scholarly journals Protocol for a mixed studies systematic review on the implementation of the recovery approach in adult mental health services

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017080 ◽  
Author(s):  
Myra Piat ◽  
Eleni Sofouli ◽  
Judith Sabetti ◽  
Angella Lambrou ◽  
Howard Chodos ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Financial Burden ◽  
Health Planning ◽  
Empirical Studies ◽  
Cochrane Library ◽  
Recovery Orientation

IntroductionRecovery is integral to mental health planning in G-8 countries including Canada. A recovery-oriented approach to care aims to promote personal empowerment, illness self-management and a life beyond services for people with serious mental illness (SMI), while reducing the financial burden associated with mental illness. Although there is a growing body of literature on recovery, no synthesis of research on the implementation of recovery into mental health services exists.ObjectivesThe objective is to conduct a mixed studies systematic review on the operationalisation of recovery into mental health services for adults with SMI. It will inform the transformation of Canadian services to a recovery orientation, but may be applicable to other countries.Methods and analysisSeven databases including PubMed, Ovid Medline, Ovid Embase, Ovid PsycInfo, CINAHL, the Cochrane Library and Scopus will be searched for peer-reviewed empirical studies published from 1998 to December 2016. Systematic reviews and studies using quantitative, qualitative and mixed methodologies will be included. Secondary searches will be conducted in reference lists of all selected full text articles. Handsearches will also be performed in the tables of contents of three recovery-focused journals for the last 5 years. International experts in the field will be contacted for comments and advice. Data extraction will include identification and methodological synthesis of each study; definition of recovery; information on recovery implementation; facilitators and barriers and study outcomes. A quality assessment will be conducted on each study. The data will be synthesised and a stepwise thematic analysis performed.Ethics and disseminationEthics approval is not required for this knowledge synthesis. Findings will be disseminated through knowledge translation activities including: (1) a 1-day symposium; (2) presentations in national and international conferences and to local stakeholders; (3) publications in peer-reviewed journals; (4) posts on the organisational websites.

Measures of the recovery orientation of mental health services: systematic review

2012 ◽  
Vol 47 (11) ◽  
pp. 1827-1835 ◽  
Author(s):  
J. Williams ◽  
M. Leamy ◽  
V. Bird ◽  
C. Harding ◽  
J. Larsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Health Services ◽  
Recovery Orientation

scholarly journals Barriers to accessing mental health services for women with perinatal mental illness: systematic review and meta-synthesis of qualitative studies in the UK

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e024803 ◽  
Author(s):  
Megan Sambrook Smith ◽  
Vanessa Lawrence ◽  
Euan Sadler ◽  
Abigail Easter
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Care Pathway ◽  
Healthcare Providers ◽  
Qualitative Studies ◽  
Health Concern ◽  
The Uk

ObjectiveLack of access to mental health services during the perinatal period is a significant public health concern in the UK. Barriers to accessing services may occur at multiple points in the care pathway. However, no previous reviews have investigated multilevel system barriers or how they might interact to prevent women from accessing services. This review examines women, their family members’ and healthcare providers’ perspectives of barriers to accessing mental health services for women with perinatal mental illness in the UK.DesignA systematic review and meta-synthesis of qualitative studies.Data sourcesQualitative studies, published between January 2007 and September 2018, were identified in MEDLINE, PsycINFO, EMBASE and CINAHL electronic databases, handsearching of reference lists and citation tracking of included studies. Papers eligible for inclusion were conducted in the UK, used qualitative methods and were focused on women, family or healthcare providers working with/or at risk of perinatal mental health conditions. Quality assessment was conducted using the Critical Appraisal Skills Programme for qualitative studies.ResultsOf 9882 papers identified, 35 studies met the inclusion criteria. Reporting of emergent themes was informed by an existing multilevel conceptual model. Barriers to accessing mental health services for women with perinatal mental illness were identified at four levels: Individual (eg, stigma, poor awareness), organisational (eg, resource inadequacies, service fragmentation), sociocultural (eg, language/cultural barriers) and structural (eg, unclear policy) levels.ConclusionsComplex, interlinking, multilevel barriers to accessing mental health services for women with perinatal mental illness exist. To improve access to mental healthcare for women with perinatal mental illness multilevel strategies are recommended which address individual, organisational, sociocultural and structural-level barriers at different stages of the care pathway.PROSPERO registration numberCRD42017060389.

