scholarly journals Naturalistic study of crisis referrals to an Irish community adult mental health service

2011 ◽  
Vol 8 (3) ◽  
pp. 71-74
Author(s):  
Tunde Apantaku-Olajide ◽  
Bobby P. Smyth ◽  
Pat Gibbons
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Mental Health Crisis ◽  
Community Based ◽  
Mental Health Team ◽  
Health Crisis ◽  
Primary Model ◽  
Adult Mental Health Service ◽  
Definition Of ◽  
Community Adult

There is no agreed definition of a mental health crisis; however, a useful one is ‘a situation where mental health has deteriorated to an extent that the user is likely to be at risk of harm to self or others and is in need of urgent intensive specialist support and treatment’ (Minghella et al, 1998). Community-based care is the primary model of specialist mental healthcare in Ireland (Government of Ireland, 2006a). When clinically indicated, a patient with mental health crisis is referred to the community mental health team (CMHT) for an urgent assessment.

scholarly journals Supporting people in mental health crisis in 21st-century Britain

2020 ◽  
Vol 44 (6) ◽  
pp. 231-232 ◽  
Author(s):  
Andrew Molodynski ◽  
Stephen Puntis ◽  
Em Mcallister ◽  
Hannah Wheeler ◽  
Keith Cooper
Keyword(s):  
Mental Health ◽  
Law Enforcement ◽  
21St Century ◽  
Current System ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Health Needs ◽  
Mental Health Crisis ◽  
Mental Health Needs ◽  
Health Crisis

Recent years have seen a surge in interest in mental healthcare and some reduction in stigma. Partly as a result of this, alongside a growing population and higher levels of societal distress, many more people are presenting with mental health needs, often in crisis. Systems that date back to the beginning of the National Health Service still form the basis for much care, and the current system is complex, hard to navigate and often fails people. Law enforcement services are increasingly being drawn into providing mental healthcare in the community, which most believe is inappropriate. We propose that it is now time for a fundamental root and branch review of mental health emergency care, taking into account the views of patients and the international evidence base, to ‘reset’ the balance and commission services that are humane and responsive – services that are fit for the 21st century.

Psychiatric Crisis Services in Three Communities

2010 ◽  
Vol 29 (S5) ◽  
pp. 73-86 ◽  
Author(s):  
Cheryl Forchuk ◽  
Elsabeth Jensen ◽  
Mary-Lou Martin ◽  
Rick Csiernik ◽  
Heather Atyeo
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Public Transportation ◽  
Urban Areas ◽  
Health Workers ◽  
Mental Health Crisis ◽  
Mental Health Team ◽  
Health Crisis ◽  
Health Team ◽  
Crisis Services

This study compared communities with three models of crisis service: (a) police as part of a specialized mental health team, (b) mental health worker as part of a specialized police team, and (c) informal relationship between police and mental health crisis service. Rural and urban areas were examined and compared. Data included focus groups and participant observation. Analysis revealed that while all communities valued their crisis services, all identified limitations in responsiveness, access, and systems-related issues. Quick access to psychiatric beds was important to services. Rural communities had no public transportation, and an important police role was safe transportation. In rural communities, mental health workers were generalists because they had to be able to address situations on their own. In urban areas, transportation was more readily available, and more specialization developed among mental health team members.

India is going partway to easing mental health crisis

2019 ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Healthcare ◽  
Mental Health Crisis ◽  
Indian Government ◽  
Health Crisis ◽  
Content Type ◽  
Tertiary Healthcare ◽  
The Government ◽  
National Mental Health

Subject India's efforts to address a mental health crisis. Significance The Indian government is aiming to convert 150,000 primary health centres into health and wellness centres (HWCs) providing comprehensive care, including management of mental disorders. Its plans for secondary and tertiary healthcare include medical insurance for poorer families that will cover treatment of mental illness. According to a 2016 study conducted by India’s National Institute of Mental Health and Neurosciences (NIMHANS), 150 million out of the country’s 1.3 billion people urgently need mental healthcare. Impacts Expanding mental healthcare infrastructure could lead to an overemphasis on a biomedical model of treatment for mental health disorders. The government will come under pressure to increase funding for mental health professionals as well as technological resources. Future budgets will be key indicators of the government’s commitment to its National Mental Health Programme.

Digital psychiatry: implications for patients and services

2021 ◽  
pp. 1-10
Author(s):  
James P Pandarakalam
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Substantial Effect ◽  
Modern Technology ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Advantages And Disadvantages

The COVID-19 pandemic has resulted in an increased burden on all medical services and healthcare professionals are applying new strategies to cope with the added demands. During the pandemic mental healthcare services in many parts of the world have been reorganised to incorporate modern technology and maintain efficient service delivery. Mental health professionals are playing a major role in alleviating the suffering resulting from this pandemic. A selective survey of the literature, including narrative reviews, was carried out to study the implications of digital psychiatry. Historically, epidemics have had a substantial effect on mental health and general health services. Telehealth appears to be the right solution to the present mental health crisis, but technology cannot substitute for human presence and proximity in mental health services, so the newer interventions have advantages and disadvantages. Remote methods of therapy are likely to continue to be used and proper assessment of these new ways of working in psychiatry is required. In the post-pandemic period, the challenge will be to combine digital and in-person therapies. Discussions about digital revolution in the field of psychiatry should be modified to digital evolution.

