scholarly journals The burden of mental health illnesses in Kerala: a secondary analysis of reported data from 2002 to 2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jaison Joseph ◽  
D. Hari Sankar ◽  
Devaki Nambiar
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Human Resource ◽  
National Level ◽  
Secondary Analysis ◽  
The State ◽  
Health Human Resource ◽  
South Indian ◽  
Over Time

Abstract Background The burden of mental health in India, as in other Low- and Middle-Income Countries (LMICs), is substantial. Secondary Analysis of survey data provides insight into trends in mental health morbidity over time, while administrative data can indicate corresponding trends in availability of infrastructure and services. We compared data from three national level surveys conducted in India to analyse trends in mental health morbidity and available institutional mechanisms to address mental health needs in Kerala, a south Indian state. Methods We compiled data from national and state level population surveys which reported mental health morbidity from 2002 to 2018. We compared the prevalence of mental health illness and disability reported in Kerala with national estimates. We also mapped the most recently available health human resource and infrastructure available in Kerala for mental health care. Basic descriptive statistics were computed for both sets of indicators using Microsoft Excel. Results In 2002, Kerala had 194 persons per hundred thousand population with mental retardation and intellectual disability which increased to 300 persons per hundred thousand population in 2018. The number of individuals with mental health illness in the state increased from 272 person per hundred thousand to 400 persons per hundred thousand in the time period of 2002 to 2018. There were 5.53 beds available per ten thousand persons for treatment in Kerala in 2018. Conclusion Kerala experienced a rapid rise in mental health morbidity between 2002 and 2018. The most recently reported health human resource and infrastructure availability in the state appears to be inadequate to cater to the requirements of mental health care, even as improvements and upgradations are underway. Service and system design changes will have to be mapped and evaluated over time.

The State of Mental Health Care in China

2021 ◽  
pp. 102975
Author(s):  
Ziyan Xu ◽  
Maximilian Gahr ◽  
Yutao Xiang ◽  
David Kingdon ◽  
Nicolas Rüsch ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
The State

scholarly journals Community Mental Health Care In Mexico: A Look At The State Of Jalisco, Mexico

2020 ◽  
Author(s):  
Jaime Carmona-Huerta ◽  
David Cardona-Muller ◽  
Sol Durand-Arias ◽  
Rodriguez Allen ◽  
Carmen Guarner-Catalá ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Transportation Cost ◽  
The State ◽  
Community Mental Health Care ◽  
Health Networks ◽  
Prolonged Stay ◽  
The Mean

Abstract Background: Access to mental health care is a worldwide public health challenge. In Mexico an unacceptably high percentage of the population with mental disorders does not receive the necessary treatment, which is mainly due to the lack of access to mental health care. The community mental health care model was created and has been implemented to improve this situation. In order to properly plan and implement this model a precise situational diagnosis of the mental health care network is required, thus this is a first approach to evaluate the community mental health networks in the state of Jalisco. Methods: Two components from the EvaRedCom–TMS instrument were used including a general description and accessibility of the community mental health care network. A geographic and economic accessibility evaluation was carried out for the different regions of the state ranging from scattered rural to urban communities using information gathered from health institutions, telephone interviews and computer applications. Results: Jalisco’s community mental health network includes a total of 31 centers and 0.64 mental health workers for every 10,000 inhabitants >15 years of age. The mean transportation cost required to access mental health care was 16.25 USD. The time needed to reach the closest mental health center in 7 of the 13 analyzed regions was more than 30 minutes and the mean time required to reach a prolonged stay center was 172.7 minutes with transportation cost of 22.3 USD. Some marginalized regions in the state have a mean 114 minutes required to reach the closest mental health care center and 386 minutes to reach a prolonged stay center. Conclusions: This first approach to evaluate the mental health networks in Mexico showed that there are multiple barriers to access its care including an unfavorable number of human resources, long distances and high costs. The identification of Jalisco’s mental health network deficiencies is the first step towards establishing a properly planned community mental health care model within the country.

Mental Health System Historians: Adults with Schizophrenia Describe Changes in Community Mental Health Care Over Time

2014 ◽  
Vol 86 (1) ◽  
pp. 33-48 ◽  
Author(s):  
Catherine H. Stein ◽  
Jaclyn E. Leith ◽  
Lawrence A. Osborn ◽  
Sarah Greenberg ◽  
Catherine E. Petrowski ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Health System ◽  
Mental Health System ◽  
Community Mental Health Care ◽  
Over Time

North Carolina Statewide Telepsychiatry Program (NC-STeP): Using telepsychiatry to improve access to evidence-based care

2016 ◽  
Vol 33 (S1) ◽  
pp. S66-S66
Author(s):  
S. Saeed
Keyword(s):  
Mental Health ◽  
Health Care ◽  
North Carolina ◽  
Mental Health Care ◽  
Emergency Departments ◽  
The State ◽  
Evidence Based ◽  
Hospital Emergency ◽  
Community Based ◽  
Hospital Emergency Departments

