Optimization of community-based mental health services: a systematic review

2020 ◽  
Vol 25 (3) ◽  
pp. 221-239
Author(s):  
Ahmad Anas Almi ◽  
Jamilah Hanum Abdul Khaiyom
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Health Services ◽  
Health Systems ◽  
Health Centre ◽  
Mental Health Systems ◽  
Community Based ◽  
Content Type ◽  
Facilitating Factors

Purpose This paper aims to review the literature of community-based mental health services (CMHS) optimization in Malaysia that focus on the aspects of perceived challenges or barriers and facilitating factors for community-based mental health centre (CMHC). Design/methodology/approach Relevant peer-reviewed literature was identified and being reviewed in three databases and one local journal. Findings Nine studies were eligible for inclusion and the extracted data were summarized into a narrative review. The evidence provided for what constituting an optimal implementation of CMHS in Malaysia appeared lacking. However, there are adequate recommendations and suggestions on the component of facilitating factors; on how to increase service user’s engagement towards the improvement of mental health systems. Research limitations/implications Research in the literature had focussed on the optimization aspects from the perspective of the service user. Additionally, this had been discussed through the lens of a variety of mental health systems and not specifically on the community-based perspectives. Originality/value This current systematic review provides valuable and important evidence that further explorations of the existing experiences of the mental health care professionals in delivering CMHS in Malaysia CMHC. The review serves as the foundation for future research to explain the local explanatory framework on what are the best practise models for local CMHS.

Mental health services: the African gap

2014 ◽  
Vol 13 (3) ◽  
pp. 132-141 ◽  
Author(s):  
Claire Wilson ◽  
Mohammad Taghi Yasamy ◽  
Jodi Morris ◽  
Atieh Novin ◽  
Khalid Saeed ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Systems ◽  
World Health ◽  
Treatment Gap ◽  
Mental Health Systems ◽  
African Countries ◽  
Content Type ◽  
The World

Purpose – Neuropsychiatric disorders account for a substantial proportion of disease burden and disability in Africa. Despite this, mental health systems are under-resourced in Africa, as in most parts of the world, creating a “treatment gap” and denying the African population the right to mental health achieved through access to mental health services. The paper aims to discuss these issues. Design/methodology/approach – The mental health systems of African countries were compared with figures for all low- and middle-income countries (LAMICS) using data from the World Health Organization Assessment Instrument for Mental Health Systems. Comparable global figures were also available for some indicators from the WHO's World Mental Health Atlas 2011. Findings – Selected indicators of mental health systems are presented for 14 African countries and shows that they are lower as compared to figures for all other LAMICS and also global figures. The treatment gap for mental disorders is much higher in Africa than comparable global figures. For example, the treatment gap for mood disorders has been estimated from 95 to 100 per cent for some African countries. Originality/value – There is an imbalance between need and service provision in the area of mental health across the world but particularly in Africa. Despite this, there are a greater number of outpatient than inpatient services in Africa which provides an opportunity for development of community-based services. There are also many encouraging examples of effective approaches to reducing the burden of neuropsychiatic disease in Africa.

scholarly journals Experiences of men with psychosis participating in a community-based football programme

2017 ◽  
Vol 45 (2) ◽  
pp. 100-111 ◽  
Author(s):  
Laura Moloney ◽  
Daniela Rohde
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Mental Health Services ◽  
Health Services ◽  
Occupational Therapy ◽  
Positive Impact ◽  
Physical And Mental Health ◽  
Community Based ◽  
Health Service Provision ◽  
Content Type

Purpose Physical activity is associated with both physical and mental health benefits for people with psychosis. However, mental health services have been criticised for failing to adequately promote physical activities. Occupational Therapy, with its focus on meaningful everyday occupations, is well placed to incorporate physical activity interventions. The purpose of this study was to explore the experiences of men with psychosis participating in an Irish community-based football programme. Design/methodology/approach Six men with psychosis participated in qualitative interviews. The interviews were audio-recorded and transcribed verbatim. Interview data were analysed thematically. Findings Participants identified many benefits of engaging in the programme. Football became a valued part of weekly routines and fostered re-engagement with previously valued roles. Participants identified improvements in social confidence and motor and process skills, as well as a positive impact on their mental and physical health. Originality/value This study highlights the value and meaning of participation in football for men with psychosis, as well as demonstrating the longer-term feasibility of football as a therapeutic medium in Occupational Therapy mental health service provision. Findings could help to promote the routine use of sports interventions to mental health services.

scholarly journals The balance of adult mental health care: provision of core health versus other types of care in eight European countries

2018 ◽  
Vol 29 ◽  
Author(s):  
G. Cetrano ◽  
L. Salvador-Carulla ◽  
F. Tedeschi ◽  
L. Rabbi ◽  
M. R. Gutiérrez-Colosía ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Health Systems ◽  
European Countries ◽  
Mental Health Systems ◽  
Term Care ◽  
Care Services

