scholarly journals Remote-Delivered Services on College Campuses Manuscript

2021 ◽  
Author(s):  
Emily Hersch ◽  
Katherine Cohen ◽  
Anjay Saklecha ◽  
Kofoworola Williams ◽  
Yuxi Tan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Qualitative Data ◽  
College Campuses ◽  
Descriptive Statistics ◽  
Treatment Quality ◽  
Health Delivery ◽  
Remote Services

Objective: The COVID-19 pandemic has drastically increased use of remote-delivered mental health services. This study identifies advantages and limitations of remote-delivered services on college campuses to inform mental health delivery post-pandemic. Methods: Clinicians (n = 30) were asked to evaluate COVID-19’s impact on their work, environment, and wellness in an online survey. Qualitative data was coded using a thematic analysis approach, while quantitative data was analyzed using descriptive statistics. Results: Many clinicians reported benefits of remote services, including increased accessibility, greater convenience, no change in therapeutic alliance, and decreased stress for clinicians. Clinicians also experienced challenges such as social isolation, technological difficulties, and personal/family concerns. Clinicians envisioned a hybrid service combining online and in-person activities post-pandemic. Conclusions: Overall, remote-delivered mental health services on college campuses have potential in increasing treatment quality while highlighting a necessity for further research in hybrid mental health delivery.

scholarly journals Evaluating the Prosper peer-led peer support network: a participatory, coproduced evaluation

2016 ◽  
Vol 20 (2) ◽  
pp. 80-91 ◽  
Author(s):  
Steve Gillard ◽  
Rhiannon Foster ◽  
Kati Turner
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Movement ◽  
Peer Support ◽  
Online Survey ◽  
Well Being ◽  
Support Network ◽  
Content Type ◽  
One To One

Purpose – A range of one-to-one, group and online approaches to peer support are increasingly complementing formal mental health service delivery. Evidence is emerging of the potential benefits and challenges of peer support for individuals, communities and organisations. There is more limited evidence describing peer-led peer support networks. The paper aims to discuss these issues. Design/methodology/approach – In an evaluation of Prosper, a peer-led, peer support network and social movement, members of the network played a participatory role in the design, conduct and interpretative work of the evaluation. An online survey, one-to-one interviews and group discussions were used. Findings – The evaluation describes an evolving network with planning and development meetings constituting core activity for many members alongside a monthly training programme supporting people to set up their own activities. There were strong shared values, and consensus that Prosper could strengthen social networks, improve individual well-being and impact on the way people used mental health services. Challenges were identified around feelings of uncertainty and vulnerability in relation to involvement in the network. Research limitations/implications – The participatory nature of the evaluation adds value to the learning offered. This was a descriptive evaluation; potential is indicated for the more formal modelling and testing of peer-led network and social movement initiatives. Practical implications – Clarity is needed on the relationship of the network to statutory mental health services – specifically around taking on a “service provider” role – and on the advantages and challenges of a “hybrid” organisational model that combines traditional, hierarchical and new distributed forms of leadership and structure. Social implications – Prosper demonstrated potential to create a sense of common culture based on sharing lived experience and mutual peer support, providing an alternative to the traditional culture of mental health services. Originality/value – This paper offers wider learning derived from evaluation of a highly original initiative in peer leadership, network structure and interface with statutory mental health services.

scholarly journals Why Do Approved Mental Health Professionals Think Detentions under the Mental Health Act Are Rising and What Do They Think Should Be Done about It?

2020 ◽  
Vol 50 (2) ◽  
pp. 616-633 ◽  
Author(s):  
Michael Bonnet ◽  
Nicola Moran
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Online Survey ◽  
Social Risk ◽  
Social Risk Factors ◽  
Mental Health Act ◽  
The Impact

