scholarly journals Development and acceptability of an educational video about a smoking cessation quitline for use in adult outpatient mental healthcare

2021 ◽  
Author(s):  
Adina S Kazan ◽  
Laura M Perry ◽  
Wasef F Atiya ◽  
Hallie M Voss ◽  
Seowoo Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
Tobacco Use ◽  
Transtheoretical Model ◽  
Mental Healthcare ◽  
Advisory Board ◽  
Future Research ◽  
Educational Video ◽  
Design Elements ◽  
Outpatient Mental Health ◽  
Preparation Phase

Abstract Tobacco use is a leading preventable cause of early mortality and is prevalent among adults with mental health diagnoses, especially in the southern USA. Increasing cessation resources in outpatient mental health care and targeting individuals most receptive to changing their behavior may improve cessation. Drawing on the transtheoretical model, our goals were to develop an educational video about the Louisiana Tobacco Quitline and evaluate its acceptability. We designed the video with knowledge derived from Louisiana-specific data (2016 Louisiana Adult Tobacco Survey, N = 6,469) and stakeholder feedback. Bivariate associations between demographic/tobacco-use characteristics and participants’ stage of quitting (preparation phase vs. nonpreparation phase) were conducted, which informed design elements of the video. Four stakeholder advisory board meetings involving current smokers, mental health clinicians, and public health advocates convened to provide iterative feedback on the intervention. Our stakeholder advisory board (n = 10) and external stakeholders (n = 20) evaluated intervention acceptability. We found that 17.9% of Louisiana adults were current smokers, with 46.9% of them in the preparation phase of quitting. Using insights from data and stakeholders, we succeeded in producing a 2-min video about the Louisiana Tobacco Quitline which incorporated three themes identified as important by stakeholders: positivity, relatability, and approachability. Supporting acceptability, 96.7% of stakeholders rated the video as helpful and engaging. This study demonstrates the acceptability of combining theory, existing data, and iterative stakeholder feedback to develop a quitline educational video. Future research should examine whether the video can be used to reduce tobacco use.

scholarly journals Pathways to Mental Health–Related Treatment Among Caregiving Spouses

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 358-358
Author(s):  
Hyojin Choi ◽  
Kristin Litzelman ◽  
Molly Maher ◽  
Autumn Harnish
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Healthcare ◽  
Health Condition ◽  
Future Research ◽  
Provider Type ◽  
Hospital Emergency Room ◽  
Health Related ◽  
Nationally Representative

Abstract Spouses of cancer survivors are 33% less likely to receive guideline-concordant depression treatment than other married adults. However, depression is only one of many manifestations of psychological distress for caregivers. This exploratory study sought to assess the paths by which caregivers access mental health-related treatment. Using nationally representative data from the Medical Expenditures Panel Survey, we assessed the proportion of caregivers who received a mental health-related prescription or psychotherapy visit across care settings (office based versus outpatient hospital, emergency room, or inpatient visit), provider type (psychiatric, primary care, other specialty, or other), and visit purpose (regular checkup, diagnosis and treatment, follow-up, psychotherapy, other). In addition, we assessed the health condition(s) associated with the treatment. The findings indicate that a plurality of caregivers accessed mental health-related treatment through an office-based visit (90%) with a primary care provider (47%). A minority accessed this care through a psychologist or psychiatrist (11%) or a physician with another specialty (12%) or other provider types. Nearly a third accessed treatment as part of a regular check-up (32%). These patterns did not differ from the general population after controlling for sociodemographic characteristics. Interestingly, mental health-related treatments were associated with a mental health diagnosis in only a minority of caregivers. The findings confirm the importance of regular primary care as a door way to mental healthcare, and highlight the range of potential paths to care. Future research will examine the correlates of accessing care across path types.

scholarly journals Identifying research priorities for patient safety in mental health: an international expert Delphi study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e021361 ◽  
Author(s):  
Lindsay H Dewa ◽  
Kevin Murray ◽  
Bethan Thibaut ◽  
Sonny Christian Ramtale ◽  
Sheila Adam ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Safety ◽  
Delphi Study ◽  
Service User ◽  
Patient Perspective ◽  
Research Priorities ◽  
Mental Healthcare ◽  
Field Research ◽  
Future Research ◽  
A Priority

ObjectivePhysical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health.DesignSemistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements.Setting and participantsAcademic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included.Main outcome measuresAgreement in research priorities on a five-point scale.ResultsSeventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important.ConclusionsThis is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this.

