Using the Alberta Continuity of Services Observer-Rated Scale to Measure Continuity of Care in a Psychiatric Population

2016 ◽  
Vol 24 (1) ◽  
pp. 131-146 ◽  
Author(s):  
Amanda Digel Vandyk ◽  
Elizabeth G. VanDenKerkhof ◽  
Ian D. Graham ◽  
Margaret B. Harrison
Keyword(s):  
Mental Health ◽  
Continuity Of Care ◽  
Secondary Analysis ◽  
Health Record ◽  
Response Options ◽  
Record Data ◽  
Ed Visits ◽  
Psychiatric Population ◽  
Scoring Accuracy ◽  
The Relationship

Background and Purpose: Continuity of care (CoC) is an important component in the delivery of quality mental health care. Yet, its measurement is inconsistent. We explored the use of the Alberta Continuity of Services Scale for Mental Health (ACSS-MH) observer-rated scale and compared CoC scores in 2 groups (N = 140) of individuals with mental health complaints (5+ and 1 emergency department [ED] visits/year). Methods: Secondary analysis of health record data. Results: The application of the ACSS-MH observer-rated scale in our population is discussed, as well as differences in CoC scores by group. Conclusions: The ACSS-MH observer-rated scale may be useful for obtaining CoC scores in several mental health populations. Minor modifications (e.g., to response options) are suggested that may improve scoring accuracy. Research is needed to further explore the relationship between CoC and ED use.

The relationship between exclusion from school and mental health: a secondary analysis of the British Child and Adolescent Mental Health Surveys 2004 and 2007

2017 ◽  
Vol 48 (4) ◽  
pp. 629-641 ◽  
Author(s):  
T. Ford ◽  
C. Parker ◽  
J. Salim ◽  
R. Goodman ◽  
S. Logan ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Psychiatric Disorder ◽  
Health Surveys ◽  
Secondary Analysis ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
The Impact ◽  
The Relationship

BackgroundChildren with poor mental health often struggle at school. The relationship between childhood psychiatric disorder and exclusion from school has not been frequently studied, but both are associated with poor adult outcomes. We undertook a secondary analysis of the British Child and Adolescent Mental Health Surveys from 2004 and its follow-up in 2007 to explore the relationship between exclusion from school and psychopathology. We predicted poorer mental health among those excluded.MethodPsychopathology was measured using the Strengths and Difficulties Questionnaire, while psychiatric disorder was assessed using the Development and Well-Being Assessment and applying Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM IV) criteria. Exclusion from school and socio-demographic characteristics were reported by parents. Multi-variable regression models were used to examine the impact of individual factors on exclusion from school or psychological distress.ResultsExclusion from school was commoner among boys, secondary school pupils and those living in socio-economically deprived circumstances. Poor general health and learning disability among children and poor parental mental health were also associated with exclusion. There were consistently high levels of psychological distress among those who had experienced exclusion at baseline and follow-up.ConclusionsWe detected a bi-directional association between psychological distress and exclusion. Efforts to identify and support children who struggle with school may therefore prevent both future exclusion and future psychiatric disorder.

scholarly journals Flourishing Despite Migraines: A Nationally Representative Portrait of Resilience and Mental Health among Canadians

2021 ◽  
Author(s):  
Esme Fuller-Thomson
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Secondary Analysis ◽  
Well Being ◽  
Care Providers ◽  
Physical And Mental Health ◽  
History Of ◽  
Nationally Representative ◽  
The Relationship

Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.

scholarly journals Associations between child mental health, carer worry and help-seeking

2021 ◽  
pp. 136749352110147
Author(s):  
Shaun Liverpool ◽  
Julian Edbrooke-Childs
Keyword(s):  
Mental Health ◽  
Functional Impairment ◽  
Child Mental Health ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Secondary Analysis ◽  
Future Research ◽  
Early Interventions ◽  
School Aged Children ◽  
The Relationship

