scholarly journals Access Limitation to Health Services in Palestine and its Consequences on Palestinian Mental Health and Wellbeing: Literature Review

2021 ◽  
Author(s):  
Mohammad Marie ◽  
Maher Battat
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Services ◽  
Literature Review ◽  
Health Care Services ◽  
West Bank ◽  
Gaza Strip ◽  
Google Scholar ◽  
Limited Access ◽  
Care Services

Abstract Accessing health care services system is a fundamental right for all people worldwide. The WHO has defined the obstruction of the availability, access, and delivery of therapeutic and/or preventive health services as a form of health attack. The Palestinian Authority faces significant challenges to ensure the sustainability of the delivery of its health services systems. The blockade of the Gaza Strip and the presence of Israeli settlements in oPt and the Separation Wall around Jerusalem all these obstacles affect the patient’s right to access health care services. Palestinian Patients need permit applications from Israeli authorities that require usually 7- 10 days depending on the case condition and the appointment from the target hospital in which the permit may be approved or denied or delayed. It has become a complex process due to the need to cross barriers or border crossings and restrictions on the movement of Palestinian patients and ambulances imposed by the Israeli government. Therefore, barriers policy to accessing health care services are a serious and permanent condition that can lead to a very stressful atmosphere and result in developing mental problems. This paper aims to provide an overview of the literature and established studies on mental health consequences related to access limitations policy to health care services system in Palestine.Method: PubMedand Google Scholar were used to search for materials for the literature review study. The Data in this literature review wascollected by searching in electronic databases such as PubMed and Google Scholar. The keywords used in the searching process are Mental Health AND consequences AND limited access OR Access Limitations AND health care services OR health care AND barrier AND Gaza strip OR West Bank AND Palestine. full-text articles critically appraised were included while the duplicated papers were extracted.The papers in this review follow the IMRAD style (Introduction, method, results, and discussion section).Result: More than 25 related materials founded including review studies, 3 WHO reports, and 2 Palestinian government statistical reports.Conclusion:Evidences from this review show that there is a necessity to maintain justice and equality among the Palestinian population and their right to freedom. Limited access to health-care services for Palestinian patients living in Gaza Strip, West Bank ,andEast Jerusalem affect negatively the patient’s quality of life and mental health mainly due to the Israeli Separation Wall besides road closures.

scholarly journals Access Limitation to Health Services in Palestine and Its Consequences on Palestinian Mental Health and Wellbeing: Literature Review

2021 ◽  
Author(s):  
Mohammad Marie ◽  
Maher Battat
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Services ◽  
Literature Review ◽  
Health Care Services ◽  
West Bank ◽  
Gaza Strip ◽  
Google Scholar ◽  
Limited Access ◽  
Care Services

Abstract Accessing health care services is a fundamental right for all people worldwide. The WHO has defined the obstruction of the availability, access, and delivery of therapeutic and/or preventive health services as a form of health attack. The Palestinian Authority faces significant challenges to ensure the sustainability of the delivery of its health services. The blockade of the Gaza Strip and the presence of Israeli settlements in oPt and the Separation Wall around Jerusalem all these obstacles affect the patient’s right to access health care services. Palestinian Patients need permit applications from Israeli authorities that require usually 7- 10 days depending on the case condition and the appointment from the target hospital in which the permit may be approved or denied or delayed. It has become a complex process due to the need to cross barriers or border crossings and restrictions on the movement of Palestinian patients and ambulances imposed by the Israeli government. Therefore, barriers to accessing health care services are a serious and permanent condition that can lead to a very stressful atmosphere and result in developing mental problems. This paper aims to provide an overview of the literature and established studies on mental health consequences related to access limitations to health care services in Palestine.Method: PubMedand Google Scholar were used to search for materials for the literature review study. The Data in this literature review was collected by searching in electronic databases such as PubMed and Google Scholar. The keywords used in the searching process are Mental Health AND consequences AND limited access OR Access Limitations AND health care services OR health care AND barrier AND Gaza strip OR West Bank AND Palestine. full-text articles critically appraised were included while the duplicated papers were extracted. The papers in this review follow the IMRAD style (Introduction, method, results, and discussion section).Result: More than 25 related materials founded including review studies, 3 WHO reports, and 2 Palestinian government statistical reports.Conclusion: Evidences from this review show that there is a necessity to maintain justice and equality among the Palestinian population and their right to freedom. Limited access to health-care services for Palestinian patients living in Gaza Strip, West Bank ,and East Jerusalem affect negatively the patient’s quality of life and mental health mainly due to the Israeli Separation Wall besides road closures.