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 The preparation phase in the multiphase optimization strategy (MOST): a systematic review and introduction of a reporting checklist

2021 ◽  
Author(s):  
Ryan R Landoll ◽  
Sara E Vargas ◽  
Kristen B Samardzic ◽  
Madison F Clark ◽  
Kate Guastaferro
Keyword(s):  
Systematic Review ◽  
Behavioral Interventions ◽  
Intervention Development ◽  
Future Research ◽  
Optimization Strategy ◽  
Design Elements ◽  
Alternative Intervention ◽  
Multiphase Optimization Strategy ◽  
Preparation Phase ◽  
Almost All

Abstract Multicomponent behavioral interventions developed using the multiphase optimization strategy (MOST) framework offer important advantages over alternative intervention development models by focusing on outcomes within constraints relevant for effective dissemination. MOST consists of three phases: preparation, optimization, and evaluation. The preparation phase is critical to establishing the foundation for the optimization and evaluation phases; thus, detailed reporting is critical to enhancing rigor and reproducibility. A systematic review of published research using the MOST framework was conducted. A structured framework was used to describe and summarize the use of MOST terminology (i.e., preparation phase and optimization objective) and the presentation of preparation work, the conceptual model, and the optimization. Fifty-eight articles were reviewed and the majority focused on either describing the methodology or presenting results of an optimization trial (n = 38, 66%). Although almost all articles identified intervention components (96%), there was considerable variability in the degree to which authors fully described other elements of MOST. In particular, there was less consistency in use of MOST terminology. Reporting on the MOST preparation phase is varied, and there is a need for increased focus on explicit articulation of key design elements and rationale of the preparation phase. The proposed checklist for reporting MOST studies would significantly advance the use of this emerging methodology and improve implementation and dissemination of MOST. Accurate reporting is essential to reproducibility and rigor of scientific trials as it ensures future research fully understands not only the methodology, but the rationale for intervention and optimization decisions.

scholarly journals Does time heal all wounds?: the changing mental health of refugees over time

2021 ◽  
Author(s):  
Stephanie Nicole Fraser
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Mental Healthcare ◽  
Armed Conflicts ◽  
Traumatic Experiences ◽  
Future Research ◽  
Psychological Interventions ◽  
Health Changes ◽  
The World ◽  
Migration Factors

An increase of ongoing armed conflicts has resulted in substantial numbers of refugees around the world. The traumatic experiences refugees face can be detrimental to their mental health, further compounded by resettlement stressors upon arrival in Canada. This qualitative study incorporates an intersectional social determinants of health framework in order to understand the changes in mental health of refugees at different stages of a lifelong (re)settlement process. The findings of this study are informed by interviews with five service providers. Results indicated a number of salient post-migration factors that influence mental health in both the short and over the longer term for refugees and further elucidated the effects of a mutually-reinforcing relationship between resettlement stressors and trauma in mental health changes. Implications of the study findings reveal a critical need for a more psychosocial approach to be taken regarding refugee mental healthcare in future research as well as psychological interventions.

scholarly journals Integrating eHealth within a Transforming Mental Healthcare Setting: A Qualitative Study into Values, Challenges, and Prerequisites

2021 ◽  
Vol 18 (19) ◽  
pp. 10287
Author(s):  
Karin Lorenz-Artz ◽  
Joyce Bierbooms ◽  
Inge Bongers
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Healthcare ◽  
Healthcare Setting ◽  
High Impact ◽  
Future Research ◽  
Community Based ◽  
Main Challenge ◽  
Care Models

Mental health care is shifting towards more person-centered and community-based health care. Although integrating eHealth within a transforming healthcare setting may help accomplishing the shift, research studying this is lacking. This study aims to improve our understanding of the value of eHealth within a transforming mental healthcare setting and to define the challenges and prerequisites for implementing eHealth in particular within this transforming context. In this article, we present the results of 29 interviews with clients, social network members, and professionals of an ambulatory team in transition within a Dutch mental health care institute. The main finding is that eHealth can support a transforming practice shifting towards more recovery-oriented, person-centered, and community-based service in which shared-decision making is self-evident. The main challenge revealed is how to deal with clients’ voices, when professionals see the value of eHealth but clients do not want to start using eHealth. The shift towards client-centered and network-oriented care models and towards blended care models are both high-impact changes in themselves. Acknowledging the complexity of combining these high-impact changes might be the first step towards creating blended client-centered and network-oriented care. Future research should examine whether and how these substantial shifts could be mutually supportive.

scholarly journals O3E.4 Layoffs and the mental health and safety of remaining workers: a quasi-experimental study of the U.S. aluminum industry

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A31.1-A31
Author(s):  
◽  
Elijahu Ben-Michael ◽  
David Rehkopf ◽  
Sepideh Modrek ◽  
Ellen Eisen ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Utilization ◽  
Injury Risk ◽  
Health And Safety ◽  
Mental Healthcare ◽  
Future Research ◽  
Valuable Insight ◽  
Reporting Practices ◽  
Outpatient Visits ◽  
Mental Healthcare Utilization

