scholarly journals Mass Shooting

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Treatment ◽  
The United States ◽  
Gun Violence ◽  
Gun Control ◽  
Insurance Companies ◽  
Mass Shootings ◽  
Mass Shooting

Is There a Relationship between Gun Violence and Access to Mental Health Services? Mass shootings have been in the headlines on many occasions over the last ten years. Each time, we hear public outcry for gun control or increased access to mental health care as proposed remedies. It is not surprising to see the two terms linked as people grapple with gun violence in the United States. Despite many promises to act on restricting access to guns or increasing access to mental health care, politicians have done little to set policy on the issue. American gun owners fear restrictions of guns would be a violation of their rights. Health insurance companies have delayed implementation of parity for mental health treatment. It is time to look at the issues more rationally to develop common senseapproaches to these problems.

Formative case law and litigation

2017 ◽  
Author(s):  
Mohamedu F. Jones
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Treatment ◽  
Care Delivery ◽  
Case Law ◽  
The United States ◽  
Class Action ◽  
Health Treatment ◽  
Correctional Mental Health

The presence of comprehensive correctional mental health treatment programs and services in any given jail or prison is often due to successful class action litigation. This chapter reviews the legal and constitutional background for correctional mental health care in the United States and addresses many of the critical ways these courts impact policy and care delivery on a daily basis. Several court decisions have shaped modern correctional mental health care delivery. Officials are obligated under the Eighth Amendment to provide convicted prisoners with adequate medical care, which extends to mental health treatment. Pre-trial detainees also have a right to adequate physical and mental health care under the Due Process Clause of the Fourteenth Amendment of the Constitution). Since the Supreme Court proclaimed that inmates have a constitutional right to adequate health care, much has been written about the controlling decisions, their implications and applications by courts, and their implementation in correctional systems. There are, however, discrete issues related to mental health care in corrections that patients and providers in prisons and jails contend with daily that may not yet be resolved as matters of constitutional law. Case law and litigation are driving innovation in standards of care and enhancing the quality of correctional mental health. These reforms are gaining acceptance as preferred and expected standards of correctional mental health care in jails and prisons, and may reflect the present day ‘evolving standard of decency,’ becoming touchstones of constitutionally adequate care across systems.

Formative case law and litigation

2015 ◽  
Author(s):  
Mohamedu F. Jones
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Treatment ◽  
Care Delivery ◽  
Case Law ◽  
The United States ◽  
Class Action ◽  
Health Treatment ◽  
Correctional Mental Health

The presence of comprehensive correctional mental health treatment programs and services in any given jail or prison is often due to successful class action litigation. This chapter reviews the legal and constitutional background for correctional mental health care in the United States and addresses many of the critical ways these courts impact policy and care delivery on a daily basis. Several court decisions have shaped modern correctional mental health care delivery. Officials are obligated under the Eighth Amendment to provide convicted prisoners with adequate medical care, which extends to mental health treatment. Pre-trial detainees also have a right to adequate physical and mental health care under the Due Process Clause of the Fourteenth Amendment of the Constitution). Since the Supreme Court proclaimed that inmates have a constitutional right to adequate health care, much has been written about the controlling decisions, their implications and applications by courts, and their implementation in correctional systems. There are, however, discrete issues related to mental health care in corrections that patients and providers in prisons and jails contend with daily that may not yet be resolved as matters of constitutional law. Case law and litigation are driving innovation in standards of care and enhancing the quality of correctional mental health. These reforms are gaining acceptance as preferred and expected standards of correctional mental health care in jails and prisons, and may reflect the present day ‘evolving standard of decency,’ becoming touchstones of constitutionally adequate care across systems.

scholarly journals Intent to Adopt Video-Based Integrated Mental Health Care and the Characteristics of its Supporters: Mixed Methods Study Among General Practitioners Applying Diffusion of Innovations Theory

