Care Coordination for Youth With Mental Health Disorders in Primary Care

2017 ◽  
Vol 57 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Katherine Hobbs Knutson ◽  
Mark J. Meyer ◽  
Nisha Thakrar ◽  
Bradley D. Stein
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Coordination ◽  
Child Protective Services ◽  
Mental Health Disorders ◽  
Specialty Care ◽  
Health Providers ◽  
Protective Services ◽  
Primary Care Settings ◽  
Health Disorders

Many children are treated for mental health disorders in primary care settings. The system of care (SOC) provides a framework for collaboration among pediatric mental health providers, but it is unclear if youth treated for mental health disorders in primary care receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 for 74 individuals ≤18 years, the odds of contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared for mental health treatment in primary versus specialty care. The odds of SOC contact within primary care were lower compared to specialty care (OR = 0.43, 95% CI = 0.29-0.66), specifically for mental health (OR = 0.54, 95% CI = 0.25-1.2), education (OR = 0.12, 95% CI = 0.050-0.28), and child protective services (OR = 0.64, 95% CI = 0.22-1.9). As care coordination may improve health outcomes, increased support and education for care coordination specific to youth treated for mental health disorders in primary care settings may be warranted.

The Role of Symptoms in the Recognition of Mental Health Disorders in Primary Care

2003 ◽  
Vol 44 (5) ◽  
pp. 402-406 ◽  
Author(s):  
János Füredi ◽  
Sándor Rózsa ◽  
János Zámbori ◽  
Erika Szádóczky
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Disorders ◽  
Health Disorders

scholarly journals Patient engagement, autonomy, access to mental care services – the case for integrated care in Crete

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Petelos ◽  
M Papadakaki ◽  
C Lionis
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Rural Areas ◽  
Common Ground ◽  
Local Governance ◽  
Mental Health Disorders ◽  
Care Services ◽  
Interdisciplinary Approaches ◽  
Health And Social Care ◽  
Health Disorders

Abstract Access to comprehensive primary care (PC) services is imperative to address the complex biopsychosocial needs of patients with mental illness and their families, while it holds the potential to safeguard mental health and enhance resilience in communities. Integration of mental health and social care services in primary care has not yet been achieved, while access to such services for the mentally ill is still hindered by patient-, provider- and system-oriented barriers. Improving service integration, quality and access requires active engagement of patients and families in the design and planning of services. Interprofessional collaboration, interdisciplinary approaches and sound deliberative processes are only the start of initiating discussions to establish the needs of local communities. Mapping care paths, involving stakeholders and engaging in practice-based research are impeded by the organisation and design of care provision, including siloed processes and semantic ambiguity in establishing common ground. Academic centres ought to act as hubs for bringing together all actors, creating living labs and addressing the needs of people in urban and rural areas. The case study from Crete will focus on the following questions: What actions are needed to improve access of people with mental health disorders to PC services and how could PC mediate effective communication with mental health services?To what extent people with mental health disorders experience violence, abuse or discriminatory behaviour in PC?To what extent PC services recognize and facilitate autonomy, self-determination and inclusion of people with mental health disorders?To what extent stakeholders and PC services engage people with mental health disorders in decision making process and local governance?To what extent educational interventions for PC practitioners could result in the reduction of discriminatory behaviour and safeguard the dignity among people with mental health disorders?

Widowhood and Mental Health: Social Predictors of Mental Health Disorders Among Widows

2021 ◽  
pp. 105413732110541
Author(s):  
Brown C. Taylor ◽  
Jordan Harrold
Keyword(s):  
Mental Health ◽  
Mental Health Disorders ◽  
First Year ◽  
Mental Health Providers ◽  
Health Providers ◽  
Psychosocial Needs ◽  
Post Traumatic Stress ◽  
Social Predictors ◽  
Health Disorders ◽  
The Relationship

This study examines the relationship between three common mental health disorders—anxiety, depression, and post-traumatic stress disorder—in the first year of spousal bereavement and a myriad of social factors—including the security of health insurance and the presence of children at home—among those who have been widowed. We analyzed a novel survey of 503 widows who had participated in the Modern Widows’ Club Widows Empowerment Event. We then used logistic regression to investigate the relationship between these variables, discovering nuance between them. Our findings further elucidate the need for health and mental health providers to be attuned to the unique psychosocial needs of widows, especially among the first year of widowhood.

scholarly journals A Review Article on Internet-based Psychological Interventions in Primary Care. What is the Global Experience? How Reliable are Results from RCTs? Lessons Learned from the European, US and Australian Case Studies

2018 ◽  
Vol 8 (2) ◽  
pp. 145-163 ◽  
Author(s):  
Melita Sogomonjan ◽  
Tanel Kerikmäe ◽  
Pille Ööpik
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cognitive Behavioural Therapy ◽  
Real Life ◽  
Mental Health Disorders ◽  
Behavioural Therapy ◽  
Lessons Learned ◽  
Cognitive Behavioural ◽  
Health Disorders ◽  
Use Of Internet

AbstractIn the context of the EU’s Digital Single Market (eHealth) Strategy, the deployment of digital tools for patients’ empowerment and person-centred care is of high demand and importance. Shifting from treatment to health promotion and disease prevention, a variety of internet-based cognitive behavioural therapy programmes have been proven to be effective for managing common mental health disorders in secondary care even hough the effectiveness and the clinical use of internet-based cognitive behavioural therapy programmes alone in primary care have not been approved yet. Additionally, such interventions are neither included in the international clinical guidelines for treating common mental health disorders nor regulated by Member States as a healthcare service. Despite that, the UK National Health Service and the Swedish National Board of Health and Welfare endorse the use of internet-based cognitive behavioural therapy as a first treatment option. The aim of this research is to investigate the global experience of internet-based cognitive behavioural therapy programmes in controlled and real-life conditions in general practice and to evaluate the reliability of the results and concomitantly their compliance with the European Commission’s eHealth Strategy. A systematic review of quantitative studies was conducted from January 2007 to December 2017. The results indicated that unsupported internet-based cognitive behavioural therapy programmes alone are less effective than combined therapy options for treatment purposes, if no additional therapy is prescribed. Guided internet-based cognitive behavioural therapy may supplement traditional treatment methods resulting in improving the control of mental disorders, but are unable to demonstrate consistent quality or replace face-to-face therapy.

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