Comparative Effectiveness of Collaborative Chronic Care Models for Mental Health Conditions Across Primary, Specialty, and Behavioral Health Care Settings: Systematic Review and Meta-Analysis

2012 ◽  
Vol 169 (8) ◽  
pp. 790-804 ◽  
Author(s):  
Emily Woltmann ◽  
Andrew Grogan-Kaylor ◽  
Brian Perron ◽  
Hebert Georges ◽  
Amy M. Kilbourne ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Comparative Effectiveness ◽  
Chronic Care ◽  
Meta Analysis ◽  
Behavioral Health Care ◽  
Health Conditions ◽  
Health Care Settings ◽  
Primary Specialty ◽  
Care Models

scholarly journals Collaborative Chronic Care Models for Mental Health Conditions

Medical Care ◽  
2013 ◽  
Vol 51 (10) ◽  
pp. 922-930 ◽  
Author(s):  
Christopher J. Miller ◽  
Andrew Grogan-Kaylor ◽  
Brian E. Perron ◽  
Amy M. Kilbourne ◽  
Emily Woltmann ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Care ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Care Models

scholarly journals Effectiveness of eHealth interventions for reducing mental health conditions in employees: A systematic review and meta-analysis

PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0189904 ◽  
Author(s):  
Elizabeth Stratton ◽  
Amit Lampit ◽  
Isabella Choi ◽  
Rafael A. Calvo ◽  
Samuel B. Harvey ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Meta Analysis ◽  
Health Conditions ◽  
Mental Health Conditions

scholarly journals A systematic review and meta-analysis of group peer support interventions for people experiencing mental health conditions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Natasha Lyons ◽  
Chris Cooper ◽  
Brynmor Lloyd-Evans
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Services ◽  
Peer Support ◽  
Support Groups ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Meta Analyses

Abstract Background Peer support is being integrated within mental health services to further the development of a recovery approach. However, the most effective models and formats of intervention delivery are unknown. We conducted this systematic review and meta-analysis to determine the effectiveness of peer support for improving outcomes for people with lived experience of mental health conditions, when delivered as group interventions. Methods Studies reporting randomised controlled trials of group peer support interventions for people experiencing mental health conditions were identified by searching MEDLINE, PsycINFO, Embase and Cochrane CENTRAL, from inception until July 12th 2019 and undertaking supplementary searches. Included studies were assessed for risk of bias and meta-analyses were conducted if three or more trials provided usable data. Results Eight trials met eligibility criteria, providing data from 2131 participants. Six trials had either high or unclear risk of bias. Interventions were categorised as mutual support groups, or peer support groups, sub-categorised as anti-stigma or self-management interventions. Meta-analyses were only possible for peer support groups and five outcomes. We found evidence that group peer support may make small improvements to overall recovery but not hope or empowerment individually, or to clinical symptoms. Evidence for effectiveness for outcomes which could not be meta-analysed was mixed. Conclusions Findings from the few eligible trials suggest group peer support interventions may be specifically effective for supporting personal recovery and have a limited impact on other outcomes, though there were some risks of bias to study findings. Interventions were heterogeneous and most social outcomes were absent in the literature, highlighting further limitations to the current evidence-base. There is insufficient evidence available from trials of group peer support torecommend the routine implementation of these interventions across mainstream mental health services at present. More high-quality trials of peer-developed, group peer support interventions are needed in order tomake firm conclusions about intervention effectiveness.

scholarly journals Shared Care Models in the Treatment of Pediatric Attention-Deficit/Hyperactivity Disorder (ADHD)

2018 ◽  
Vol 5 ◽  
pp. 233339281876288 ◽  
Author(s):  
Meshal A. Sultan ◽  
Carlos S. Pastrana ◽  
Kathleen A. Pajer
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Attention Deficit Hyperactivity Disorder ◽  
Effect Size ◽  
Attention Deficit ◽  
Collaborative Care ◽  
Meta Analysis ◽  
Care Providers ◽  
Hyperactivity Disorder ◽  
Care Models

Objectives: The aim of this review is to evaluate the effectiveness of shared/collaborative care between mental health-care providers and primary care providers (PCPs) on the outcomes of children and adolescents with attention-deficit/hyperactivity disorder (ADHD). This evaluation will be very helpful in the allocation of ADHD resources for models with the strongest evidence. Methods: Using the Preferred Reporting Items for Systematic Review and Meta-analysis statement, we searched for randomized controlled trials, cohort, case–control, and cross-sectional studies on shared/collaborative care models in the treatment of ADHD. Using MEDLINE, PsycINFO, and CENTRAL databases from January 2000 to December 2016, we retrieved English language articles for review. The validation search identified 75 records. Five studies met the inclusion criteria and were analyzed in this systematic review. There were insufficient data for a meta-analysis. The included studies involved 655 children and adolescents who had a diagnosis of ADHD. The Cochrane Collaboration’s tool for assessing risk of bias was used to estimate bias. Results: Overall, the results show that the effects of shared/collaborative care models were small to moderate (effect size: 0.1-0.6, P = .04) on symptom rating scales, but all positively affected functional outcomes (effect size: 0.3-0.7, P = .04-.01). The data indicated that the models were associated with increased PCPs’ comfort levels, but the evidence for increased capacity for diagnosing and managing ADHD was weaker. Conclusions: This review concludes that the current studies do not show strong evidence for the outcome of collaboration between PCPs and mental health professionals on ADHD management. Future research should consider providing education to PCPs on management guidelines prior to conducting the trials, and more innovation is needed to discover methods of collaboration that affect the direct care of ADHD.

