scholarly journals European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs in Finnish context

2019 ◽  
Author(s):  
Katja Heikkinen ◽  
Mari Lahti ◽  
Johanna Berg ◽  
Arina Kiseleva ◽  
Sini Eloranta
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Integrated Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Well Being ◽  
Poor Mental Health ◽  
Horizon 2020 ◽  
Societal Participation ◽  
Mental Health Client

This project is part of larger European level integrated care project led by HU University of Applied Sciences.Background: In Finland, the integration of social and health care services has taken centre stage in both the policy and practice arenas. The needs of many client groups, for example mental health client, older people and families of child, are many and varied.For example, poor mental health considerably impairs well-being of the population and has considerable economic consequences like absence from work, early retirement and productive losses. Efforts to move towards integrated care in social and health care have been met with increased interest and enthusiasm in recent years.  This will increase the focus to improve care and population health while containing costs. However, there is a need to better understand different integrated care approaches for social and health care and guide future implementation of new integrated care models.It is now important to move towards integrated care for many client groups e.g. mental disorders. In this, professionals with different training backgrounds co-ordinate their expertise in providing care for theirshared clients. It provides a safe nexus for the exchange of knowledge and opinions, as well as a framework for reaching a consensus about appropriate health care delivery for a particular client or client cohort. The client should have an immediate access to integrated care, with a focus on rehabilitation in patient’s social roles.Aim: Support societal participation, quality of live and reduce care demand and costs in social and health care client, for example mental health client through integration of healthcare and welfare services. 

scholarly journals COVID-19 policies in practice and their direct and indirect impacts in Northern California jails

2022 ◽  
Author(s):  
Yiran E Liu ◽  
Christopher LeBoa ◽  
Marcela Rodriguez ◽  
Beruk Sherif ◽  
Chrisele Trinidad ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Infection Control ◽  
Well Being ◽  
Poor Mental Health ◽  
Northern California ◽  
Increased Risk ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
Survey Responses

Context: Although the increased risk of COVID-19 in carceral facilities is well documented, little is known about the practical barriers to infection control and indirect impacts of pandemic policies in these settings. Evidence in jails is especially scarce. Methods: Between July 8, 2020 and April 30, 2021 we performed SARS-CoV-2 serology testing and administered a questionnaire among residents and staff in four Northern California jails. We analyzed seroprevalence in conjunction with demographic factors and survey responses of self-perceived COVID-19 risk, recent illness, COVID-19 test results, and symptom reporting behaviors. We additionally assessed COVID-19 policies in practice and evaluated their impacts on court dates, mental health, and routine health care. We engaged stakeholder representatives, including incarcerated individuals and their advocates, to guide study design, conduct, and interpretation. Findings: We enrolled 788 incarcerated individuals and 380 staff across four county jails. Most seropositive individuals had not previously tested positive for COVID-19, despite many suspecting prior infection. Among incarcerated participants, we identified deficient access to face masks and prevalent symptom underreporting associated with fears of isolation and perceptions of medical neglect in jail. Incarcerated participants also reported substantial hindrances to court cases and reductions in routine health care due to COVID-19. Incarcerated individuals and staff both cited worsened mental health due to COVID-19, which for incarcerated individuals was largely attributable to further isolation from loved ones and other pandemic restrictions on recreation and programming. Conclusions: Perceptions of inadequate protection from COVID-19 were pervasive among incarcerated individuals. Simultaneously, restrictive measures compounded poor mental health and fostered fears of isolation that undermined effective infection control. Custody officials should work to systematically improve provision of masks, understand and mitigate fears and mistrust, and take proactive steps to minimize the detrimental impacts of restrictive policies on residents' mental health and well-being.

