scholarly journals Dignity of Older Persons With Mental Health Conditions: Why Should Clinicians Care?

2021 ◽  
Vol 12 ◽  
Author(s):  
Debanjan Banerjee ◽  
Kiran Rabheru ◽  
Gabriel Ivbijaro ◽  
Carlos Augusto de Mendonca Lima
Keyword(s):  
Mental Health ◽  
Older People ◽  
Mental Health Professionals ◽  
Social Inclusion ◽  
Clinical Care ◽  
Mental Healthcare ◽  
Health Service Delivery ◽  
Steady Increase ◽  
Mental Health Service Delivery ◽  
The Impact

With a steady increase in population aging, the proportion of older people living with mental illness is on rise. This has a significant impact on their autonomy, rights, quality of life and functionality. The biomedical approach to mental healthcare has undergone a paradigm shift over the recent years to become more inclusive and rights-based. Dignity comprises of independence, social inclusion, justice, equality, respect and recognition of one's identity. It has both subjective and objective components and influences life-satisfaction, treatment response as well as compliance. The multi-dimensional framework of dignity forms the central anchor to person-centered mental healthcare for older adults. Mental health professionals are uniquely positioned to incorporate the strategies to promote dignity in their clinical care and research as well as advocate for related social/health policies based on a human rights approach. However, notwithstanding the growing body of research on the neurobiology of aging and old age mental health disorders, dignity-based mental healthcare is considered to be an abstract and hypothetical identity, often neglected in clinical practice. In this paper, we highlight the various components of dignity in older people, the impact of ageism and mental health interventions based on dignity, rights, respect, and equality (including dignity therapy). It hopes to serve as a framework for clinicians to incorporate dignity as a principle in mental health service delivery and research related to older people.

Introduction

2020 ◽  
pp. 1-19
Author(s):  
Philip J. Lazarus ◽  
Shannon M. Suldo ◽  
Beth Doll
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Factor Model ◽  
Well Being ◽  
Health Service Delivery ◽  
Risk And Resilience ◽  
Whole Child ◽  
Mental Health Service Delivery ◽  
School Based

In this introduction, the authors discuss the purpose of this book, which is (a) to provide school-based mental health professionals with the knowledge and tools to help promote students’ emotional well-being and mental health, (b) to describe how to implement new models of mental health service delivery in schools, and (c) to prescribe practical strategies that bolster the likelihood that our youth will thrive in school and in life. The authors recommend conceptualizing student mental health through a dual-factor model that encompasses both promoting wellness and reducing pathology. They advocate for a change in educational priorities—one that supports the whole child, in mind, body, and spirit. They then discuss the prevalence of psychological distress in youth, risk and resilience research, the dual-factor model of mental health, happiness studies, new frameworks for the delivery of services, and the organization and structure of the text.

Legal Hazards and Protections for the Mentally Retarded: A Review

1979 ◽  
Vol 7 (3) ◽  
pp. 359-375
Author(s):  
Richard R. Parlour ◽  
Virginia M. Goldsmith
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Service Providers ◽  
Health Service Delivery ◽  
Health Issues ◽  
Therapeutic Goals ◽  
Mental Health Service Delivery ◽  
The Public ◽  
Human Service Providers ◽  
Part Time

The last two decades have seen major changes in mental health service delivery and a staggering proliferation of law related to mental health issues. Mental health professionals are reminded that law is made to serve the public interest and may frequently hamper therapeutic goals. To be a most effective therapist, one must be well informed about relevant law and ways to implement treatment despite legal impediments. Being so socially handicapped, the retarded depend on all human service providers to be part-time advocates for them or the justice system will fail.

The recovery ethos: towards a shared understanding

2013 ◽  
Vol 30 (4) ◽  
pp. 285-288
Author(s):  
S. McDaid
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Social Inclusion ◽  
Health Service Delivery ◽  
Mental Health Service Delivery ◽  
Current Economic Crisis ◽  
Additional Burden ◽  
Core Components

This article presents Mental Health Reform's perspective on the recovery ethos for mental health service delivery derived from Irish stakeholders’ perspectives. It arose out of a project to develop Mental Health Reform's agenda for advocacy to implement A Vision for Change. The article describes five core components of a recovery-orientated service: hope, listening, choice, partnership and social inclusion. The article also describes briefly how each component can be reflected in mental health service delivery. The recovery ethos can provide a way forward for service delivery within the current economic crisis and may be viewed as a tool for responding positively to the crisis rather than an additional burden.

