scholarly journals A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community

2019 ◽  
Vol 16 (9) ◽  
pp. 1536 ◽  
Author(s):  
Mayer Bellehsen ◽  
Jacqueline Moline ◽  
Rehana Rasul ◽  
Kristin Bevilacqua ◽  
Samantha Schneider ◽  
...  
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Treatment ◽  
World Trade ◽  
World Trade Center ◽  
Outcome Monitoring ◽  
Evidence Based Treatments ◽  
Trade Center

The World Trade Center Health Program (WTCHP) provides mental health services through diverse service delivery mechanisms, however there are no current benchmarks to evaluate utilization or quality. This quality improvement (QI) initiative sought to examine the delivery and effectiveness of WTCHP mental health services for World Trade Center (WTC) responders who receive care through the Northwell Health Clinical Center of Excellence (CCE), and to characterize the delivery of evidence-based treatments (EBT) for mental health (MH) difficulties in this population. Methods include an analysis of QI data from the Northwell CCE, and annual WTCHP monitoring data for all responders certified for mental health treatment. Nearly 48.9% of enrolled responders with a WTC-certified diagnosis utilized treatment. The majority of treatment delivered was focused on WTC-related conditions. There was significant disagreement between provider-reported EBT use and independently-evaluated delivery of EBT (95.6% vs. 54.8%, p ≤ 0.001). EBT delivery was associated with a small decrease in Posttraumatic Stress Disorder (PTSD) symptoms over time. Providers engaged in the process of data collection, but there were challenges with adherence to outcome monitoring and goal setting. Data from this report can inform continued QI efforts in the WTCHP, as well as the implementation and evaluation of EBT.

Use of Mental Health Services by Children and Adolescents Six Months After the World Trade Center Attack

2014 ◽  
Vol 65 (2) ◽  
pp. 263-265 ◽  
Author(s):  
Ana Soledade Graeff-Martins ◽  
Christina W. Hoven ◽  
Ping Wu ◽  
Fan Bin ◽  
Cristiane S. Duarte
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Children And Adolescents ◽  
World Trade ◽  
World Trade Center ◽  
World Trade Center Attack ◽  
The World ◽  
Trade Center

scholarly journals Characterizing Mental Health Treatment Utilization among Individuals Exposed to the 2001 World Trade Center Terrorist Attacks 14–15 Years Post-Disaster

2019 ◽  
Vol 16 (4) ◽  
pp. 626 ◽  
Author(s):  
Melanie H. Jacobson ◽  
Christina Norman ◽  
Pablo Sadler ◽  
Lysa J. Petrsoric ◽  
Robert M. Brackbill
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
World Trade ◽  
World Trade Center ◽  
Traumatic Experiences ◽  
Treatment Utilization ◽  
Health Treatment ◽  
Trade Center ◽  
Post Disaster ◽  
Wtc Attacks

Following the World Trade Center (WTC) attacks in New York City (NYC) on 11 September 2001 (9/11), thousands in NYC experienced significant stress reactions and disorders, presenting an immediate need for counseling and treatment. While other studies documented post-9/11 mental health treatment utilization, none have data more than two years post-disaster. We used data from 35,629 enrollees of the WTC Health Registry, a longitudinal cohort study of those exposed to the WTC attacks, to examine predictors of counseling after 9/11, the types of practitioners seen, and the perceived helpfulness of therapy up to 15 years post-disaster. Among enrollees, 37.7% reported receiving counseling at some time after 9/11. Predictors of seeking counseling included race/ethnicity, age at 9/11, education level, exposure to the WTC attacks, other traumatic experiences, mental health symptomology, and pre-9/11 counseling. Whites and Hispanics, those who were children on 9/11, and those with high levels of exposure to the WTC attacks sought counseling soonest after 9/11. Among those who sought counseling, Blacks, Asians, and those with lower education and income were less likely to see mental health specialists and more likely to see general practitioners or religious advisors. Finally, among those who sought recent counseling, women, Blacks, those aged ≥65 years, and those with very high WTC exposures were more likely to rate their recent counseling as very helpful. This study used data up to 15 years post-disaster to document mental health treatment utilization patterns, trends, and disparities that have implications for future preparedness plans and needs assessments.

