scholarly journals Implementation of a Mental Health Care Package for Children in Areas of Armed Conflict: A Case Study from Burundi, Indonesia, Nepal, Sri Lanka, and Sudan

PLoS Medicine ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. e1001371 ◽  
Author(s):  
Mark J. D. Jordans ◽  
Wietse A. Tol ◽  
Dessy Susanty ◽  
Prudence Ntamatumba ◽  
Nagendra P. Luitel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Sri Lanka ◽  
Mental Health Care ◽  
Armed Conflict ◽  
Care Package

scholarly journals Integration of mental health care in private not-for-profit health centres in Guinea, West Africa: a systemic entry point towards the delivery of more patient-centred care?

2019 ◽  
Author(s):  
Abdoulaye Sow ◽  
Jeroen De Man ◽  
Myriam De Spiegelaere ◽  
Veerle Vanlerberghe ◽  
Bart Criel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Patient Participation ◽  
Care Providers ◽  
Patient Centred Care ◽  
For Profit ◽  
Not For Profit ◽  
Health Centres ◽  
Care Package

Abstract Abstract Background Patient-centred care is an essential component of quality of health care. We hypothesize that integration of a mental health care package into versatile first-line health care services can strengthen patient participation, an important dimension of patient-centred care. The objective of this study is to analyse whether consultations conducted by providers in facilities that integrated mental health care score higher in terms of patient participation. Methods This study was conducted in Guinea in 12 not-for-profit health centres, 4 of which had integrated a mental health care package (MH+) and 8 had not (MH-). The study involved 450 general curative consultations (175 in MH+ and 275 in MH- centres), conducted by 18 care providers (7 in MH+ and 11 in MH- centres). Patients were interviewed after the consultation on how they perceived their involvement in the consultation, using the Patient Participation Scale (PPS). The providers completed a self-administered questionnaire on their perception of patient’s involvement in the consultation. We compared scores of the PPS between MH+ and MH- facilities and between patients and providers. Results The mean PPS score was 24.21 and 22.54 in MH+ and MH- health centres, respectively. Participation scores depended on both care providers and the health centres they work in and ranged from 19.12 to 26.96 (p <0.001) for providers and from 20.49 to 26.96 (p <0.001) for the health centres. When adjusting for health providers and the duration of consultation, the patients consulting an MH+ centre were scoring higher on patient participation score than the ones of an MH- centre (adjusted odds ratio of 4.06 with a 95% CI of 1.17-14.10, p = 0.03). All care providers agreed they understood the patients' concerns, and patients shared this view. All patients agreed they wanted to be involved in the decision-making concerning their treatment; providers, however, were reluctant to do so. Conclusion Integrating a mental health care package into versatile first-line health services can promote more positive attitudes of care provider-patient interactions, even though this process by its own is not sufficient.

Transitioning Concussion Care to Mental Health Care: A Case Study of an Elite Athlete

2021 ◽  
Vol 5 (1) ◽  
pp. 135-144
Author(s):  
Natalie S. Sherry ◽  
Abigail Feder ◽  
Raymond Pan ◽  
Shawn R. Eagle ◽  
Anthony P. Kontos
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Biopsychosocial Model ◽  
Elite Athlete ◽  
Clinical Presentation ◽  
Health Changes ◽  
Memory Problems ◽  
Treatment Focus

Athletes with recent concussion experience a constellation of physical (e.g., headache, nausea), cognitive (e.g., memory problems, difficulty concentrating), sleep, and emotional (e.g., anxiety, depressed mood) symptoms after injury. Mental health changes may also be a product of typical maturation in adolescents/young adults, making mood disruption difficult to disentangle from concussion sequelae. In this case study, we present the case of a high-achieving 18-year-old female rower whose concussion clinical trajectory exhibits this type of difficulty. Specifically, we provide a detailed chronological summary of the athlete’s visits with a multidisciplinary concussion team. We highlight in this case study (a) an individualized, biopsychosocial model of concussion care and (b) subtle aspects of her clinical presentation that led the clinical team to transition her treatment focus from concussion specific to formal mental health care.

scholarly journals Common Elements Treatment Approach based on a Cognitive Behavioral Intervention: implementation in the Colombian Pacific

2016 ◽  
Vol 21 (6) ◽  
pp. 1947-1956 ◽  
Author(s):  
Sara Gabriela Pacichana-Quinayáz ◽  
Gisel Viviana Osorio-Cuéllar ◽  
Francisco Javier Bonilla-Escobar ◽  
Andrés Fandiño-Losada ◽  
María Isabel Gutiérrez-Martínez
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Armed Conflict ◽  
Treatment Approach ◽  
Implementation Process ◽  
Common Elements ◽  
Trauma Severity ◽  
Victims Of Violence ◽  
Colombian Pacific

Abstract Due to the limited supply of mental health services for Afro-Colombian victims of violence, a Common Elements Treatment Approach (CETA) intervention has been implemented in the Colombian Pacific. Given the importance of improvement in mental health interventions for this population, it is necessary to characterize this process. This article seeks to describe the implementation of CETA for Afro-Colombian victims of violence in Buenaventura and Quibdó, Colombia through case studieswith individual in-depth interviews with Lay Psychosocial Community Workers (LPCW), supervisors, and coordinators responsible for implementing CETA. From this six core categories were obtained: 1. Effect of armed conflict and poverty 2. Trauma severity 3. Perceived changes with CETA 4. Characteristics and LPCW’s performance 5. Afro-Colombian culturalapproach and 6. Strategies to promote users’ well-being.Colombian Pacific’s scenario implies several factors, such as the active armed conflict, economic crisis, and lack of mental health care resources, affecting the implementation process and the intervention effects. This implies the need to establish and strengthen partnerships between institutions in order to administer necessary mental health care for victims of violence in the Colombian Pacific.

Mental Health in Sri Lanka: Challenges for Primary Health Care

2002 ◽  
Vol 8 (2) ◽  
pp. 31 ◽  
Author(s):  
Sudarshini Fernandopulle ◽  
Neil Thalagala ◽  
Simon Barraclough
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Sri Lanka ◽  
Mental Health Care ◽  
Health Care Services ◽  
Mental Health Problems ◽  
Community Health Services ◽  
Military Conflict ◽  
Care Services ◽  
Policy And Planning

Using a societal approach to the determinants of mental health, a survey of knowledge about mental health problems in Sri Lanka is presented, including the consequences of years of civil and military conflict and economic retardation. Sri Lanka has the highest suicide rate for females, and one of the highest rates for males, in the world. Mental health care services and their limitations are described. Major problems include under-funding of services and medicinal drugs, overcrowded institutions, shortages of trained personnel, and under-developed community health services. Desirable policy and planning reforms are identified; in particular the need for expanded primary mental health care.

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