scholarly journals Patterns of Mental Health Care in Remote Areas: Kimberley (Australia), Nunavik (Canada), and Lapland (Finland): Modèles de soins de santé mentale dans les régions éloignées: Kimberley (Australie), Nunavik (Canada) et Laponie (Finlande)

2020 ◽  
Vol 65 (10) ◽  
pp. 721-730 ◽  
Author(s):  
Jose A. Salinas-Perez ◽  
Mencia R. Gutierrez-Colosia ◽  
Mary Anne Furst ◽  
Petra Suontausta ◽  
Jacques Bertrand ◽  
...  
Keyword(s):  
Mental Health ◽  
Nonprofit Organizations ◽  
Service Provision ◽  
Community Outreach ◽  
Pattern Of Care ◽  
Standard Pattern ◽  
Term Care ◽  
Remote Areas ◽  
Care Pattern ◽  
Day Services

Objective: Mental health (MH) care in remote areas is frequently scarce and fragmented and difficult to compare objectively with other areas even in the same country. This study aimed to analyze the adult MH service provision in 3 remote areas of Organization for Economic Cooperation and Development countries in the world. Methods: We used an internationally agreed set of systems indicators, terminology, and classification of services (Description and Evaluation of Services and DirectoriEs for Long Term Care). This instrument provided a standard description of MH care provision in the Kimberley region (Australia), Nunavik (Canada), and Lapland (Finland), areas characterized by an extremely low population density and high relative rates of Indigenous peoples. Results: All areas showed high rates of deprivation within their national contexts. MH services were mostly provided by the public sector supplemented by nonprofit organizations. This study found a higher provision per inhabitant of community residential care in Nunavik in relation to the other areas; higher provision of community outreach services in the Kimberley; and a lack of day services except in Lapland. Specific cultural-based services for the Indigenous population were identified only in the Kimberley. MH care in Lapland was self-sufficient, and its care pattern was similar to other Finnish areas, while the Kimberley and Nunavik differed from the standard pattern of care in their respective countries and relied partly on services located outside their boundaries for treating severe cases. Conclusion: We found common challenges in these remote areas but a huge diversity in the patterns of MH care. The implementation of care interventions should be locally tailored considering both the environmental characteristics and the existing pattern of service provision.

scholarly journals Patterns of Service Provision in Older People’s Mental Health Care in Australia

2020 ◽  
Vol 17 (22) ◽  
pp. 8516
Author(s):  
Hossein Tabatabaei-Jafari ◽  
Jose A. Salinas-Perez ◽  
Mary Anne Furst ◽  
Nasser Bagheri ◽  
John Mendoza ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Rural Health ◽  
Service Provision ◽  
Outpatient Care ◽  
Hospital Care ◽  
Term Care ◽  
Health Service Provision ◽  
Health Districts

Australia has a population of around 4 million people aged 65 years and over, many of whom are at risk of developing cognitive decline, mental illness, and/or psychological problems associated with physical illnesses. The aim of this study was to describe the pattern of specialised mental healthcare provision (availability, placement capacity, balance of care and diversity) for this age group in urban and rural health districts in Australia. The Description and Evaluation of Services and DirectoriEs for Long Term Care (DESDE-LTC) tool was used in nine urban and two rural health districts of the thirty-one Primary Health Networks across Australia. For the most part service provision was limited to hospital and outpatient care across all study areas. The latter was mainly restricted to health-related outpatient care, and there was a relative lack of social outpatient care. While both acute and non-acute hospital care were available in urban areas, in rural areas hospital care was limited to acute care. Limited access to comprehensive mental health care, and the uniformity in provision across areas in spite of differences in demographic, socioeconomic and health characteristics raises issues of equity in regard to psychogeriatric care in this country. Comparing patterns of mental health service provision across the age span using the same classification method allows for a better understanding of care provision and gap analysis for evidence-informed policy.

scholarly journals SERVICE PROVISION IN RESIDENTIAL CARE COMMUNITIES FOR RESIDENTS WITH DEMENTIA AND DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S505-S506
Author(s):  
Manisha Sengupta ◽  
Christine Caffrey
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Residential Care ◽  
Service Provision ◽  
National Study ◽  
Care Providers ◽  
Term Care ◽  
Prevalence Of Dementia