scholarly journals Determinants of dropout in a community-based mental health crisis centre

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Alexandre Henzen ◽  
Clotilde Moeglin ◽  
Panteleimon Giannakopoulos ◽  
Othman Sentissi
Keyword(s):  
Mental Health ◽  
Mental Health Crisis ◽  
Community Based ◽  
Health Crisis

The Mental Health Acute Assessment Team: a collaborative approach to treating mental health patients in the community

2017 ◽  
Vol 25 (3) ◽  
pp. 262-265 ◽  
Author(s):  
Steven C Faddy ◽  
Kevin J McLaughlin ◽  
Peta T Cox ◽  
Senthil S Muthuswamy
Keyword(s):  
Mental Health ◽  
Primary Outcome ◽  
Proof Of Concept ◽  
Mental Health Crisis ◽  
Physical And Mental Health ◽  
Model Of Care ◽  
Community Based ◽  
Health Crisis ◽  
Appropriate Care ◽  
Mental Health Patients

Objective: Many models of community-based mental health crisis teams have been reported. We present our experience of an outreach team made up of a paramedic and mental health nurse. Methods: A proof-of-concept was conducted in Western Sydney. The primary outcome was the proportion of patients where the team were able to facilitate the most appropriate care. Results: Nearly 70% of patients were able to be treated outside the Emergency Department, with about two-thirds being transported directly to a mental health facility. Conclusion: We have demonstrated that our model of care is successful in enabling appropriate physical and mental health care for patients suffering an acute mental health crisis.

Mental health and policing: Picking up the pieces in a broken system

2021 ◽  
Vol 34 (2) ◽  
pp. 93-99
Author(s):  
Eileen Florence Pepler ◽  
Clay G. Barber
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Vulnerable Populations ◽  
Mental Health Crisis ◽  
Community Based ◽  
Community Partners ◽  
Health Crisis ◽  
High Utilizers ◽  
The Many ◽  
The Impact

A key theme of this article is the need to view the intersection of public safety and public health through a new lens to break down the traditional information silos of the many agencies that serve vulnerable populations and the impact of inadequate community-based mental health services that contribute to the increasing number of calls to police in responding to people in or approaching a mental health crisis. The manifestation of this crisis in the community is that the police are too often the first port in the storm. This article suggests the system is broken and needs fixing. Implementing a population health approach to identifying the high utilizers in the community and building a case for sustained funding, partnerships, resources, and accountability together with data sharing agreements, community partners and police collaboratively design and evaluate outcome approaches aimed at prevention and recovery to minimize contact with the police.

A service evaluation of a community‐based mental health crisis house in inner city Liverpool

2011 ◽  
Vol 16 (2) ◽  
pp. 56-63 ◽  
Author(s):  
Tony Ryan ◽  
Gayatri Nambiar‐Greenwood ◽  
Carol Haigh ◽  
Catherine Mills
Keyword(s):  
Mental Health ◽  
Inner City ◽  
Service Evaluation ◽  
Mental Health Crisis ◽  
Community Based ◽  
Health Crisis

Mental health first aid: strengthening its impact for aid recipients

2020 ◽  
Vol 23 (4) ◽  
pp. 133-134 ◽  
Author(s):  
Cristina Mei ◽  
Patrick D McGorry
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
First Aid ◽  
Significant Benefit ◽  
Full Potential ◽  
Mental Health First Aid ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
First Response ◽  
Meta Analyses

Mental Health First Aid (MHFA) is a potentially valuable first response in mental healthcare. MHFA is formulated as an extension of Psychological First Aid, the latter being a more focal response to crises and disasters. MHFA is a broader strategy which aims to improve the general public’s immediate response to mental ill health and mental health crisis. While its effect on those trained in MHFA has been promising, recent meta-analyses have failed to detect any significant benefit to individuals who receive support from an MHFA trainee. Such outcomes highlight the need to revisit the content and implementation of MHFA to optimise and realise the full potential of the concept. Possible solutions are discussed, including developing new MHFA content using methodologies that foster innovation and creativity, in addition to improving the quality and effectiveness of MHFA training.

Keeping It REAL: Assisting Individuals After a Police-Abated Mental Health Crisis

2018 ◽  
Vol 21 (4) ◽  
pp. 486-508 ◽  
Author(s):  
Luke A. Bonkiewicz ◽  
Kasey Moyer ◽  
Chad Magdanz ◽  
John Walsh
Keyword(s):  
Mental Health ◽  
Police Officers ◽  
Health Workers ◽  
Mental Health Workers ◽  
Mental Health Crisis ◽  
Community Based ◽  
Assistance Program ◽  
Health Crisis ◽  
Calls For Service ◽  
Protective Custody

This article evaluates a community-based, peer support program in which police officers and mental health workers collaboratively address citizens’ mental health needs following encounters with law enforcement. We analyzed data 12, 24, and 36 months after a police-abated mental health crisis for 775 individuals, some of whom were referred to this program. Using lagged regression models, we find that compared with nonreferred individuals, referred participants generated fewer mental health calls for service and were less likely to be taken into emergency protective custody 24 and 36 months after a crisis. We found no difference in arrest rates. The program was especially effective for individuals with lengthier mental health histories. This free, voluntary, and nonclinical assistance program appears effective, but it also requires 12 to 24 months before participants and communities reap the benefits.

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