scholarly journals Telemental health for reaching out to patients in a time of pandemic: Provider survey and systematic review with meta-analysis of patient satisfaction (Preprint)

2020 ◽  
Author(s):  
Raffaele Mazziotti ◽  
Grazia Rutigliano
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Patient Satisfaction ◽  
Health Services ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Telemental Health ◽  
Mental Health Providers ◽  
Health Providers

BACKGROUND The COVID-19 pandemic threatens to impact mental health, while disrupting access to care, due to physical distance measures and to the unexpected pressure on public health services. Telemental health (TM) was rapidly implemented to deliver healthcare services. OBJECTIVE The aims of this study were: i) to present state-of-the-art TM research; ii) to survey mental health providers about care delivery during the pandemic; iii) to assess patient satisfaction with TM. METHODS Document clustering was applied to map research topics within TM research. A survey was circulated among mental health providers. Patient satisfaction was investigated through a meta-analysis of studies retrieved from Web of KnowledgeSM and Scopus® comparing satisfaction scores between TM and face-to-face (FtF) interventions for mental health disorders. Hedges’ g was used as effect size measure. Effect sizes were pooled using a random-effect model. Sources of heterogeneity and bias were sought. RESULTS Evidence about TM has been accumulating since 2000’, especially regarding service implementation, depressive/anxiety disorders, post-traumatic stress disorder, and special populations. Research was concentrated in a few countries. The survey (n=174 respondents from Italy, n=120 international) confirmed that, after the onset of COVID-19 outbreak, there was a massive shift from FtF to TM delivery of care. However, respondents held skeptical views about TM, and did not feel sufficiently trained and satisfied. Meta-analysis of 29 studies (n=2143) showed that patients would be equally satisfied with TM as compared to FtF (Hedges’ g=-0,001, 95% CI: -0,116-0,114, p=0,985, Q=43,83, I2=36%, p=0,029), if technology-related issues were minimized. CONCLUSIONS Mental health services equipped with TM will be more able to successfully cope with public health crises. Both providers and patients need to be actively engaged in digitization, to re-shape their reciprocal trust around technological innovations. CLINICALTRIAL The protocol was registered in PROSPERO [registration number: CRD42020192299].

scholarly journals COVID-19 disease emergency operational instructions for Mental Health Departments issued by the Italian Society of Epidemiological Psychiatry

2020 ◽  
Vol 29 ◽  
Author(s):  
Fabrizio Starace ◽  
Maria Ferrara
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Chronic Conditions ◽  
Community Psychiatry ◽  
Italian Society ◽  
Decision Makers ◽  
Health Departments ◽  
Mental Health Providers ◽  
Health Providers ◽  
Vulnerable Subjects

Abstract During the current COVID-19 disease emergency, it is not only an ethical imperative but also a public health responsibility to keep the network of community psychiatry services operational, particularly for the most vulnerable subjects (those with mental illness, disability, and chronic conditions). At the same time, it is necessary to reduce the spread of the COVID-19 disease within the outpatient and inpatient services affiliated with Mental Health Departments. These instructions, first published online on 16 March 2020 in their original Italian version, provide a detailed description of actions, proposed by the Italian Society of Epidemiological Psychiatry, addressed to Italian Mental Health Departments during the current COVID-19 pandemic. The overall goal of the operational instructions is to guarantee, during the current health emergency, the provision of the best health care possible, taking into account both public health necessities and the safety of procedures. These instructions could represent a useful resource to mental health providers, and stakeholders to face the current pandemic for which most of Mental Health Departments worldwide are not prepared to. These instructions could provide guidance and offer practical tools which can enable professionals and decision makers to foresee challenges, like those already experienced in Italy, which in part can be avoided or minimised if timely planned. These strategies can be shared and adopted, with the appropriate adjustments, by Mental Health Departments in other countries.