Abstract The number of people detained under the 1983 Mental Health Act has risen significantly in recent years and has recently been the subject of an independent review. Most existing research into the rise in detentions has tended to prioritise the perspectives of psychiatrists and failed to consider the views of Approved Mental Health Professionals (AMHPs), usually social workers, who ultimately determine whether detention is appropriate. This mixed-methods study focused on AMHPs’ views on the reasons behind the rise in detentions and potential solutions. It included a national online survey of AMHPs (n = 160) and semi-structured interviews with six AMHPs within a Community Mental Health Team in England. AMHPs reported that demand for mental health services vastly exceeded supply and, due to inadequate resources, more people were being detained in hospital. AMHPs argued that greater investment in preventative mental health services and ‘low intensity’ support would help to mitigate the impact of social risk factors on mental health; and greater investment in crisis services, including non-medical alternatives to hospital, was required. Such investment at either end of the spectrum was expected to be more effective than changes to the law and lead to better outcomes for mental health service users.

scholarly journals Acceptance of the German e-mental health portal www.psychenet.de: an online survey

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2093 ◽  
Author(s):  
Lisa Tlach ◽  
Juliane Thiel ◽  
Martin Härter ◽  
Sarah Liebherz ◽  
Jörg Dirmaier
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Online Survey ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Perceived Ease Of Use ◽  
Cross Sectional Survey ◽  
Perceived Trust

Background. Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of the e-mental health portalwww.psychenet.de.Methods. An online cross-sectional survey was conducted between May 2013 and May 2015 using a self-administered questionnaire including items on perceived ease of use, perceived usefulness, attitude towards using, and perceived trust. Effects of different participants’ characteristics on the portals’ acceptance were analyzed.Results. The majority of theN= 252 respondents suffered from mental disorders (n= 139) or were relatives from persons with mental disorders (n= 65). The portal was assessed as “good” or “very good” by 71% of the respondents. High levels of agreement (89–96%) were shown for statements on the perceived ease of use, the behavioral intention to use the portal, and the trustworthiness of the portal. Lower levels of agreement were shown for some statements on the perceived usefulness of the portals’ content. There were no effects of different participants’ characteristics on the perceived ease of use, the perceived usefulness, the attitude towards using the website and the perceived trust.Discussion. This survey provides preliminary evidence that the e-mental health portalwww.psychenet.deappears to be a usable, useful and trustworthy information resource for a broad target group. The behavioral usefulness of the portals’ content might be improved by integrating more activating patient decision aids.

scholarly journals “Why have I not been told about this?”: a survey of experiences of and attitudes to advance decision-making amongst people with bipolar

2019 ◽  
Vol 4 ◽  
pp. 16 ◽  
Author(s):  
Guy Hindley ◽  
Lucy A. Stephenson ◽  
Alex Ruck Keene ◽  
Larry Rifkin ◽  
Tania Gergel ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Educational Status ◽  
Codes Of Practice ◽  
Younger Age ◽  
Health Legislation ◽  
Health Laws

Background: The idea that people with severe mental illness should be able to plan in advance for periods of illness as a means of enhancing autonomy has been long debated and is increasingly being enshrined in codes of practice and mental health legislation. It has been argued that the ethical imperative for this is especially pronounced in bipolar (BP), a condition in which sufferers often experience episodic crises interspersed with periods of wellness. However, there is a paucity of published research investigating experiences of advance decision making (ADM) in people with BP or their attitudes towards it. Methods: An online survey of BPUK’s mailing list was conducted. 932 people with BP completed the survey (response rate 5.61%). Descriptive statistics and regression analysis were conducted to compare experience of with attitudes towards ADM and variables associated with interest in ADM. Results: A majority indicated a desire to plan care in advance of losing capacity (88%) but most had not done so (64%). High numbers of respondents expressed a wish to request as well as refuse treatment and most wanted to collaborate with psychiatrists, including on issues around self-binding. The most frequent motivation to utilise ADM was a desire to be more involved in mental health decisions. Interest in self-binding was associated with experience of compulsory treatment and trust in mental health services. Interest in refusals of all medication was associated with younger age and lack of trust in mental health services. Interest in ADM in general was associated with younger age but not educational level, ethnicity or gender. Conclusions: This study demonstrates an appetite for ADM amongst people with bipolar that is independent of educational status and ethnicity. As states reform their mental health laws, attention needs to be given to the distinctive attitudes toward ADM amongst people with bipolar.

scholarly journals Acceptance of the German e-mental health portal www.psychenet.de: an online survey

