The Imperative of the Redevelopment of Patient Record Systems for use in Mental Health Services

1997 ◽  
Vol 5 (6) ◽  
pp. 279-280 ◽  
Author(s):  
Tom Callaly ◽  
Graeme Hollis ◽  
Paul Hantzand ◽  
Peter Faulkner
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Effectiveness ◽  
Cost Effective ◽  
Delivery Of Care ◽  
Outcomes Measurement ◽  
Continuous Quality ◽  
Effective Delivery ◽  
Clinical Utilisation

The major reorganisational tasks which confront mental health services over the next few years are clear. Each service must adopt a comprehensive case or care management system which ensures continuity of care and develops systems which support continuous quality monitoring and clinical effectiveness including the production and implementation of evidence-based clinical guidelines, clinical outcomes measurement and cost effective delivery of care. This will demand realtime monitoring of clinical, utilisation and cost data. Although there is now a veritable avalanche of material in the literature on the development of computerised information systems, particularly in relation to management information and also on the need for focusing on outcomes measurement, we can find little by way of descriptions or advice on the development of patient records to complement these challenees.

A systematic review of current approaches to managing demand and waitlists for mental health services

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kerry A. Thomas ◽  
Annelise M. Schroder ◽  
Debra J. Rickwood
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Clinical Effectiveness ◽  
Research Literature ◽  
Inclusion Criteria ◽  
Content Type

Purpose Timely access to effective treatment is a primary goal for mental health services; however, when demand exceeds available resources, services may place clients on a waitlist or restrict services. This paper aims to identify approaches used by mental health services to manage service demand and waitlists. Design/methodology/approach A review of research literature between 2009 and 2019 was conducted using the Medline, PsycINFO, CINAHL, Embase and Cochrane databases. Articles were screened and assessed against inclusion criteria and the methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool. Findings In total, 20 articles were located that met the inclusion criteria. Five demand management approaches were identified, namely, walk-in models, triage processes, multi-disciplinary care, patient-led approaches and service delivery changes. Research limitations/implications This review identifies effective approaches that services can consider adapting to their local setting; however, further research is needed to demonstrate the clinical effectiveness of services provided under these models. Originality/value This review makes a valuable contribution to mental health care service delivery by detailing the strategies that services have adopted to manage demand and, where available, comparative outcomes with traditional service delivery models.

Quality of mental health services: a self audit in the South Verona mental health service

2006 ◽  
Vol 15 (2) ◽  
pp. 138-147 ◽  
Author(s):  
Liliana Allevi ◽  
Giovanni Salvi ◽  
Mirella Ruggeri
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Service ◽  
Health Services ◽  
Community Mental Health Services ◽  
Community Mental Health Service ◽  
Continuous Quality ◽  
One Year

SUMMARYAims – To start a process of Continuous Quality Improvement (CQI) in an Italian Community Mental Health Service by using a quality assurance questionnaire in a self audit exercise. Methods – The questionnaire was administered to 14 key workers and clinical managers with different roles and seniority. One senior manager's evaluation was used as a benchmark for all the others. Changes were introduced in the service practice according to what emerged from the evaluation. Meetings were scheduled to monitor those changes and renew the CQI process. Results – There was a wide difference in the key workers' answers. Overall, the senior manager's evaluation was on the 60th percentile of the distribution of the other evaluations. Those areas that required prompt intervention were risk management, personnel development, and CQI. The CQI process was followed up for one year: some interventions were carried out to change the practice of the service. Conclusions – A self audit exercise in Community Mental Health Services was both feasible and useful. The CQI process was easier to start than to carry on over the long term.

scholarly journals Let us unite against COVID-19 – a New Zealand perspective

2020 ◽  
Vol 37 (3) ◽  
pp. 218-221 ◽  
Author(s):  
G. Bandyopadhyay ◽  
A. Meltzer
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Health Services ◽  
Cost Effective ◽  
Significant Rise ◽  
Future Health ◽  
State Economy ◽  
The World ◽  
Novel Coronavirus

Novel coronavirus 2019 (COVID-19) has shaken the existence of mankind worldwide, including that of New Zealand. In comparison to other countries, New Zealand has had a very low number of confirmed and probable cases as well as COVID-19-related deaths. New Zealand closed its borders and rapidly declared a stringent lockdown to eliminate COVID-19. The country’s ‘go hard, go early’ policy serves as an exemplar for the rest of the world to date. The mysterious nature of COVID-19 has caused tremendous stress and uncertainty leading to universal conflict between public health and state economy. Mental health services and non-government organisations have been proactive in the fight against COVID-19. Though there has been no significant rise in referrals to secondary mental health services to date (4 May 2020), a rapid surge in mental health presentations is widely anticipated. Telehealth may prove to be an efficient and cost-effective tool for the provision of future health services.

scholarly journals Caring for patients in mental health services during COVID-19 outbreak in China

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Ruihua Hou ◽  
Limin Yang ◽  
Zhen Tang ◽  
Teng Chen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Early Screening ◽  
Triage System ◽  
Effective Delivery ◽  
Adequate Provision ◽  
Isolation Ward ◽  
Made In ◽  
Initial Triage

AbstractThis article reflects on some radical changes made in mental health services in China which include the implementation of the initial triage system and the special isolation ward, the early screening and testing for both patients and staff, the smaller teams working on rotating shifts on-site, and the adequate provision of PPE. These measures would be of great value as a reference to the effective delivery of mental health services in other countries through this pandemic.