Developing a Mental Health Resource for Consumers

1997 ◽  
Vol 3 (4) ◽  
pp. 40
Author(s):  
Deborah Saltman ◽  
Bronwyn Veale ◽  
Gina Bloom
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
Personal Development ◽  
Research Process ◽  
Consumer Information ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Resource

Little is known about how consumers select mental health providers. In the literature there is an absence of information to assist consumers and referral agencies including general practitioners, in making informed choices. This paper reports the research process undertaken to develop such a resource. Interviews were conducted with representatives from a variety of groups identified by consumers and providers as supplying mental health services, including: general practitioners, psychiatrists, psychologists, social workers, Relationships Australia (NSW), Alcoholics Anonymous (AA), postnatal depression self-help groups, Lifeline, the Gay and Lesbian Counselling Service of NSW, spiritual healers, and, consumer consultants. The interviews covered issues of cost, type of services provided, goals of management, limitations of therapy, consumer information about the process, sessions, therapist credentials, training, background and experience, professional and personal development, quality assurance, research, referral, access, and confidentiality. Indicators for ascertaining effectiveness of the therapist's work were also delineated. Although there was a great deal of similarity in views concerning the nature of therapy held by a range of providers of mental health services, differences of approach did emerge that need to be brought to the awareness of consumers. Comparing responses of mental health providers to the same questions allows other issues such as priorities and access to be gauged by comparing these responses. The strength of this approach is that it allows the presentation of information in a manner that allows consumers to make comparisons and choices based on information obtained in a context similar to the therapeutic situation.

scholarly journals Community work – a cure for stigma and social exclusion?

2009 ◽  
Vol 33 (8) ◽  
pp. 281-284 ◽  
Author(s):  
Justine Schneider
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Mental Health Services ◽  
Health Services ◽  
Social Exclusion ◽  
Mental Health Providers ◽  
Health Providers ◽  
The Usa ◽  
The Uk ◽  
The Cost

SummaryIt is possible to tackle exclusion by altering the nature of transactions between individuals and groups, including mental health services. One way to do this is to cultivate ‘social capital’ or interdependence between individuals and groups – as well as giving, each is entitled, but not compelled, to claim something in return. It is difficult, if not impossible, to sustain stigma and social exclusion when people are meeting mutual needs, building trust and helping each other. Mental health providers can foster social capital by creating community cohesion, namely interdependent relationships between individuals and organisations. This approach has been put into practice in the USA, where providers assert that small investments in building social capital return many times the cost. In the UK there is evidence that community development can make a contribution to mental health but it does not fit well with conventional approaches to mental health services – it calls for different skills and a vision that is collective rather than individualised.

scholarly journals Engaging patients and parents to improve mental health intervention for youth with rheumatological disease

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Oluwatunmise A. Fawole ◽  
◽  
Michelle V. Reed ◽  
Julia G. Harris ◽  
Aimee Hersh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Health Resources ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Mental Health Providers ◽  
Health Providers ◽  
Patients Âgés ◽  
Rheumatological Disease

Abstract Background Mental health disorders are common in youth with rheumatological disease yet optimal intervention strategies are understudied in this population. We examined patient and parent perspectives on mental health intervention for youth with rheumatological disease. Methods We conducted a mixed methods cross-sectional study, via anonymous online survey, developed by researchers together with patient/parent partners, to quantitatively and qualitatively examine youth experiences with mental health services and resources in North America. Patients ages 14–24 years with juvenile idiopathic arthritis, juvenile dermatomyositis, or systemic lupus erythematous, and parents of patients ages 8–24 with these diseases were eligible (not required to participate in pairs). Participants self-reported mental health problems (categorized into clinician-diagnosed disorders vs self-diagnosed symptoms) and treatments (e.g. therapy, medications) received for the youth. Multivariate linear regression models compared patient and parent mean Likert ratings for level of: i) comfort with mental health providers, and ii) barriers to seeking mental health services, adjusting for potential confounders (patient age, gender, disease duration, and patient/parent visual analog score for disease-related health). Participants indicated usefulness of mental health resources; text responses describing these experiences were analyzed by qualitative description. Results Participants included 123 patients and 324 parents. Patients reported clinician-diagnosed anxiety (39%) and depression (35%); another 27 and 18% endorsed self-diagnosed symptoms of these disorders, respectively. 80% of patients with clinician-diagnosed disorders reported receiving treatment, while 11% of those with self-diagnosed symptoms reported any treatment. Patients were less comfortable than parents with all mental health providers. The top two barriers to treatment for patients and parents were concerns about mental health providers not understanding the rheumatological disease, and inadequate insurance coverage. Over 60% had used patient mental health resources, and over 60% of these participants found them to be helpful, although text responses identified a desire for resources tailored to patients with rheumatological disease. Conclusion Self-reported mental health problems are prevalent for youth in this sample with rheumatological disease, and obstacles to mental health treatment include disease-related and logistic factors. Strategies are needed to improve acceptance and accessibility of mental health intervention, including routine mental health screening and availability of disease-specific mental health resources.

