scholarly journals Patterns of Service Provision in Older People’s Mental Health Care in Australia

2020 ◽  
Vol 17 (22) ◽  
pp. 8516
Author(s):  
Hossein Tabatabaei-Jafari ◽  
Jose A. Salinas-Perez ◽  
Mary Anne Furst ◽  
Nasser Bagheri ◽  
John Mendoza ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Rural Health ◽  
Service Provision ◽  
Outpatient Care ◽  
Hospital Care ◽  
Term Care ◽  
Health Service Provision ◽  
Health Districts

Australia has a population of around 4 million people aged 65 years and over, many of whom are at risk of developing cognitive decline, mental illness, and/or psychological problems associated with physical illnesses. The aim of this study was to describe the pattern of specialised mental healthcare provision (availability, placement capacity, balance of care and diversity) for this age group in urban and rural health districts in Australia. The Description and Evaluation of Services and DirectoriEs for Long Term Care (DESDE-LTC) tool was used in nine urban and two rural health districts of the thirty-one Primary Health Networks across Australia. For the most part service provision was limited to hospital and outpatient care across all study areas. The latter was mainly restricted to health-related outpatient care, and there was a relative lack of social outpatient care. While both acute and non-acute hospital care were available in urban areas, in rural areas hospital care was limited to acute care. Limited access to comprehensive mental health care, and the uniformity in provision across areas in spite of differences in demographic, socioeconomic and health characteristics raises issues of equity in regard to psychogeriatric care in this country. Comparing patterns of mental health service provision across the age span using the same classification method allows for a better understanding of care provision and gap analysis for evidence-informed policy.

scholarly journals Patterns of Mental Healthcare Provision in Urban Areas: A Comparative Analysis for Informing Local Policy

2020 ◽  
Author(s):  
MaryAnne Furst ◽  
Jose Salinas-Perez ◽  
Mencia R. Gutiérrez-Colosia ◽  
John Mendoza ◽  
Nasser Bagheri ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Provision ◽  
Urban Areas ◽  
Local Level ◽  
Service Planning ◽  
Care Provision ◽  
Term Care ◽  
Urban Regions

Abstract ObjectiveUrbanisation presents specific challenges for the mental wellbeing of the population. An understanding of availability of existing service provision in urban areas is necessary to plan for the needs of people with mental illness in these contexts to identify gaps in care provision and inform policy and planning. This study aims to provide an analysis of the availability and diversity of mental health care in urban areas in Australia , and compare it with benchmark areas in Europe (Finland and Spain) and South America (Chile). MethodDESDE-LTC, an instrument for service classification and description of services providing long term care was used to analyse and compare service provision in Australia (Australian Capital Territory (ACT)), to other urban areas in Australia (Western Sydney, Perth North and South East Sydney) and to benchmark areas in other countries (Spain, Finland and Chile), using a standard healthcare ecosystems approach. Services from all relevant care sectors were calculated per 100,000 adults.ResultsWe identified commonalities in the pattern of mental health care in urban regions in Australia when compared to urban regions internationally, as well as gaps in care provision common to all study areas.ConclusionThese results highlight the relevance of an ecosystems approach to service planning in mental health care at the local level, and the use of a standardised instrument able to provide valid comparisons. There is a need for models of care sensitive to mental health care ecosystem indicators.

Evaluating complex mental health care in outpatient care in rural Lower Saxony: an ecologic study

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
A Bramesfeld ◽  
K Kopke ◽  
M Walle ◽  
J Radisch ◽  
D Büchtemann ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Outpatient Care ◽  
Lower Saxony ◽  
Ecologic Study

Welfare State Replacements: Deinstitutionalization, Privatization and the Outsourcing to Immigrant Women Enterprise

2018 ◽  
Vol 48 (2) ◽  
pp. 247-266 ◽  
Author(s):  
Jennifer Nazareno
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Welfare State ◽  
Mental Health Care ◽  
Immigrant Women ◽  
Health Care Facilities ◽  
Direct Care ◽  
Term Care ◽  
Severely Mentally Ill ◽  
The U.S

The U.S. government has a long tradition of providing direct care services to many of its most vulnerable citizens through market-based solutions and subsidized private entities. The privatized welfare state has led to the continued displacement of some of our most disenfranchised groups in need of long-term care. Situated after the U.S. deinstitutionalization era, this is the first study to examine how immigrant Filipino women emerged as owners of de facto mental health care facilities that cater to the displaced, impoverished, severely mentally ill population. These immigrant women–owned businesses serve as welfare state replacements, overseeing the health and illness of these individuals by providing housing, custodial care, and medical services after the massive closure of state mental hospitals that occurred between 1955 and 1980. This study explains the onset of these businesses and the challenges that one immigrant group faces as owners, the meanings of care associated with their de facto mental health care enterprises, and the conditions under which they have operated for more than 40 years.

