Collaborative Improvement and Innovation Networks Improving the Quality of Pediatric Physical and Mental Health Care

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Sullivan E ◽  
◽  
Cushing K ◽  
Fields P ◽  
Robinson P ◽  
...  
Keyword(s):  
Mental Health ◽  
Academic Success ◽  
Low Income ◽  
Quality Care ◽  
The United States ◽  
Innovation Networks ◽  
Physical And Mental Health ◽  
Mental Health Systems ◽  
School Based

Youth throughout the United States face physical and mental health concerns that threaten their wellbeing and academic success. This is especially true among low-income communities and communities of color. School-Based Health Centers (SBHCs) and Comprehensive School Mental Health Systems (CSMHSs) are evidence-based delivery models that provide essential health services to students and their communities, recognized for targeting barriers like transportation, cost, and time. This paper describes a national initiative to increase the number of SBHCs and CSMHSs, improve the quality of care delivered, and strengthen the sustainability of school-based health and mental health through Collaborative Improvement and Innovation Networks (CoIINs). In spring 2020, when schools nationwide closed abruptly due to the COVID-19 pandemic, this initiative provided participants an essential professional network and space to share challenges, innovations, and best practices to sustain high quality care delivered to students. Participants shared that their involvement encouraged staff and state agencies to work more closely together and provided protected time to focus solely on student health. The CoIIN was especially helpful as sites transitioned from in-person to telehealth care due to school closures. Participation helped sites engage in peer-to-peer sharing, comparison, benchmarking, and a continuous piloting of new strategies. This case report describes the CoIIN with a particular focus on implementation during COVID-19. This will benefit school-based health and mental health practitioners and stakeholders interested in employing a similar model of quality improvement and support.

scholarly journals QOL-51. LISTENING BEFORE WE SPEAK: A PATIENT-CENTERED APPROACH TO DEVELOPING RESOURCES FOR PEDIATRIC BRAIN TUMOR SURVIVORS AND THEIR FAMILIES

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii440-iii440
Author(s):  
Kathy Riley
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
United States ◽  
Brain Tumor ◽  
Mental Health Professionals ◽  
Pediatric Brain Tumor ◽  
The United States ◽  
Physical And Mental Health ◽  
Pediatric Brain

Abstract In the United States, more than 28,000 children and teenagers live with the diagnosis of a primary brain tumor (Porter, McCarthy, Freels, Kim, & Davis, 2010). In 2017, an estimated 4,820 new cases of childhood primary brain and other central nervous system tumors were expected to be diagnosed in children ages 0 – 19 in the United States (Central Brain Tumor Registry of the United States, 2017). Survivors suffer from lifelong side effects caused by their illness or by various treatments. Commonly identified late effects of treatment include a decline in intellectual functioning and processing speed, performance IQ deficits, memory deficits, psychological difficulties, deficits in adaptive functioning (daily life skills), and an overall decrease in health-related quality of life (Castellino, Ullrich, Whelen, & Lange, 2014). To address the ongoing challenges these survivors and their families face, the Pediatric Brain Tumor Foundation (PBTF) met extensively with working groups comprised of survivors and caregivers to develop the outline for a comprehensive Survivorship Resource Guidebook. In 2019, the PBTF published the guidebook which categorizes survivor and caregiver needs into three primary areas: physical and mental health, quality of life, and working the system. Expert authors included survivors and caregivers themselves in addition to medical and mental health professionals. Key outcomes discovered during the creation and production of this resource highlight how caregivers, survivors and professionals can collaborate to provide needed information and practical help to one segment of the pediatric cancer population who experience profound morbidities as a result of their diagnosis and treatment.

Meditation and Education

2020 ◽  
Author(s):  
Candy Gunther Brown
Keyword(s):  
Mental Health ◽  
United States ◽  
United Kingdom ◽  
Informed Consent ◽  
Stress Reduction ◽  
The United States ◽  
Physical And Mental Health ◽  
School Based ◽  
The 1960S ◽  
Meditative Practices

This chapter examines school-based meditation programs for children ages 4–17—including Transcendental Meditation, ashtanga yoga, and mindfulness-based stress reduction—popularized between the 1960s and 2010s in the United States, United Kingdom, Canada, and India. Practices entered mainstream education as promoters distanced meditation from religion, particularly Hinduism and Buddhism, and framed meditative practices as scientifically validated techniques for cultivating virtues essential for academic performance, physical and mental health, and moral character. The chapter assesses meditation research and religious controversies. It recommends an opt-in model of informed consent as most conducive to transparency and voluntarism.