Drawing time revisited: the benefits of art therapy in prison

2019 ◽  
Vol 1 (1) ◽  
pp. 46-60
Author(s):  
David Gussak
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Art Therapy ◽  
Mentally Ill ◽  
Cognitive Abilities ◽  
Well Being ◽  
Poor Mental Health ◽  
Prison Inmates ◽  
Correctional Institutions ◽  
Mental Well Being

My ideas of the benefits of art and art therapy in prison has evolved over the years, culminating in the publication Art and Art Therapy with the Imprisoned: Re-Creating Identity. The chapter reproduced here, stipulates that one obstacle correctional institutions need to address is the unending rise of mental illness due to the escalating arrest and incarceration of the mentally ill or the degradation of mental well-being of those inside. Such trauma is brought about, in part, by the overcrowded facilities and the resultant lack of privacy, stress, abuse, inadequate health care, and poor support. In addition, prison inmates are burdened with derogatory labels resulting in poor sympathy from society at large. Poor mental health is the unavoidable consequence. Yet, it is increasingly difficult to provide services in an environment where identified weaknesses and vulnerabilities may be taken advantage of. To succeed, therapists should be armed with tools to overcome the inmates’ distrust, inherent aggression, and potentially damaged cognitive abilities. Art therapy has been effective in addressing the needs of the clients by its ability to bypass these survival-based defences. This article explores these various benefits and provides an overview on why art therapy is clinically advantageous for those inside.

scholarly journals “The Message Is You Don’t Exist”: Exploring Lived Experiences of Rural Lesbian, Gay, Bisexual, Transgender, Queer/Questioning (LGBTQ) People Utilizing Health care Services

2021 ◽  
Vol 7 ◽  
pp. 237796082110511
Author(s):  
Nadine R. Henriquez ◽  
Nora Ahmad
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Lived Experiences ◽  
Health Care Services ◽  
Care Delivery ◽  
Well Being ◽  
Minority Population ◽  
Physical And Mental Health ◽  
Access To Health Services ◽  
Care Services

Background Lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) people experience significant health inequities with well-documented negative health impacts due to their status as a sexual and gender minority population. Insensitive or discriminatory attitudes toward LGBTQ people within the health care system have negatively impacted access to health services and the overall physical and mental health and well-being of this at risk population. Few studies of LGBTQ populations in rural areas have been conducted, with even fewer in the Canadian context. Rural areas often create greater visibility for LGBTQ persons, contain fewer supports and alternatives in the face of discrimination, and are often are less accepting of LGBTQ populations due to increased stigma and social isolation. Objective The purpose of this study is to examine the lived experiences of LGBTQ people utilizing health care services in rural Manitoba. Method 12 individuals who self-identified as LGBTQ who had accessed health care services in Manitoba were recruited. Using qualitative methodology, interviews were recorded and analyzed for themes. Results Analysis revealed themes including stigma and discrimination, judgments and assumptions, gender identities, lack of knowledge, limited access/systemic barriers, rural considerations, and recommendations for changes to address the gaps in health care services and barriers to access. Conclusions This study of the LGBTQ community provides an expression of their opinions and experiences, but also provides a voice to this underserved population. The findings of this study provide a better understanding of the unique health needs and experiences of LGBTQ people in rural Manitoba, creating opportunities for meaningful change in health care delivery

scholarly journals Future-Proofing Geriatric Mental Health Care Services in India: Training and Policy Directions

2021 ◽  
pp. 025371762110323
Author(s):  
Sharad Philip ◽  
Gopi Gajera ◽  
P Lakshmi Nirisha ◽  
Palanimuthu Thangaraju Sivakumar ◽  
Malathesh C. Barikar ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Systems ◽  
The Elderly ◽  
World Health ◽  
Demographic Transitions ◽  
Health Care Delivery Systems ◽  
Health Organization

Background: A burgeoning rise in the elderly subpopulation is being noted in India. This rise has already earned the designation as a shining nation by the United Nations/World Health Organization. This growth will take the elderly subpopulation to 324 million persons above 60 years by 2050. The mental health needs of this subpopulation are varied and nuanced compared to that of the general population. The risk and prevalence of mental health morbidity are also greater. There is an urgent need to gear up the health care systems. Considerations: Various aspects of the ongoing demographic transitions are considered alongside available health information. Legislative mandates and laws are also reviewed to provide context to qualify the action points and recommendations.  Recommendations, India must act urgently to strengthen health care delivery systems in a concurrent multipronged approach. These efforts should focus on developing trained Human Resources and adequate infrastructural resources. Review mechanisms to inform on required updates on best practices and evidence-based medicine must also be incorporated and developed to perform periodically.