Mental disorders are common [1] and they are associated with high levels of distress, morbidity, disability, and mortality. We know today that psychiatric treatments work and there is extensive evidence and agreement on effective mental health practices for persons with these disorders. Unfortunately, at a time when treatment for psychiatric illness has never been more effective, many people with these disorders do not have access to psychiatric services due to the shortage, and maldistribution of providers, especially psychiatrists. This has resulted in patients going to hospital emergency departments to seek services resulting in long lengths of stay and boarding of psychiatric patients in hospital emergency departments. A growing body of literature now suggests that the use of telepsychiatry to provide mental health care has the potential to mitigate the workforce shortage that directly affects access to care, especially in remote and underserved areas [2,3].The North Carolina Statewide Telepsychiatry Program (NC-STeP) was developed in response to NC Session Law 2013-360. The vision of NC-STeP is to assure that if an individual experiencing an acute behavioral health crisis enters an emergency department of a hospital anywhere in the state of North Carolina, s/he receives timely, evidence-based psychiatric treatment through this program. Aside from helping address the problems associated with access to mental health care, NC-STeP is helping North Carolina face a pressing and difficult challenge in the healthcare delivery system today: the integration of science-based treatment practices into routine clinical care. East Carolina University's Center for Telepsychiatry is the home for this statewide program, which is connecting 80-85 hospital emergency departments across the state of North Carolina. The plan for NC-STeP was developed in collaboration with a workgroup of key stakeholders including representatives from Universities in NC, hospitals/healthcare systems, NC Hospital Association, NC Psychiatric Association, LME-MCOs, NC-Department of HHS, and many others. The NC General Assembly has appropriated $4 million over two years to fund the program. The program is also partially funded by the Duke Endowment.The program has already connected 56 of the projected 85 hospitals in the first 18 months since its inception and over 12,000 encounters have been successfully completed during this time. A web portal has been designed and implemented that combines scheduling, EMR, HIE functions, and data management systems. This presentation will provide current program data on the length of stay, dispositions, IVC status, and other parameters for all ED patients who received telepsychiatry services. NC-STeP is now positioned well to create collaborative linkages and develop innovative models for the mental health care delivery by connecting psychiatric providers with EDs and Hospitals, Community-based mental health providers, Primary Care Providers, FQHCs and Public Health Clinics, and others. NC-STeP is positioned well to build capacity by taking care of patients in community-based settings and by creating collaborative linkages across continuums of care. By doing so, the program implements evidence-based practice to make recovery possible for patients that it serves.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Call for information, call for quality in mental health care

2012 ◽  
Vol 22 (1) ◽  
pp. 9-13 ◽  
Author(s):  
A. Lora
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Systems ◽  
National Level ◽  
Quality Measurement ◽  
Implementation Strategies ◽  
Evidence Based ◽  
Clinical Indicators

The quality of routine mental health care is not optimal, it can vary greatly from region to region and among providers; in many occasions, it does not correspond to the standards of evidence-based mental health. To bridge this gap, the promotion of a systematic use of the information available for quality assurance would be most helpful, but measuring the quality of mental health care is particularly challenging. Quality measurement can play a key role in transforming health care systems, and the routine measurement of quality, using clinical indicators derived from evidence-based practice guidelines, is an important step to this end. In Italy, the use of clinical indicators is still sporadic: over the last 5 years only three projects have been aimed at analysing, in a structured way, the quality of care in severe mental illness, and two of these were led by the Italian Society of Psychiatric Epidemiology. Not only in Italy but also at global level there is an urgent need for the implementation of mental health information systems that could lead to a substantial improvement in information technology. Once this has been achieved, a common set of clinical indicators, agreed upon at the regional and national level and useful for benchmarking and for comparing mental health services, could be defined. Finally, using the implementation strategies, a system of quality improvement at both regional and local levels will be built.

scholarly journals Music therapy’s development in mental healthcare: An historical consideration of early ideas and intersecting agents.

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Triona McCaffrey
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Music Therapy ◽  
Contemporary Music ◽  
Mental Healthcare ◽  
Historical Consideration ◽  
Over Time

Considering the history and development of music therapy in mental health is important in providing practitioners of the field with an understanding of the context in which the profession has emerged. The shaping of the discipline towards professionalization has involved multiple intersecting agents, ideas and processes over many years. This paper reviews some of the milestones and significant junctures that framed the practice of music therapy in mental health care whilst noting how some of these ingredients have been amplified or diminished over time. The author observes the numerous references to the ‘soul’ and ‘spirit’ along this trajectory and asks if such narratives are being lost in descriptions of contemporary music therapy practice in mental health.

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