Abstract Aims Although many mental health care systems provide care interventions that are not related to direct health care, little is known about the interfaces between the latter and core health care. ‘Core health care’ refers to services whose explicit aim is direct clinical treatment which is usually provided by health professionals, i.e., physicians, nurses, psychologists. ‘Other care’ is typically provided by other staff and includes accommodation, training, promotion of independence, employment support and social skills. In such a definition, ‘other care’ does not necessarily mean being funded or governed differently. The aims of the study were: (1) using a standard classification system (Description and Evaluation of Services and Directories in Europe for Long Term Care, DESDE-LTC) to identify ‘core health’ and ‘other care’ services provided to adults with mental health problems; and (2) to investigate the balance of care by analysing the types and characteristics of core health and other care services. Methods The study was conducted in eight selected local areas in eight European countries with different mental health systems. All publicly funded mental health services, regardless of the funding agency, for people over 18 years old were identified and coded. The availability, capacity and the workforce of the local mental health services were described using their functional main activity or ‘Main Types of Care’ (MTC) as the standard for international comparison, following the DESDE-LTC system. Results In these European study areas, 822 MTCs were identified as providing core health care and 448 provided other types of care. Even though one-third of mental health services in the selected study areas provided interventions that were coded as ‘other care’, significant variation was found in the typology and characteristics of these services across the eight study areas. Conclusions The functional distinction between core health and other care overcomes the traditional division between ‘health’ and ‘social’ sectors based on governance and funding. The overall balance between core health and other care services varied significantly across the European sites. Mental health systems cannot be understood or planned without taking into account the availability and capacity of all services specifically available for this target population, including those outside the health sector.

scholarly journals European comparisons between mental health services

2011 ◽  
Vol 20 (1) ◽  
pp. 15-18 ◽  
Author(s):  
K. Wahlbeck
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Data Collection ◽  
Health Services ◽  
Mental Health Care ◽  
Health Systems ◽  
Health Data ◽  
World Health ◽  
Mental Health Systems

When developing accessible, affordable and effective mental health systems, exchange of data between countries is an important moving force towards better mental health care. Unfortunately, health information systems in most countries are weak in the field of mental health, and comparability of data is low.Special international data collection exercises, such as the World Health Organization (WHO) Atlas Project and the WHO Baseline Project have provided valuable insights in the state of mental health systems in countries, but such single-standing data collections are not sustainable solutions. Improvements in routine data collection are urgently needed. The European Commission has initiated major improvements to ensure harmonized and comprehensive health data collection, by introducing the European Community Health Indicators set and the European Health Interview Survey. However, both of these initiatives lack strength in the field of mental health. The neglect of the need for relevant and valid comparable data on mental health systems is in conflict with the importance of mental health for European countries and the objectives of the ‘Europe 2020’ strategy.The need for valid and comparable mental health services data is today addressed only by single initiatives, such as the Organisation for Economic Co-operation and Development work to establish quality indicators for mental health care. Real leadership in developing harmonized mental health data across Europe is lacking. A European Mental Health Observatory is urgently needed to lead development and implementation of monitoring of mental health and mental health service provision in Europe.

Lesbian, gay and bisexual individuals experience of mental health services - a systematic review

2020 ◽  
Vol 15 (2) ◽  
pp. 59-70 ◽  
Author(s):  
Geraldine McNamara ◽  
Charlotte Wilson
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Health Services ◽  
Minority Group ◽  
Future Research ◽  
Ethical Practice ◽  
Content Type ◽  
Mental Health Difficulties ◽  
And Bisexual

Purpose Lesbian, gay and bisexual (LGB) individuals experience higher rates of mental health difficulties in comparison to their heterosexual counterparts (Meyer, 2003; Plöderl and Tremblay, 2015). This is in part due to the experience of homophobia and stigmatisation within society. This discrimination has also been perpetuated within the mental health field, where LGB individual’s sexuality has been pathologised. In response to this historical stigmatisation a number of policies have been created to develop ethical practice while working with this minority group (APA, 2012; BPS, 2019; HSE, 2009; PSI, 2015). The purpose of this paper is to capture the experience of LGB individuals within mental health services and examine if these guidelines are being adhered to. Design/methodology/approach This study is a meta-narrative synthesis of 13 empirical papers, published between 1999 and 2019. Findings This study has found both negative and positive experiences of service users. The paper discusses major themes, implications for practice and directions for future research. Originality/value This is the first systematic review to look at the experiences of clients who have attended mental health services.

Effectiveness of Community-Based OT Mental Health Services for At-Risk Adolescents: A Systematic Review

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512520393p1-7512520393p1
Author(s):  
Levana Tabanpour ◽  
Angeli Gutierrez ◽  
Alyssa Mercado ◽  
Rachel Munyon
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
At Risk ◽  
Mental Health Services ◽  
Health Services ◽  
Low Socioeconomic Status ◽  
Positive Impact ◽  
Juvenile Detention ◽  
Community Based ◽  
At Risk Adolescents

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. At-risk adolescents tend to be of low socioeconomic status or have been in juvenile detention, which affects their mental health, leading to a decrease in occupational participation and performance. This systematic review examines the participation of at-risk adolescents in community-based OT mental health services and its positive impact on occupational engagement. Research within this scope of practice can yield more effective, evidence-based, and client-centered interventions. Primary Author and Speaker: Levana Tabanpour Contributing Authors: Angeli Gutierrez, Alyssa Mercado, and Rachel Munyon

A comparison between two community-based mental health services, Northern Italy and Northern Norway

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
D Pucci ◽  
F Amaddeo ◽  
A Rossi ◽  
G Rezvy ◽  
R Olstad ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Northern Italy ◽  
Community Based ◽  
Northern Norway
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