From planning to implementation: Creating and adapting universal screening protocols to address caregiver mental health and psychosocial complexity.

2021 ◽  
Vol 9 (2) ◽  
pp. 112-122
Author(s):  
Melissa Buchholz ◽  
Bethany Ashby ◽  
Lisa Costello ◽  
Amy Ehmer ◽  
Verenea Serrano ◽  
...  
Keyword(s):  
Mental Health ◽  
Universal Screening ◽  
Caregiver Mental Health

scholarly journals Is Helping Really Helping? Health-Related Quality of Life after TBI Predicting Caregiver Depression Symptom Trajectories in Latin America

2021 ◽  
Vol 18 (3) ◽  
pp. 1247
Author(s):  
Chimdindu Ohayagha ◽  
Paul B. Perrin ◽  
Annahir N. Cariello ◽  
Juan Carlos Arango-Lasprilla
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Latin America ◽  
Depression Symptom ◽  
Caregiver Depression ◽  
Symptom Trajectories ◽  
Related Quality ◽  
Health Related ◽  
Caregiver Mental Health

Previous research connecting health-related quality of life (HRQoL) in people with traumatic brain injury (TBI) and caregiver mental health has primarily been conducted cross-sectionally in the U.S. and Western Europe. This study, therefore, examined how HRQoL in individuals immediately after their TBI predicts longitudinal caregiver depression symptom trajectories in Latin America. A sample of 109 patients with an acute TBI and 109 caregivers (total n = 218) was recruited from three hospitals in Mexico City, Mexico, and in Cali and Neiva, Colombia. TBI patients reported their HRQoL while they were still in hospital, and caregivers reported their depression symptoms at the same time and at 2 and 4 months later. Hierarchal linear models (HLM) found that caregiver depression symptom scores decreased over time, and lower patient mental health and pain-related quality of life at baseline (higher pain) predicted higher overall caregiver depression symptom trajectories across the three time points. These findings suggest that in Latin America, there is an identifiable relationship between psychological and pain-related symptoms after TBI and caregiver depression symptom outcomes. The results highlight the importance of early detection of caregiver mental health needs based in part upon patient HRQoL and a culturally informed approach to rehabilitation services for Latin American TBI caregivers.

scholarly journals VitalSign6: A Primary Care First (PCP-First) Model for Universal Screening and Measurement-Based Care for Depression

2019 ◽  
Vol 12 (2) ◽  
pp. 71 ◽  
Author(s):  
Madhukar Trivedi ◽  
Manish Jha ◽  
Farra Kahalnik ◽  
Ronny Pipes ◽  
Sara Levinson ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Universal Screening ◽  
Primary Care Providers ◽  
The United States ◽  
Care Providers ◽  
Similar Treatment ◽  
Measurement Based Care

Major depressive disorder affects one in five adults in the United States. While practice guidelines recommend universal screening for depression in primary care settings, clinical outcomes suffer in the absence of optimal models to manage those who screen positive for depression. The current practice of employing additional mental health professionals perpetuates the assumption that primary care providers (PCP) cannot effectively manage depression, which is not feasible, due to the added costs and shortage of mental health professionals. We have extended our previous work, which demonstrated similar treatment outcomes for depression in primary care and psychiatric settings, using measurement-based care (MBC) by developing a model, called Primary Care First (PCP-First), that empowers PCPs to effectively manage depression in their patients. This model incorporates health information technology tools, through an electronic health records (EHR) integrated web-application and facilitates the following five components: (1) Screening (2) diagnosis (3) treatment selection (4) treatment implementation and (5) treatment revision. We have implemented this model as part of a quality improvement project, called VitalSign6, and will measure its success using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework. In this report, we provide the background and rationale of the PCP-First model and the operationalization of VitalSign6 project.

