Addressing Urban Disorder without Police: How Seattle's LEAD Program Responds to Behavioral‐Health‐Related Disruptions, Resolves Business Complaints, and Reconfigures the Field of Public Safety

Law & Policy ◽  
2021 ◽  
Author(s):  
Forrest Stuart ◽  
Katherine Beckett
Keyword(s):  
Behavioral Health ◽  
Public Safety ◽  
Health Related ◽  
Urban Disorder

Follow-Up Care After Behavioral Health-Related Hospitalization for Children and Adolescents

2020 ◽  
Vol 56 (8) ◽  
pp. 1419-1428
Author(s):  
Sean Lynch ◽  
Whitney Witt ◽  
Mir M. Ali ◽  
Judith Teich ◽  
Ryan Mutter ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Behavioral Health ◽  
Follow Up Care ◽  
Health Related

scholarly journals Phone Consultation for Behavioral Health–Related Referrals in Integrated Primary Care

2015 ◽  
Vol 6 (4) ◽  
pp. 260-263 ◽  
Author(s):  
Rachel J. Valleley ◽  
Jeffrey F. Hine ◽  
Ann Clare ◽  
Joseph H. Evans
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Integrated Primary Care ◽  
Health Related

scholarly journals Intention to Use Behavioral Health Data from a Health Information Exchange: A Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Randyl A. Cochran ◽  
Sue S. Feldman ◽  
Nataliya V. Ivankova ◽  
Allyson G. Hall ◽  
William Opoku-Agyeman
Keyword(s):  
Behavioral Health ◽  
Health Information ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Health Data ◽  
Mixed Methods Study ◽  
Intention To Use ◽  
Coordinated Care ◽  
Related Information ◽  
Health Related

BACKGROUND Patients with co-occurring behavioral health and chronic medical conditions frequently overutilize inpatient hospital services. This pattern of overuse contributes to inefficient healthcare spending. These patients require coordinated care to achieve optimal health outcomes. However, the poor exchange of health-related information between various clinicians renders the delivery of coordinated care challenging. Health information exchanges (HIEs) facilitate health-related information sharing and have been shown to be effective in chronic disease management, but their effectiveness in the delivery of integrated care is less clear. It is prudent to consider new approaches to sharing both general medical and behavioral health information. OBJECTIVE We identified and described factors that influence the intention to use behavioral health information that is shared through HIEs. METHODS A mixed methods study consisting of two phases was conducted. A validated survey instrument was emailed to clinical and non-clinical staff in Alabama and Oklahoma. The survey captured information about the impact of predictors on the intention to use behavioral health data in clinical decision-making. Follow-up interviews were conducted with a subsample of participants to understand the survey results better. Partial least squares structural equation modeling (PLS-SEM) was used to analyze survey data. Thematic analysis was used to identify themes from the interviews. RESULTS Sixty-two participants completed the survey. 62.91% of the participants were clinicians. Performance expectancy (β= .382, P= .01) and trust (β= .539, P= .00) predicted intention to use behavioral health information shared via HIEs. Interviewees expressed that behavioral health information could be useful in clinical decision-making. However, privacy and confidentiality concerns discourage sharing this information, and it is generally missing from the patient record altogether. The interviewees (n= 5) also stated that training for HIE use was not mandatory, and the training that was provided did not focus on the exchange of behavioral health information specifically. CONCLUSIONS Despite barriers, individuals are willing to use behavioral health information from HIEs if they believe that it will enhance job performance and if the information being transmitted is trustworthy. The findings contribute to our understanding of the role HIEs can play in delivering integrated care, particularly to vulnerable patients.

scholarly journals Pediatric Behavioral Health-Related EMS Encounters: A Statewide Analysis

2019 ◽  
Vol 23 (5) ◽  
pp. 654-662 ◽  
Author(s):  
Jennifer N. Fishe ◽  
Sean Lynch
Keyword(s):  
Behavioral Health ◽  
Health Related

scholarly journals THE IMPACT OF PARTICIPATION IN SOCIAL HEALTH NETWORKS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S661-S661
Author(s):  
Anna Faul ◽  
Mona Huff ◽  
Samantha G Cotton ◽  
Pamela Yankeelov ◽  
Joe D’Ambrosio ◽  
...  
Keyword(s):  
Rural Communities ◽  
Behavioral Health ◽  
Self Care ◽  
Behavioral Health Care ◽  
Social Health ◽  
Health Networks ◽  
Health Related ◽  
Healthcare Professions ◽  
Behavioral Health Workforce ◽  
The Impact

Abstract Stress and compassionate fatigue are common among graduate level students working in healthcare professions, however, few studies focus on preventative self-care and its’ impact on these learners. As part the University of Louisville’s Behavioral Health Workforce Enhancement Training Program (BHWET), graduate students are trained to work with older adults in rural communities. The focus of our BHWET program is to provide holistic, behavioral health care through our FlourishCare Network. As part of the student’s weekly curriculum, an interdisciplinary group of learners from counseling psychology, social work and psychiatric nursing were invited to the attend the sessions were invited to participate in a 2-semester Microclinics and Health Matters course that was designed to promote self-care and harness the power of social networks to promote health. A total of 15 students completed the program. Biomarkers including BMI, Cholesterol, A1C, Blood Pressure were taken every week time the course was offered. Cortisol levels were taken every 4 months to measure stress levels. Across the initial 12 weeks of programming, there were positive outcomes for the participants in terms of either maintenance of healthy goals or biomarkers. Additionally, the program had an impact on the older adult clients that were being served by the students compared to students that did not participant. In a review of the plan of care items, which is central to our work with FlourishCare clients, plan of care items showed a stronger focus on connecting clients to social health interventions and a stronger connection to education about health-related content.

Efficacy of an adaptive kayaking intervention for improving health-related quality of life among wounded, ill, and injured service members

2013 ◽  
Vol 12 (3) ◽  
pp. 8-16
Author(s):  
Matthew R. Scherer, PT, PhD, NCS ◽  
Daniel M. Gade, PhD ◽  
Kathleen E. Yancosek, PhD, OTR/L, CHT
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Behavioral Health ◽  
Statistical Significance ◽  
Well Being ◽  
Service Members ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Adaptive sports are popular within military and civilian rehabilitation communities as a means to promote fitness, independence, self-efficacy, and return to participation in life roles. Although widely prescribed, there is little evidence to demonstrate the efficacy of such interventions. This study surveyed 40 wounded, ill, and injured active duty and veteran service members (SMs) who participated in a week-long adaptive kayaking program. Validated health-related quality of life instruments assessing physical and behavioral health domains following trauma were administered before and after participation in a week-long adaptive kayaking trip. Postintervention analysis of these measures revealed clinically significant improvements in depression (+7 percent), anxiety (+5 percent), posttraumatic stress disorder (+4 percent), and social interaction (+7 percent) subscales on the Trauma Outcome Profile (TOP) which trended toward, but did not achieve, statistical significance. Analysis of Veterans RAND (VR-12) data revealed a mean four-point improvement in participant mental health component summary (MCS) scores (p _ 0.05) following intervention indicating clinically and statistically significant improvement in behavioral health symptoms. No improvement was observed on the mean postintervention physical health component summary (PCS) score suggesting minimal short-term effects of kayaking on self-assessment of physical well-being. In aggregate, findings from this study suggest that adaptive kayaking may be an effective intervention to remediate behavioral health sequelae commonly experienced by SM following trauma. Future research should explore the effectiveness of adaptive kayaking relative to standard of care clinical rehabilitation strategies to optimize physical as well as mental health outcomes.

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