scholarly journals Evaluation of an Early Intervention Model for Child and Adolescent Victims of Interpersonal Violence

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 941
Author(s):  
Claudia Calvano ◽  
Elena Murray ◽  
Lea Bentz ◽  
Sascha Bos ◽  
Kathrin Reiter ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Treatment Outcome ◽  
Early Intervention ◽  
Mental Health Care ◽  
Interpersonal Violence ◽  
Retention Rate ◽  
Traumatic Events ◽  
Psychotherapeutic Treatment

Only the minority of youth exposed to traumatic events receive mental health care, as trauma-informed clinical services are lacking or are poorly accessible. In order to bridge this gap, the Outpatient Trauma Clinic (OTC) was founded, an easily accessible early, short-time intervention, with onward referral to follow-up treatment. This report presents the OTC’s interventional approach and first outcome data. Using a retrospective naturalistic design, we analyzed trauma- and intervention-related data of the sample (n = 377, 55.4% female, mean age 10.95, SD = 4.69). Following drop-out analyses, predictors for treatment outcome were identified by logistic regression. The majority (81.9%) was suffering from posttraumatic stress disorder (PTSD) or adjustment disorders. Around one forth dropped out of treatment; these cases showed higher avoidance symptoms at presentation. In 91%, psychological symptoms improved. Experience of multiple traumatic events was the strongest predictor for poor treatment outcome (B = −0.823, SE = 0.313, OR = 0.439, 95% CI 0.238–0.811). Around two thirds were connected to follow-up treatment. The OTC realized a high retention rate, initial improvement of symptoms and referral to subsequent longer-term psychotherapeutic treatment in the majority. Further dissemination of comparable early intervention models is needed, in order to improve mental health care for this vulnerable group.

scholarly journals Community mental health care after self-harm: A retrospective cohort study

2016 ◽  
Vol 51 (7) ◽  
pp. 727-735 ◽  
Author(s):  
Matthew J Spittal ◽  
Fiona Shand ◽  
Helen Christensen ◽  
Lisa Brophy ◽  
Jane Pirkis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Care ◽  
Psychiatric Inpatient ◽  
Community Mental Health Services ◽  
Community Mental Health Care ◽  
Self Harm

Objective: Presentation to hospital after self-harm is an opportunity to treat underlying mental health problems. We aimed to describe the pattern of mental health contacts following hospital admission focusing on those with and without recent contact with community mental health services (connected and unconnected patients). Methods: We undertook a data linkage study of all individuals admitted as a general or psychiatric inpatient to hospital after self-harm in New South Wales, Australia, between 2005 and 2011. We identified the proportion of admissions where the patient received subsequent in-person community mental health care within 30 days of discharge and the factors associated with receipt of that care. Results: A total of 42,353 individuals were admitted to hospital for self-harm. In 41% of admissions, the patient had contact with a community mental health service after discharge. Patients connected with community mental health services had 5.33 (95% confidence interval = [5.09, 5.59]) times higher odds of follow-up care than unconnected patients. Other factors, such as increasing age and treatment as a psychiatric inpatient, were associated with lower odds of follow-up community care. Conclusion: Our study suggests that full advantage is not being taken of the opportunity to provide comprehensive mental health care for people who self-harm once they have been discharged from the inpatient setting. This is particularly the case for those who have not previously received community mental health care. There appears to be scope for system-level improvement in the way in which those who are treated for self-harm are followed up in the community.

Effectiveness of Prompt Mental Health Care: Preliminary results from a randomized controlled trial

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Knapstad ◽  
L V Lervik ◽  
S M M Saether ◽  
L E Aaroe ◽  
O R F Smith
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Randomized Controlled Trial ◽  
Mental Health Care ◽  
Controlled Trial ◽  
Sensitivity Analyses ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Randomized Controlled