10.2196/23660 ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. e23660
Author(s):  
Markus W Haun ◽  
Isabella Stephan ◽  
Michel Wensing ◽  
Mechthild Hartmann ◽  
Mariell Hoffmann ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
General Practitioners ◽  
Diffusion Of Innovations ◽  
Significant Proportion ◽  
The United States ◽  
Diffusion Of Innovations Theory ◽  
Early Adopters ◽  
Adopter Categories

Background Most people with common mental disorders, including those with severe mental illness, are treated in general practice. Video-based integrated care models featuring mental health specialist video consultations (MHSVC) facilitate the involvement of specialist mental health care. However, the potential uptake by general practitioners (GPs) is unclear. Objective This mixed method preimplementation study aims to assess GPs’ intent to adopt MHSVC in their practice, identify predictors for early intent to adopt (quantitative strand), and characterize GPs with early intent to adopt based on the Diffusion of Innovations Theory (DOI) theory (qualitative strand). Methods Applying a convergent parallel design, we conducted a survey of 177 GPs and followed it up with focus groups and individual interviews for a sample of 5 early adopters and 1 nonadopter. We identified predictors for intent to adopt through a cumulative logit model for ordinal multicategory responses for data with a proportional odds structure. A total of 2 coders independently analyzed the qualitative data, deriving common characteristics across the 5 early adopters. We interpreted the qualitative findings accounting for the generalized adopter categories of DOI. Results This study found that about one in two GPs (87/176, 49.4%) assumed that patients would benefit from an MHSVC service model, about one in three GPs (62/176, 35.2%) intended to adopt such a model, the availability of a designated room was the only significant predictor of intent to adopt in GPs (β=2.03, SE 0.345, P<.001), supporting GPs expected to save time and took a solution-focused perspective on the practical implementation of MHSVC, and characteristics of supporting and nonsupporting GPs in the context of MHSVC corresponded well with the generalized adopter categories conceptualized in the DOI. Conclusions A significant proportion of GPs may function as early adopters and key stakeholders to facilitate the spread of MHSVC. Indeed, our findings correspond well with increasing utilization rates of telehealth in primary care and specialist health care services (eg, mental health facilities and community-based, federally qualified health centers in the United States). Future work should focus on specific measures to foster the intention to adopt among hesitant GPs.

Conclusion: Successes Since the First Edition and Pressing Issues for the Future of Adolescent Mental and Behavioral Health

2017 ◽  
pp. 633-638
Author(s):  
Daniel Romer
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Youth Development ◽  
Development Strategy ◽  
Evidence Base ◽  
Gun Violence ◽  
Delivery Of Care ◽  
Health Care Practitioners

Despite improvements in the delivery of care for adolescent mental and behavioral conditions since the first edition of this book, many challenges remain. This concluding chapter highlights some of the most pressing issues. These include the need for more mental health care practitioners, a greater evidence base for the treatment of adolescent conditions, and more focus on reducing family poverty. Given the high rates of gun violence, including homicides and suicides, efforts are needed to reduce access to these weapons. Promising directions in research and the need for a national youth development strategy are also discussed.

scholarly journals Rates and Associated Factors of Secondary Mental Health Care Utilisation among Ex-Military Personnel in the United States: A Narrative Review

Healthcare ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 18 ◽  
Author(s):  
Katharine Mark ◽  
Dominic Murphy ◽  
Sharon Stevelink ◽  
Nicola Fear
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Mental Health Care ◽  
Military Personnel ◽  
Mental Health Problems ◽  
The United States ◽  
Health Care Utilisation ◽  
Narrative Review ◽  
Care Utilisation

Little is known about ex-serving military personnel who access secondary mental health care. This narrative review focuses on studies that quantitatively measure secondary mental health care utilisation in ex-serving personnel from the United States. The review aimed to identify rates of mental health care utilisation, as well as the factors associated with it. The electronic bibliographic databases OVID Medline, PsycInfo, PsycArticles, and Embase were searched for studies published between January 2001 and September 2018. Papers were retained if they included ex-serving personnel, where the majority of the sample had deployed to the recent conflicts in Iraq or Afghanistan. Fifteen studies were included. Modest rates of secondary mental health care utilisation were found in former military members—for mean percentage prevalence rates, values ranged from 12.5% for at least one psychiatric inpatient episode, to 63.2% for at least one outpatient mental health appointment. Individuals engaged in outpatient care visits most often, most likely because these appointments are the most commonly offered source of support. Post-traumatic stress disorder, particularly re-experiencing symptoms, and comorbid mental health problems were most consistently associated with higher mental health care utilisation. Easily accessible interventions aimed at facilitating higher rates of help seeking in ex-serving personnel are recommended.