BackgroundRelatively few studies have examined the effects of layoffs on remaining workers, although the effects of layoffs and downsizing events may extend beyond those employees who lose their jobs.MethodsWe examined the effects of layoffs on mental healthcare utilization and injury risk among workers at 30 U.S. plants between 2003 and 2013. We defined layoffs as reductions in the hourly workforce of 20% or more at each plant. Using a difference-in-differences approach, we compared the change in outcomes during layoffs versus the same three-month period one year previously, accounting for secular trends with control plants.ResultsOur study population included 15 502 workers and seven layoff events between 2003 and 2012. Layoffs were associated with decreases in reported injuries (−0.006, 95% CI −0.013, 0.001), and increased probability of outpatient visits (0.010, 95% CI 0.003, 0.017) and prescriptions (0.014, 95% CI −0.0006, 0.027) for mental health. Among men, injury risk decreased more substantially (−0.010, 95% CI −0.018,–0.001) and among women the increase in outpatient visits was more pronounced (0.017, 95% CI 0.003, 0.031). Most notably, the observed increase in prescription utilization appeared attributable primarily to increased frequency of opioid prescriptions (0.016 95% CI 0.005–0.027).ConclusionOur results indicate an association between layoffs and remaining workers’ mental health and safety. However, decreased injury may reflect changes in reporting practices, and changes mental healthcare utilization may reflect changes in care-seeking. Future research on concordance of service utilization and underlying health and safety may yield valuable insight into the experiences employed workers in the wake of layoffs.

scholarly journals The crucible of co-production: Case study interviews with Recovery College practitioner trainers

2019 ◽  
Vol 78 (8) ◽  
pp. 977-987
Author(s):  
Mark Dalgarno ◽  
Jennifer Oates
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Single Site ◽  
Future Research ◽  
Service Users ◽  
Structured Interviews

Objectives: This study explored healthcare professionals’ accounts of being practitioner trainers in a mental health Recovery College, where they worked with peer trainers, who were people with lived experience of mental illness, to co-produce workshops for mental health service users and staff. The aim of this study was to understand the process of co-production in the Recovery College from the perspective of practitioner trainers. Design: Single-site case study. Setting: A Recovery College in the South of England, open to staff and service users from one mental health care provider organisation. Methods: Semi-structured interviews with eight mental healthcare professionals. Transcripts were thematically analysed. Results: A central image of ‘the workshop as crucible’ emerged from the three themes derived from the analysis. Co-facilitating the workshop was a ‘structured’ encounter, within which health professionals experienced ‘dynamism’ and change. For them, this involved experiences of ‘challenge and discomfort’. Conclusion: Findings from this study contribute to the evidence base for the evaluation of Recovery Colleges by focusing on the training impact on staff. Findings suggest that taking on a trainer role in Recovery College co-production is beneficial for healthcare professionals as well as mental health service users, especially if healthcare professionals are open to the dynamism and possible discomfort of these workshop encounters. Future research, however, should expand beyond single-site case studies to test the extent to which this metaphor and themes are appropriate to describing the ‘transformative’ element of co-production.

Finding Strength in the Struggle

2020 ◽  
pp. 195-219
Author(s):  
Loni Crumb ◽  
Madeline Clark ◽  
Susan M. Long
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Service Providers ◽  
Rural Poverty ◽  
Mental Healthcare ◽  
People Of Color ◽  
Future Research ◽  
Health And Wellbeing ◽  
Strength Based ◽  
Health Disorders

Poverty is an intersectional issue, as children; women; men; people of color; people who identify as lesbian, gay, or transgender; and immigrant groups are all prone to experience the multifaceted impact of poverty. People who live in rural poverty are likely to experience more severe and persistent mental health disorders. This chapter provides an overview of how rural poverty impacts the mental health and wellbeing of diverse children and families. The authors discuss issues faced by residents living in rural poverty and provide multiple strength-based strategies that behavioral service providers can use to provide culturally relevant mental healthcare in impoverished rural communities. Lastly, the authors offer suggestions for future research.

Finding Strength in the Struggle

2021 ◽  
pp. 1012-1036
Author(s):  
Loni Crumb ◽  
Madeline Clark ◽  
Susan M. Long
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Service Providers ◽  
Rural Poverty ◽  
Mental Healthcare ◽  
People Of Color ◽  
Future Research ◽  
Health And Wellbeing ◽  
Strength Based ◽  
Health Disorders

Poverty is an intersectional issue, as children; women; men; people of color; people who identify as lesbian, gay, or transgender; and immigrant groups are all prone to experience the multifaceted impact of poverty. People who live in rural poverty are likely to experience more severe and persistent mental health disorders. This chapter provides an overview of how rural poverty impacts the mental health and wellbeing of diverse children and families. The authors discuss issues faced by residents living in rural poverty and provide multiple strength-based strategies that behavioral service providers can use to provide culturally relevant mental healthcare in impoverished rural communities. Lastly, the authors offer suggestions for future research.

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