Simple versus Complex Conduct Disorders: Identification and Phenomenology

1994 ◽  
Vol 19 (4) ◽  
pp. 306-312 ◽  
Author(s):  
Mary Margaret Kerr ◽  
Steven R. Forness ◽  
Kenneth A. Kavale ◽  
Bryan H. King ◽  
Connie Kasari
Keyword(s):  
Mental Health ◽  
Special Education ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Disorders ◽  
Disruptive Behavior ◽  
Mental Health Treatment ◽  
Conduct Disorders ◽  
Health Treatment ◽  
Versus Complex

Children with conduct disorders are among the most frequent referrals for psychiatric or other mental health treatment; yet the diagnosis of conduct disorders is also frequently seen as a reason to exclude children or youth from special education and related mental health services. This article highlights the possibility that associated with conduct disorders or its symptoms may be a variety of other psychiatric disorders requiring very different interventions. Extrapolation of symptoms from classroom inattention or disruptive behavior and estimated prevalence are discussed.

scholarly journals Do CAMHS collect less PROM data from certain sociodemographic groups?

2020 ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measures ◽  
Treatment Efficacy ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Outcome Monitoring ◽  
Patient Reported ◽  
Low Rate

Patient-reported outcome measures (PROMs) are routinely used to inform clinicians and policymakers on clinical need and treatment efficacy. Yet despite their great value and utility, it seems that there is a low rate of outcome monitoring in Child and Adolescent Mental Health Services (CAMHS).

What E-Mental Health Can Offer to Saudi Arabia Using an Example of Australian E-Mental Health

2017 ◽  
pp. 1412-1421
Author(s):  
Yamam Abuzinadah ◽  
Bader Binhadyan ◽  
Nilmini Wickramasinghe
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Treatment ◽  
Health Issues ◽  
Mental Health Issues ◽  
Seeking Help ◽  
Mental Health Programs

Mental health have become a very influential topic around the world due to the increase of mental health issues that have been reported through national research and surveys. Many studies have been done along the years around the barriers in regards to seeking help in deferent countries and communities. This research aims to look closely into these barriers targeting issues and potential solutions, specifically for Saudi Arabia. Recently, the use of e-mental health services have proven to be an effective method to improve is barriers to mental health treatment. However, this chapter addresses the application and suitably of e-mental health programs for Saudi Arabia mental health services. To do so, a case study of Australian e-mental health services was selected to assist with the investigations.

scholarly journals Quality improvement in mental health services

2019 ◽  
Vol 44 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Billy Boland
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Manufacturing Industry ◽  
Mental Healthcare ◽  
Lean Thinking ◽  
Use Of Data ◽  
Healthcare Improvement ◽  
The Usa

Quality improvement (QI) approaches are becoming increasingly important in the delivery of mental healthcare internationally. They were originally developed in the manufacturing industry, but the principle of having a systematic approach to improvement has spread to many other industries, not least to healthcare. Quality improvement approaches in healthcare were pioneered in the USA at organisations such as Virginia Mason and the Institute for Healthcare Improvement. In recent years, they have become firmly established in mental health services in the UK's National Health Service (NHS). There are a number of different approaches to quality improvement, but two leading models have taken root: ‘lean thinking’ (also known as ‘lean methodology’ or simply ‘lean’), which arose out of Virginia Mason, and the ‘Model for Improvement’, which came out of the Institute of Healthcare Improvement. This article describes these two quality improvement approaches, critiques their philosophy and explores how they can apply in the provision of mental healthcare, particularly with reference to the use of data, evidence and metrics.

scholarly journals Post-9/11 Mental Health Comorbidity Predicts Self-Reported Confusion or Memory Loss in World Trade Center Health Registry Enrollees

2020 ◽  
Vol 17 (19) ◽  
pp. 7330
Author(s):  
Howard E. Alper ◽  
Rifat A. Tuly ◽  
Kacie Seil ◽  
Jennifer Brite
Keyword(s):  
Mental Health ◽  
World Trade ◽  
World Trade Center ◽  
Memory Loss ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Binomial Regression ◽  
Trade Center ◽  
Health Registry ◽  
World Trade Center Attacks

Numerous studies report elevated levels of chronic mental health conditions in those exposed to the World Trade Center attacks of 11 September 2001 (9/11), but few studies have examined the incidence of confusion or memory loss (CML) or its association with mental health in 9/11 attack survivors. We investigated the incidence of CML and its association with the number of post-9/11 mental health conditions (PTSD, depression, and anxiety) in 10,766 World Trade Center Health Registry (Registry) enrollees aged 35–64 at the time of the wave 4 survey (2015–2016) that completed all four-wave surveys and met the study inclusion criteria. We employed log-binomial regression to evaluate the associations between CML and the number of mental health conditions. A total of 20.2% of enrollees in the sample reported CML, and there was a dose-response relationship between CML and the number of mental health conditions (one condition: RR = 1.85, 95% CI (1.65, 2.09); two conditions: RR = 2.13, 95% CI (1.85, 2.45); three conditions: RR = 2.51, 95% CI (2.17, 2.91)). Survivors may be experiencing confusion or memory loss partly due to the mental health consequences of the 9/11 attacks. Clinicians treating patients with mental health conditions should be aware of potential cognitive impairment.

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