The Digital Revolution in Behavioral Health

2019 ◽  
Vol 26 (1) ◽  
pp. 102-111 ◽  
Author(s):  
Michael J Hasselberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Digital Health ◽  
Behavioral Health Care ◽  
The United States ◽  
Care Providers ◽  
Digital Revolution ◽  
The University

BACKGROUND: Technology is disrupting every modern industry, from supermarkets to car manufacturing, and is now entering the health care space. Technological innovations in psychiatry include the opportunity for conducting therapy via two-way video conferencing, providing electronic consultations, and telementoring and education of community health care providers. Use of mobile health applications is also an expanding area of interest and promise. OBJECTIVE: The purpose of this article is to review the evolution and pros and cons of technology-enabled health care since the digital movement in psychiatry began more than 50 years ago as well as describe the University of Rochester’s innovative digital behavioral health care model. METHODS: A review of the literature and recent reports on innovations in digital behavioral health care was conducted, along with a review of the University of Rochester’s model to describe the current state of digital behavioral health care. RESULTS: Given the lack of access to care and mental health professional shortages in many parts of the United States, particularly rural areas, digital behavioral health care will be an increasingly important strategy for managing mental health care needs. However, there are numerous hurdles to be overcome in adopting digital health care, including provider resistance and knowledge gaps, lack of reimbursement parity, restrictive credentialing and privileging, and overregulation at both the state and federal levels. CONCLUSIONS: Digital health innovations are transforming the delivery of mental health care services and psychiatric mental health nurses can be on the forefront of this important digital revolution.

scholarly journals Chronic Illness and Internalizing Symptomatology in a Transdiagnostic Clinical Sample of Youth

2020 ◽  
Vol 45 (6) ◽  
pp. 633-642
Author(s):  
Elizabeth R Wolock ◽  
Alexander H Queen ◽  
Gabriela M Rodríguez ◽  
John R Weisz
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Depressive Symptoms ◽  
Mental Health Care ◽  
Mental Health Treatment ◽  
Physical Illness ◽  
Treatment Needs ◽  
Health Treatment ◽  
Chronic Physical Illness ◽  
Internalizing Symptomatology

Abstract Objective In research with community samples, children with chronic physical illnesses have shown elevated anxiety and depressive symptoms, compared to healthy peers. Less is known about whether physical illnesses are associated with elevated internalizing symptoms even among children referred for mental health treatment—a pattern that would indicate distinctive treatment needs among physically ill children receiving mental health care. We investigated the relationship between chronic physical illness and internalizing symptomatology among children enrolling in outpatient mental health treatment. Method A total of 262 treatment-seeking children ages 7–15 and their caregivers completed a demographic questionnaire, Child Behavior Checklist, and Youth Self-Report during a pre-treatment assessment. Physical illnesses were identified through caregiver report. Results There was no overall association between the presence/absence of chronic physical illness and parent- or child-reported symptoms. However, number of chronic physical illnesses was related to parent- and child-reported affective symptoms. Children with two or more chronic physical illnesses had more severe depressive symptoms than those with fewer physical illnesses. Conclusion Having multiple chronic illnesses may elevate children’s risk of depression symptomatology, even in comparison to other children seeking mental health care. This suggests a need to identify factors that may exacerbate depression symptoms in physically ill children who are initiating therapy and to determine whether different or more intensive services may be helpful for this group. The findings suggest the potential utility of screening for depression in youth with chronic physical illnesses, as well as addressing mental and physical health concerns during treatment.

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