An Analytical Study of the Provision of Mental Health Services for Students With Disabilities in Public School Settings

2021 ◽  
pp. 278-291
Author(s):  
Marquis C. Grant
Keyword(s):  
Mental Health ◽  
Public School ◽  
Mental Health Services ◽  
Health Services ◽  
Students With Disabilities ◽  
Functional Behavior Assessment ◽  
Mental Health Training ◽  
Supportive Services ◽  
Public School Systems ◽  
Related Service

Students with disabilities often do not receive supportive services if they have coexisting mental health disorders. Students classified with emotional or behavioral disorders for an individualized education plan may be supported by a functional behavior assessment and, in some cases, a behavior intervention plan, but mental health is not included as a related service. Without appropriate mental health services, students face poorer outcomes. Results from a survey of special education teachers and behavior support specialists along with a secondary analysis of existing data revealed that respondents did not receive any mental health training that would allow them to support students with mental health needs. Moreover, funding, legal issues, and policies were emerging themes that likely contributed to the lack of appropriate mental health support in public school systems.

Enhancing the contribution of clinical psychology: an under-utilised workforce in public mental health services

2021 ◽  
pp. 103985622199264
Author(s):  
Henry Jackson ◽  
Caroline Hunt ◽  
Carol Hulbert
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Psychology ◽  
Public Mental Health ◽  
Psychological Theory ◽  
Clinical Psychologists ◽  
Pathways To Care ◽  
Mental Health Training ◽  
Public Mental Health Services

Objective: Clinical psychologists are practitioners with expertise in mental health, who apply advanced psychological theory and knowledge to their practice in order to assess and treat complex psychological disorders. Given their robust specialised mental health training, clinical psychology is an integral component of the Australian mental health workforce, but is under-utilised. Recent reviews have identified significant problems with Australia’s mental health system, including unequal access to clinical psychology services and fragmentation of service delivery, including convoluted pathways to care. Conclusions: Clinical psychology is well placed to contribute meaningfully to public mental health services (PMHS). We describe what clinical psychologists currently contribute to team-based care in PMHS, how we could further contribute and the barriers to making more extensive contributions. We identify significant historical and organisational factors that have limited the contribution made by clinical psychologists and provide suggestions for cultural change to PMHS.

Novel research on transition from child to adult mental health services in Europe: The MILESTONE project

2016 ◽  
Vol 33 (S1) ◽  
pp. S58-S59 ◽  
Author(s):  
H. Tuomainen ◽  
S.P. Singh ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Providers ◽  
Care Pathway ◽  
Controlled Trial ◽  
Ethical Challenges ◽  
Adult Mental Health ◽  
Related Service ◽  
Competing Interest

IntroductionCurrent service configuration of distinct Child and Adolescent Mental Health (CAMHS) and Adult Mental Health Services (AMHS) is considered the weakest link where the care pathway should be most robust. Transition-related discontinuity of care is a major health, socioeconomic and societal challenge for the EU.ObjectivesThe overall objective of the MILESTONE project is to improve transition from CAMHS to AMHS in diverse healthcare settings in Europe.AimsTo improve the understanding of current transition-related service characteristics, and processes, outcomes and experiences of transition from CAMHS to AMHS using a bespoke suite of measures; to explore the ethical challenges of providing appropriate care to young people as they move to adulthood; to test a model of managed transition in a cluster randomized controlled trial (cRCT) for improving health, social outcomes and transition to adult roles; and to develop training modules for clinicians and policy guidelines.MethodsData will be collected via systematic literature reviews; bespoke surveys to CAMHS professionals, experts and other stakeholders; focus groups with service providers and users and members of youth and mental health advocacy groups; and a longitudinal cohort study with a nested cRCT in eight EU countries (Belgium, Croatia, France, Germany, Ireland, Italy, Netherlands, UK) involving over 1000 CAMHS service users, their parents/carers, and clinicians, with assessments at baseline, 9, 18 and 27 months.ResultsFirst results are expected in 2016 with further major findings following in 2019.ConclusionsThe MILESTONE project will provide unprecedented information on the nature and magnitude of problems at the CAMHS-AMHS interface, and potential solutions to overcome these.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Mental health services in Cambodia: an overview