Carers may not always express child mental health concerns to health professionals. Therefore, identifying factors delaying help-seeking is important. The aim of this study was to examine the relationship between carer affect and help-seeking. In a secondary analysis of data collected from school-aged children ( N = 1,857, mean age = 9.85 years, 51% female), we used logistic regression to examine the associations between carer worry, help-seeking and child mental health. Regarding worry, higher levels of emotional problems (OR = 1.42, 95% CI = 1.33–1.52), conduct problems (OR = 1.24, 95% CI = 1.12, 1.36), peer problems (OR = 1.17, 95% CI = 1.05–1.27) or functional impairment (OR = 1.37, 95% CI = 1.2–.56) were associated with higher levels of carer worry. Regarding help-seeking, higher levels of functional impairment were associated with higher levels of help-seeking (OR = 1.51, 95% CI = 1.09–2.11). After controlling for mental health problems, carers who reported being worried about their child’s mental health were less likely than other carers to seek help (OR = 0.13, 95% CI = 0.05–0.35). Knowledge of these factors may inform early interventions. Alongside implications for future research and practice, limitations of the study are discussed.

Accommodation History and Continuity of Care in Patients with Psychosis

2005 ◽  
Vol 39 (3) ◽  
pp. 175-179 ◽  
Author(s):  
Alex C.N. Holmes ◽  
Mark A. Hodge ◽  
Gail Bradley ◽  
Alan Bluhm ◽  
Jane Hodges ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Continuity Of Care ◽  
Psychiatric Care ◽  
Psychiatric Services ◽  
Demographic Information ◽  
Urban Mental Health ◽  
History Of ◽  
The Relationship

Objectives: The objective of this study was to determine the relationship between accommodation history and management outcome in patients with psychosis. Method: Demographic information, diagnosis and an accommodation history were taken from patients with psychosis accepted for case management by the Inner West Area Mental Health Service over a 12-month period. The patients were followed up 2 years later to determine their continuity of care and discharge outcome. Results: One hundred 42 patients completed the assessments. Forty-eight percent of patients had spent at least 1 day in a homeless setting in the previous 12 months. Twentytwo percent of patients had long-term (between 2 and 12 months) and six percent chronic (more than 12 months) homelessness. The duration of previous homelessness was significantly inversely correlated with the length of engagement with the service, continuity of psychiatric care at discharge or likelihood of transfer to primary care. Previous interstate mobility was significantly associated with discontinuity of care at discharge. Conclusions: A history of homelessness is common in patients with psychosis using inner urban mental health services and is associated with poorer engagement with psychiatric services.

User Experience, Engagement, and Popularity in Mental Health Apps: Secondary Analysis of App Analytics and Expert App Reviews (Preprint)

2021 ◽  
Author(s):  
Benjamin T Kaveladze ◽  
Akash R Wasil ◽  
John B Bunyi ◽  
Veronica Ramirez ◽  
Stephen M Schueller
Keyword(s):  
Mental Health ◽  
User Experience ◽  
Rating Scale ◽  
Secondary Analysis ◽  
Secondary Data ◽  
Mobile App ◽  
Health Apps ◽  
App Store ◽  
Expert Ratings ◽  
The Relationship

BACKGROUND User experience and engagement are critical to mental health apps’ abilities to support users. However, limited work has examined the relationship between user experience, engagement, and app popularity. Given that apps vary immensely in their popularity, understanding why some mental health apps are more appealing or engaging to users can inform efforts to develop better apps. OBJECTIVE We aimed to examine relationships between user experience, engagement, and popularity. To do so, we examined links between subjective measures of user experience and objective measures of app popularity and engagement. METHODS We conducted a pre-registered secondary data analysis in a sample of 56 mental health apps. To measure user experience, we used expert ratings on the Mobile App Rating Scale (MARS) and consumer ratings from the Apple app store and Google Play app store. To measure engagement, we acquired estimates of measures of monthly active users (MAU) and user retention. To measure app popularity, we used download count, total app revenue, and MAU again. RESULTS MARS total score was significantly and positively correlated with app-level revenue (T=0.30, P=.002), MAU (T= 0.39, P<.001), and downloads (T=0.41, P<.001). However, neither the MARS total score nor any of its subscales (Engagement, Functionality, Aesthetics, nor Information) were significantly correlated with user retention 1, 7, or 30 days after downloading. Also, MARS total score was not significantly correlated with app store rating. CONCLUSIONS Popular mental health apps receive better ratings of user experience than less popular ones. However, user experience (as operationalized by the MARS) does not predict sustained engagement with mental health apps. Collaboration between industry and academic teams may better advance a science of engagement and help to make mental health apps more effective and appealing.

scholarly journals He oro hauora: How do kaupapa Māori models of health relate to my music therapy practice in an adolescent acute mental health unit?

