Allocation of Mental Health Resources in a Military Setting: A Community Mental Health Approach

1967 ◽  
Vol 132 (9) ◽  
pp. 698-703
Author(s):  
David George Satin
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Resources

scholarly journals Impact of Jointly Using an e–Mental Health Resource (Self-Management And Recovery Technology) on Interactions Between Service Users Experiencing Severe Mental Illness and Community Mental Health Workers: Grounded Theory Study

10.2196/25998 ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. e25998
Author(s):  
Anne Williams ◽  
Ellie Fossey ◽  
John Farhall ◽  
Fiona Foley ◽  
Neil Thomas
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Grounded Theory ◽  
Community Mental Health ◽  
Severe Mental Illness ◽  
Health Workers ◽  
Health Resources ◽  
Community Mental Health Services ◽  
Discovery Process ◽  
Mental Health Resource

Background e–Mental health resources are increasingly available for people who experience severe mental illness, including those who are users of community mental health services. However, the potential for service users (SUs) living with severe mental illness to use e–mental health resources together with their community mental health workers (MHWs) has received little attention. Objective This study aims to identify how jointly using an interactive website called Self-Management And Recovery Technology (SMART) in a community mental health context influenced therapeutic processes and interactions between SUs and MHWs from their perspective. Methods We conducted a qualitative study using a constructivist grounded theory methodology. Data were collected through individual semistructured interviews with 37 SUs and 15 MHWs who used the SMART website together for 2 to 6 months. Data analysis involved iterative phases of coding, constant comparison, memo writing, theoretical sampling, and consultation with stakeholders to support the study’s credibility. Results A substantive grounded theory, discovering ways to keep life on track, was developed, which portrays a shared discovery process arising from the SU-worker-SMART website interactions. The discovery process included choosing to use the website, revealing SUs’ experiences, exploring these experiences, and gaining new perspectives on how SUs did and could keep their lives on track. SUs and MHWs perceived that their three-way interactions were enjoyable, beneficial, and recovery focused when using the website together. They experienced the shared discovery process as relationship building—their interactions when using the website together were more engaging and equal. Conclusions Jointly using an e–mental health resource elicited recovery-oriented interactions and processes between SUs and MHWs that strengthened their therapeutic relationship in real-world community mental health services. Further work to develop and integrate this novel use of e–mental health in community mental health practice is warranted.

scholarly journals Embedded Mental Health in the United States Marine Corps

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1499-e1505
Author(s):  
Katherine E Pierce ◽  
David Broderick ◽  
Scott Johnston ◽  
Kathryn J Holloway
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Medical Model ◽  
Health Resources ◽  
Marine Corps ◽  
The United States ◽  
Lessons Learned ◽  
United States Marine Corps ◽  
The Rich ◽  
Health Assets

Abstract Introduction Despite the rich history and progression of mental health assets and their utilization within the Marine Corps, the implementation of these assets has been varied and inconsistent. This article strives to take the lessons learned from the past and improve on them. The goal is to develop a consistent program focused on resiliency and retention, and propose an integrated organized structure across all the Marine Expeditionary Forces (MEF). Means and Methods Review of the literature, current practices, and future recommendations. Results This article demonstrates that continuing to utilize mental health resources at the Regimental level with a focus on community mental health principles rather than the medical model allows for proximity to members and leadership of their primary command, immediate access to them as their Special Staff Officer, the ability to set the expectation of recovery, resiliency, and readiness, and the capability to implement simple principles of nonmedical recuperation and advisement. Conclusions Improving on the organizational structure of mental health in the Marine Corps by placing a mental health Special Staff Officer at the MEF level and focusing on the principles of community mental health will shift the focus back to the primary and secondary prevention care efforts across all levels of the Marine Corps and provide clinical and leadership oversight as it relates to the philosophy, role, and implementation of organic mental health Officers.

scholarly journals Impact of Jointly Using an e–Mental Health Resource (Self-Management And Recovery Technology) on Interactions Between Service Users Experiencing Severe Mental Illness and Community Mental Health Workers: Grounded Theory Study (Preprint)

2020 ◽  
Author(s):  
Anne Williams ◽  
Ellie Fossey ◽  
John Farhall ◽  
Fiona Foley ◽  
Neil Thomas
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Grounded Theory ◽  
Community Mental Health ◽  
Severe Mental Illness ◽  
Health Workers ◽  
Health Resources ◽  
Community Mental Health Services ◽  
Discovery Process ◽  
Mental Health Resource