scholarly journals Access Limitation to Health Services in Palestine and Its Consequences on Palestinian Mental Health and Wellbeing: Literature Review

2021 ◽  
Author(s):  
Mohammad Marie ◽  
Maher Battat
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Services ◽  
Literature Review ◽  
Health Care Services ◽  
West Bank ◽  
Gaza Strip ◽  
Google Scholar ◽  
Limited Access ◽  
Care Services

Abstract Background: Accessing health care services system is a fundamental right for all people worldwide. The WHO has defined the obstruction of the availability, access, and delivery of therapeutic and/or preventive health services as a form of health attack. The Palestinian Authority faces significant challenges to ensure the sustainability of the delivery of its health services systems. The blockade of the Gaza Strip and the presence of Israeli settlements in oPt (occupied Palestinian territories) and the Separation Wall around Jerusalem all these obstacles affect the patient’s right to access health care services. Palestinian Patients need permit applications from Israeli authorities that require usually 7–10 days depending on the case condition and the appointment from the target hospital in which the permit may be approved or denied or delayed. It has become a complex process due to the need to cross barriers or border crossings and restrictions on the movement of Palestinian patients and ambulances imposed by the Israeli government. Therefore, barriers policy to accessing health care services are a serious and permanent condition that can lead to a very stressful atmosphere and result in developing mental problems. This paper aims to provide an overview of the literature and established studies on mental health consequences related to access limitations policy to health care services system in Palestine. Methods PubMed and Google Scholar were used to search for materials for the literature review study. The Data in this literature review was collected by searching in electronic databases such as PubMed and Google Scholar. The keywords used in the searching process are Mental Health AND consequences AND limited access OR Access Limitations AND health care services OR health care AND barrier AND Gaza strip OR West Bank AND Palestine. Full-text articles critically appraised were included while the duplicated papers were extracted. The papers in this review follow the IMRAD style (Introduction, method, results, and discussion section). Results More than 25 related materials founded including review studies, 3 WHO reports, and 2 Palestinian government statistical reports. Conclusion Evidences from this review show that there is a necessity to maintain justice and equality among the Palestinian population and their right to freedom. Limited access to health-care services for Palestinian patients living in Gaza Strip, West Bank ,and East Jerusalem affect negatively the patient’s quality of life and mental health mainly due to the Israeli Separation Wall besides road closures.

scholarly journals Impact of School-Based Health Centers on Students with Mental Health Problems

2008 ◽  
Vol 123 (6) ◽  
pp. 768-780 ◽  
Author(s):  
Jeff J. Guo ◽  
Terrance J. Wade ◽  
Kathryn N. Keller
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Care Services ◽  
School Based ◽  
School Based Health Centers

Objectives. School-based health centers (SBHCs) play an increasingly major role in providing mental health services for students. This study evaluated the impact of SBHCs on mental health-care services and psychosocial health-related quality of life (HRQOL). Methods. Four SBHC intervention and two matched non-SBHC school districts were examined from 1997 to 2003. The SBHC intervention began in 2000. Data included child and parent pediatric HRQOL and Ohio Medicaid claims. A longitudinal quasi-experimental time-series repeated measures design was used for this study, involving analysis of covariance to assess health costs and regression analyses for HRQOL scores. Results. After the SBHC program, proportions of students accessing mental health-care services for urban and rural SBHC intervention schools increased 5.6% (χ2=39.361, p<0.0001) and 5.9% (χ2=5.545, p<0.0001), respectively, compared with increases of 2.6% (χ2=2.670, p=0.1023) and 0.2% (χ2=0.006, p=0.9361) for urban and rural non-SBHC schools, respectively. Using data from 109 students with mental health problems based on Medicaid claims, the study found SBHC students had significantly lower total health-care costs (F=5.524, p=0.005) and lower costs of mental health services (F=4.820, p=0.010) compared with non-SBHC students. While improvements over time in HRQOL for SBHC students compared with non-SBHC students and students from non-SBHC schools were observed, only some were statistically significant. Conclusions. SBHC programs increase the proportion of students who receive mental health services and may improve pediatric HRQOL. SBHC students with mental health problems had lower total Medicaid reimbursements compared with non-SBHC students.

