Is Telehealth an Effective Way to Increase Accessibility to Counseling Services?

2022 ◽  
pp. 114-137
Author(s):  
Tara Renee Fox
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Health Conditions ◽  
Counseling Services ◽  
Mental Health Conditions ◽  
Delivery Models

Providing telehealth is often a means to increase the accessibility to and availability of clinical mental healthcare services. Due to the COVID-19 pandemic, telehealth has been globally implemented into healthcare systems. Today, almost 390 million individuals have at least one mental illness. There are many challenges to seeking clinical mental healthcare, including availability and accessibility, anonymity, finances and insurance, stigma, and travel and transportation. Due to these barriers, many individuals have untreated mental health conditions, which can burden healthcare systems. By utilizing innovative delivery models such as telehealth technologies, the disparities experienced by individuals when attempting to seek clinical mental healthcare services can decrease.

scholarly journals Patient-centered behavioral services for women veterans with mental health conditions

2021 ◽  
Author(s):  
Michelle M Pebole ◽  
Elizabeth E VanVoorhees ◽  
Nivedita Chaudhry ◽  
Karen M Goldstein ◽  
Jillian Thompson ◽  
...  
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Women Veterans ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Quality Improvement Project ◽  
Health Conditions ◽  
Improvement Project ◽  
Mental Health Conditions ◽  
Behavioral Services

Abstract The Veterans Health Administration (VHA) is undergoing a transformational shift from disease-focused care to a Whole Health model that emphasizes physical, mental, emotional, and spiritual health and well-being. As this shift is occurring, women veterans using VHA services face challenges navigating a system that has historically served a primarily male demographic, without consistent consensus on which services require specialization by gender. A quality improvement project was conducted to solicit feedback on VHA behavioral and wellness programs from women veterans enrolled in VHA mental healthcare services. A multi-disciplinary work group of clinical researchers and healthcare providers developed a needs assessment survey to assess patient needs and preferences for behavioral health services. A convenience sample of female veterans using VHA mental healthcare services within a comprehensive Women’s Health Clinic were invited to complete this anonymous survey. 107 women Veterans 18–65+ years old (65.3% African American; 5.9% LatinX; 54.2% aged under 55) completed the survey. Over 50% of patients endorsed relationships, physical activity, sleep/nightmares, pain management, anger, or spiritual/moral pain as top wellness priorities. Programatic preferences included location (located at the main VA Hospital) and gender composition (female only group formats). Schedule conflicts were the most frequently cited barriers. Results from this quality improvement project highlight considerations for tailoring the content and delivery of behavioral services for women veterans with mental health conditions.

scholarly journals Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Signe Heuckendorff ◽  
Martin Nygård Johansen ◽  
Søren Paaske Johnsen ◽  
Charlotte Overgaard ◽  
Kirsten Fonager
Keyword(s):  
Mental Health ◽  
Healthcare Services ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Parental Mental Health ◽  
Mental Health Conditions ◽  
First Year Of Life ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked. We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. Methods This register-based cohort study included all live-born children born in Denmark from 2000 to 2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Negative binominal regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life. Results The analyses included 964,395 children. Twenty percent of the mothers and 12 % of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04–1.06) and out-of-hour IRR 1.20 (CI95% 1.18–1.22)). Risks were higher for maternal mental health conditions (GP IRR 1.18 (CI95% 1.17–1.19) and out-of-hour IRR 1.39 (CI95% 1.37–1.41)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.25 (CI95% 1.23–1.27) and out-of-hour contacts IRR 1.49 (CI95% 1.45–1.54)), including minor mental health condition (GP IRR 1.22 (CI95% 1.21–1.24) and out-of-hour IRR 1.37 (CI95% 1.34–1.41)). This pattern was the same for all types of healthcare contacts. Conclusions Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning.

scholarly journals Changing Approaches to Mental Healthcare in the Caribbean Conferences on Mental Health, 1957-1969

2020 ◽  
Vol 4 ◽  
Author(s):  
Deborah Toner ◽  
Clare Anderson ◽  
Shammane Joseph Jackson
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Illness ◽  
Mental Healthcare ◽  
Health Conditions ◽  
Late Nineteenth Century ◽  
Religious Leaders ◽  
Public Health Officials ◽  
The Caribbean ◽  
Late Nineteenth

This paper examines discussions among physicians, psychologists, public health officials, religious leaders and others who participated in the Caribbean Conferences on Mental Health between 1957 and 1969. Their discussions demonstrate major changes in the understanding of causes, definitions and appropriate treatments of mental health conditions, compared to the late nineteenth century, which saw a wave of major reforms to the management of mental illness in public asylums. Although major shifts in professional understandings of mental health were evident in the mid-twentieth century, the Caribbean Conferences on Mental Health reveal that the problems hindering the implementation of these new approaches were largely similar to those that Guyana and other Caribbean countries continue to face today.