2019 ◽  
Vol 17 (2) ◽  
pp. 29-31
Author(s):  
Sarah J. Parry ◽  
Ewan Wilkinson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rapid Growth ◽  
Urban Areas ◽  
Mental Healthcare ◽  
Mental Health Training ◽  
Health Strategy ◽  
Professional Mental Health ◽  
National Mental Health

Mental health services in Cambodia required rebuilding in their entirety after their destruction during conflict in the 1970s. During the late 1990s there was rapid growth and development of professional mental health training and education. Currently, basic mental healthcare is available primarily in urban areas and is provided by a mixture of government, non-government and private services. Despite the initial rapid growth of services and the development of a national mental health strategy in 2010, significant challenges remain in achieving an acceptable, standardised level of mental healthcare nationally.

Mental Health Services, Free Appropriate Public Education, and Students With Disabilities: Legal Considerations in Identifying, Evaluating, and Providing Services

2017 ◽  
Vol 20 (2) ◽  
pp. 67-77 ◽  
Author(s):  
Mitchell Yell ◽  
Carl Smith ◽  
Antonis Katsiyannis ◽  
Mickey Losinski
Keyword(s):  
Mental Health ◽  
Public Schools ◽  
Public Education ◽  
School District ◽  
Mental Health Services ◽  
Health Services ◽  
Students With Disabilities ◽  
Related Services ◽  
Free Appropriate Public Education ◽  
Education Act

In the past few years, the provision of mental health services in public schools has received considerable attention. When students with disabilities are eligible for special education and related services under the Individuals With Disabilities Education Act (IDEA), mental health services are required if such services are needed to provide students with a free appropriate public education (FAPE). That is, when a student’s individualized education program (IEP) team determines that he or she needs mental health services to receive a FAPE, a school district is required to provide these services. Our purpose is to discuss when school district personnel should identify, evaluate, and serve students with disabilities who may have mental health needs.

scholarly journals Policing and street triage

2016 ◽  
Vol 18 (1) ◽  
pp. 40-52 ◽  
Author(s):  
Ian Cummins ◽  
David Edmondson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Research Literature ◽  
Mental Health Training ◽  
Policy And Practice ◽  
Mental Health Nursing ◽  
Content Type ◽  
Use Of Resources

Purpose – In his recent report, Lord Adebowale (2013) described mental health issues as “core police business”. The recent retrenchment in mental health and wider public services mean that the demands on the police in this area are likely to increase. Mental health triage is a concept that has been adapted from general and mental health nursing for use in a policing context. The overall aim of triage is to ensure more effective health outcomes and the more effective use of resources. The purpose of this paper is to examine the current policy and practice in this area. It then goes on to explore the models of mental health triage that have been developed to try and improve working between mental health services and the police. Design/methodology/approach – The paper outlines the main themes in the research literature regarding mental illness and policing, including a brief overview of section 136 MHA. It then examines recently developed models of triage as applied in these settings. Findings – The models of triage that have been examined here have developed in response to local organisational, demographic and other factors. The approaches have two key features – the improved training for officers and improved liaison with mental health services. Practical implications – Wider mental health training for officers and improved liaison with community-based services are the key to improving police contacts. Social implications – The current pressure on mental health services has increased the role that the police have in responding to these sorts of emergencies. This situation is unlikely to change in the short term. Originality/value – This paper contributes to the wider debate about policing and mental illness. It highlights the fact that section 136 MHA use has tended to dominate debates in this area to the detriment of a broader discussion of the police role.