Answering the Call for School-Based Mental Health

2020 ◽  
pp. 57-76
Author(s):  
Maxine Blanche Langdon Starr
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Unmet Need ◽  
Mental Health Provider ◽  
Counseling Services ◽  
Mental Health Providers ◽  
Health Providers ◽  
Culturally Competent ◽  
School Based

A largely unmet need exists for school-based mental health services by students who are of an ethnic minority and who may not have insurance, access, and/or the knowledge of mental health services. These same students may not receive effective, culturally sensitive counseling services, interventions, or valid/accurate measures of psychological testing. In order to resonate and connect with these students who need the most help and support despite these barriers to accessing quality treatment, what is the school-based mental health provider to do? This chapter will initially discuss a comprehensive review of culturally competent interventions for school-based mental health providers as well as recommendations for culturally competent training for mental health providers and school staff to ensure that culturally competent collaboration and appropriate support exists for all students.

Job burnout in mental health providers: A meta-analysis of 35 years of intervention research.

2018 ◽  
Vol 23 (1) ◽  
pp. 18-30 ◽  
Author(s):  
Kimberly C. Dreison ◽  
Lauren Luther ◽  
Kelsey A. Bonfils ◽  
Michael T. Sliter ◽  
John H. McGrew ◽  
...  
Keyword(s):  
Mental Health ◽  
Meta Analysis ◽  
Intervention Research ◽  
Job Burnout ◽  
Mental Health Providers ◽  
Health Providers

scholarly journals Effects of Grief Focused Intervention on the Mental Health of Dementia Caregivers: Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Haewon BYEON
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Quality Assessment ◽  
Effect Size ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Dementia Caregivers ◽  
Standard Quality ◽  
Grief Intervention

Background: The objectives of this study were to systematically review the effects of grief-focused interventions, applied to dementia caregivers, on emotional burden including sadness and to provide baseline information for dementia caregivers to maintain mental health by identifying the effect size of intervention using a meta-analysis. Methods: We evaluated literature published from Jan 1, 2000, to Jun 28, 2019. Consequently, we selected five studies to conduct a systematic review. The Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields was used for conducting a quality assessment on the selected literature. Results: The results of the quality assessment showed that the score ranged from 11 to 24 points: one strong, one good, two adequate, and one limited. When the meta-mean was compared before and after grief intervention, the effect size of the random-effect model was 0.31 (95% CI: -0.07, 0.69) showed ‘intermediate effect’, but the confidence interval was not significant. Conclusion: The grief intervention for dementia caregivers revealed a moderate effect but it was not significant. In order to prove the effectiveness of grief intervention for dementia caregivers, a meta-analysis targeting RCT studies is needed.

Embedding interagency working between schools and mental health specialists: A service evaluation of theMental Health Services and Schools and Colleges Link Programmeworkshops

2019 ◽  
Vol 24 (4) ◽  
pp. 906-920 ◽  
Author(s):  
Melissa A. Cortina ◽  
Judith Shipman ◽  
Felicity Saunders ◽  
Laurie Day ◽  
Rachel Blades ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Good Practice ◽  
Service Evaluation ◽  
Mental Health Providers ◽  
Health Providers ◽  
Building Relationships ◽  
Continuous Contact ◽  
The Impact

