scholarly journals Development of a Resource Guide to Support the Engagement of Mental Health Providers and Patients with Digital Health Tools: A Multi-method Study (Preprint)

2020 ◽  
Author(s):  
Gillian Strudwick ◽  
David McLay ◽  
Brian Lo ◽  
Hwayeon Danielle Shin ◽  
Leanne Currie ◽  
...  
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Health Care Providers ◽  
Grey Literature ◽  
Mental Health Providers ◽  
Health Providers ◽  
Care Providers ◽  
Resource Guide ◽  
Web Based ◽  
Environmental Scan

BACKGROUND As mental illness continues to affect one in five individuals, and the need for support has increased during the COVID-19 pandemic, the promise of digital mental health tools remains largely unrealized due to lack of uptake by patients and providers. OBJECTIVE The specific objective of this project is to develop a web-based resource to support the engagement of mental health providers and patients in the use of digital mental health tools. METHODS The web-based resource was developed using a multi-method approach. We conducted: 1) an environmental scan and engagement of experts in the field; 2) an academic literature review; 3) a grey literature review; and 4) a stakeholder engagement workshop. RESULTS We developed a resource, which is now available publicly online, to support patients' and providers' engagement in the usage of digital mental health tools. Based on a literature review, environmental scan with 27 experts and an engagement workshop with 15 stakeholders, 25 resources were identified and included in the resource guide. The contents of the resource guide are directed at mental health care providers, administrators and patients/clients (inclusive of families/caregivers). CONCLUSIONS The resource guide is now publicly available online for free. Future work should explore how this document can be integrated into clinical care delivery and pathways.

How Do You Do Talk Therapy With Someone Who Can't Talk? Perspectives From Mental Health Providers on Delivering Services to Individuals With Aphasia

2021 ◽  
pp. 1-12
Author(s):  
Katie A. Strong ◽  
Jenna Randolph
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Depression And Anxiety ◽  
Mental Health Providers ◽  
Health Providers ◽  
Care Providers ◽  
Talk Therapy ◽  
Mental Health Care Providers

Purpose Aphasia is correlated with depression and anxiety, and it has a negative impact on quality of life. Aphasia is also frequently misunderstood among mental health care providers. The aim of this study was to explore the experiences of mental health providers who provide services to people living with aphasia. Method Interpretative phenomenological analysis was used to analyze interviews of six mental health providers who had some experience in providing services to people with aphasia. Results Three main themes among mental health care providers' experiences providing services to people with aphasia were identified: barriers, interprofessional collaboration, and therapy looks different. Subthemes associated with barriers included insufficient training and knowledge of aphasia, the stigma of receiving mental health services, and accessibility to services. Subthemes related to interdisciplinary collaboration included referrals, knowledge and awareness, and strategies and tools. Subthemes supporting therapy looks different included a new approach to therapy and challenges. Conclusions Mental health providers' experiences reveal the need for an action-oriented approach to overcome barriers, a nontraditional approach to talk therapy for people with aphasia, and increased collaboration with speech-language pathologists (SLPs). Future research should explore expanding the collaboration between SLPs and mental health providers to increase shared knowledge and skills in issues related to reducing depression and anxiety to support the well-being of people with aphasia.

scholarly journals Factors Associated With the Acceptance of New TRICARE and Medicare Patients by Health Care Providers

2020 ◽  
pp. 107755872094270
Author(s):  
Priyanka Anand ◽  
Yonatan Ben-Shalom ◽  
Eric Schone
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Mental Health Providers ◽  
Health Providers ◽  
Care Providers ◽  
Outreach Programs ◽  
Factors Associated ◽  
Insurance Program ◽  
Medicare Patients

We use data from the 2012-2015 TRICARE Standard Survey to examine factors that affect civilian health care providers’ acceptance of patients covered by the U.S. Department of Defense’s TRICARE insurance program and Medicare. We find that 74% of physicians report that they accept new TRICARE patients compared with 83% accepting new Medicare patients; in contrast, only 36% of mental health providers report that they accept new Medicare and/or TRICARE patients. Among the most common reasons provided by both physicians and mental health providers for not accepting either insurance type are insufficient reimbursement or their specialty not being covered; lack of awareness of TRICARE is also frequently cited, particularly among mental health providers. These findings suggest that successful strategies to increase provider acceptance of TRICARE and Medicare may include improving reimbursement rates and specialty coverage and increasing provider awareness of TRICARE through outreach programs.