Quality of psychosocial care in oncology: A national survey of oncologists

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 6561-6561
Author(s):  
W. F. Pirl ◽  
A. Muriel ◽  
V. Hwang ◽  
J. Greer ◽  
A. Kornblith ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Quality Care ◽  
Psychosocial Care ◽  
The United States ◽  
Routine Screening ◽  
Nccn Guidelines ◽  
Screening For Distress

6561 Background: Little is known about the quantity and quality of psychosocial care being delivered by oncologists in the United States. This study surveyed oncologists about their management of psychosocial distress, using the National Comprehensive Cancer Network (NCCN) guidelines for psychosocial distress as a standard. Availability of mental health services and routine screening for distress were used as measures of quality care. Methods: A random sample of 1,000 oncologists in the United States belonging to ASCO were surveyed with an anonymous e-mail and mail-based questionnaire between 9/05 and 7/06. Initial univariate analyses were used to test differences in frequencies among groups using Chi-square for categorical variables, and t-tests and ANOVA for continuous variables. Variables that were associated with reported routine screening at the .05 significance level in the univariate analyses were entered into a logistic regression model to determine independent predictors of screening. Results: Forty-six percent (448/965) of oncologists responded. Almost two-thirds (63.6%, 285/448) practiced in community settings, 27.2% (122/448) at cancer centers, and 6.9% (31/448) in hospitals. Only half (50.3%, 95% CI 45.7–54.9%; 225/448) reported having any mental health services affiliated with their practice. Availability differed by practice setting, with cancer centers having the most and community having the least (P<.001). Only one-third (32.3%, 144/445) reported being at least somewhat familiar with the NCCN guidelines. Two-thirds (65.0%, 95% CI 60.6–69.4%; 290/446) reported routinely screening for distress, but only 14.3% (64/447) use a screening instrument. Availability of mental health services, knowledge of NCCN guidelines, experience, time, certainty about identifying distress and being female were independent predictors of reported screening. Conclusion: Only 36.4% (95% CI 34.1–38.7%; 162/445) reported both of our measures of quality care, available mental health services and routine screening for distress. While the majority report routinely screening for distress, only a small percentage follow NCCN guidelines by using a screening instrument, and only half report having mental health services available. No significant financial relationships to disclose.

Childhood Misfortune and Adult Health in a National Study

2016 ◽  
Vol 84 (3) ◽  
pp. 213-230 ◽  
Author(s):  
Jiyoung Lyu ◽  
Stefan Agrigoroaei
Keyword(s):  
Mental Health ◽  
Social Relations ◽  
Family Relations ◽  
Health Indicators ◽  
The United States ◽  
Financial Strain ◽  
National Study ◽  
Adult Health ◽  
Physical And Mental Health

This study investigated the relationship between childhood misfortune and 10-year change in health and whether this relationship was mediated by the quality of social relations. We used data from the Midlife in the United States (MIDUS) national longitudinal study, 1995–1996 (Time 1) and 2005–2006 (Time 2). Childhood misfortune was measured at Time 1 using indicators of financial strain, family structure, and abuse. Self-rated physical and mental health indicators were obtained at both occasions. The measure of quality of social relations was based on items relative to social support and social strain from spouse, friends, and family at Time 1. Mediational models showed that a higher level of childhood misfortune was associated with low-quality family relations which in turn tend to account for change in mental health. These findings suggest that childhood misfortune is associated with the quality of social relations, which in turn explain individual changes in mental health in adulthood.

scholarly journals Effects of Residential Instability of Renters on Their Perceived Health Status: Findings from the Korean Welfare Panel Study

2020 ◽  
Vol 17 (19) ◽  
pp. 7125
Author(s):  
Kiduk Park ◽  
Wonseok Seo
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Low Income ◽  
Panel Study ◽  
Perceived Health ◽  
Physical And Mental Health ◽  
Perceived Health Status ◽  
Residential Instability ◽  
The Impact

Identifying the impact of housing instability on the health status of renters with relatively high economic difficulties is important for the improvement of renters’ quality of life and their social security. Accordingly, this study adopted a panel data regression approach to examine the associations between residential instability and perceived health status—including physical and mental health—using 14 waves (2006–2019) of longitudinal data collected by the Korean Welfare Panel Study. The results showed that residential instability significantly affected perceived health status, and renters who experienced residential instability perceived worse health status and had more severe depression than those who did not experience residential instability. Moreover, failure to meet the minimum housing standard worsened depression in renters. Despite assistance benefits from the government, permanent rental housing and the national basic living security were also factors that worsened depression. Dissatisfaction with one’s residential environment and social relationships were also associated with increased depression. We recommend that the overall quality of housing welfare services, including a focus on the mental health of low-income renters, be improved by expanding the range of services, increasing the number of professional housing welfare workers, and supplying community facilities for increasing residential and social relationship satisfactions.

Cultural Competency Methodological and Data Strategies to Assess the Quality of Services in Mental Health Systems of Care

2002 ◽  
Author(s):  
Carole Siegel ◽  
Gary Haugland ◽  
Ethel Davis Chambers ◽  
Carmen Aponte ◽  
Ralph Blackshear ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Cultural Competency ◽  
Systems Of Care ◽  
Quality Of Services ◽  
Mental Health Systems
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