International Mental Health Perspectives on Person Centered Integrated Care

2015 ◽  
Vol 5 (1) ◽  
pp. 21-27
Author(s):  
Roy Abraham Kallivayalil ◽  
Kabir Garg ◽  
Adarsh Tripathi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Integrated Care ◽  
Health Care Delivery ◽  
Service Providers ◽  
Care Delivery ◽  
Modern Medicine ◽  
Training System ◽  
Special Focus ◽  
And Training

 Modern medicine, with all its scientific and technological advancements overshadowing the humanistic components, has time and again found to be falling short of the expectations of clients and service providers alike. Person Centered Integrated Care has been rapidly gaining momentum as the reply to the current shortcomings of health care delivery and has consistently been ranked as desirable. The need of the hour is to take coordinated and consolidated steps in this direction. This requires research, changes in the education and training system of the physicians and integration of service delivery. The present article discusses these avenues and outlines international efforts in this direction, with a special focus on mental health care. 

scholarly journals Reimagining Community Mental Health Care Services: Case Study of a Need Based Biopsychosocial Response Initiated During Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Poornima Sunder ◽  
Anu Sonia Vincent ◽  
Meenu K. Saju ◽  
Anu S. Moorthy ◽  
Godson Paulose ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Care Services ◽  
Care Delivery ◽  
Well Being ◽  
Mental Health Systems ◽  
Governmental Organization ◽  
The Government ◽  
The Impact

Community mental health systems worldwide have undergone transformation in order to accommodate enormous demands of the pandemic and its mitigation efforts. The pandemic created unprecedented challenges that required Mehac Foundation (further referred as Mehac), a not for profit organization based in Kerala, to reassess our care delivery model. The aim of this report is to present a flexible, need-based biopsychosocial response; a case study effectuated by the Non-Governmental Organization (NGO) with a focus on minimizing the impact of COVID 19 on vulnerable communities, while adhering to timely regulations issued by the government. The key aspect of our biopsychosocial response was implementation of a phased approach that was rooted in real time need identification. The strategies will be described under broad headings of (i) adaptations for maintaining continuity of care, (ii) identifying vulnerable subgroups and need based psychological response, (iii) exploring social dimensions of the pandemic and implementing strategies to address them, (iv) ensuring team well-being and enhancing skills to effectively respond to the challenges.

When the Aims and the Ends of Health Care Misalign

2020 ◽  
pp. 109467052097515
Author(s):  
Leonard L. Berry ◽  
Deanna J. Attai ◽  
Debra L. Scammon ◽  
Rana Lee Adawi Awdish
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Well Being ◽  
Unintended Consequences ◽  
Health Records ◽  
Care Services ◽  
Make Health Care ◽  
Improving Health Care ◽  
Seriously Ill

In health care, a high-emotion service, unintended consequences can be especially problematic. People’s physical, psychological, and financial well-being—even their lives—are at stake. As scientific, technological, and demographic changes make health care a much more complex service to deliver, efforts to anticipate, avoid, and correct unintended consequences become more crucial. Using narrative examples and an extensive review of the data and the literature, we explore these efforts in four domains of U.S. health care: (1) the increasingly widespread, often challenging use of electronic health records; (2) the threat to the patient-clinician relationship from a greater, sometimes narrow emphasis on productivity metrics; (3) the culture of medicine’s frequently misguided prioritizing of treatment over true healing; and (4) the overreliance on family caregivers who are often poorly prepared to care for the seriously ill. We then apply lessons from health care’s unintended consequences to non-health-care services and suggest opportunities for service researchers to contribute to improving health care delivery, a service that all of us need.

