The Consortium of Australian Academic Psychiatrists for Independent Policy Research and Analysis (CAPIPRA): Aims, model, outputs, and implications for clinical academic advocacy

2021 ◽  
pp. 103985622110528
Author(s):  
Jeffrey C.L. Looi ◽  
Stephen Allison ◽  
Tarun Bastiampillai ◽  
Stephen R. Kisely

Objective: We describe an independent model of clinical academic mental health services research that is able to provide synthesised views for medico-political organisations that are engaged in advocacy for national and state evidence-based policy and planning of mental healthcare. Conclusions: CAPIPRA focuses on independent research and policy analysis using publicly available datasets on population mental health at national and state/territory levels, published in international and national peer-reviewed journals (>50 papers since 2019). We partner with medico-political organisations in evidence-based advocacy across a wide range of issues.

2020 ◽  
Author(s):  
David Foreman

I examined the failure of the UK mental health framework policy NSF-9 to sustain the intended development in Child and Adolescent Mental Health Services (CAMHS) in England from its inception in 2003. NSF-9 used Evidence-Based Policy/Practice (EBP) with Key Performance Indicators (KPIs) derived from both research and expert practitioner advice. Adequate funding was provided, the workforce was engaged from the outset, and the KPIs were supported by dedicated data collection and dissemination systems, so failure was unexpected. I reviewed theories from the social sciences of Public Administration and Policy Research (PAPR) from the perspective of three questions. 1. Are there applicable Public Administration Theories (PATs) that can account for this unexpected outcome?2. Did the metrics used, or their delivery, have administrative or policy characteristics which undermined their expected impact?3. Are there organisational factors, separate from EBP commitment, which could have jeopardised the NSF model?I undertook a qualitative synthesis of the findings of several qualitative and quantitative datasets, using constant comparison between the datasets’ results and candidate PATs. I concluded that the currently accepted explanation; NSF-9’s failure was caused by inadequacies in culture and values was incomplete, as they resulted from weaknesses in the EBP model itself. When I applied relevant PATs to the data, it was clear NSF-9 had many faults as a policy within the NHS bureaucracy, which were not compensated within its design, and drove its eventual failure. I concluded that policy success without including evidence from PAPR is extremely uncertain, and is a continuing structural risk, as there is currently a disjunction between PAPR and Health Services Research. This needs urgent correction.


2003 ◽  
Vol 9 (4) ◽  
pp. 300-307 ◽  
Author(s):  
Gyles Glover

Since the start of the National Health Service, data have been collected on admissions to psychiatric in-patient units, first as the Mental Health Enquiry, then as part of Hospital Episode Statistics. Some details have changed but many have stayed remarkably consistent. Published literature on the wide range of research and policy work undertaken using this data source is reviewed. Early work was central to the government's deinstitutionalisation policy in the early 1960s. Subsequent studies cover a wide range of epidemiological and health services research issues. A new statistical base, the Mental Health Minimum Data Set, covering individuals receiving all types of health care is currently being set up. This will supplement (but not replace) admission statistics.


2022 ◽  
Vol 07 (01) ◽  
pp. 37-41
Author(s):  
Ramdas Ransing ◽  
Sujita Kumar Kar ◽  
Vikas Menon

In recent years, the Indian government has been promoting healthcare with an insufficient evidence base, or which is non-evidence-based, alongside delivery of evidence-based care by untrained practitioners, through supportive legislation and guidelines. The Mental Health Care Act, 2017, is a unique example of a law endorsing such practices. In this paper, we aim to highlight the positive and negative implications of such practices for the delivery of good quality mental healthcare in India.


2021 ◽  
Vol 38 (4) ◽  
pp. 243-246
Author(s):  
Blanaid Gavin ◽  
John Lyne ◽  
Fiona McNicholas

AbstractApproaching 2 years into a global pandemic, it is timely to reflect on how COVID-19 has impacted the mental health of the global population. With research continuing apace, a clearer picture should crystallise in time. COVID-19 has undoubtedly had some impact on population mental health, although the severity and duration of this impact remain less clear. The exceptional period of COVID-19 has provided a unique prism through which we can observe and consider societal mental health. This is a momentous time to be involved in mental health research as we strive to understand the mental health needs of the population and advocate for adequate resourcing to deliver quality mental healthcare in the post-pandemic period.


2020 ◽  
Author(s):  
Cristina Mendes-Santos ◽  
Gerhard Andersson ◽  
Elisabete Weiderpass ◽  
Rui Santana

UNSTRUCTURED COVID-19 mitigation measures present unprecedent challenges in mental healthcare delivery, posing high risk to the mental health of populations. Ensuring safe and equitable access to mental healthcare requires resorting to innovative psychosocial intervention strategies such as, Digital Mental Health. In this perspective piece, we discuss how timely implementation of a comprehensive Digital Mental Health strategy, coupling research, education, implementation and quality assessment initiatives, might strengthen the Portuguese mental healthcare system and, therefore, buffer COVID-19´s impact on the Portuguese society.