Transgender People's Perceptions of Medical Treatment: Implications for Providers and Loved Ones

2021 ◽  
pp. 106648072110523
Author(s):  
Nikolai Guimaoutdinov ◽  
Jane M. Tram
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Qualitative Data ◽  
Health Care Systems ◽  
Mental Health Providers ◽  
Health Providers ◽  
Care Providers ◽  
Health Care Barriers ◽  
Care Systems

In this study, we examine qualitative data from 73 transgender adults. We present the information our participants shared about their experiences navigating health care systems (i.e., medical health, mental health, other providers). Four themes emerged. First, participants indicated that they wanted health care providers to be more aware of transgender-specific terminology, identities, and experiences. Second, participants were concerned that health care providers blame their medical transition for unrelated health concerns. Third, participants said they did not want health care providers to probe transgender patients about their transitions. Fourth, they reported that they wanted health care providers to treat transgender patients as individuals rather than a monolith. Our research has implications for mental health providers because they benefit from understanding the health care barriers experienced by their transgender patients, in mental health and other health realms. This will allow mental health providers to better support their patients as well as bolster support from loved ones.

scholarly journals Development of a tool to assess health applications for healthcare providers: A Delphi Expert Panel Study (Preprint)

2020 ◽  
Author(s):  
Immaculada Grau-Corral ◽  
Percy Efran Pantoja ◽  
Francisco J. Grajales III ◽  
Belchin Kostov ◽  
Valentí Aragunde ◽  
...  
Keyword(s):  
Literature Review ◽  
Health Care Providers ◽  
Expert Panel ◽  
Panel Study ◽  
Healthcare Providers ◽  
Care Providers ◽  
Web Based ◽  
Health Apps ◽  
Agreement Assessment ◽  
Health Applications

BACKGROUND The presence of the mobile phone and devices is generating knowledge about the use of applications to support patient care, but there are few recommendations for apps dedicated to healthcare professionals OBJECTIVE To establish a validated scale to assess healthcare mobile applications is the most efficient step for health care providers and systems. The main goal is to create and validate a tool to evaluate health apps destined to be used by health professionals. METHODS A five steps simplified methodology to assess of the scale was followed. The first step consists of building a scale for professionals based on a literature review. Next step would be an expert panel validation by a Delphi method, rating web-based questionnaires to evaluate inclusion and weight of the indicators. It was agreed to carry out, as many iterations as necessary, to reach a consensus of 75%. Finally, a pilot of the score was developed to evaluate the reliability of the scale. For the inter-rater agreement assessment during the pilot, the Cohen Kappa was used. RESULTS After the literature review, a first scale draft was developed. Two rounds of interactions of the local investigation group and the external panel of experts were needed to select final indicators. Seventeen indicators were included in the score. For the pilot test, 280 apps were evaluated and 66 meet the criteria. The interrater agreement was strong (higher than 82% with significant kappa >0.72 per app and item). CONCLUSIONS We have developed, with a reproducible methodology, a tool that allows us to evaluate health applications for clinical, surgical and general medical providers. The ISYScore-PRO scale to be reliable and reproducible. The assessment permitted to consolidate every step of the methodology. We were able to reach consensus on the dimensions and items on the scale with only two rounds. The process of validation included two robust methodologies. The ISYScore-PRO scale is reliable and reproducible.