Police Violence among Adults Diagnosed with Mental Disorders

2020 ◽  
Vol 45 (2) ◽  
pp. 81-89
Author(s):  
Hyun-Jin Jun ◽  
Jordan E DeVylder ◽  
Lisa Fedina
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Population ◽  
Mental Disorders ◽  
Severe Mental Illness ◽  
Violence Exposure ◽  
Health Conditions ◽  
Psychotic Symptoms ◽  
Police Violence ◽  
Mental Health Conditions

Abstract Police violence is reportedly common among those diagnosed with mental disorders characterized by the presence of psychotic symptoms or pronounced emotional lability. Despite the perception that people with mental illness are disproportionately mistreated by the police, there is relatively little empirical research on this topic. A cross-sectional general population survey was administered online in 2017 to 1,000 adults in two eastern U.S. cities to examine the relationship between police violence exposure, mental disorders, and crime involvement. Results from hierarchical logistic regression and mediation analyses revealed that a range of mental health conditions are broadly associated with elevated risk for police violence exposure. Individuals with severe mental illness are more likely than the general population to be physically victimized by police, regardless of their involvement in criminal activities. Most of the excess risk of police violence exposure related to common psychiatric diagnoses was explained by confounding factors including crime involvement. However, crime involvement may necessitate more police contact, but does not necessarily justify victimization or excessive force (particularly sexual and psychological violence). Findings support the need for adequate training for police officers on how to safely interact with people with mental health conditions, particularly severe mental illness.

scholarly journals Parental mental health conditions and use of healthcare services in children the first year of life – a register-based, nationwide study

2020 ◽  
Author(s):  
Signe Heuckendorff ◽  
Martin Nygård Johansen ◽  
Søren Paaske Johnsen ◽  
Charlotte Overgaard ◽  
Kirsten Fonager
Keyword(s):  
Mental Health ◽  
Healthcare Services ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Parental Mental Health ◽  
Mental Health Conditions ◽  
First Year Of Life ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked.We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. Methods This register-based cohort study included all live-born children born in Denmark from 2000-2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Poisson regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life.Results The analyses included 964395 children. Twenty percent of the mothers and twelve percent of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04-1.05) and out-of-hour IRR 1.20 (CI95% 1.18-1.21)). Risks were higher for maternal mental health conditions (GP IRR 1.17 (CI95% 1.17-1.18) and out-of-hour IRR 1.38 (CI95% 1.37-1.37)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.24 (CI95% 1.23-1.25) and out-of-hour contacts IRR 1.48 (CI95% 1.45-1.51)), including minor mental health condition (GP IRR 1.22 (CI95% 1.22-1.23) and out-of-hour IRR 1.37 (CI95% 1.35-1.39)). This pattern was the same for all types of healthcare contacts.Conclusions Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning.

scholarly journals Interactive Activities to Aid in a Comprehensive Understanding of Mental Health Within the Professional Athletic Training Curriculum

2021 ◽  
Vol 16 (4) ◽  
pp. 262-269
Author(s):  
Jennifer Lynn Ostrowski ◽  
Ashley Gray ◽  
Ellen K. Payne ◽  
David Wilkenfeld ◽  
James R. Scifers
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Athletic Training ◽  
First Aid ◽  
Health Conditions ◽  
Standardized Patient ◽  
Counseling Session ◽  
Mental Health First Aid ◽  
Athletic Training Students ◽  
Mental Health Conditions

Context Mental health is a significant issue in the United States, with approximately 18.5% of adults and 22% of adolescents having a diagnosable mental illness. Athletic trainers are in a prime position to recognize signs of mental health illness in their patients and to facilitate referral to a mental health professional. Objective To introduce interactive approaches for developing mental health first aid and referral skills in professional athletic training students. Background Although the 2020 Commission on Accreditation of Athletic Training Education curricular content standards require programs to educate students about identification and referral for mental health conditions, the standards do not provide specific suggestions for instructing this content. Description Three educational activities have been implemented into the curriculum: an exploratory counseling session, Mental Health First Aid certification, and a standardized patient encounter. Clinical Advantage(s) The exploratory counseling session improves athletic training students' empathy for individuals living with mental illness. The Mental Health First Aid curriculum has been shown to raise awareness of mental health conditions and positively influence the number of people who receive professional help. Standardized patient scenarios have been shown to increase critical thinking and confidence with mental health cases and to increase knowledge in mental health assessment. Conclusion(s) Students' reflections support that these components have increased their competence and confidence in recognizing, intervening, and making referrals for individuals with suspected mental health concerns.

