scholarly journals Interprofessional Collaboration on Mental Health: A Scoping Review

2020 ◽  
Author(s):  
Arista Kusuma Wardani ◽  
◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Quality Of Care ◽  
Mental Health Care ◽  
Scoping Review ◽  
Interprofessional Collaboration ◽  
Free Access ◽  
Inclusion Criteria

ABSTRACT Background: The increasing prevalence rate of mental illness due to demographic changes became the burden of disease in primary health care. Effective interprofessional collaboration strategies are required to improve professional welfare and quality of care. Interdisciplinary teamwork plays an important role in the treatment of chronic care, including mental illness. This scoping review aimed to investigate the benefit and barrier of interprofessional collaboration approach to mental health care. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, Science­Direct, and Willey Online library databases. The inclusion criteria were English-language, full-text, and free access articles published between 2010 and 2020. The data were reported by the PRISMA flow chart. Results: A total of 316 articles obtained from the search databases, in which 263 articles unmet the inclusion criteria and 53 duplicates were excluded. Based on the selected seven articles, one article from a developed country (Malaysia), and six articles from developing countries (Australia, Canada, Belgium, Norway) with quantitative (cross-sectional, surveil­lance) and qualitative study designs. The reviewed findings were benefit and barrier of interprofessional collaboration on mental health. Benefits included improve quality of care, increase job satisfaction, improve patient health status, increase staff satisfaction, increase performance motivation among employees, as well as shorter duration of treat­ment and lower cost. Barriers included hierarchy culture, lack of resources, lack of time, poor communication, and inadequate training. Conclusion: Interprofessional teamwork and collaboration have been considered an essential solution for effective mental health care. Keywords: interprofessional collaboration, benefit, barrier, mental health Correspondence: Arista Kusuma Wardani. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road Barat) No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: wardanikusuma­[email protected]. Mobile: +6281805204773 DOI: https://doi.org/10.26911/the7thicph.04.26

Working at the Intersection of Palliative End-of-Life and Mental Health Care: Provider Perspectives

2020 ◽  
pp. 082585972095136
Author(s):  
Tanya Park ◽  
Kathy Hegadoren ◽  
Bernadette Workun
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
End Of Life ◽  
Structured Interviews ◽  
Provider Perspectives ◽  
Mental Health Care Provider ◽  
Mental Health Challenges

Objective: Palliative, end-of-life care (PEOLC) providers are poorly resourced in addressing the needs of patients with mental health challenges, and the dying experiences of this cohort—particularly those with a comorbid, chronic and persistent mental illness (CPMI)—are poorly documented. We sought to explore the experiences of PEOLC providers with regard to caring for patients with mental health challenges, and gather insights into ways of improving accessibility and quality of PEOLC for these patients. Method: Twenty providers of PEOLC, from different disciplines, took part in semi structured interviews. The data were coded and analyzed using a reflexive, inductive-deductive process of thematic analysis. Results: The most prominent issues pertained to assessment of patients and differential diagnosis of CPMI, and preparedness of caregivers to deliver mental health interventions, given the isolation of palliative care from other agencies. Among the assets mentioned, informal relationships with frontline caregivers were seen as the main support structure, rather than the formal policies and procedures of the practice settings. Strategies to improve mental health care in PEOLC centered on holistic roles and interventions benefiting the entire palliative population, illustrating the participants saw little point in compartmentalizing mental illness, whether diagnosed or not. Significance of Results: Continuity of care and personal advocacy can significantly improve quality of life for end-of-life patients with mental health challenges, but bureaucracy and disciplinary siloing tend to isolate these patients and their caregivers. Improved interdisciplinary connectivity and innovative, hybridized roles encompassing palliation and psychiatry are 2 strategies to address this disconnect, as well as enhanced training in core mental health care competencies for PEOLC providers.

Quality development in mental health care in Europe. Recent contributions by WHO

1997 ◽  
Vol 6 (S1) ◽  
pp. 211-215
Author(s):  
José G. Sampaio Faria
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Of Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
European Region ◽  
Quality Development

In 1984 all Member States of the European Region agreed on a Pan European Health Policy, popularly known as Targets for Health for All (Health for all targets, 1991).Among the 38 targets agreed, Target 31 states (table I).More recently the first meeting of national directors/officials of mental health services in the European Member States stated that “there should be greater concern about the quality of mental health care in each Member State, and mechanisms must be established to guarantee a quality service. These include: a.encouraging mental health care professionals to develop systems to monitor the quality of care;b.independent inspection of services;c.the participation of consumers and relatives;d.improving the basic and continuing training of mental health professionals as well as their working conditions;Special attention should be paid to the quality of care provided to those with severe long-term mental disorder, the elderly, children and adolescents. Barriers to care should be avoided, particularly for people with long-term mental disabilities.”The need for quality development and evaluation differ quite significantly across the European Region as a result of the existing differences in the pattern of mental health services and priority policies to be implemented.

scholarly journals Family support and quality of community mental health care: Perspectives from families living with mental illness

2021 ◽  
Author(s):  
Lisbeth Kjelsrud Aass ◽  
Øyfrid Larsen Moen ◽  
Hege Skundberg‐Kletthagen ◽  
Lars‐Olov Lundqvist ◽  
Agneta Schröder
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Family Support ◽  
Community Mental Health Care

scholarly journals A Prospective Evaluation of Structures and Processes Associated with the Quality of Mental Health Care in the Kingdom of Saudi Arabia