Abstract Assisted living and similar residential care communities (RCCs) are an important source of care for older adults, many of whom have dementia or depression. In 2016, 42% of residents in RCCs were diagnosed with dementia and 31% were diagnosed with depression. About two-thirds of RCCs (63%) provided social work and mental health services and 37% provided neither service. Using the 2016 National Study of Long-Term Care Providers, this study includes bivariate and ANOVA modeling to (1.) examine the variation in dementia and depression between RCCs that provide social work and mental health services and those that do not, and (2.) assess if there is an interaction between provision of services and RCC bed size in their association with dementia and depression. Bivariate results show that the prevalence of dementia does not vary by service provision, but the prevalence of depression does. The percent of residents with depression varied from 34% in RCCs that provided both social work and mental health services to 31% in RCCs that provided only one service to 28% in RCCs that provided neither service. The prevalence of dementia was around 4 in 10 residents, regardless of service provision. Fitting a two-way ANOVA model for dementia indicated that the effect was 4 percentage points higher for RCCs that provided services than those that did not, but only among small RCCs. Findings from this study can inform strategies to care for the needs of residents with dementia and depression across the various sizes of RCCs.

scholarly journals Patterns of Mental Healthcare Provision in Urban Areas: A Comparative Analysis for Informing Local Policy

2020 ◽  
Author(s):  
MaryAnne Furst ◽  
Jose Salinas-Perez ◽  
Mencia R. Gutiérrez-Colosia ◽  
John Mendoza ◽  
Nasser Bagheri ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Provision ◽  
Urban Areas ◽  
Local Level ◽  
Service Planning ◽  
Care Provision ◽  
Term Care ◽  
Urban Regions

Abstract ObjectiveUrbanisation presents specific challenges for the mental wellbeing of the population. An understanding of availability of existing service provision in urban areas is necessary to plan for the needs of people with mental illness in these contexts to identify gaps in care provision and inform policy and planning. This study aims to provide an analysis of the availability and diversity of mental health care in urban areas in Australia , and compare it with benchmark areas in Europe (Finland and Spain) and South America (Chile). MethodDESDE-LTC, an instrument for service classification and description of services providing long term care was used to analyse and compare service provision in Australia (Australian Capital Territory (ACT)), to other urban areas in Australia (Western Sydney, Perth North and South East Sydney) and to benchmark areas in other countries (Spain, Finland and Chile), using a standard healthcare ecosystems approach. Services from all relevant care sectors were calculated per 100,000 adults.ResultsWe identified commonalities in the pattern of mental health care in urban regions in Australia when compared to urban regions internationally, as well as gaps in care provision common to all study areas.ConclusionThese results highlight the relevance of an ecosystems approach to service planning in mental health care at the local level, and the use of a standardised instrument able to provide valid comparisons. There is a need for models of care sensitive to mental health care ecosystem indicators.

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

Welfare State Replacements: Deinstitutionalization, Privatization and the Outsourcing to Immigrant Women Enterprise

2018 ◽  
Vol 48 (2) ◽  
pp. 247-266 ◽  
Author(s):  
Jennifer Nazareno
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Welfare State ◽  
Mental Health Care ◽  
Immigrant Women ◽  
Health Care Facilities ◽  
Direct Care ◽  
Term Care ◽  
Severely Mentally Ill ◽  
The U.S

The U.S. government has a long tradition of providing direct care services to many of its most vulnerable citizens through market-based solutions and subsidized private entities. The privatized welfare state has led to the continued displacement of some of our most disenfranchised groups in need of long-term care. Situated after the U.S. deinstitutionalization era, this is the first study to examine how immigrant Filipino women emerged as owners of de facto mental health care facilities that cater to the displaced, impoverished, severely mentally ill population. These immigrant women–owned businesses serve as welfare state replacements, overseeing the health and illness of these individuals by providing housing, custodial care, and medical services after the massive closure of state mental hospitals that occurred between 1955 and 1980. This study explains the onset of these businesses and the challenges that one immigrant group faces as owners, the meanings of care associated with their de facto mental health care enterprises, and the conditions under which they have operated for more than 40 years.

scholarly journals Community psychiatry's achievements

2014 ◽  
Vol 23 (4) ◽  
pp. 337-344 ◽  
Author(s):  
T. Burns
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Community Psychiatry ◽  
Psychosocial Interventions ◽  
Community Mental Health Team ◽  
Pattern Of Care ◽  
Mental Health Team ◽  
Health Team ◽  
Developed World

Mental health care in the second half of the 20th century in much of the developed world has been dominated by the move out from large asylums. Both in response to this move and to make it possible, a pattern of care has evolved which is most commonly referred to as ‘Community Psychiatry’. This narrative review describes this process, from local experimentation into the current era of evidence-based mental health care. It focuses on three main areas of this development: (i) the reprovision of care for those discharged during deinstitutionalisation; (ii) the evolution and evaluation of its characteristic feature the Community Mental Health Team; and (iii) the increasing sophistication of psychosocial interventions developed to support patients. It finishes with an overview of some current challenges.

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