Center for Integrated Health Care: Primary and Mental Health Care for People With Severe and Persistent Mental Illnesses

2004 ◽  
Vol 43 (2) ◽  
pp. 71-74 ◽  
Author(s):  
Lucy N. Marion ◽  
Susan Braun ◽  
Dawn Anderson ◽  
Judith McDevitt ◽  
Margaret Noyes ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Integrated Health Care ◽  
Mental Illnesses ◽  
Integrated Health

Pathways to Mental Health Services and Perceptions about the Effectiveness of Treatment

2018 ◽  
Vol 9 (3) ◽  
pp. 388-407 ◽  
Author(s):  
Sirry M. Alang ◽  
Donna D. McAlpine
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Severity Of Illness ◽  
Mental Illnesses ◽  
Social Characteristics ◽  
Treatment Gap ◽  
Quality Outcomes ◽  
Effectiveness Of Care

The gap between need and effective treatment for mental health problems continues to be a challenge for researchers and policymakers. Much of the attention has been on differences in treatment rates, with insufficient attention to variation in pathways that people take into treatment. Individuals may choose to seek help but may also be substantially influenced by others or coerced into care. The chances of each type of pathway are influenced by social characteristics and may shape perceptions of effectiveness of care. This paper investigates variation in pathways into care and perceived effectiveness of care. We also examine whether choice or coercion into care are associated with whether individuals perceive care as effective and if severity of illness moderates this relationship. We use data from the 2010–2014 National Survey on Drug Use and Health (N = 10,020). Persons who independently sought mental health care were more likely to rate treatment as effective compared to persons ordered into care. Among people with severe mental illnesses, the probability of rating treatment as effective is lowest among those who were ordered into care. Entry into mental health care is not sufficient for closing the treatment gap if coerced care leads to poorer quality outcomes.

The next step: a strategic focus on physical activity and sedentary behaviour in Irish mental health care

2018 ◽  
pp. 1-3 ◽  
Author(s):  
E. Matthews ◽  
M. Cowman ◽  
S. Denieffe
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Health Care ◽  
Mental Health Care ◽  
Sedentary Behaviour ◽  
Mental Health Professionals ◽  
Mental Illnesses ◽  
Multidisciplinary Teams ◽  
Mental Health Nurses ◽  
Health Strategy

People with severe mental illnesses have dramatically reduced life expectancy compared with the general population, which is largely attributed to physical comorbidity. Physical activity and sedentary behaviour interventions offer a safe and viable therapeutic resource for multi-disciplinary mental health care teams. The accumulating evidence supporting the role of these interventions has changed the focus of mental health strategy in some countries, with new developing roles for certain mental health professionals in this field. However, in Ireland the absence of specialised exercise practitioners places a leadership role for mental health nurses in this regard. National mental health strategy in Ireland should prioritise physical activity and sedentary behaviour interventions, make recommendations for the integration of specialised exercise practitioners in all mental health multidisciplinary teams, and recommend the provision of training and awareness for mental health nurses and other multidisciplinary professionals who are already well placed to address this issue.

scholarly journals Mental health literacy in Pakistan: a narrative review

2019 ◽  
Vol 25 (1) ◽  
pp. 63-74 ◽  
Author(s):  
Rubina Begum ◽  
Fahad Riaz Choudhry ◽  
Tahir Mehmood Khan ◽  
Faizah Safina Bakrin ◽  
Yaser Mohammed Al-Worafi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Literacy ◽  
Mental Health Care ◽  
Mental Health Literacy ◽  
Relevant Literature ◽  
Mental Illnesses ◽  
Low Literacy ◽  
Content Type ◽  
Targeted Interventions

Purpose The term “Mental health literacy” is defined as knowledge and beliefs about mental disorders which aid their recognition, management or prevention. The importance of health literacy for physical health is widely studied; however, the area of mental health literacy in Pakistan has been comparatively neglected. The purpose of this paper is to address the knowledge about mental health in people living in Pakistan. Design/methodology/approach Relevant literature relating to mental health literacy was identified through various database searches. The databases searched included: PubMed, Cochrane database of Systemic Reviews, PsycINFO using the terms mental health, mental health literacy, mental health education, Pakistan. Findings Literature suggests that there is dearth of knowledge about mental illnesses and their treatment among public. This review also highlights the importance of mental health literacy among professionals working in the field of health care. In Pakistan, due to low literacy rate, a high percentage of poverty and dearth of trained professionals warrants an emendation in approaches established for attaining the goal of public health and psychiatric care. Practical implications Findings have implications for practitioners in the field of mental health care as well as designing targeted interventions for enhancing mental health literacy and help-seeking behavior in the future. Originality/value A limited understanding and lack of improvement in mental health literacy may interfere with society’s acceptance of evidence-based mental health care which may hamper the delivery of adequate mental health services to the needy.

Are Mental Disorders Brain Disorders?

2015 ◽  
Vol 17 (3) ◽  
pp. 185-201
Author(s):  
Callie Joubert
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Conceptual Analysis ◽  
Mental Illnesses ◽  
Brain Disorders ◽  
Category Mistake ◽  
Ethical Implications ◽  
The U.S

The mission of the U.S. National Institute of Mental Health is to transform understanding and treatment of mental disorders. According to its former director, Dr. Thomas Insel, fundamental to its mission is the proposition that “mental illnesses are brain disorders.” The aim of this article is to examine this proposition and to argue that it does not make sense. As a scientific proposition, it is based on contentious empirical claims, and as a metaphysical proposition, it is consistent with those who claim that a person is a brain. A conceptual analysis is employed as a tool to show that it is a category mistake to ascribe psychological properties of a person to a brain. The article concludes with a brief indication of the ethical implications of Insel’s proposition for mental health care.

Healers and Psychiatrists: The Transformation of Mental Health Care in Tajikistan

2010 ◽  
Vol 47 (3) ◽  
pp. 419-451 ◽  
Author(s):  
Alisher Latypov
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Focus Group ◽  
Mental Health Care ◽  
Traditional Healers ◽  
Mental Illnesses ◽  
Health Care Provision ◽  
Care Provision ◽  
Focus Group Discussions ◽  
Group Discussions

This article examines the transformation of mental health care in Tajikistan from the time of Russian colonization of Central Asia until the most recent years of post-independence. It incorporates a review of published literature into the analysis of locally available reports, focus group discussions, interviews and oral histories collected between 2005 and 2008. Traditional healers play a significant role in contemporary Tajikistan, where mental health care provision is influenced by the legacy of Soviet psychiatry. Tajik mental health care may now be in a “dormant” phase, characterized by a widespread neglect of people with mental illnesses.

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