scholarly journals An Integrated Blueprint for Digital Mental Health Services Amidst COVID-19 (Preprint)

2020 ◽  
Author(s):  
Luke Balcombe ◽  
Diego De Leo
Keyword(s):  
Mental Health ◽  
Machine Learning ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Care ◽  
Real Time ◽  
Health Care Services ◽  
Care Services

UNSTRUCTURED In-person traditional approaches to mental health care services are facing difficulties amidst the coronavirus disease (COVID-19) crisis. The recent implementation of social distancing has redirected attention to nontraditional mental health care delivery to overcome hindrances to essential services. Telehealth has been established for several decades but has only been able to play a small role in health service delivery. Mobile and teledigital health solutions for mental health are well poised to respond to the upsurge in COVID-19 cases. Screening and tracking with real-time automation and machine learning are useful for both assisting psychological first-aid resources and targeting interventions. However, rigorous evaluation of these new opportunities is needed in terms of quality of interventions, effectiveness, and confidentiality. Service delivery could be broadened to include trained, unlicensed professionals, who may help health care services in delivering evidence-based strategies. Digital mental health services emerged during the pandemic as complementary ways of assisting community members with stress and transitioning to new ways of living and working. As part of a hybrid model of care, technologies (mobile and online platforms) require consolidated and consistent guidelines as well as consensus, expert, and position statements on the screening and tracking (with real-time automation and machine learning) of mental health in general populations as well as considerations and initiatives for underserved and vulnerable subpopulations.

scholarly journals Mapping services at two Nairobi County primary health facilities: identifying challenges and opportunities in integrated mental health care as a Universal Health Coverage (UHC) priority

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manasi Kumar ◽  
Vincent Nyongesa ◽  
Martha Kagoya ◽  
Byamah B. Mutamba ◽  
Beatrice Amugune ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Care Services ◽  
Primary Health

Abstract Introduction There is a need to scale-up mental health service provision in primary health care. The current extent of integration of mental health in primary care is pertinent to promoting and augmenting mental health at this level. We describe a facility mapping exercise conducted in two low-income/primary health facilities in Kenya to identify existing barriers and facilitators in the delivery of mental health services in general and specifically for peripartum adolescents in primary health care as well as available service resources, cadres, and developmental partners on the ground. Method and measures This study utilized a qualitative evidence synthesis through mapping facility-level services and key-stakeholder interviews. Services-related data were collected from two facility in-charges using the Nairobi City County Human Resource Health Strategy record forms. Additionally, we conducted 10 key informant interviews (KIIs) with clinical officers (Clinicians at diploma level), Nurses, Community Health Assistants (CHAs), Prevention of Mother-to-child Transmission of HIV Mentor Mothers (PMTCTMs), around both general and adolescent mental health as well as psychosocial services they offered. Using the World Health Organization Assessments Instrument for Mental Health Systems (WHO-AIMS) as a guideline for the interview, all KII questions were structured to identify the extent of mental health integration in primary health care services. Interview transcripts were then systematically analyzed for common themes and discussed by the first three authors to eliminate discrepancies. Results Our findings show that health care services centered around physical health were offered daily while the mental health services were still vertical, offered weekly through specialist services by the Ministry of Health directly or non-governmental partners. Despite health care workers being aware of the urgent need to integrate mental health services into routine care, they expressed limited knowledge about mental disorders and reported paucity of trained mental health personnel in these sites. Significantly, more funding and resources are needed to provide mental health services, as well as the need for training of general health care providers in the identification and treatment of mental disorders. Our stakeholders underscored the urgency of integrating mental health treatment, prevention, and well-being promotive activities targeting adolescents especially peripartum adolescent girls. Conclusion There is a need for further refining of the integrated care model in mental health services and targeted capacity-building for health care providers to deliver quality services.

