Implementing mental health screening, assessment, and navigation program in a community-based survivorship program.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 36-36 ◽  
Author(s):  
Laura Howe-Martin ◽  
Stephanie L. Lawrence ◽  
Bryan Jester ◽  
Nancy de la Garza ◽  
Natalie Benedetto ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Psychiatric Symptoms ◽  
Integrated Approach ◽  
Health Screening ◽  
Mental Health Screening ◽  
Community Based ◽  
Screening Guidelines ◽  
Measurement Based Care ◽  
Screening Assessment

36 Background: ASCO guidelines recommend cancer survivors be evaluated, treated, & reassessed for depression & anxiety along the trajectory of care. To meet these guidelines, UT Southwestern Moncrief Cancer Institute instituted an integrated approach to mental health screening, assessment, & navigation called MH-SCAN. (Andersen, BL, Rowland, JH, Somerfield, MR. Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation.J Onc Prac, 2015. 11(2): p. 133-134.) Methods: MH-SCAN uses the Vital Sign6 (VS6) program, a web-based application to screen & monitor psychiatric symptoms, and to give feedback regarding measurement-based care (MBC). Measures are repeated at 2-week intervals when possible for those who need treatment. Our implementation process, including training & workflows, will be reviewed. Results: Patients (N = 415) enrolled from 9/1/15 to 8/1/16 in our community-based Survivorship Program (see table) were screened using VS6, of which 119 reported symptoms indicating potential depression. Over 90% of that subset reported moderately severe symptoms and 87% endorsing comorbid symptoms of anxiety. Approximately 60% of the original sample completed reassessment within 4 weeks. Over half continued to endorse significant depressive symptoms, as well as suicidal ideation and comorbid anxiety. Conclusions: Implementing ASCO recommendations for mental health screening, assessment, and treatment adherence, while challenging, is feasible. Our preliminary data underscores its importance among survivors. The MH-SCAN protocol provides a useful approach to implementing screening guidelines efficiently and effectively, thus addressing mental health comorbidities within oncology and primary care.[Table: see text]

A pilot program for implementing mental health screening, assessment, and navigation in a community-based cancer center

2017 ◽  
Vol 27 (2) ◽  
pp. 683-686 ◽  
Author(s):  
Laura Howe-Martin ◽  
Bryan Jester ◽  
Robrina Walker ◽  
Nancy de la Garza ◽  
Manish K. Jha ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Screening ◽  
Mental Health Screening ◽  
Cancer Center ◽  
Pilot Program ◽  
Community Based ◽  
Screening Assessment

scholarly journals Review of layperson screening tools and model for a holistic mental health screener in lower and middle income countries

2019 ◽  
Author(s):  
Aderibigbe Oluwakemi Olanike ◽  
Christopher M Perlman
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Human Resource ◽  
Health Workers ◽  
Health Screening ◽  
Mental Health Screening ◽  
Screening Tools ◽  
Community Based ◽  
Middle Income ◽  
Middle Income Countries