2021 ◽  
Author(s):  
◽  
Nolan Hodgson
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Secondary Analysis ◽  
Health Unit ◽  
Four Dimensions ◽  
Kaupapa Māori ◽  
Mental Health Practices ◽  
Maori Health ◽  
Mental Health Unit ◽  
The Relationship

<p>This project explores the relationship between understandings of health within kaupapa Māori frameworks and music therapy with a particular focus on Durie’s Te Whare Tapa Whā (1998), Pere’s Te Wheke (1991) and ecological perspectives in music therapy. This research took place within an acute adolescent mental health unit that operates with a model of healthcare that emphasises Māori approaches to wellbeing. Secondary analysis of data involving techniques developed within grounded theory is used to investigate clinical notes from my music therapy practice in order to identify processes relevant to the four dimensions of Te Whare Tapa Whā. Themes that emerged were examined and used to investigate further data until a clearer picture of the relationship between music therapy and kaupapa Māori health frameworks became evident. This project particularly acknowledges the unique qualities of music and its practical application in music therapy in order to address and support a person's wairua within modern mental health practices. Specifically, the concepts of mana, mauri and whatumanawa appeared particularly relevant to the process of music therapy and the state of whakamā also emerged as significant within this mental health context. Parallels between kaupapa Māori understandings of health and ecological perspectives within music therapy were also noted and particular reference made to the work of Carolyn Kenny and her Field of Play (2006) model in developing the discourse linking indigenous perspectives with the music therapy profession.</p>

scholarly journals He oro hauora: How do kaupapa Māori models of health relate to my music therapy practice in an adolescent acute mental health unit?

2021 ◽  
Author(s):  
◽  
Nolan Hodgson
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Secondary Analysis ◽  
Health Unit ◽  
Four Dimensions ◽  
Kaupapa Māori ◽  
Mental Health Practices ◽  
Maori Health ◽  
Mental Health Unit ◽  
The Relationship

<p>This project explores the relationship between understandings of health within kaupapa Māori frameworks and music therapy with a particular focus on Durie’s Te Whare Tapa Whā (1998), Pere’s Te Wheke (1991) and ecological perspectives in music therapy. This research took place within an acute adolescent mental health unit that operates with a model of healthcare that emphasises Māori approaches to wellbeing. Secondary analysis of data involving techniques developed within grounded theory is used to investigate clinical notes from my music therapy practice in order to identify processes relevant to the four dimensions of Te Whare Tapa Whā. Themes that emerged were examined and used to investigate further data until a clearer picture of the relationship between music therapy and kaupapa Māori health frameworks became evident. This project particularly acknowledges the unique qualities of music and its practical application in music therapy in order to address and support a person's wairua within modern mental health practices. Specifically, the concepts of mana, mauri and whatumanawa appeared particularly relevant to the process of music therapy and the state of whakamā also emerged as significant within this mental health context. Parallels between kaupapa Māori understandings of health and ecological perspectives within music therapy were also noted and particular reference made to the work of Carolyn Kenny and her Field of Play (2006) model in developing the discourse linking indigenous perspectives with the music therapy profession.</p>

scholarly journals The relationship of resilience with social connectedness and self-esteem in street involved youth: a secondary analysis

2021 ◽  
Author(s):  
Karen Albert
Keyword(s):  
Mental Health ◽  
Social Connectedness ◽  
Substance Misuse ◽  
Secondary Analysis ◽  
Self Esteem ◽  
Demographic Characteristics ◽  
The Face ◽  
Relationship Of ◽  
The Relationship ◽  
Bounce Back

Resilience, the ability to bounce back in the face of adversity or trauma, plays a crucial role in street-involved youth’s (SIY) capacity to overcome risks. Social connectedness and self-esteem have been identified as possible protective factors in the lives of SIY. A secondary analysis of 155 SIY was conducted to explore the relationship between social connectedness and self-esteem with resilience. Correlations of study variables with demographic characteristics and mental health descriptors were also examined. Results indicate that resilience is positively and significantly correlated with social connectedness and self-esteem. Additionally, those with higher levels of resilience, social connectedness and self-esteem had lower levels of depression, hopelessness, suicidality and substance misuse. Enhancing social connectedness and self-esteem may strengthen resilience, enabling youth to move forward despite the deleterious conditions associated with homelessness.

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