BACKGROUND e–Mental health resources are increasingly available for people who experience severe mental illness, including those who are users of community mental health services. However, the potential for service users (SUs) living with severe mental illness to use e–mental health resources together with their community mental health workers (MHWs) has received little attention. OBJECTIVE This study aims to identify how jointly using an interactive website called <i>Self-Management And Recovery Technology</i> (SMART) in a community mental health context influenced therapeutic processes and interactions between SUs and MHWs from their perspective. METHODS We conducted a qualitative study using a constructivist grounded theory methodology. Data were collected through individual semistructured interviews with 37 SUs and 15 MHWs who used the SMART website together for 2 to 6 months. Data analysis involved iterative phases of coding, constant comparison, memo writing, theoretical sampling, and consultation with stakeholders to support the study’s credibility. RESULTS A substantive grounded theory, <i>discovering ways to keep life on track</i>, was developed, which portrays a shared discovery process arising from the SU-worker-SMART website interactions. The discovery process included choosing to use the website, revealing SUs’ experiences, exploring these experiences, and gaining new perspectives on how SUs did and could keep their lives on track. SUs and MHWs perceived that their three-way interactions were enjoyable, beneficial, and recovery focused when using the website together. They experienced the shared discovery process as relationship building—their interactions when using the website together were more engaging and equal. CONCLUSIONS Jointly using an e–mental health resource elicited recovery-oriented interactions and processes between SUs and MHWs that strengthened their therapeutic relationship in real-world community mental health services. Further work to develop and integrate this novel use of e–mental health in community mental health practice is warranted.

scholarly journals Passive Suicidal Ideation and Community Mental Health Resources in South Africa

2016 ◽  
Vol 52 (5) ◽  
pp. 541-550 ◽  
Author(s):  
Pamela Y. Collins ◽  
Leeza Kondos ◽  
Aravind Pillai ◽  
Sarah S. Joestl ◽  
Janet Frohlich
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Suicidal Ideation ◽  
Community Mental Health ◽  
Health Resources

scholarly journals The Need for Visits to Social and Vocational Programs for the Mentally Ill as Part of General Psychiatry Residency Training

2014 ◽  
Vol 7 (2) ◽  
pp. 39-45
Author(s):  
Ahsan Y Khan ◽  
Rachna Kalia ◽  
Elizabeth Ablah ◽  
Andrew Foote
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Residency Training ◽  
Mentally Ill ◽  
Psychiatry Residency ◽  
Health Resources ◽  
Psychiatry Residency Training ◽  
Vocational Programs ◽  
General Psychiatry

Background. Comprehensive treatment planning for psychiatric illnesses should be based on a biopsychosocial model of treatment to address the acuity and chronicity of these disorders. To achieve this goal, knowledge about pharmacological, psychological, and social aspects of the treatment plan should be presented as an integral part of general psychiatry residency training. This survey study was conducted to examine how many programs provide training where residents have scheduled visits to social and vocational mental health service organizations in the community and to identify potential obstacles to including this rotation in general psychiatry residency training. Methods. A voluntary, anonymous survey was sent via SurveyMonkey® to the program directors of all general psychiatry residency programs in the United States. The survey consisted of five questions designed to assess if their programs had a rotation where residents visit social and vocational programs in the community designed for mentally ill patients to provide knowledge of the community mental health resources to their residents. Results. Of the 168 survey invitations issued, 73 (44%) responded. Fifty-six responders acknowledged that their residents were required to visit a community mental health organization, but their programs did not offer visits to community social and vocational programs. Seventeen program directors reported that their program did not provide this experience to their residents and indicated a desire to include such a rotation. Conclusions. Community mental health service organization visits should enhance knowledge of psychiatry residents about community mental health resources and indirectly promote better patient care. Information obtained from this survey should create discussion to work toward better psychiatric resident training.

Increased Contact With Community Mental Health Resources as a Potential Benefit of Family Education

1998 ◽  
Vol 49 (3) ◽  
pp. 333-339 ◽  
Author(s):  
Phyllis Solomon ◽  
Jeffrey Draine ◽  
Edie Mannion ◽  
Marilyn Meisel
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Potential Benefit ◽  
Health Resources ◽  
Family Education

Psychometric Properties of the German Version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR)

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Psychometric Properties ◽  
Therapeutic Relationship ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Community Mental Health Care ◽  
German Version

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.

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