There is increasing focus on the need for schools to work more effectively with specialist mental health providers, but there have been historic challenges in embedding closer interagency working. This article reports the results of a service evaluation of a 2-day workshop designed to facilitate improved working between schools and children and young people’s mental health services (CYPMHS). Mental health leads from 255 schools, mental health professionals and other key stakeholders all took part in one of 26 two-day workshops across the United Kingdom. The impact on interagency working was examined using changes in pre- and post-survey results, changes in self-reported aspects of interagency working and 10 local reviews of practice. The pre–post questionnaires showed improvements in interagency working (e.g. 55% of school leads reported being in ‘monthly’ or ‘continuous’ contact with the National Health Service (NHS) CYPMHS1at follow-up, compared with 24% at baseline). The group-completed CASCADE framework showed an overall increase in collaborative working, although some areas continued to report significant challenges such as in relation to common outcome measures. The local reviews found positive changes in interagency working, in terms of building relationships, improved communication and sharing good practice. This service evaluation of the workshops found some evidence of improved interagency working between schools and CYPMHS, but more controlled research is needed to consider generalisability and scalability.

scholarly journals Development of a Perceived Access Inventory for Community Care Mental Healthcare Services for Veterans

2019 ◽  
Vol 184 (7-8) ◽  
pp. e301-e308 ◽  
Author(s):  
Jeffrey M Pyne ◽  
P Adam Kelly ◽  
Ellen P Fischer ◽  
Christopher J Miller ◽  
Patricia Wright ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Community Care ◽  
Mental Healthcare ◽  
Community Mental Health Services ◽  
Mental Health Providers ◽  
Health Providers ◽  
Perceived Access

Abstract Introduction Access to high-quality healthcare, including mental healthcare, is a high priority for the Department of Veterans Affairs (VA). Meaningful monitoring of progress will require patient-centered measures of access. To that end, we developed the Perceived Access Inventory focused on access to VA mental health services (PAI-VA). However, VA is purchasing increasing amounts of mental health services from community mental health providers. In this paper, we describe the development of a PAI for users of VA-funded community mental healthcare that incorporates access barriers unique to community care service use and compares the barriers most frequently reported by veterans using community mental health services to those most frequently reported by veterans using VA mental health services. Materials and Methods We conducted mixed qualitative and quantitative interviews with 25 veterans who had experience using community mental health services through the Veterans Choice Program (VCP). We used opt-out invitation letters to recruit veterans from three geographic regions. Data were collected on sociodemographics, rurality, symptom severity, and service satisfaction. Participants also completed two measures of perceived barriers to mental healthcare: the PAI-VA adapted to focus on access to mental healthcare in the community and Hoge’s 13-item measure. This study was reviewed and approved by the VA Central Institutional Review Board. Results Analysis of qualitative interview data identified four topics that were not addressed in the PAI-VA: veterans being billed directly by a VCP mental health provider, lack of care coordination and communication between VCP and VA mental health providers, veterans needing to travel to a VA facility to have VCP provider prescriptions filled, and delays in VCP re-authorization. To develop a PAI for community-care users, we created items corresponding to each of the four community-care-specific topics and added them to the 43-item PAI-VA. When we compared the 10 most frequently endorsed barriers to mental healthcare in this study sample to the ten most frequently endorsed by a separate sample of current VA mental healthcare users, six items were common to both groups. The four items unique to community-care were: long waits for the first mental health appointment, lack of awareness of available mental health services, short appointments, and providers’ lack of knowledge of military culture. Conclusions Four new barriers specific to veteran access to community mental healthcare were identified. These barriers, which were largely administrative rather than arising from the clinical encounter itself, were included in the PAI for community care. Study strengths include capturing access barriers from the veteran experience across three geographic regions. Weaknesses include the relatively small number of participants and data collection from an early stage of Veteran Choice Program implementation. As VA expands its coverage of community-based mental healthcare, being able to assess the success of the initiative from the perspective of program users becomes increasingly important. The 47-item PAI for community care offers a useful tool to identify barriers experienced by veterans in accessing mental healthcare in the community, overall and in specific settings, as well as to track the impact of interventions to improve access to mental healthcare.

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