10.2196/21108 ◽  
2020 ◽  
Vol 7 (8) ◽  
pp. e21108 ◽  
Author(s):  
Katharine Smith ◽  
Edoardo Ostinelli ◽  
Orla Macdonald ◽  
Andrea Cipriani

Background The coronavirus disease (COVID-19) presents unique challenges in health care, including mental health care provision. Telepsychiatry can provide an alternative to face-to-face assessment and can also be used creatively with other technologies to enhance care, but clinicians and patients may feel underconfident about embracing this new way of working. Objective The aim of this paper is to produce an open-access, easy-to-consult, and reliable source of information and guidance about telepsychiatry and COVID-19 using an evidence-based approach. Methods We systematically searched existing English language guidelines and websites for information on telepsychiatry in the context of COVID-19 up to and including May 2020. We used broad search criteria and included pre–COVID-19 guidelines and other digital mental health topics where relevant. We summarized the data we extracted as answers to specific clinical questions. Results Findings from this study are presented as both a short practical checklist for clinicians and detailed textboxes with a full summary of all the guidelines. The summary textboxes are also available on an open-access webpage, which is regularly updated. These findings reflected the strong evidence base for the use of telepsychiatry and included guidelines for many of the common concerns expressed by clinicians about practical implementation, technology, information governance, and safety. Guidelines across countries differ significantly, with UK guidelines more conservative and focused on practical implementation and US guidelines more expansive and detailed. Guidelines on possible combinations with other digital technologies such as apps (eg, from the US Food and Drug Administration, the National Health Service Apps Library, and the National Institute for Health and Care Excellence) are less detailed. Several key areas were not represented. Although some special populations such as child and adolescent, and older adult, and cultural issues are specifically included, important populations such as learning disabilities, psychosis, personality disorder, and eating disorders, which may present particular challenges for telepsychiatry, are not. In addition, the initial consultation and follow-up sessions are not clearly distinguished. Finally, a hybrid model of care (combining telepsychiatry with other technologies and in-person care) is not explicitly covered by the existing guidelines. Conclusions We produced a comprehensive synthesis of guidance answering a wide range of clinical questions in telepsychiatry. This meets the urgent need for practical information for both clinicians and health care organizations who are rapidly adapting to the pandemic and implementing remote consultation. It reflects variations across countries and can be used as a basis for organizational change in the short- and long-term. Providing easily accessible guidance is a first step but will need cultural change to implement as clinicians start to view telepsychiatry not just as a replacement but as a parallel and complementary form of delivering therapy with its own advantages and benefits as well as restrictions. A combination or hybrid approach can be the most successful approach in the new world of mental health post–COVID-19, and guidance will need to expand to encompass the use of telepsychiatry in conjunction with other in-person and digital technologies, and its use across all psychiatric disorders, not just those who are the first to access and engage with remote treatment.


2021 ◽  
pp. 103985622110546
Author(s):  
Jeffrey CL Looi ◽  
Tarun Bastiampillai ◽  
Stephen Allison ◽  
Stephen R Kisely

Objective: To discuss concerns about the Australian federal government announcement of further funding expansion of the Adult Mental Health Centres (AMHCs), now known as Head-to-Health centres. Conclusions: The expansion of AMHCs prior to evaluation recapitulates the policy predicaments and perils of the headspace federal-infrastructure allied-health private-practice model. Comprehensive evidence-based mental healthcare planning and practice is needed, rather than stand-alone services of unclear efficacy. We describe the principles of such an approach based upon an evidence-based Health Needs Assessment.


2004 ◽  
pp. 173-187 ◽  
Author(s):  
Thomas Becker ◽  
Lorenza Magliano ◽  
Stefan Priebe ◽  
Hans-Joachim Salize ◽  
Matthias Schützwohl ◽  
...  

2018 ◽  
Vol 15 (2) ◽  
pp. 35-38
Author(s):  
A. O. Ogunlesi ◽  
A. Ogunwale

Nigeria has poorly structured services for correctional mental health driven by a mix of socioeconomic and legal factors. The archaic asylum systems established in the early part of the 20th century under the Lunacy ordinance of 1916 are no longer fit for purpose. The present strategy is to provide mental healthcare for mentally abnormal offenders within some prisons in the country. The current models for this are poorly staffed and underfunded. Adoption of task-shifting approaches based on evidence-based strategies within the context of professional innovation, government commitment and international collaboration should help to develop and sustain the needed correctional psychiatry services.


Author(s):  
Timothy M. Smeeding

The PSID has remained a valuable vehicle for evidence-based policy research for decades and should remain so for many more. In this short review, I cover major policy-related strengths from PSID research in the areas of event history analysis; mobility and volatility; cross national comparisons; health and health insurance; mobility into and out of poverty; the effects of parental income on children; and the use of the child development sample to broaden the PSID policy focus in new and interesting ways. I also include the emerging study of longer term intergenerational patterns of mobility and transfer, including across three generations. Finally, I take up the question of how PSID data and methods could be further improved to make the survey more valuable to public policy, focusing on administrative data linkages.


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