Organisational impact of the National Disability Insurance Scheme transition on mental health care providers: the experience in the Australian Capital Territory

2018 ◽  
Vol 26 (6) ◽  
pp. 590-594 ◽  
Author(s):  
Mary Anne Furst ◽  
Jose A Salinas-Perez ◽  
Luis Salvador-Carulla
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Service Provision ◽  
Care Providers ◽  
Australian Capital Territory ◽  
Insurance Scheme ◽  
Mental Health Care Providers ◽  
The Impact

Objectives: Concerns raised about the appropriateness of the National Disability Insurance Scheme (NDIS) in Australia for people with mental illness have not been given full weight due to a perceived lack of available evidence. In the Australian Capital Territory (ACT), one of the pilot sites of the Scheme, mental health care providers across all relevant sectors who were interviewed for a local Atlas of Mental Health Care described the impact of the scheme on their service provision. Methods: All mental health care providers from every sector in the ACT were contacted. The participation rate was 92%. We used the Description and Evaluation of Services and Directories for Long Term Care to assess all service provision at the local level. Results: Around one-third of services interviewed lacked funding stability for longer than 12 months. Nine of the 12 services who commented on the impact of the NDIS expressed deep concern over problems in planning and other issues. Conclusions: The transition to NDIS has had a major impact on ACT service providers. The ACT was a best-case scenario as it was one of the NDIS pilot sites.

Mental health care in Belgrade — Challenges and solutions

2005 ◽  
Vol 20 (S2) ◽  
pp. s266-s269 ◽  
Author(s):  
D.L. Tosevski ◽  
B. Pejuskovic
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Service Provision ◽  
National Policy ◽  
Vascular Diseases ◽  
Public Health Problem ◽  
Acute And Chronic Stress ◽  
Mental And Behavioral Disorders

AbstractAimTo describe principles and characteristics of mental health care in Belgrade.MethodsBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.ResultsDisastrous events in the country and the region caused an increase of mental and behavioral disorders for 13.5% in the last few years, thus making them the second largest public health problem (after cerebro-vascular diseases). The overall morbidity and mortality are on the rise. Intense acute and chronic stress, as well as the accumulated traumas caused significant psychological sequelae, especially to vulnerable people.DiscussionWhilst various issues of mental health care in Belgrade overlap with those in other European capitals, there are also some specific problems and features. Due to prolonged adversities, the health system has deteriorated and is facing specific challenges. However, the transformation of mental health services has been initiated, with a lot of positive movements, such as preparation of the National policy for mental health care as well as the Law for protection of mentally ill individuals.

Needs for mental health care and service provision in single homeless people

2001 ◽  
Vol 36 (4) ◽  
pp. 207-216 ◽  
Author(s):  
H. J. Salize ◽  
A. Horst ◽  
C. Dillmann-Lange ◽  
U. Killmann ◽  
G. Stern ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Provision ◽  
Homeless People

Multiple Contacts with Diversion at the Point of Arrest

2003 ◽  
Vol 43 (2) ◽  
pp. 105-110
Author(s):  
Sharon Riordan ◽  
Stuart Wix ◽  
M Sayeed Haque ◽  
Martin Humphreys
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Police Officers ◽  
Health Care Professionals ◽  
Service Provision ◽  
Contact Group ◽  
Multiple Contacts ◽  
Set Up ◽  
Single Contact

A diversion at the point of arrest (DAPA) scheme was set up in five police stations in South Birmingham in 1992. In a study of all referrals made over a four-year period a sub group of multiple contact individuals was identified. During that time four hundred and ninety-two contacts were recorded in total, of which 130 were made by 58 individuals. The latter group was generally no different from the single contact group but did have a tendency to be younger. This research highlights the need for a re-evaluation of service provision and associated education of police officers and relevant mental health care professionals.

scholarly journals Service User and Service Provider Perceptions of Enablers and Barriers for Refugee and Asylum-Seeking Women Accessing and Engaging with Perinatal Mental Health Care Services in the WHO European Region: A Scoping Review Protocol

2022 ◽  
Vol 19 (2) ◽  
pp. 937
Author(s):  
Kathleen Markey ◽  
Anne MacFarlane ◽  
Maria Noonan ◽  
Mairead Moloney ◽  
Susann Huschke ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Provision ◽  
Health Care Services ◽  
Perinatal Mental Health ◽  
European Region ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services

There is a need to understand the specific perinatal mental health care needs of migrant subgroups who often have differing health care needs and specific barriers to accessing and engaging with health care services. It is important to have evidence about the WHO European context given the rising numbers of refugees and asylum seekers in the region. The aim of this scoping review is to map the factors that enable and prevent access and engagement of refugee and asylum-seeking women with perinatal mental health care services in the WHO European Region, from the perspectives of service providers and service users. The database search will include PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL complete, Scopus, Academic Search Complete, and Maternity and Infant Care (OVID). Search results will be exported to an online tool that provides a platform to help manage the review process, including title, abstract, and full-text screening and voting by reviewers independently. Data concerning access and engagement with health care services will be mapped on to the candidacy framework. Systematically searching evidence within the WHO European region and examining this evidence through the candidacy lens will help develop a more comprehensive and a deeper conceptual understanding of the barriers and levers of access and engagement with perinatal mental health care services, whilst identifying gaps in existing evidence. Exploring factors that influence access and engagement for refugee and asylum-seeking women from the perspective of key stakeholders in the service provision and/or service utilisation of perinatal mental health care services will add a more comprehensive understanding of the recursive relationship between service provision and use.

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