The physical health Wellness Clinic model of care for patients with mental health issues who are ‘hard to engage’

2019 ◽  
Vol 28 (3) ◽  
pp. 303-306 ◽  
Author(s):  
Susanne H Stanley ◽  
Lucia Ferguson ◽  
Ajay Velayudhan

Objective: People with chronic and severe mental health issues die 15–25 years earlier than people in the general population – the main reason for this is poor physical health. An innovative treatment model for the management of primary care within a mental health service setting for ‘hard to engage’ patients is presented. Conclusion: The Wellness Clinic model provides the final level of care, where individuals who are at risk will receive a thorough physical health check and be referred for any additional tests and scans that are needed ensuring that any health issues are addressed. Ongoing monitoring and treatment occurs with the overall aim of reintegrating individuals back into the community through linking them in with community GPs.

2007 ◽  
Vol 15 (1_suppl) ◽  
pp. S90-S94 ◽  
Author(s):  
Heidi Sturk ◽  
David Kavanagh ◽  
Cindy Gallois ◽  
David King ◽  
Merrill Turpin ◽  
...  

2021 ◽  
Author(s):  
Sarah Farheen Khan

The COVID-19 pandemic has imposed threats on both physical and mental health since its outbreak. This paper aims to highlight the mental and physical health challenges amongst the home-quarantined youths of Dhaka city. A total of 150 young adults were surveyed, within the age range of (12-30). The participation was voluntary and was completed online.The findings suggest, many youngsters are currently suffering a wide range of mental health issues related to anxiety, fear, isolation, depression, feeling lonely, emotional outburst, insomnia, and other sleeping/ eating habit disturbances during COVID 19 pandemic. Many are emotionally vulnerable after losing their close ones, losing jobs, uncertain education or by staying indoors for months. Many get agitated wearing protective gear like masks or using sanitizers. The panic caused by the infection from physical proximity has reached such a level that everything now is shifted from physically going out to virtual conferences and many other significant shifts in people's behavior. But, in spite of all the trauma and negative affects the pandemic has put us through, there is some hope that the new focus on mental health issues may reduce stigma and increase availability of support services. Finally the paper recommends some way forward for effective mitigation against the harmful effects of limited or indoor physical activity on mental and physical health due to social distancing and quarantine based on the collected data.


2019 ◽  
Vol 34 (s1) ◽  
pp. s60-s61
Author(s):  
Arthur Cooper ◽  
Michael Frogel ◽  
George Foltin

Introduction:Effects of a disaster on a community’s mental health can persist after the physical effects of the event have passed. The pediatric population is often overrepresented in disasters and prone to serious mental health disorders based on their age and parental/community response. Pediatric primary healthcare providers require the psychosocial skills necessary to work in disaster zones and to care for children in disasters.Aim:Pediatric Disaster Mental Health Intervention (PDMHI) was initially developed in response to Superstorm Sandy’s impact on children and their families in New York City. The objective was to develop training for primary care providers in pediatric disaster mental healthcare and to study its impact on the trainees.Methods:A faculty of experts in pediatric mental health, psychiatry, psychology, and disaster preparedness was convened to develop curriculum. The faculty developed a four-hour intervention to equip healthcare providers with the skills and knowledge necessary to care for pediatric patients with mental health problems stemming from a disaster via evaluation, triage, intervention, and referral.Results:Three PDMHI training sessions were held. A total of 67 providers were trained. Of these, there were 31 pediatricians, 18 nurses, 8 social workers, 4 psychologists, 2 psychiatrists, and 4 others. Pre- and post-tests measured knowledge before and impact 3 months post-intervention. 62.5% of responding primary care providers made changes to their practice. 92% felt better equipped to identify, treat, and refer patients. 81% would be willing to work in a disaster zone and felt prepared to treat patients with disaster mental health issues.Discussion:PDMHI covers psychosocial responses to disasters from normal to mental health disorders. Participants gained tools for managing pediatric mental health issues in primary care. Study data showed an increase in the participants perceived knowledge and skills about pediatric disaster mental health, and willingness to participate in future disasters.


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