AbstractBackgroundThe needs of people diagnosed with Mental Neurological and Substance-Use (MNS) conditions are complex including interactions physical, social, medical and environmental factors. Treatment requires a multidisciplinary approach including health and social services at different levels of care. However, due to inadequate assessment, services and scarcity of human resource for mental health, treatment of persons diagnosed with MNS conditions in many LMICs is mainly facility-based pharmacotherapy with minimal non-pharmacology treatments and social support services. In low resource settings, gaps in human resource capacity may be met using layperson health workers. A layperson health working is one without formal mental health training and may be equivalent to community health worker (CHW) or less cadre in primary health care system.ObjectivesThis study reviewed layperson mental health screening tools for use in supporting mental health in developing countries, including the content and psychometric properties of the tools. Based on this review this study proposes recommendations for the design and effective use of layperson mental health screening tools based on the Five Pillars of global mental health.MethodsA systematic review was used to identify and examine the use of mental health screening tools among laypersons supporting community-based mental health programs. PubMed, Scopus, CINAHL and PsychInfo databases were reviewed using a comprehensive list of keywords and MESH terms that included mental health, screening tools, lay-person, lower and middle income countries. Articles were included if they describe mental health screening tools used by laypersons for screening, delivery or monitoring of MNS conditions in community-based program in LMICs. Diagnostic tools were not included in this study. Trained research interviewers or research assistants were not considered as lay health workers for this study.ResultsThere were eleven studies retained after 633 were screened. Twelve tools were identified covering specific disorders (E.g. alcohol and substance use, subcortical dementia associated with HIV/AIDS, PTSD) or common mental disorders (mainly depression and anxiety). These tools have been tested in LMICs including South Africa, Zimbabwe, Haiti, Malaysia, Pakistan, India, Ethiopia and Brazil. The included studies show that simple screening tools can enhance the value of laypersons and better support their roles in providing community-based mental health support. However, most of the layperson MH screening tools used in LMICs do not provide comprehensive information that can inform integrated comprehensive treatment planning and understanding of the broader mental health needs of the community.ConclusionDeveloping a layperson screening tools is vital for integrated community-based mental health intervention. This study proposed a holistic framework which considers the relationship between individual’s physical, mental and spiritual aspect of mental health, interpersonal as well as broader contextual determinants (community, policy and different level of the health system) that can be consulted for developing or selecting a layperson mental health screening instrument. More research are needed to evaluate the practical application of this framework.

Mental health screening and brief assessments

2015 ◽  
Author(s):  
Michael P. Maloney ◽  
Joel Dvoskin ◽  
Jeffrey L. Metzner
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Geographic Area ◽  
Health Service Delivery ◽  
Health Screening ◽  
Mental Health Screening ◽  
Mental Illnesses ◽  
Mental Health Service Delivery ◽  
Service Delivery Systems ◽  
Serious Mental Illnesses

Screening and assessment are a core component of psychiatric care in any setting. In jails and prisons, the process, structure, content and timing of screenings and assessments are vital parts of the healthcare system. While the number of incarcerated persons is clear, the actual number of incarcerated prisoners who suffer from a mental disorder or independent psychiatric symptoms is difficult to determine because of methodological issues (e.g., different definitions of mental illness, different thresholds of severity, etc.) as well as wide variation in the nature (e.g. prison, jail, police lockup), size, and mental health service delivery systems of various settings. However, despite differences in methodology, geographic area, and other issues (e.g., types of facility, when studies were conducted, etc.), virtually every relevant study has concluded that a significant number of prisoners have serious mental illnesses and that the numbers of mentally ill prisoners are increasing. Because people with mental illnesses are at risk of suicide and exacerbations of their mental illnesses, correctional institutions need to identify such persons in a timely manner and provide appropriate clinical interventions. This chapter addresses the initial mental health screening of persons entering prisons and jails, with a special emphasis on suicide risk screening and follow-up clinical assessments of prisoners whose receiving or intake screening results suggest the likelihood that treatment or suicide prevention efforts will be necessary.

Mental Health Screening, Assessment, and Referral for Adolescents With Diabetes

2010 ◽  
Author(s):  
Michelle M. Perfect ◽  
Gisel Amaya ◽  
Najah E. Swartz ◽  
Evelyn Jaramillo ◽  
Lauren E. Wheeler
Keyword(s):  
Mental Health ◽  
Health Screening ◽  
Mental Health Screening ◽  
Screening Assessment

Community-Based Maternal Mental Health Screening

2010 ◽  
Vol 58 (2) ◽  
pp. e9
Author(s):  
Jennifer Doering ◽  
Kris Pizur-Barnekow
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Health Screening ◽  
Mental Health Screening ◽  
Community Based

Adolescents with Diabetes and Their Parents’ Perceptions of Mental Health Screening, Assessment, and Feedback

2010 ◽  
Vol 38 (3) ◽  
pp. 181-192 ◽  
Author(s):  
Michelle M. Perfect ◽  
Deborah Levine-Donnerstein ◽  
Najah E. Swartz ◽  
Lauren E. Wheeler ◽  
Gisel M. Amaya
Keyword(s):  
Mental Health ◽  
Health Screening ◽  
Mental Health Screening ◽  
Screening Assessment
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