Abstract Background Prompt Mental Health Care (PMHC) service is a Norwegian initiative, adapted from the English ‘Improved Access to Psychological Therapy’ (IAPT), aimed at improving access to primary care treatment for anxiety and depression. Thus far, both PMHC and IAPT have been evaluated by cohort studies only. Albeit yielding promising results, the extent to which these are attributable to the treatment thus remains unsettled. This study investigates the effectiveness of PMHC compared to treatment as usual (TAU) at six months follow-up. Methods Randomized controlled trial with parallel assignment in two PMHC sites from November 2015 to March 2018. Participants were 681 adults (aged ≥18 years) considered for admission to PMHC due to anxiety and/or mild to moderate depression. These were randomly assigned on a 70:30 ratio. Main outcomes were recovery rates and changes in symptoms of depression and anxiety between baseline and follow-up. Primary outcome data were available for 73%/67% in the PMHC/TAU group. Sensitivity analyses based on observed patterns of missingness were conducted. Results A reliable recovery rate of 58.5% was observed in the PMHC group and 31.9% in the TAU group, yielding a between-group effect size (ES) of 0.61 [95% CI 0.37-0.85, p<.001]. The differences in degree of improvement between PMHC and TAU yielded an ES of -0.88 [95% CI -1.23-0.43, p < 0.001] for symptoms of depression and -0.60 [95% CI -0.90-0.30, p < 0.001] for symptoms of anxiety in favour of PMHC. All sensitivity analyses pointed in the same direction with small variations in point estimates. Findings were slightly more robust for depressive than anxiety symptoms. Conclusions The PMHC treatment was substantially more effective than TAU in alleviating symptoms of anxiety and depression. This adaptation of IAPT is considered a viable supplement to existing health services to increase access of effective treatment for adults who suffer from anxiety and mild to moderate depression. Key messages This study is the first to evaluate the effectiveness of an IAPT-like treatment model in terms of a randomized controlled trial. Prompt Mental Health Care was substantially more effective than TAU in alleviating symptoms of depression and anxiety at 6-months follow-up.

Early intervention, prevention, and prediction in mood disorders: Tracking multidimensional outcomes in young people presenting for mental health care

2020 ◽  
pp. 39-62
Author(s):  
Elizabeth M. Scott ◽  
Joanne S. Carpenter ◽  
Frank Iorfino ◽  
Shane P.M. Cross ◽  
Daniel F. Hermens ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Early Intervention ◽  
Young People ◽  
Mental Health Care ◽  
Mood Disorders

Outcome of patients dropping out from community-based mental health care: a 6-year multiwave follow-up study

2007 ◽  
Vol 116 (s437) ◽  
pp. 42-52 ◽  
Author(s):  
M. Ruggeri ◽  
G. Salvi ◽  
C. Bonetto ◽  
A. Lasalvia ◽  
L. Allevi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Dropping Out ◽  
Community Based ◽  
Follow Up Study

scholarly journals Étude de relance auprès des détenus fédéraux traités en milieu psychiatrique : description des antécédents, du séjour, des rechutes et des récidives

Criminologie ◽  
2005 ◽  
Vol 21 (2) ◽  
pp. 27-61 ◽  
Author(s):  
Sheilagh Hodgins ◽  
Mireille Cyr ◽  
Jean Paquet ◽  
Pierre Lamy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
General Population ◽  
Mental Health Care ◽  
Criminal Recidivism ◽  
Severe Mental Disorders ◽  
Maximum Security ◽  
Penal Institutions ◽  
The Impact

While severe mental disorders have consistently been shown to be more prevalent among inmates of penal institutions than among the general population, the provision of mental health within jails, prisons and penitentiaries has always been, and continues to be, problematic. The present investigation was designed to examine the impact on patients of one organizational model of mental health care for penitentiary inmates. Ninety-nine men who were transferred from a penitentiary to a maximum security hospital for varying periods of time were followed for three years after discharge. Relapse and criminal recidivism were documented from official files. Interviews were conducted at the end of the follow-up period in order to examine subject's level of social functionning and mental state. Specific conclusions are drawn about the way in which mental health care was provided and the benefit which accrued to the patients.

scholarly journals Individual program planning as an exemplar of best practice in the delivery of consumer-oriented mental health care

2001 ◽  
Vol 24 (3) ◽  
pp. 100
Author(s):  
Margret Scheil
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Treatment Outcome ◽  
Mental Health Care ◽  
Service Provision ◽  
Best Practice ◽  
Program Planning ◽  
Individual Program ◽  
Constructive Interaction ◽  
The Continuum

Individual Program Planning is an action research tool that facilitates consumer-oriented service provision. It is basedon four guiding principles to promote constructive interaction between consumers, significant others and services.Agreements for action are cooperatively developed in relation to the identification of issues. These are documented andmonitored in the form of ongoing meetings. The process supports coordination and accountability of activity betweenthose significant to treatment outcome across the continuum of care.

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