scholarly journals To What Extent Can Digitally-Mediated Team Communication in Children’s Physical Health and Mental Health Services Bring about Improved Outcomes? A Systematic Review

2021 ◽  
Author(s):  
Lauren Stephanie Jones ◽  
Ailsa Russell ◽  
Emma Collis ◽  
Mark Brosnan
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Outcomes ◽  
Digital Communication ◽  
Cochrane Library ◽  
Team Communication ◽  
Specialist Care ◽  
High Quality Research

AbstractDigital communication technologies can be used for team consultation, case management, and information sharing in health and mental health services for children and young people (CYP). The objective of the systematic review was to investigate the evidence as to whether digitally-mediated team communication for CYP improves outcomes. We searched PsycINFO, PubMed, Web of Science, and Cochrane Library for relevant studies. Results were synthesised narratively. Seven studies were identified from 439 initial records. Analysis highlighted that digitally-mediated team communication is generally valued by professionals for supporting practice and that there is overall satisfaction with the process. There was preliminary evidence (from one study) that clinical outcomes from digitally-mediated team communication are comparable to those achieved by a collaborative service model with direct specialist care to service users via digital communication technology. There is a need for further high-quality research into clinical outcomes and service user experience, as well as financial implications.

scholarly journals Mental health support services for medical students: a systematic review

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Maryana Guimarães de Morais ◽  
Isabella Morais Arantes de Oliveira e Silva ◽  
Estela Ribeiro Versiani ◽  
Claudia Cardoso Gomes da Silva ◽  
Ana Socorro de Moura
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Medical Students ◽  
Mental Health Services ◽  
Health Services ◽  
Support Services ◽  
Cochrane Library ◽  
Multidisciplinary Teams ◽  
Mental Health Support ◽  
Health Support

Abstract: Introduction: Considering the high prevalence of mental health problems among medical students, medical schools should be ethically committed to promote student’s mental health, offering health services and prevention strategies. Objective: The objective of this systematic review is to identify scientific publications on mental health services offered by Brazilian universities to medical students, as well as the professionals involved and the types of interventions most often offered. Method: Systematic literature review, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). The Scielo, PubMed/Medline, Lilacs, ERIC, The Cochrane Library and CAPES databases were searched for studies published until August 2020, as well as theses and dissertations. The studies were screened, selected, analyzed and relevant data were extracted by two independent reviewers. Results: 16 studies were included. The identified mental health services resort to different strategies towards a common goal of promoting medical students’ mental health. The interventions most frequently found in these services are brief psychotherapy, psychiatric care, psychological-educational guidance and mentoring programs. Most services were created to attend medical students and some of these have been extended to other undergraduate students. In the analyzed services, there is a predominance of multidisciplinary teams, which differ regarding the number and categories of professionals involved. Conclusion: Mental health support services for medical students in Brazil differ both in terms of how they work within the institutions and in terms of the involved professionals. It was observed that publications on these services are scarce when compared to the number of institutions that offer the undergraduate medical course in Brazil. Aiming to expand and consolidate actions aimed at promoting medical students’ mental health in Brazilian higher education institutions, further research on this topic is required.

The Current Situation in Psychiatry and its Effects on the Delivery of Mental Health Services in the Next Decade

1971 ◽  
Vol 2 (2) ◽  
pp. 138-145 ◽  
Author(s):  
William J. Horvath
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Behavioral Treatment ◽  
Additional Data ◽  
Current Knowledge ◽  
Medical Model ◽  
Behavioral Disorder ◽  
Treatment Alternative

As long as mental illness is regarded as primarily a behavioral disorder, current and foreseeable manpower shortages in psychiatry make it necessary to increase the participation of nonmedical personnel in the treatment process. The controversy between those advocating behavioral treatment and those favoring the medical model cannot be resolved due to the fact that our current knowledge of the biologic roots of mental illness is inadequate. A breakthrough in research in this area could resolve the argument and solve the manpower problem by transferring psychiatric disorders into physiologic disease susceptible to medical treatment. Alternative models for the delivery of mental health services can be developed to allow for different possibilities in the outcome of research. Additional data is needed, especially on the costs and effectiveness of future therapies, before an evaluation of programs can be carried out.

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