Farmers’ contact with health care services prior to suicide: evidence for the role of general practitioners as an intervention point

2015 ◽  
Vol 21 (1) ◽  
pp. 102 ◽  
Author(s):  
Katerina Kavalidou ◽  
Samara McPhedran ◽  
Diego De Leo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Health Care Services ◽  
Agricultural Workers ◽  
Health Providers ◽  
Care Providers ◽  
Care Services ◽  
Intervention Point

Suicide in Australian rural communities has received significant attention from researchers, health practitioners and policymakers. Farmers and agricultural workers have been a focus of particular interest, especially in relation to levels of help seeking for mental health concerns. A less explored area, however, is the level of contact that Australian farming and agriculture workers who die by suicide have had with health providers for physical, rather than mental, health conditions. It is often assumed that farmers and agricultural workers have lower levels of contact with health care services than other rural residents, although this assumption has not been well tested. Using data from the Queensland Suicide Register, this paper describes levels of contact with health care providers in the 3 months before death by suicide among men in farming and agriculture occupations and other occupations in rural Queensland. No significant differences were found in farming and agricultural workers’ levels of contact with a general practitioner when compared with other rural men in Queensland. The current findings lend weight to the view that rural general practitioners represent an important intervention point for farming and agriculture workers at risk of suicide (whether or not those individuals exhibit accompanying psychiatric illness).

scholarly journals Accelerating the Appropriate Adoption of Artificial Intelligence in Health Care: Protocol for a Multistepped Approach

10.2196/30940 ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. e30940
Author(s):  
David Wiljer ◽  
Mohammad Salhia ◽  
Elham Dolatabadi ◽  
Azra Dhalla ◽  
Caitlin Gillan ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Health Care Providers ◽  
Scoping Review ◽  
The United States ◽  
Data Driven ◽  
Data Sets ◽  
Health Providers ◽  
Care Providers ◽  
Environmental Scan

Background Significant investments and advances in health care technologies and practices have created a need for digital and data-literate health care providers. Artificial intelligence (AI) algorithms transform the analysis, diagnosis, and treatment of medical conditions. Complex and massive data sets are informing significant health care decisions and clinical practices. The ability to read, manage, and interpret large data sets to provide data-driven care and to protect patient privacy are increasingly critical skills for today’s health care providers. Objective The aim of this study is to accelerate the appropriate adoption of data-driven and AI-enhanced care by focusing on the mindsets, skillsets, and toolsets of point-of-care health providers and their leaders in the health system. Methods To accelerate the adoption of AI and the need for organizational change at a national level, our multistepped approach includes creating awareness and capacity building, learning through innovation and adoption, developing appropriate and strategic partnerships, and building effective knowledge exchange initiatives. Education interventions designed to adapt knowledge to the local context and address any challenges to knowledge use include engagement activities to increase awareness, educational curricula for health care providers and leaders, and the development of a coaching and practice-based innovation hub. Framed by the Knowledge-to-Action framework, we are currently in the knowledge creation stage to inform the curricula for each deliverable. An environmental scan and scoping review were conducted to understand the current state of AI education programs as reported in the academic literature. Results The environmental scan identified 24 AI-accredited programs specific to health providers, of which 11 were from the United States, 6 from Canada, 4 from the United Kingdom, and 3 from Asian countries. The most common curriculum topics across the environmental scan and scoping review included AI fundamentals, applications of AI, applied machine learning in health care, ethics, data science, and challenges to and opportunities for using AI. Conclusions Technologies are advancing more rapidly than organizations, and professionals can adopt and adapt to them. To help shape AI practices, health care providers must have the skills and abilities to initiate change and shape the future of their discipline and practices for advancing high-quality care within the digital ecosystem. International Registered Report Identifier (IRRID) PRR1-10.2196/30940

scholarly journals Primary care and mental health providers’ perceptions of implementation of pharmacogenetics testing for depression prescribing

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bonnie M. Vest ◽  
Laura O. Wray ◽  
Laura A. Brady ◽  
Michael E. Thase ◽  
Gregory P. Beehler ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Focus Groups ◽  
Implementation Science ◽  
Primary Care Providers ◽  
Relative Advantage ◽  
Genetic Profile ◽  
Mental Health Providers ◽  
Health Providers ◽  
Care Providers