Variability of clinical and managerial decisions in mental health services of Region Lombardia: the vignette method

1997 ◽  
Vol 6 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Giuseppe Biffi ◽  
Giuseppe Cuttitta ◽  
Roberto Bezzi ◽  
Germana Magnani ◽  
Daniele Piacentini ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Epidemiology ◽  
Continuous Training ◽  
Managerial Decisions ◽  
Continuous Quality ◽  
The Family ◽  
Quality Assurance Project ◽  
Good Agreement

SUMMARYThis paper concerns one of the four research projects developed during a training course in clinical epidemiology managed by the Lombardy training centers IREF. Objectives — To compare the recommandations for treatment concerning 9 vignettes derived from the Australian Quality Assurance Project. Setting — Six Mental Health Services of Regione Lombardia. Design and Participants — For each vignette, all psychiatrists working in the 6 Mental Health Services were asked to fill in a questionnaire about treatment location, psychopharmacology, psychotheraphy, priority between psychotherapy and psychopharmacology and degree of difficulty in answering. Results — 44 out of 52 target psychiatrists took part to the study. Remarkable variability for treatment location and psychotherapies; moderate variation for psychodrugs prescriptions and a good agreement for diagnoses were observed. In drugs prescription an eccess of association was observed. The most prevalent model of psychotherapy was the psychodynamic, followed by the cognitivebehavioural and the family-systemic. There was a tendency toward a flexible approach, as suggested by recommendations of different psychotherapeutic models according to the nature of the disorder. No case were judged very difficult; only in 3 cases a judgement of «somewhat difficult» was expressed by more than 20% (but less than 30%) of the psychiatrists. Conclusions — Studies of this type are very easy to carry out and give useful information for continuous training programs and Continuous Quality Improvement projects.

scholarly journals A capability framework to develop leadership for evidence-informed therapies in publicly-funded mental health services

2017 ◽  
Vol 13 (3) ◽  
pp. 151-165 ◽  
Author(s):  
Geoffrey Lau ◽  
Pamela Meredith ◽  
Sally Bennett ◽  
David Crompton ◽  
Frances Dark
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Workforce Development ◽  
Cost Effective ◽  
Publicly Funded ◽  
Standard Case ◽  
Content Type ◽  
Management Roles ◽  
Standard Case Management

Purpose It is difficult to replicate evidence-informed models of psychosocial and assertive care interventions in non-research settings, and means to determine workforce capability for psychosocial therapies have not been readily available. The purpose of this paper is to describe and provide a rationale for the Therapy Capability Framework (TCF) which aims to enhance access to, and quality of, evidence-informed practice for consumers of mental health services (MHSs) by strengthening workforce capabilities and leadership for psychosocial therapies. Design/methodology/approach Guided by literature regarding the inadequacies and inconsistencies of evidence-informed practice provided by publicly-funded MHSs, this descriptive paper details the TCF and its application to enhance leadership and provision of evidence-informed psychosocial therapies within multi-disciplinary teams. Findings The TCF affords both individual and strategic workforce development opportunities. Applying the TCF as a service-wide workforce strategy may assist publicly-funded mental health leaders, and other speciality health services, establish a culture that values leadership, efficiency, and evidence-informed practice. Originality/value This paper introduces the TCF as an innovation to assist publicly-funded mental health leaders to transform standard case management roles to provide more evidence-informed psychosocial therapies. This may have clinical and cost-effective outcomes for public MHSs, the consumers, carers, and family members.

Classroom-Based Services for Adolescents With Mental Health Needs

2017 ◽  
pp. 269-288
Author(s):  
Lee Kern ◽  
Beth Custer ◽  
Imad Zaheer
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Secondary School ◽  
School Mental Health ◽  
Cost Effective ◽  
Health Needs ◽  
Mental Health Needs ◽  
School Settings ◽  
Systemic Barriers

The chapter “Classroom-Based Services for Adolescents With Mental Health Needs,” in School Mental Health Services for Adolescents, describes a classroom-based three-tiered framework of prevention and intervention that is efficient and cost-effective. A rationale is provided for why the three-tiered framework, typically applied at the school-wide level, is also a good fit for individual classrooms. Following the rationale, the chapter provides details of specific interventions across the three tiers that have solid or emerging evidence for effectiveness in secondary settings. For each intervention, a rationale is provided, followed by specific procedures and strategies for implementation, as well as research to support the effectiveness of the intervention. The chapter ends by discussing broader implementation issues in the form of individual barriers teachers face and larger systemic barriers in secondary school settings.

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