2016 ◽  
Author(s):  
Lisa Tlach ◽  
Juliane Thiel ◽  
Martin Härter ◽  
Sarah Liebherz ◽  
Jörg Dirmaier
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Online Survey ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Perceived Ease Of Use ◽  
Cross Sectional Survey ◽  
Perceived Trust

Background. Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of the e-mental health portal www.psychenet.de. Methods. An online cross-sectional survey was conducted between May 2013 and May 2015 using a self-administered questionnaire including items on perceived ease of use, perceived usefulness, attitude towards using, and perceived trust. Effects of different participants’ characteristics on the portals’ acceptance were analyzed. Results. The majority of the N=252 respondents suffered from mental disorders (n=139) or were relatives from persons with mental disorders (n=65). The portal was assessed as “good” or “very good” by 71% of the respondents. High levels of agreement (89-96%) were shown for statements on the perceived ease of use, the behavioral intention to use the portal, and the trustworthiness of the portal. Lower levels of agreement were shown for some statements on the perceived usefulness of the portals’ content. There were no effects of different participants’ characteristics on the perceived ease of use, the perceived usefulness, the attitude towards using the website and the perceived trust. Discussion. This survey provides preliminary evidence that the e-mental health portal www.psychenet.de appears to be a usable, useful and trustworthy information resource for a broad target group. The behavioral usefulness of the portals’ content might be improved by integrating more activating patient decision aids.

scholarly journals REQUIREMENTS FOR DIAGRAMING IN THE DESIGN OF MENTAL HEALTH DELIVERY SERVICES

2020 ◽  
Vol 1 ◽  
pp. 1959-1968
Author(s):  
A. Komashie ◽  
P. J. Clarkson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Thematic Analysis ◽  
Delivery Systems ◽  
Health Delivery ◽  
Qualitative Thematic Analysis ◽  
Delivery Services ◽  
English National Health ◽  
English National Health Service

AbstractDelivering good quality mental health services remains a top priority in the English National Health Service (NHS). An approach to designing better delivery systems that takes into account the complexities of mental health services is highly desirable. This paper follows previous work that have sought to identify the key components of mental health delivery systems and explored the nature of the relationships between them. The paper presents the results of a qualitative thematic analysis of the requirements for diagrams as tools for describing and representing delivery systems in mental health.

Domestic Violence During Covid-19 in Bangladesh (Preprint)

2020 ◽  
Author(s):  
Tanjir Rashid Soron ◽  
Md Ashiqur Rahman Ashiq ◽  
Marzia Al-Hakeem ◽  
Zaid Farzan Chowdhury ◽  
Helal Uddin Ahmed
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Health Crisis ◽  
Research And Innovation ◽  
Violent Behaviors ◽  
Bangladeshi Population ◽  
Clear Idea

UNSTRUCTURED The unprecedented pandemic of COVID-19 has created a scope to increase domestic violence against women all over the world. In Bangladesh where domestic violence is already prevalent, the lockdown period and stay at home orders can give the perpetrators more time to engage in violence. Isolation, social distancing, anxiety and stress about pandemic along with domestic violence can deteriorate the mental health status of the victims. Telepsychiatry Research and Innovation Network (TRIN) Ltd. conducted an online survey among the Bangladeshi population to understand the ongoing scenario of domestic violence. The questionnaire was disseminated through social media and the website of TRIN. Among the 136 participants (male=25.7%, female=74.3%), 36.8% (n=50) have faced domestic violence at any time of their lives. 24.2% of the participants have experienced domestic violence during this period of lockdown and the participants identified “Increase in different types of mental stress” as one of the key causes to increase domestic violence in this period. 96.3% and 93.4% of the participants respectively thought that the victims and the participants need mental health care. However, 62% of the victims did not have any clear idea about the available mental health services for them. This period of global health crisis has already opened a new window for telemedicine and telepsychiatric interventions can be useful in this regard as it can ensure mental health services 24/7 maintaining anonymity. Immediate telepsychiatry support can reduce the mental health burden among the victims and also can help the perpetrators to mitigate their violent behaviors towards the family members.

