scholarly journals Primary Mental Health Care Part 1: A Critical Review of the Irish System

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Smith L
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Best Practice ◽  
Model Of Care ◽  
Eligibility Criteria ◽  
The Public ◽  
Primary Mental Health Care ◽  
Evolving System ◽  
Care Counselling

Primary mental health care is an evolving system, in need of regular revision and requiring innovative and creative adjustments in order to provide the public with an easily accessible and appropriate level and type of service, based on best practice and evidence. This paper is the first in a series of three exploring primary mental health care. The Irish model of care, ‘Counselling in Primary Care’, is presented as well as a number of short-comings associated with that model. The short-comings include eligibility criteria governing access, limitations of service as well as waiting lists; and the medicalization of service delivery.

scholarly journals To what extent could acute general psychiatric day care reduce inpatient admissions?

2013 ◽  
Vol 2 (2) ◽  
pp. 105
Author(s):  
Thomas W. Kallert ◽  
Andrea Howardová ◽  
Jiri Raboch ◽  
Stefan Priebe ◽  
Andrzej Kiejna ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Day Care ◽  
Calculation Methods ◽  
Model Of Care ◽  
Eligibility Criteria ◽  
Site Specific

Background: Percentage reduction of inpatient admissions by acute general psychiatric day care in individual facilities (i.e. feasibility rate of acute day care) seems to be an important parameter for service planning. Previously reported feasibility rates showed significant variation, however, and were based on eligibility criteria defined for randomized controlled trials. This paper aims to perform an in-depth exploration of the calculation method of these feasibility rates, to propose different calculation methods expanding research definitions to the reality of service provision, and to analyze the association between the availability of residential services in regional mental health service systems and these rates. Methods: Data from the randomization process of the European Day Hospital Evaluation (EDEN) study in which a total of 1117 patients were included in five sites provided the basis to calculate site-specific and overall rates of patients for whom this mode of treatment might be adequate. Sensitivity analyses were carried out by varying the selection of patients’ eligibility criteria and thus calculating different feasibility estimates. Data on the regional mental health care systems were collected by use of the European Service Mapping Schedule. Results: The use of four different calculation methods showed that site-specific feasibility rates of acute day care for general psychiatric patients varied from 13.8% to 25.7% up to 44.1% to 79.0%. Overall rates varied from 17.3% up to 67.7%, respectively. The high values were calculated under a scenario where the current acute day care model of care is enhanced to manage more complicated patients than currently treated under existing acute day care models. In three out of the four calculation methods higher rates were calculated for sites which demonstrated higher figures of residential services, and thus were less advanced in their process of deinstitutionalization. Conclusions: In order to determine the capacity of day hospitals as an alternative to acute psychiatric hospital care, mental health care planning must clearly decide on the eligibility criteria of patients to be treated in these facilities. Guided by such definitions, treatment concepts and professional qualifications of the staff in these facilities need to be adapted. The finding that less de-institutionalized regions may benefit most from a transition to acute day care as a means for promoting the transition to a community model of care for otherwise institutionalized patients must be assessed in more detail. Comprehensive research exploring the impact of all regional mental health service configuration characteristics on the concept of acute day care is needed.

scholarly journals COVID-19, psychosocial issues, politics, and public mental health care

2021 ◽  
Vol 51 (2) ◽  
pp. 293-303
Author(s):  
Anthony L Pillay ◽  
Anne L Kramers-Olen
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Systems ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
The Public ◽  
Care Systems ◽  
Public Mental Health Care

The COVID-19 pandemic heralded challenges that were both significant and unfamiliar, placing inordinate burdens on health care systems, economies, and the collective psyche of citizens. The pandemic underscored the tenuous intersections between public mental health care, politics, economics, and psychosocial capital. In South Africa, the inadequacies of the public health system have been laid bare, and the disproportionate privileges of the private health care system exposed. This article critically considers government responses to the COVID-19 pandemic, the psychosocial correlates of lockdown, politics, corruption, and public mental health policy in South Africa.

scholarly journals Mental health care and treatment in prisons: a new paradigm to support best practice

2017 ◽  
Vol 16 (1) ◽  
pp. 3-4 ◽  
Author(s):  
Brian McKenna ◽  
Jeremy Skipworth ◽  
Krishna Pillai
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Best Practice ◽  
New Paradigm ◽  
Care And Treatment

scholarly journals Commentary: Good primary mental health care is simple

2008 ◽  
Vol 58 (551) ◽  
pp. 409-409 ◽  
Author(s):  
Harm van Marwijk ◽  
Berend Terluin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Primary Mental Health Care

scholarly journals International Interprofessional Collaborative Office Rounds (iiCOR): Addressing Children's Developmental, Behavioral, and Emotional Health Using Distance Technology

2021 ◽  
Vol 9 ◽  
Author(s):  
Jennifer S. H. Kiing ◽  
Heidi M. Feldman ◽  
Chris Ladish ◽  
Roopa Srinivasan ◽  
Craig L. Donnelly ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Services ◽  
Best Practice ◽  
Emotional Health ◽  
Clinical Care ◽  
Learning Technology ◽  
Cultural Variation ◽  
Co Morbidity

Developmental, behavioral, and emotional issues are highly prevalent among children across the globe. Among children living in low- and middle-income countries, these conditions are leading contributors to the global burden of disease. A lack of skilled professionals limits developmental and mental health care services to affected children globally. Collaborative Office Rounds are interprofessional groups that meet regularly to discuss actual cases from the participants' practices using a non-hierarchical, peer-mentoring approach. In 2017, International Interprofessional Collaborative Office Rounds was launched with several goals: to improve the knowledge and skills of practicing child health professionals in high and low resourced settings regarding developmental and mental health care, to support trainees and clinicians in caring for these children, and to promote best practice in diagnosis and management of these conditions. Five nodes, each comprised of 3–4 different sites with an interprofessional team, from 8 countries in North America, Africa, Asia, and South America met monthly via videoconferencing. This report describes and evaluates the first 2 years' experience. Baseline surveys from participants (N = 141) found that 13 disciplines were represented. Qualitative analysis of 51 discussed cases, revealed that all cases were highly complex. More than half of the cases (N = 26) discussed children with autism or traits of autism and almost all (N = 49) had three or more themes discussed. Frequently occurring themes included social determinants of health (N = 31), psychiatric co-morbidity (N = 31), aggression and self-injury (N = 25), differences with the healthcare provider (N = 17), cultural variation in accepting diagnosis or treatment (N = 19), and guidance on gender and sexuality issues (N = 8). Participants generally sought recommendations on next steps in clinical care or management. A survey of participants after year 1 (N = 47) revealed that 87% (N = 41) had expectations that were completely or mostly met by the program. Our experience of regular meetings of interprofessional groups from different countries using distance-learning technology allowed participants to share on overlapping challenges, meet continuing educational needs while learning about different approaches in high- and low-resourced settings. International Interprofessional Collaborative Office Rounds may prove a useful strategy for increasing the work force capacity for addressing developmental, behavioral, and emotional conditions worldwide. More systematic studies are needed.

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