scholarly journals Using text-based chat to deliver psychological therapeutic services: An e-mental health solution for rural and remote communities? (Preprint)

2020 ◽  
Author(s):  
Anne Dwyer ◽  
Abílio de Almeida Neto ◽  
Dominique Estival ◽  
Weicong Li ◽  
Christa Lam-Cassettari ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Health Service Delivery ◽  
Future Research ◽  
Rural And Remote ◽  
Remote Communities ◽  
Mental Health Service Delivery ◽  
Therapeutic Services

BACKGROUND People living in rural and remote areas have poorer access to mental health services than those living in cities. They also are less likely to seek help because of self-stigma and entrenched stoic beliefs about help-seeking as a sign of weakness. OBJECTIVE E-mental health services have the potential to circumvent these barriers using technology. METHODS This review argues that text-based, real-time communication with a qualified therapist is an effective form of e-mental health service delivery that will be particularly attractive for those concerned with stigma and confidentiality. RESULTS Another advantage of text-based communications is that computational linguistic analyses of transcripts may help identify individuals at risk of serious mental health issues and suicide. CONCLUSIONS We recommend that future research should pursue this potentially fruitful hypothesis to develop policy and improve intervention accessibility for regional communities.

scholarly journals Psychogeriatric SOS (services-on-screen) – a unique e-health model of psychogeriatric rural and remote outreach

2015 ◽  
Vol 27 (11) ◽  
pp. 1751-1754 ◽  
Author(s):  
David Burke ◽  
Ayse Burke ◽  
Jacqueline Huber
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Service Delivery ◽  
Limited Resources ◽  
Rural And Remote ◽  
Remote Communities ◽  
Mental Health Service Delivery ◽  
Mental Health Workforce ◽  
Health Model

Mental health service delivery to rural and remote communities can be significantly impeded by the tyranny of distance. In Australia, rural and remote mental health services are characterized by limited resources stretched across geographically large and socio-economically disadvantaged regions (Inderet al., 2012; Thomaset al., 2012). Internationally, rural and remote area mental health workforce shortages are common, especially in relation to specialist mental health services for older people (McCarthyet al., 2012; Bascuet al., 2012).

Examining Models of Mental Health Service Delivery in the Emergency Department

2007 ◽  
Vol 41 (10) ◽  
pp. 784-791 ◽  
Author(s):  
Timothy Wand ◽  
Kathryn White
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Emergency Department ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Health Service Delivery ◽  
Mental Health Service Delivery

The purpose of the present paper was to review the current models of mental health service delivery used in the emergency department (ED) setting. A search was conducted of the nursing and medical literature from 1990 to 2007 for relevant articles and reports. Consideration was also given to the global and local context influencing contemporary mental health services. Wider sociopolitical and socioeconomic influences and systemic changes in health-care delivery have dictated a considerable shift in attention for mental health services worldwide. The ED is a topical location that has attracted interest and necessitated a response. The mental health liaison nurse (MHLN) role embedded within the ED structure has demonstrated the most positive outcomes to date. This model aims to raise mental health awareness and address concerns over patient-focused outcomes such as reduced waiting times, therapeutic intervention and more efficient coordination of care and follow up for individuals presenting to the ED in psychological distress. Further research is required into all methods of mental health service delivery to the ED. The MHLN role is a cost-effective approach that has gained widespread approval from ED staff and mental health patients and is consistent with national and international expectations for mental health services to become fully integrated within general health care. The mental health nurse practitioner role situated within the ED represents a potentially promising alternative for enhanced public access to specialized mental health care.

Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People

2003 ◽  
Vol 37 (6) ◽  
pp. 735-740 ◽  
Author(s):  
Brian Draper ◽  
Tanya Jochelson ◽  
David Kitching ◽  
John Snowdon ◽  
Henry Brodaty ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Older People ◽  
Health Service Delivery ◽  
Aged Care ◽  
Mental Health Service Delivery ◽  
Adult Mental Health ◽  
Care Services

Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia. Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to all aged care services, adult mental health services and mental health services for older people in NSW. The survey canvassed issues ranging across service profiles, regional variations, availability of resources, processes of care, views on working relationships between services, difficulties and gaps experienced, and ways to improve co-ordination and service delivery. Clinical issues such as the management and practice of psychiatric disorders of old age, educational/training requirements and skill and experience in working with older people were explored. Results: An overall response rate of 86% was achieved, including 95% from aged care services (n = 58), 74% from adult mental health services (n = 62) and 90% from mental health services for older people (n = 20). Only 59% of aged care services and adult mental health services considered that their local mental health services for older people provided an adequate service; resource and budget limitations were portrayed as the main constraint. Mental health services for older people varied widely in structure, settings and activities undertaken. Access to mental health beds for older people was also variable, and alongside staffing levels was considered problematic. Lack of staff training and/or inexperience in psychogeriatrics posed a challenge for aged care services and adult mental health services. Conclusion: Relationships between aged care services, adult mental health services and mental health services for older people are affected by lack of access to psychogeriatric staff, resource limitations of mental health services for older people, and inadequate liaison and support between the service types. Joint case conferences, education, increased funding of mental health services for older people, and cross referrals were considered ways to address these issues.

scholarly journals Remote mental health services: a mixed-methods survey and interview study on the use, value, benefits and challenges of a national video consulting service in NHS Wales, UK

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e053014
Author(s):  
Gemma Johns ◽  
Anna Burhouse ◽  
Jacinta Tan ◽  
Oliver John ◽  
Sara Khalil ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Health Service Delivery ◽  
Government Support ◽  
Use Value ◽  
Specific Data ◽  
Mental Health Service Delivery

Social distancing laws during the first year of the pandemic, and its unprecedented changes to the National Health Service (NHS) forced a large majority of services, especially mental health teams to deliver patient care remotely. For many, this approach was adopted out of necessity, rather than choice, thus presenting a true ‘testing ground’ for remote healthcare and a robust evaluation on a national and representative level.ObjectiveTo extract and analyse mental health specific data from a national dataset for 1 year (March 2020–March 2021).DesignA mixed-methods study using surveys and interviews.SettingIn NHS mental health services in Wales, UK.ParticipantsWith NHS patients and clinicians across child and adolescent, adult and older adult mental health services.Outcome measuresMixed methods data captured measures on use, value, benefits and challenges of video consulting (VC).ResultsA total of 3561 participants provided mental health specific data. These data and its findings demonstrate that remote mental health service delivery, via the method of VC is highly satisfactory, well-accepted and clinically suitable for many patients, and provides a range of benefits to NHS patients and clinicians. Interestingly, clinicians working from ‘home’ rated VC more positively compared with those at their ‘clinical base’.ConclusionsPost 1-year adoption, remote mental health services in Wales UK have demonstrated that VC is possible from both a technical and behavioural standpoint. Moving forward, we suggest clinical leaders and government support to sustain this approach ‘by default’ as an option for NHS appointments.

"Are We There Yet?" - Consumer Participation in Mental Health Services

2006 ◽  
Vol 12 (1) ◽  
pp. 8 ◽  
Author(s):  
Graeme Browne ◽  
Mary Courtney
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Service Delivery ◽  
Consumer Participation ◽  
Mental Health Service Delivery ◽  
Community Attitudes

Public policy in Australia recommends that the relationship between consumers and mental health professionals should be one of equals and that consumers be encouraged to have input into service delivery at every level. This approach requires a significant change in attitude for mental health professionals and within services. Although consumer input into mental health service delivery has improved, there is still a long way to go. Unfortunately, consumers consider many of the efforts by mental health services to be tokenistic. This paper considers some of the issues regarding consumer participation, including the changing community attitudes towards people with a mental illness, the concept of recovery, challenges for health professionals and the impediments to consumer participation.

scholarly journals Tele-social work and mental health in rural and remote communities in Australia

2015 ◽  
Vol 61 (1) ◽  
pp. 143-155 ◽  
Author(s):  
Lia Bryant ◽  
Bridget Garnham ◽  
Deirdre Tedmanson ◽  
Sophie Diamandi
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Information And Communication Technologies ◽  
Social Work Practice ◽  
Rural And Remote ◽  
Remote Communities ◽  
The Social ◽  
Services And Supports

Rural and remote communities often have complex and diverse mental health needs and inadequate mental health services and infrastructure. Information and communication technologies (ICTs) provide an array of potentially innovative and cost-effective means for connecting rural and remote communities to specialist mental health practitioners, services, and supports, irrespective of physical location. However, despite this potential, a review of Australian and international literature reveals that ICT has not attained widespread uptake into social work practice or implementation in rural communities. This article reviews the social work literature on ICT, draws on research on tele-psychology and tele-education, and provides suggestions on how to enhance engagement with ICT by social workers to implement and provide mental health services and supports tailored to community values, needs, and preferences that are commensurate with the values of the social work profession.