scholarly journals Australian Mental Health Consumers’ Experiences of Service Engagement and Disengagement: A Descriptive Study

2021 ◽  
Vol 18 (19) ◽  
pp. 10464
Author(s):  
Sharon Lawn ◽  
Christine Kaine ◽  
Jeremy Stevenson ◽  
Janne McMahon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Online Survey ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Health Issues ◽  
Mental Health Issues ◽  
Service Engagement

Mental health issues are a severe global concern with significant personal, social, and economic consequences and costs. This paper reports results of an online survey disseminated across the Australian community investigating why people with mental health issues choose particular mental health services over others, what causes them to disengage from services, and what factors and qualities of services are important to consumers to support their continued engagement or re-engagement with mental health services. The importance of GPs was evident, given their key role in providing mental healthcare, especially to those referred to as “the missing middle”—consumers with mental health issues who fall through the gaps in care in other parts of the healthcare system. The study found that many respondents chose to engage with mental healthcare providers primarily due to accessibility and affordability, but also because of the relational qualities that they displayed as part of delivering care. These qualities fostered consumers’ sense of trust, feeling listened to, and not being stigmatized as part of help seeking and having their mental health needs met. Implications for education and practice are offered.

scholarly journals Young New Zealanders' Beliefs About Youth Suicide and How It Can Be Prevented

2019 ◽  
Author(s):  
Mikayla Holman ◽  
Matt Williams
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Data Collection ◽  
Health Services ◽  
Online Survey ◽  
Counselling Service ◽  
Youth Suicide ◽  
Data Collection And Analysis ◽  
The University

Objective: New Zealand has the highest suicide rate amongst youth (ages 15-24) in the OECD. In this study, we aimed to conduct a conceptual replication of two previous studies (Heled & Read, 2005; Curtis, 2010), examining the views that youth in New Zealand hold about the causes of youth suicide, potential solutions, and help-seeking.Method: A detailed data collection and analysis plan was preregistered prior to data collection. One hundred university students aged 18 to 24 completed a mixed-methods online survey; 89% were female.Results: Just one of four hypotheses formulated based on the findings of Curtis (2010) was supported: Students who were personally aware of another student's suicidality were more willing to seek help for others from the university counselling service. Qualitative findings indicated that bullying and stigma were the most commonly perceived causes of youth suicide. Improvement of mental health services was the most frequently recommended solution for reducing the youth suicide rate.Conclusions: The views of youth should be included in the future development of mental health services and policies aimed at reducing suicide rates for this population.

scholarly journals Prevalence and Correlates of Suicidal Ideation and Deliberate Self-harm in Canadian Adolescents During the Coronavirus Disease 2019 Pandemic

2021 ◽  
pp. 070674372110366
Author(s):  
Brianna J. Turner ◽  
Christina L. Robillard ◽  
Megan E. Ames ◽  
Stephanie G. Craig
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Suicidal Ideation ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Warning Signs ◽  
Deliberate Self Harm ◽  
Health Concerns ◽  
Self Harm

Objective In light of recent evidence that the coronavirus disease 2019 (COVID-19) pandemic has resulted in marked increases in depression, anxiety, substance use, and other mental health concerns among Canadian adolescents, we investigated the rates of self-harm thoughts and behaviours in this population. Specifically, this study explored: (1) the demographic and geographic distributions of suicidal ideation (SI) and deliberate self-harm (DSH), and (2) the associations of mental health and substance use with SI and DSH. Method A total of 809 Canadian adolescents, aged 12–18 years, completed an online survey between June 17, 2020 and July 31, 2020. Results 44% of adolescents reported experiencing SI since the pandemic began, while 32% reported engaging in DSH. SI and DSH were more common among youth who: identified as transgender, non-binary or gender fluid; who did not reside with both parents; and who reported psychiatric concerns or frequent cannabis use. Conclusion Canadian adolescents appear to be experiencing higher rates of self-harm thoughts and behaviours relative to before the COVID-19 pandemic. It is important for adults who are likely to interact with distressed youth to be aware of potential warning signs that a youth is struggling with self-harm, and to refer youth to specialty mental health services where appropriate.

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