scholarly journals Pattern of Presentation and Utilization of Services for Mental and Neurological Disorders in Northeastern Nigeria: A Ten-Year Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Jidda Mohammed Said ◽  
Abdulmalik Jibril ◽  
Rabbebe Isah ◽  
Omeiza Beida
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Low Income ◽  
Neurological Disorders ◽  
Health Care Services ◽  
Significant Proportion ◽  
Care Services

Mental and neurological disorders are common in the primary health care settings. The organization of mental health services focuses on a vertical approach. The northeast as other low income regions has weak mental health services with potentially huge mental health burden. The manner of presentations and utilization of these services by the population may assist in determining treatment gap. We investigated the pattern and geographical distribution of presentations with mental disorders and explored the linkages with primary care in northeastern Nigeria over the last decade. A retrospective review of hospital-based records of all the available mental health service units in the region was conducted over a decade spanning between January 2001 and December 2011. A total of 47, 664 patients attended available mental health facilities within the past decade in the northeast. Overwhelming majority (83%,n=39,800) attended the region’s tertiary mental health facility. A substantial proportion (30%,n=14,440) had primary physical illness, while 18%,n=8606, had primary neurologic disorders. The commonest physical comorbidity was hypertension (4%) and diabetes (2%). A significant proportion of the populace with mental disorders appeared not to be accessing mental health care services, even when it is available. Meaningful efforts to improve access to mental health services in the northeast region of Nigeria will require successful integration of mental health into primary and general medical services.

scholarly journals The distribution of mental health services within NHS trusts

1994 ◽  
Vol 18 (8) ◽  
pp. 469-471
Author(s):  
Judy Harrison
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Significant Proportion ◽  
Acute Hospital ◽  
Care Services ◽  
Community Trust ◽  
Using Data

From April 1994, over 95% of health care services will be provided by NHS trusts. Mental Health services have a choice of remaining within the acute hospital trust or forming part or all of a community trust. Using data from trust directories, the distribution of mental health services within the first three trust waves is described. Forty per cent of acute hospital trusts currently do not include mental health services. Unlike other specialities, a significant proportion of mental health services are choosing to form specialist mental health trusts. The implications of the alternative trust arrangements for psychiatry are discussed.

scholarly journals An Integrated Blueprint for Digital Mental Health Services Amidst COVID-19

10.2196/21718 ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. e21718 ◽  
Author(s):  
Luke Balcombe ◽  
Diego De Leo
Keyword(s):  
Mental Health ◽  
Machine Learning ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Care ◽  
Real Time ◽  
Health Care Services ◽  
Care Services

In-person traditional approaches to mental health care services are facing difficulties amidst the coronavirus disease (COVID-19) crisis. The recent implementation of social distancing has redirected attention to nontraditional mental health care delivery to overcome hindrances to essential services. Telehealth has been established for several decades but has only been able to play a small role in health service delivery. Mobile and teledigital health solutions for mental health are well poised to respond to the upsurge in COVID-19 cases. Screening and tracking with real-time automation and machine learning are useful for both assisting psychological first-aid resources and targeting interventions. However, rigorous evaluation of these new opportunities is needed in terms of quality of interventions, effectiveness, and confidentiality. Service delivery could be broadened to include trained, unlicensed professionals, who may help health care services in delivering evidence-based strategies. Digital mental health services emerged during the pandemic as complementary ways of assisting community members with stress and transitioning to new ways of living and working. As part of a hybrid model of care, technologies (mobile and online platforms) require consolidated and consistent guidelines as well as consensus, expert, and position statements on the screening and tracking (with real-time automation and machine learning) of mental health in general populations as well as considerations and initiatives for underserved and vulnerable subpopulations.

scholarly journals The future of community-centred health services in Australia: lessons from the mental health sector