scholarly journals Effectiveness of vocational interventions for gaining paid work for people living with mild to moderate mental health conditions: systematic review and meta-analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e039699
Author(s):  
Joanna K Fadyl ◽  
David Anstiss ◽  
Kirk Reed ◽  
Mariya Khoronzhevych ◽  
William M M Levack
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Vocational Rehabilitation ◽  
Usual Care ◽  
Meta Analysis ◽  
Health Conditions ◽  
Competitive Employment ◽  
Paid Work ◽  
Mental Health Conditions ◽  
Quality Evidence

ObjectivesTo evaluate the effectiveness of vocational interventions to help people living with mild to moderate mental health conditions gain paid work.MethodsSystematic review of international, peer-reviewed literature. Development of the prepublished protocol and search strategy was done in consultation with stakeholder reference groups consisting of people with lived experience of long-term conditions, advocates and clinicians. We searched academic databases MEDLINE, EMBASE, PsychINFO, AMED, CINAHL, Proquest Dissertations and Theses database, and Business Source Complete for controlled trials comparing a specific vocational intervention against a control intervention or usual care, published between 1 January 2004 and 1 August 2019. Two authors independently screened search results, extracted data and appraised studies using the Cochrane risk of bias tool.ResultsEleven studies met inclusion criteria. Seven studies investigated Individual Placement and Support (IPS) modified for people who were not in intensive mental health treatment services. These studies occurred settings such as community vocational rehabilitation services, a housing programme and community mental health services. The studies provided very low quality evidence that people who receive IPS-style vocational rehabilitation are more likely to gain competitive employment than people who receive usual care (risk ratio 1.70, 95% CI 1.23 to 2.34, seven studies, 1611 participants). The remaining four studies considered cognitive behavioural therapy or specific vocational rehabilitation interventions designed to fit a unique context. There was insufficient evidence from these studies to draw conclusions regarding the effectiveness of non-IPS forms of vocational rehabilitation for people with mild to moderate mental health conditions.DiscussionThe meta-analysis showed a clear intervention effect but low precision, and more high-quality studies are needed in this field. There is currently very low quality evidence that IPS-style intervention results in more participants in competitive employment compared with ‘usual care’ control groups in populations with mild to moderate mental health conditions.

scholarly journals Effectiveness of chronic care models for the management of type 2 diabetes mellitus in Europe: a systematic review and meta-analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (3) ◽  
pp. e013076 ◽  
Author(s):  
Brenda W C Bongaerts ◽  
Karsten Müssig ◽  
Johan Wens ◽  
Caroline Lang ◽  
Peter Schwarz ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Chronic Care ◽  
Meta Analysis ◽  
Care Models

scholarly journals A systematic review and meta-analysis of the Endometriosis and Mental-Health Sequelae; The ELEMI Project

2021 ◽  
Vol 17 ◽  
pp. 174550652110197
Author(s):  
Gayathri Delanerolle ◽  
Rema Ramakrishnan ◽  
Dharani Hapangama ◽  
Yutian Zeng ◽  
Ashish Shetty ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Outcomes ◽  
Chronic Pelvic Pain ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Mental Health Disorders ◽  
Mental Health Outcomes ◽  
Health Conditions ◽  
Health Disorders

Background: It is important to evaluate sequalae for complex chronic health conditions such as endometriosis and mental health disorders. Endometriosis impacts 1 in 10 women. Mental health outcomes can be a primary determinant in many physical health conditions although this is an area not well researched particularly in women’s health. This has been problematic for endometriosis patients in particular, who report mental health issues as well as other key comorbidities such as chronic pelvic pain and infertility. This could be partly due to the complexities associated with comprehensively exploring overlaps between physical and mental health disorders in the presence of multiple comorbidities and their potential mechanistic relationship. Methods: In this evidence synthesis, a systematic methodology and mixed-methods approaches were used to synthesize both qualitative and quantitative data to examine the prevalence of the overlapping sequalae between endometriosis and psychiatric symptoms and disorders. As part of this, an evidence synthesis protocol was developed which included a systematic review protocol that was published on PROSPERO (CRD42020181495). The aim was to identify and evaluate mental health reported outcomes and prevalence of symptoms and psychiatric disorders associated with endometriosis. Findings: A total of 34 papers were included in the systematic review and 15 were included in the meta-analysis. Anxiety and depression symptoms were the most commonly reported mental health outcomes while a pooled analysis also revealed high prevalence of chronic pelvic pain and dyspareunia. Interpretation: It is evident that small-scale cross-sectional studies have been conducted in a variety of settings to determine mental health outcomes among endometriosis patients. Further research is required to comprehensively evaluate the mental health sequalae with endometriosis.

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