A Scoping Review of Telehealth-Assisted Case Management for Chronic Illnesses

2021 ◽  
pp. 019394592110089
Author(s):  
Jee Young Joo ◽  
Megan F. Liu
Keyword(s):  
Health Care ◽  
Case Management ◽  
Scoping Review ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Management Practice ◽  
Empirical Studies ◽  
Chronic Illnesses ◽  
Future Research

This scoping review aimed to examine telehealth-assisted case management for chronic illnesses and assess its overall impact on health care delivery. Guided by the PRISMA statement, this review included 36 empirical studies published between 2011 and 2020. This study identified three weaknesses and four strengths of telehealth-assisted case management. While the weaknesses were negative feelings about telehealth, challenges faced by patients in learning and using telehealth devices, and increased workload for case managers, the strengths included efficient and timely care, increased access to health care services, support for patients’ satisfaction, and cost savings. Future research can be designed and conducted for overcoming the weaknesses of telehealth-assisted case management. Additionally, the strengths identified by this review need to be translated from research into case management practice for chronic illness care. This review not only describes the value of such care strategy, but also provides implications for future nursing practice and research.

scholarly journals COVID-19 is having a destructive impact on health-care workers’ mental well-being

2020 ◽  
Author(s):  
Kris Vanhaecht ◽  
Deborah Seys ◽  
Luk Bruyneel ◽  
Bianca Cox ◽  
Gorik Kaesemans ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Residential Care ◽  
Health Care Workers ◽  
Well Being ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Care Workers ◽  
Sources Of Support ◽  
Mental Well Being

Abstract Background The coronavirus disease 2019 (COVID-19) may aggravate workplace conditions that impact health-care workers’ mental health. However, it can also place other stresses on workers outside of their work. This study determines the effect of COVID-19 on symptoms of negative and positive mental health and the workforce’s experience with various sources of support. Effect modification by demographic variables was also studied. Methods A cross-sectional survey study, conducted between 2 April and 4 May 2020 (two waves), led to a convenience sample of 4509 health-care workers in Flanders (Belgium), including paramedics (40.6%), nurses (33.4%), doctors (13.4%) and management staff (12.2%). About three in four were employed in university and acute hospitals (29.6%), primary care practices (25.7%), residential care centers (21.3%) or care sites for disabled and mental health care. In each of the two waves, participants were asked how frequently (on a scale of 0–10) they experienced positive and negative mental health symptoms during normal circumstances and during last week, referred to as before and during COVID-19, respectively. These symptoms were stress, hypervigilance, fatigue, difficulty sleeping, unable to relax, fear, irregular lifestyle, flashback, difficulty concentrating, feeling unhappy and dejected, failing to recognize their own emotional response, doubting knowledge and skills and feeling uncomfortable within the team. Associations between COVID-19 and mental health symptoms were estimated by cumulative logit models and reported as odds ratios. The needed support was our secondary outcome and was reported as the degree to which health-care workers relied on sources of support and how they experienced them. Results All symptoms were significantly more pronounced during versus before COVID-19. For hypervigilance, there was a 12-fold odds (odds ratio 12.24, 95% confidence interval 11.11–13.49) during versus before COVID-19. Positive professional symptoms such as the feeling that one can make a difference were less frequently experienced. The association between COVID-19 and mental health was generally strongest for the age group 30–49 years, females, nurses and residential care centers. Health-care workers reported to rely on support from relatives and peers. A considerable proportion, respectively, 18 and 27%, reported the need for professional guidance from psychologists and more support from their leadership. Conclusions The toll of the crisis has been heavy on health-care workers. Those who carry leadership positions at an organizational or system level should take this opportunity to develop targeted strategies to mitigate key stressors of health-care workers’ mental well-being.

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