2010 ◽  
Vol 34 (1) ◽  
pp. 106 ◽  
Author(s):  
Alan Rosen ◽  
Roger Gurr ◽  
Paul Fanning
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Services ◽  
Community Health ◽  
Health Care Services ◽  
Cost Effective ◽  
Community Health Services ◽  
International Studies ◽  
Care Services

•It is apparent that hospital-dominated health care produces limited health outcomes and is an unsustainable health care system strategy. •Community-centred health care has been demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions. Nevertheless, hospital-centred services continue to dominate health care services in Australia, and some state governments have presided over a retreat from, or even dismantling of, community health services. •The reasons for these trends are explored. •The future of community health services in Australia is uncertain, and in some states under serious threat. We consider lessons from the partial dismantling of Australian community mental health services, despite a growing body of Australian and international studies finding in their favour. •Community-centred health services should be reconceptualised and resourced as the centre of gravity of local, effective and affordable health care services for Australia. A growing international expert consensus suggests that such community-centred health services should be placed in the centre of their communities, closely linked or collocated where possible with primary health care, and functionally integrated with their respective hospital-based services. What is known about the topic?Community-centred health care has been widely demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions, e.g. in mental health service systems. A growing international expert consensus suggests that such community-centred health services should be placed in the centre of their communities, closely linked or collocated where possible with primary health care, and functionally integrated with their respective hospital-based services. What does this paper add?Despite this global consensus, hospital-centred services continue to dominate health care services in Australia, and some state governments have presided over a retreat from, or even dismantling of, community health services. The reasons for these trends and possible solutions are explored. What are the implications for practitioners?Unless this trend is reversed, the loss of convenient public access to community health services at shopping and transport hubs and the consequent compromising of intensive home-based clinical care, will lead to a deterioration of preventative interventions and the health care of long-term conditions, contrary to international studies and reviews.

scholarly journals Mapping Services at Two Nairobi County Primary Health Facilities: Identifying Challenges and Opportunities in Integrated Mental Health Care as a Universal Health Coverage (UHC) Priority

2021 ◽  
Author(s):  
Manasi Kumar ◽  
Vincent Nyongesa ◽  
Martha Kagoya ◽  
Byamah Brian Mutamba ◽  
Beatrice Amugune ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Health Coverage ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Facilities

Abstract Introduction: We describe a facility mapping exercise conducted in two low-income/primary health facilities in Kenya to identify available service resources, cadres, and developmental partners as well as existing barriers and facilitators in the delivery of mental health services in general and specifically for peripartum adolescents in primary health care. We have tried to embrace the principles of integrating mental health services in primary care and keeping WHO mhGAP in mind. Additionally, primary care facilities’ capacity is a major limiting factor for expanding universal health coverage in low- and middle-income countries. Method and Measures: This study utilized a qualitative evidence synthesis through semi-structured facility services mapping and stakeholder interviews. Services-related data was collected from two facility in-charges using the Nairobi City County Human Resource Health Strategy record forms. Additionally, we conducted 12 key informant interviews (KIIs) with and clinical officers (Clinicians at diploma level), Nurses, Community Health Assistants (CHAs), Prevention of Mother-to-child Transmission of HIV Mentor Mothers (PMTCTMs), around both general and adolescent mental health as well as psychosocial services they offered. Using the World Health Organization Assessments Instrument for Mental Health Systems (WHO-AIMS) as a guideline for the interview, all KII questions were structured to identify the extent of mental health integration in primary health care services. Interview transcripts were then systematically analyzed for common themes and discussed by the first three authors to eliminate discrepancies. Results: Our findings show that health care services centered around physical health were offered daily while the mental health services were offered weekly through specialist services by the Ministry of Health directly or non-governmental partner. Despite Health care workers being aware of the urgent need to integrate mental health services into routine care, they expressed limited knowledge about mental health disorders, lack of trained mental health personnel, the need for more significant funding and resources to provide mental health services, and promotion of CMHS to treat mental health conditions in the primary care setting. Our stakeholders underscored the urgency of integrating mental health treatment, prevention, and well-being promotive activities targeting adolescents especially peripartum adolescent girls.Conclusion: There is a need for further refining of the integrated care model in mental health services and targeted capacity building for health care providers to deliver quality services.

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