Client Contact in Self-Help Therapy for Anxiety and Depression: Necessary But Can Take a Variety of Forms Beside Therapist Contact

2012 ◽  
Vol 29 (2) ◽  
pp. 63-76 ◽  
Author(s):  
France Talbot
Keyword(s):  
Mental Health ◽  
Health Service Delivery ◽  
Anxiety And Depression ◽  
Mental Health Service Delivery ◽  
Large Numbers ◽  
Cognitive Behavioural ◽  
Multiple Trials ◽  
Meta Analyses ◽  
The Cost ◽  
The Impact

Self-administered therapies (SATs) have been promoted as a way to increase access to evidence-based mental health services. Recent meta-analyses and literature reviews suggest that SATs with clinical guidance are more effective than SATs with no contact for the treatment of anxiety and depression. However, little attention has been paid to the role of nonguidance contact, contact that does not involve the provision of assistance in the application of specific therapy techniques such as emails to encourage treatment adherence. The present article examines the impact of nonguidance contact on the outcomes of SATs for anxiety and depression. Electronic databases were searched to identify studies conducted over the past two decades by independent research teams that have tested cognitive-behavioural SATs over multiple trials. Findings suggest that the involvement or guidance of a therapist is not essential for SATs to produce significant benefits as long as nonguidance contact is provided. It is suggested that even very minimal levels of nonguidance contact increase SAT's outcomes by motivating treatment engagement and improving adherence. The benefit of SATs that can be accessed directly by large numbers of individuals and that do not require therapist involvement to ensure efficacy can potentially significantly increase the cost effectiveness and quality of mental health service delivery.

Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People

2003 ◽  
Vol 37 (6) ◽  
pp. 735-740 ◽  
Author(s):  
Brian Draper ◽  
Tanya Jochelson ◽  
David Kitching ◽  
John Snowdon ◽  
Henry Brodaty ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Older People ◽  
Health Service Delivery ◽  
Aged Care ◽  
Mental Health Service Delivery ◽  
Adult Mental Health ◽  
Care Services

Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia. Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to all aged care services, adult mental health services and mental health services for older people in NSW. The survey canvassed issues ranging across service profiles, regional variations, availability of resources, processes of care, views on working relationships between services, difficulties and gaps experienced, and ways to improve co-ordination and service delivery. Clinical issues such as the management and practice of psychiatric disorders of old age, educational/training requirements and skill and experience in working with older people were explored. Results: An overall response rate of 86% was achieved, including 95% from aged care services (n = 58), 74% from adult mental health services (n = 62) and 90% from mental health services for older people (n = 20). Only 59% of aged care services and adult mental health services considered that their local mental health services for older people provided an adequate service; resource and budget limitations were portrayed as the main constraint. Mental health services for older people varied widely in structure, settings and activities undertaken. Access to mental health beds for older people was also variable, and alongside staffing levels was considered problematic. Lack of staff training and/or inexperience in psychogeriatrics posed a challenge for aged care services and adult mental health services. Conclusion: Relationships between aged care services, adult mental health services and mental health services for older people are affected by lack of access to psychogeriatric staff, resource limitations of mental health services for older people, and inadequate liaison and support between the service types. Joint case conferences, education, increased funding of mental health services for older people, and cross referrals were considered ways to address these issues.

scholarly journals Mental Healthcare in Rural Latin America

2017 ◽  
Author(s):  
Jody Epstein
Keyword(s):  
Mental Health ◽  
Latin America ◽  
Latin American ◽  
Mental Healthcare ◽  
Health Service Delivery ◽  
Healthcare Systems ◽  
Mental Health Disorders ◽  
Mental Health Service Delivery ◽  
History Of ◽  
Health Disorders

<p class="normal">The goal of this article is to provide an overview of epidemiology of mental health disorders in Latin America, discuss unique issues in mental health faced by rural Latin American communities, summarize the history of Latin American healthcare systems, and describe current strategies to improve and innovate mental health service delivery in Latin America.  </p>

"Are We There Yet?" - Consumer Participation in Mental Health Services

2006 ◽  
Vol 12 (1) ◽  
pp. 8 ◽  
Author(s):  
Graeme Browne ◽  
Mary Courtney
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Service Delivery ◽  
Consumer Participation ◽  
Mental Health Service Delivery ◽  
Community Attitudes

Public policy in Australia recommends that the relationship between consumers and mental health professionals should be one of equals and that consumers be encouraged to have input into service delivery at every level. This approach requires a significant change in attitude for mental health professionals and within services. Although consumer input into mental health service delivery has improved, there is still a long way to go. Unfortunately, consumers consider many of the efforts by mental health services to be tokenistic. This paper considers some of the issues regarding consumer participation, including the changing community attitudes towards people with a mental illness, the concept of recovery, challenges for health professionals and the impediments to consumer participation.

Electronic Patient Monitoring in Mental Health Services

2011 ◽  
pp. 871-888
Author(s):  
Werner G. Stritzke ◽  
Andrew Page
Keyword(s):  
Mental Health ◽  
Patient Monitoring ◽  
Interactive Voice Response ◽  
Mental Healthcare ◽  
Well Being ◽  
Touch Screen ◽  
Health Service Delivery ◽  
Outcome Data ◽  
Clinical Tool ◽  
Mental Health Service Delivery

This chapter reviews advances in electronic patient monitoring in mental health service delivery. The first part focuses on interactive-voice-response (IVR) technology and its dual role of enhancing the efficient and reliable access to vital patient information and reducing the need for human resources in using that information to guide patient care. Future directions for IVR-mediated mental healthcare are outlined and challenges to dissemination and routine implementation are discussed. The second part of the chapter focuses on touch screen technology as a clinical tool for continuing, flexible treatment planning in mental health inpatient clinics. It reports on a successful trial of linking an innovative mental health ‘well-being thermometer’ to a touch screen interface for keeping electronic patient reported outcome data at the clinician’s finger tips. The authors argue that the field needs to move beyond feasibility studies and identify the drivers of and barriers to routine implementation.

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