Inquiries Into Homicides and Serious Violence Perpetrated by Psychiatric Patients in New Zealand: Need for Consistency of Method and Result Analysis

2001 ◽  
Vol 35 (3) ◽  
pp. 364-369 ◽  
Author(s):  
Alexander I.F. Simpson ◽  
Stephen Allnutt ◽  
David Chaplow
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Patients ◽  
Health Service Delivery ◽  
England And Wales ◽  
Mental Health Service Delivery ◽  
Violent Action ◽  
Result Analysis

Background: The violent action of mentally ill people is a source of considerable public and professional concern. At times such incidents are subject to inquiry. In England and Wales, homicides by people suffering from mental illness are subject to mandatory external inquiry. Further, the Royal College of Psychiatrists coordinates a confidential research study into homicide and suicide by people in contact with mental health services. Inquiries have raised concern regarding widespread problems in mental health service delivery. Within New Zealand, similar concerns have been raised, but inquiries have been irregular and not of consistent methodology. The paper aims to review 10 years of inquiries into violent incidents to describe their methods, structure and findings. Method: All inquiries into violent actions perpetrated by patients in contact with mental health services between 1988 and 1998 and held by the Ministry of Health were reviewed. The nature of the inquiry, the incident, findings and recommendations were summarized. For each inquiry, an assessment was made as to whether the incident was predictable or preventable. Results: There were 11 incidents leading to 13 inquiries, six of homicide, two of rape, one of the release of a dangerous patient and two in which a patient was shot by police. Two internal inquiries were followed by external inquiries. All inquiries found deficiencies of varying severity, the degree of deficiency being greater with external inquiries. Consistent criticisms related to skill, resource, coordination and communication failures. Two of the 11 inquiries found the incident to be ‘predictable’, and eight to have been ‘preventable’. Conclusions: The problems in New Zealand are similar to those noted in England and Wales. Small numbers of inquiries make firm conclusions difficult, but the authors feel that a mandatory process of independent review of serious incidents is wise.

Peer workers in mental health services: literature overview

2014 ◽  
Vol 20 (4) ◽  
pp. 286-292 ◽  
Author(s):  
Steve Gillard ◽  
Jessica Holley
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Service Use ◽  
Health Service Delivery ◽  
Careful Consideration ◽  
List Type ◽  
Mental Health Service Delivery ◽  
The Uk

SummaryPeer worker roles are being introduced in mental health services in the UK and internationally, to support individuals in their recovery. There is substantial qualitative evidence that demonstrates benefits at an individual level and some evidence of impact on service use and costs, although there are currently few high-quality randomised controlled trials supporting these findings, especially from the UK. A growing body of research indicates that careful consideration of organisational issues regarding the introduction of peer worker roles – the distinctiveness and shared expectations of the role, strategic alignment, organisational support – might maximise their impact. Properly supported and valued peer workers are an important resource to the multidisciplinary team, offering experiential knowledge and the ability to engage patients in their treatment through building relationships of trust based on shared lived experience.LEARNING OBJECTIVESAppreciate the origins of the peer worker role and how the role has been introduced into mental health services to date.Understand the evidence for the benefits of peer worker roles, for patients, peer workers and mental health service delivery.Demonstrate awareness of the organisational and team-level barriers to and facilitators of introducing peer workers into, or alongside, existing multidisciplinary mental health teams.

Peer Work in Rural and Remote Communities and Mental Health Services

2021 ◽  
pp. 435-461
Author(s):  
Fay Jackson ◽  
Tim Heffernan ◽  
Mark Orr ◽  
Robert Butch Young ◽  
Cherie Puckett ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural And Remote ◽  
Remote Communities
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