Framing School Mental Health Services Within a Dual-Factor Model of Mental Health

2020 ◽  
pp. 40-60
Author(s):  
Beth Doll ◽  
Evan H. Dart ◽  
Prerna G. Arora ◽  
Tai A. Collins
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Disorders ◽  
Field Test ◽  
Universal Screening ◽  
Progress Monitoring ◽  
Factor Model ◽  
School Mental Health ◽  
Well Being ◽  
Complete Mental Health

This chapter proposes a reimagined dual-factor, multitiered system of support (MTSS) that targets students’ complete mental health by simultaneously diminishing symptoms of mental disorders and enhancing attributes of well-being. Examples of assessments and interventions are cited to show that our existing knowledge base includes examples of universal screening, progress monitoring, and interventions that address complete mental health. An argument is made for more research to build a broader base of assessments of well-being for progress monitoring and universal screening and to develop and field test decision-making protocols to identify students’ complete mental health needs and align services with these needs. The chapter concludes that important first steps toward dual-factor MTSS have already been taken.

Caregiver mental health in pediatric oncology: A three‐tiered model of supports

2020 ◽  
Author(s):  
D. Andrew Elliott ◽  
Dawn E. Corneau‐Dia ◽  
Erin Turner ◽  
Brittany Barnett ◽  
Kendra R. Parris
Keyword(s):  
Mental Health ◽  
Pediatric Oncology ◽  
Caregiver Mental Health

School nurses' mental health-care provision in Wales: The risk and protective factors

2019 ◽  
Vol 14 (9) ◽  
pp. 429-433
Author(s):  
Sally Star
Keyword(s):  
Mental Health ◽  
Universal Screening ◽  
Emotional Health ◽  
School Nurses ◽  
School Nursing ◽  
Health Care Provision ◽  
Care Provision ◽  
Children And Young People ◽  
Nursing Services ◽  
Health Disorders

It is estimated that 10-20% of children and young people worldwide experience mental and emotional health disorders. This article will outline how Welsh school nursing services can employ universal screening to increase awareness of the risk factors involved in children's mental and emotional health disorders and suggests methods to improve individual empowerment and resilience.

scholarly journals A Systematic Review of Parent and Caregiver Mental Health Literacy

2019 ◽  
Vol 56 (1) ◽  
pp. 2-21 ◽  
Author(s):  
Diarmuid Hurley ◽  
Christian Swann ◽  
Mark S. Allen ◽  
Helen L. Ferguson ◽  
Stewart A. Vella
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Literacy ◽  
Mental Health Literacy ◽  
Caregiver Mental Health

A Systematic Review of Caregiver Burden following Stroke

2009 ◽  
Vol 4 (4) ◽  
pp. 285-292 ◽  
Author(s):  
H. Rigby ◽  
G. Gubitz ◽  
S. Phillips
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Systematic Review ◽  
Caregiver Burden ◽  
Search Strategy ◽  
Patient Characteristics ◽  
Future Research ◽  
Reference Sections ◽  
Caregiver Mental Health ◽  
Significant Health

Caregiver burden following stroke is increasingly recognised as a significant health care concern. A growing number of studies have evaluated the patient, caregiver, and social support factors that contribute to increased caregiver burden. We conducted a systematic review of this literature to guide future research. A search of the MEDLINE, PsyclNFO, CINAHL, and EMBASE databases (up to July 2008) and reference sections of published studies using a structured search strategy yielded 24 relevant articles. Studies were included if they evaluated predictors and/or correlates of caregiver burden in the setting of stroke. The prevalence of caregiver burden was 25–54% and remained elevated for an indefinite period following stroke. In studies that evaluated independent baseline predictors of subsequent caregiver burden, none of the factors reported were consistent across studies. In studies that assessed concurrent factors independently contributing to caregiver burden in the poststroke period, patient characteristics and social support factors were inconsistently reported. Several studies identified caregiver mental health and the amount of time and effort required of the caregiver as significant determinants of caregiver burden. Our findings highlight the need for more research to identify caregivers in need of support and guide the development and implementation of appropriate interventions to offset caregiver burden.

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