ◽  
Author(s):  
Becky Inkster
Keyword(s):  
Mental Health ◽  
Supply And Demand ◽  
Mental Healthcare ◽  
Health Data ◽  
Personal Health ◽  
High Profile ◽  
Current State ◽  
Vulnerable People ◽  
Mental Health Support ◽  
Health Support

There has been a surge in the supply and demand of digital mental health support services in recent times. There have also been high profile cyberattacks specifically targeting mental health and behavioural services, along with a shift toward targeting vulnerable people directly. Cyberattacks involving personal health data, especially sensitive mental health data, could have devasting consequences to vulnerable people, those close to them, and many other stakeholders. This article calls for the immediate examination of the current state of cybersecurity in the digital mental healthcare industry to collectively identify risks and to protect user and provider vulnerabilities. This article points to the need to build a global cybersecurity culture within digital mental health while also working closely with other industries. The article concludes by making some preliminary recommendations to help support the creation of standards that will enhance the collective preparedness for future responses to cybersecurity threats and attacks.

scholarly journals Contemplative Landscapes: Towards Healthier Built Environments

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Agnieszka Olszewska-Guizzo 1
Keyword(s):  
Mental Health ◽  
Scientific Evidence ◽  
Well Being ◽  
Green Spaces ◽  
Built Environments ◽  
Natural Environments ◽  
Policy Makers ◽  
Passive Exposure ◽  
Current State

This review aims to show the current state of the knowledge in the area of the visual quality of landscapes in urbanized areas and their influence on people’s mental health and well-being. This falls under the passive recreation and passive exposure to the environmental stimuli present in our cities (such as walking in nature, quiet contemplation) as opposed to active interactions with the landscapes such as horticulture therapy, meditation, etc. Passive exposure to natural or built environments can shape our mental health patterns throughout the life cycle.Although we know that the quantity of green spaces in the cities can improve the well-being of city inhabitants and contact with natural environments can alleviate various psychological disorders, it is also likely that the quality of green spaces, including seemingly irrelevant landscape design nuances, can play a more important role for our mental health.Currently, one can observe a strong demand from policy makers for generating scientific evidence-based knowledge to provide recommendations for urban design and the maintenance of green spaces. The Contemplative Landscape Model (CLM) is an operationalised construct which includes aesthetic, environmental and mental health values of landscapes, and could serve as a useful tool to assist in the current need for knowledge. However, more research with an emphasis on causal relationships is needed.

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