Mental Health in Schools: An Overview of Multitiered Systems of Support

2020 ◽  
Vol 56 (2) ◽  
pp. 67-73
Author(s):  
Robbie J. Marsh ◽  
Sarup R. Mathur
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Students With Disabilities ◽  
Mental Health Professionals ◽  
School Counselor ◽  
School Psychologist ◽  
School Based ◽  
Health Related ◽  
Systems Of Support

Mental health–related disabilities are a leading cause of health issues worldwide. Because of this, an argument can be made that schools integrate mental health services for their students to positively impact their mental health outcomes. This article outlines how multitiered systems of support (MTSS) can assist schools in providing all students with mental health services including students with disabilities. The role of school-based mental health professionals (i.e., school counselor, school psychologist, school social worker) within the MTSS framework is discussed to better assist teachers in helping their students access school-based mental health services.

Public School and Mental Health Services to Severely Behavior Disordered Students

1981 ◽  
Vol 6 (3) ◽  
pp. 183-190 ◽  
Author(s):  
Judith K. Grosenick
Keyword(s):  
Mental Health ◽  
Public Schools ◽  
Public School ◽  
Mental Health Services ◽  
Health Services ◽  
Behavior Disorders ◽  
Specific Aspect ◽  
The Public ◽  
State Hospitals ◽  
Behavior Disordered

The National Needs Analysis Project in Behavior Disorders has examined numerous issues in the general area of behavior disorders. The purpose of this article is to present one specific aspect of that global effort: public school and mental health services to severely behavior disordered children and youth. Through analysis of national data and site visits to selected states information was gathered on the state-of-the-art of this topic. Data indicate that the largest number of severely behavior disordered students are served within the public schools. However, out-of-district placements and school demission techniques frequently keep such students less visible. Mental health services, particularly “state hospitals” appear to serve as one frequently used step in the progression out of the public schools, especially for adolescents. Lack of collaboration between public schools and mental health services does not enhance the delivery of appropriate service.

scholarly journals A qualitative Study of TB Health Workers’ and Stakeholders’ Conceptualisation, Screening and Treatment of Mental Distress Experienced by TB Patients in Zambia

2021 ◽  
Author(s):  
Tila Mwinde Mainga ◽  
Melleh Gondwe ◽  
Robert C Stewart ◽  
Islay Mactaggart ◽  
Kwame Shanaube ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Qualitative Study ◽  
Health Services ◽  
Urban Communities ◽  
Mental Distress ◽  
Health Workers ◽  
Treatment Options ◽  
Local Health ◽  
Mental Health Training

Abstract BackgroundThere is an increased recognition to integrate mental health services into routine TB care. For a successful integration TB health workers and stakeholders need to be receptive to mental health services being delivered in tandem with TB services. Additionally, policy makers need to understand the current practices by TB health workers around treatment of mentally distressed TB patients. In this qualitative study we aimed to understand how TB health workers and other TB stakeholders viewed mental distress linked to TB and how they screened and treated mental distress in their patients. MethodsThe study draws on qualitative data collected in 2018 as part of the Tuberculosis Reduction through Expanded Antiretroviral Treatment and Screening for active TB trial (TREATS). TREATS was conducted in 8 urban communities in Zambia. The data was collected through 17 focus group discussions with local health committees (n=96) and TB stakeholders (n=57), and in-depth interviews with TB health workers (n=9). Thematic analysis was conducted. ResultsTB stakeholders and health workers had an inadequate understanding of mental ill health and commonly described mental distress experienced by TB patients using the stigmatizing term “madness” . Mental distress was also described as “ overthinking”, which participants attributed to psychosocial drivers of distress and inadequate knowledge of TB by TB patients rather than a condition that would benefit from a mental health intervention. ConclusionsTB stakeholders and health care workers in Zambia are cognisant of the mental health implication of TB on TB patients. There are no standard screening or treatment options for mental distress in TB patients. TB health workers in Zambia could benefit from mental health training which should aim to increase knowledge about mental health and chronic illness while shifting negative attitudes around mental illnessTrial registration number: NCT03739736

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