Abstract Background Pharmacogenetic testing (PGx) has the potential to improve the quality of psychiatric prescribing by considering patients’ genetic profile. However, there is limited scientific evidence supporting its efficacy or guiding its implementation. The Precision Medicine in Mental Health (PRIME) Care study is a pragmatic randomized controlled trial evaluating the effectiveness of a specific commercially-available pharmacogenetic (PGx) test to inform antidepressant prescribing at 22 sites across the U.S. Simultaneous implementation science methods using the Consolidated Framework for Implementation Research (CFIR) are integrated throughout the trial to identify contextual factors likely to be important in future implementation of PGx. The goal of this study was to understand providers’ perceptions of PGx for antidepressant prescribing and implications for future implementation. Methods Qualitative focus groups (n = 10) were conducted at the beginning of the trial with Primary Care and Mental Health providers (n = 31) from six PRIME Care sites. Focus groups were audio-recorded and transcribed and data were analyzed using rapid analytic procedures organized by CFIR domains. Results Analysis revealed themes in the CFIR Intervention Characteristics domain constructs of Evidence, Relative Advantage, Adaptability, Trialability, Complexity, and Design that are important for understanding providers’ perceptions of PGx testing. Results indicate: 1) providers had limited experience and knowledge of PGx testing and its evidence base, particularly for psychiatric medications; 2) providers were hopeful that PGx could increase their precision in depression prescribing and improve patient engagement, but were uncertain about how results would influence treatment; 3) providers were concerned about potential misinterpretation of PGx results and how to incorporate testing into their workflow; 4) primary care providers were less familiar and comfortable with application of PGx testing to antidepressant prescribing than psychiatric providers. Conclusions Provider perceptions may serve as facilitators or barriers to implementation of PGx for psychiatric prescribing. Incorporating implementation science into the conduct of the RCT adds value by uncovering factors to be addressed in preparing for future implementation, should the practice prove effective. Trial registration ClinicalTrials.gov ID: NCT03170362; Registered 31 May 2017

scholarly journals A Web-Based Program to Empower Patients Who Have Schizophrenia to Discuss Quality of Care With Mental Health Providers

2011 ◽  
Vol 62 (11) ◽  
pp. 1296-1302 ◽  
Author(s):  
Donald M. Steinwachs ◽  
Debra L. Roter ◽  
Elizabeth A. Skinner ◽  
Anthony F. Lehman ◽  
Maureen Fahey ◽  
...  
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Mental Health Providers ◽  
Health Providers ◽  
Web Based

Embedding new clinical practices: the role of facilitation in enhancing web-based training for mental health providers

2017 ◽  
Vol 12 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Michael R. Kauth ◽  
Geri Adler ◽  
Stephen J. McCandless ◽  
Wendy S. Leopolous
Keyword(s):  
Mental Health ◽  
Dialectical Behavior Therapy ◽  
Veterans Health ◽  
Mental Health Providers ◽  
Health Providers ◽  
Health Administration ◽  
Clinical Practices ◽  
Web Based ◽  
Content Type ◽  
Skills Group

Purpose External facilitation has been shown to increase the implementation and aid sustainment of new clinical practices. The purpose of this paper is to describe the addition of facilitation to web-based training on dialectical behavior therapy (DBT) skills to promote adoption of this intervention among diverse mental health providers at US Veterans Health Administration facilities. Design/methodology/approach In total, 41 participants completed six web-based modules and met in two groups monthly over nine months by telephone with a facilitator who was also an experienced DBT skills group therapist. All participants agreed to conduct a DBT skills group as part of training. The facilitators employed a variety of engagement strategies to meet the evolving needs of participants during the training period. Participants completed an online evaluation of the modules and their facilitation experience at six weeks post-training and responded to an e-mail query at five months post-training about conducting a DBT group. Findings Overall, participants found the training and monthly interprofessional calls with the facilitator useful. Five months post-training, 33 of 41 participants reported conducting a DBT skills group, thus improving access to this intervention. Participants said the biggest barrier to training was finding time during clinic hours to complete the modules, despite assurances of support from local leaders. Originality/value This project provides evidence that virtual facilitation enhances training and promotes the adoption of new clinical practices.

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