2021 ◽  
pp. 1-16
Author(s):  
Yaqoub Al Mousa ◽  
Patrick Callaghan ◽  
Maria Michail
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Saudi Arabia ◽  
Quality Of Care ◽  
Educational Level ◽  
Service Users ◽  
Kingdom Of Saudi Arabia ◽  
Mental Care

<b><i>Introduction:</i></b> Quality of care is important for improving outcomes of service users in inpatient mental health settings. There is a lack of research investigating the predictors of quality of mental health care and their relationship with service user outcomes, particularly in Saudi Arabia, despite the high priority given to this in the Kingdom of Saudi Arabia (KSA) national health strategy. <b><i>Objective:</i></b> This study investigates the factors associated with the quality of mental care and their relationship with service users’ outcomes, disability, disease, discomfort, and dissatisfaction, using Donabedian’s framework. <b><i>Methods:</i></b> A questionnaire survey was distributed to 176 nurses and 321 service users in an inpatient psychiatric hospital in Saudi Arabia. Data were gathered on structures (staff and service users’ characteristics) and processes (staff attitudes to mental illness, competency, and level of interaction with service users) linked to service users’ outcomes. <b><i>Results:</i></b> Multilevel modelling showed that service users’ characteristics, for example, age, marital status, employment status, educational level, area of residence, and diagnosis, significantly predicted disability. With 1 exception (unemployment), none of the service users’ characteristics was found to be a statistically significant predictor of disease, although educational level was found to be a significant predictor of discomfort and dissatisfaction. Age and years of experience were found to significantly predict service user disability among nurses, and years of experience was a significant predictor of users’ dissatisfaction. Nurses’ competence was found to be a statistically significant predictor of disability, while their attitudes to mental illness and their interactions with users did not significantly predict the latter’s outcomes. <b><i>Conclusions:</i></b> These findings suggest that factors other than those studied here have more currency in relation to quality of care in Saudi Arabia, despite these factors have been shown to relate to quality of care outside the KSA. A more detailed qualitative approach to better understand factors relevant to the quality of mental care in Saudi Arabia is reported by the authors in a concomitant article.

Nurses’ and Patients’ Perceptions of the Quality of Psychiatric Nursing Care in Jordan

2018 ◽  
Vol 32 (2) ◽  
pp. 226-238 ◽  
Author(s):  
Wafa S. Alsyouf ◽  
Ayman M. Hamdan-Mansour ◽  
Shaher H. Hamaideh ◽  
Khaled M. Alnadi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Of Care ◽  
Mental Health Care ◽  
Nursing Care ◽  
Psychiatric Nursing ◽  
Health Care Facilities ◽  
Care Providers ◽  
Care Facilities

Background:The quality of care provided for patients in mental health-care facilities remains a challenge for health-care providers in general and for nurses in particular. Identifying the level of quality of care provided for patients in mental health-care facilities as perceived by nurses and patients may help health-care providers improve the quality of care and improve patients’ outcomes.Objectives:The purpose of the study was to assess the perceptions of nurses and patients of the quality of nursing care, and explore the differences in their perceptions of quality of care in mental health-care facilities in Jordan.Methods:A cross-sectional study was conducted using two convenience samples of 123 nurses and 150 patients. The nurses completed the Karen-personnel instrument, a self-administered questionnaire; One hundred and fifty patients from several mental health-care facilities in Jordan were interviewed using the Karen-patient instrument. The interviews were structured.Results:Sixty-four percent of nurses rated the quality of psychiatric nursing care as satisfactory, and 47.6% of patients perceived the quality of nursing care as satisfactory. Male nurses, who attended courses in mental health nursing, chose to work in a psychiatric unit, committed to work in the future in a psychiatric unit, and were providing indirect care have significantly higher perception of quality of psychiatric nursing care than their counterparts. Patients in military hospitals have significantly higher perception of quality of psychiatric nursing care than those in governmental ones (p< .05).Implications for Practice:To improve the quality of care in psychiatric units, patients and nurses need to be educated about the quality indicators set by Joint Commission international standards related to mental health-care facilities.

scholarly journals Preventing or inflicting risks? Carceral riskscapes and working in the spaces of mental health care

2020 ◽  
Vol 198 (1-2) ◽  
pp. 121-134
Author(s):  
Virve Repo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Of Care ◽  
Mental Health Care ◽  
Well Being ◽  
Environmental Hazards ◽  
Staff Members

This study participates in the discussion on risks and carceral spaces, and furthermore, introduces the concept of carceral riskscape. Since there is a strong, but less studied connection between risk and the carceral, this study combines these concepts to provide a new viewpoint on the mechanisms that create carceral spaces. Riskscapes represent spaces embedded with risk and they are usually referred to in connection with health or environmental hazards. The emphasis in this study is on the carceral riskscapes that working communities face in institutional premises. The study analyses the working culture of a geropsychiatric ward in Turku, Finland. Some of the staff members allegedly mistreated the patients and some of the carceral practices were also targeted at co-workers. The research is qualitative in nature and analyses documents from the inner reports to the trial documents. The findings of the study suggest that the relationships between staff members are significant in the context of carceral riskscapes. Furthermore, the carceral riskscapes cause inequalities and have influence on the well-being of the staff members as well as the quality of care.

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