scholarly journals Parental mental health conditions and use of healthcare services in children the first year of life – a register-based, nationwide study

2020 ◽  
Author(s):  
Signe Heuckendorff ◽  
Martin Nygård Johansen ◽  
Søren Paaske Johnsen ◽  
Charlotte Overgaard ◽  
Kirsten Fonager
Keyword(s):  
Mental Health ◽  
Healthcare Services ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Parental Mental Health ◽  
Mental Health Conditions ◽  
First Year Of Life ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked.We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. Methods This register-based cohort study included all live-born children born in Denmark from 2000-2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Negative binominal regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life.Results The analyses included 964395 children. Twenty percent of the mothers and twelve percent of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04-1.06) and out-of-hour IRR 1.20 (CI95% 1.18-1.22)). Risks were higher for maternal mental health conditions (GP IRR 1.18 (CI95% 1.17-1.19) and out-of-hour IRR 1.39 (CI95% 1.37-1.41)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.25 (CI95% 1.23-1.27) and out-of-hour contacts IRR 1.49 (CI95% 1.45-1.54)), including minor mental health condition (GP IRR 1.22 (CI95% 1.21-1.24) and out-of-hour IRR 1.37 (CI95% 1.34-1.41)). This pattern was the same for all types of healthcare contacts.Conclusions Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning.

Heterosexism, racism, and mental illness discrimination: Experiences of people with mental health conditions and their families

2016 ◽  
Vol 28 (2) ◽  
pp. 93-116 ◽  
Author(s):  
Lynn C. Holley ◽  
Natasha S. Mendoza ◽  
Melissa M. Del-Colle ◽  
Marquita Lynette Bernard
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Conditions ◽  
Mental Health Conditions

scholarly journals Parental mental health conditions and use of healthcare services in children the first year of life – a register-based, nationwide study

2020 ◽  
Author(s):  
Signe Heuckendorff ◽  
Martin Nygård Johansen ◽  
Søren Paaske Johnsen ◽  
Charlotte Overgaard ◽  
Kirsten Fonager
Keyword(s):  
Mental Health ◽  
Healthcare Services ◽  
Health Condition ◽  
Health Conditions ◽  
First Year ◽  
Mental Health Condition ◽  
Parental Mental Health ◽  
Mental Health Conditions ◽  
First Year Of Life ◽  
Paternal Mental Health

Abstract Background Parental mental health conditions have been associated with increased morbidity and use of healthcare services in the offspring. However, existing studies have not examined different severities of mental health conditions. Furthermore, the impact of paternal mental health has been overlooked.We therefore examined the association between two severities of parental mental health conditions and the use of healthcare services for children the first year of life, exploring the impact of both maternal and paternal mental health conditions.Methods This register-based cohort study included all live-born children in Denmark 2000-2016. Information on socioeconomics, diagnoses, drug prescriptions and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity, and thus the place of treatment, of the mental health condition. Poisson regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER) and out- and inpatient hospital contacts the first 12 months of life.Results The analyses included 964395 children. Twenty percent of the mothers and twelve percent of the father were identified with mental health condition. Paternal mental health conditions were independent associated with an increased risk of all kinds of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04-1.05) and out-of-hour IRR 1.20 (CI95% 1.18-1.21)); however, the risks were higher for maternal mental health condition (GP IRR 1.17 (CI95% 1.17-1.18) and out-of-hour IRR 1.38 (CI95% 1.37-1.37)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.24 (CI95% 1.23-1.25) and out-of-hour contacts IRR 1.48 (CI95% 1.45-1.51)), including minor (GP IRR 1.22 (CI95% 1.22-1.23) and out-of-hour IRR 1.37 (CI95% 1.35-1.39)). The overall pattern was the same for all types of healthcare contacts.Conclusions Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents as well as the presence of even minor mental health conditions may be warranted in planning of services. What is already known on this subject?Maternal depression or depressive symptoms and/or increase child use of healthcare services. The role of different levels of mental health conditions in the mother as well as mental health conditions of the father are unknown.What this study addsNot only maternal but also paternal mental health conditions, including minor conditions only handled in primary healthcare, increased child use of healthcare services the first year of life. Healthcare utilization was greatest if both parents had a mental health condition.

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