Many Teens Considering Suicide Do Not Receive Specialized Mental Health Care

2012 ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Specialized Mental Health

scholarly journals Shifting to Remotely Delivered Mental Health Care: Quality Improvement in the COVID-19 Pandemic

2020 ◽  
Vol 1 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Patrick Daigle ◽  
Abraham Rudnick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Improvement ◽  
Mental Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Health Clinic ◽  
Quality Improvement Initiative ◽  
Service Users ◽  
Specialized Mental Health

This paper presents an organizational (ambulatory) case study of shifting mental health care from in-person to remote service delivery due to the current (COVID-19) pandemic as a rapid quality improvement initiative. Remotely delivered mental health care, particularly using synchronous video and phone, has been shown to be cost-effective, especially for rural service users. Our provincial specialized mental health clinic rapidly shifted to such remote delivery during the current pandemic. We report on processes and outputs of this rapid quality improvement initiative, which serves a purpose beyond pandemic circumstances, such as improving access to such specialized mental health care for rural and other service users at any time. In conclusion, shifting specialized mental health care from in-person to remotely delivered services as much as possible could be beneficial beyond the current pandemic. More research is needed to optimize the implementation of such a shift.

A Longitudinal Study of Offset in the Use of Nonpsychiatric Services Following Specialized Mental Health Care

Medical Care ◽  
1983 ◽  
Vol 21 (11) ◽  
pp. 1099-1110 ◽  
Author(s):  
Janet R. Hankin ◽  
Larry G. Kessler ◽  
Irving D. Goldberg ◽  
Donald M. Steinwachs ◽  
Barbara H. Starfield
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Longitudinal Study ◽  
Mental Health Care ◽  
Specialized Mental Health

scholarly journals Development of a tool to detect older adults with severe personality disorders for highly specialized care

2020 ◽  
Vol 32 (4) ◽  
pp. 463-471
Author(s):  
Linda A. E. Laheij-Rooijakkers ◽  
Paul T. van der Heijden ◽  
Arjan C. Videler ◽  
Daniel L. Segal ◽  
Sebastiaan P. J. van Alphen
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Care ◽  
Diagnostic Accuracy ◽  
Psychometric Properties ◽  
Personality Disorders ◽  
Delphi Study ◽  
Specialized Care ◽  
Specialized Mental Health

ABSTRACTObjectives:Current guidelines recommend highly specialized care for patients with severe personality disorders (PDs). However, there is little knowledge about how to detect older patients with severe PDs. The aim of the current study was to develop an age-specific tool to detect older adults with severe PDs for highly specialized mental health care.Design:In a Delphi study, a tool to detect adults with severe PDs for highly specialized mental health care was adjusted for older adults based on expert opinion. Subsequently, the psychometric properties of the age-specific tool were evaluated.Setting:The psychometric part of the study was performed in two Dutch highly specialized centers for PDs in older adults.Participants:Patients (N = 90) from two highly specialized centers on PDs in older adults were enrolled.Measurements:The age-specific tool was evaluated using clinical judgment as the gold standard.Results:The Delphi study resulted in an age-specific tool, consisting of seven items to detect older adults with severe PDs for highly specialized mental health care. Psychometric properties of this tool were evaluated. Receiver operating curve analysis showed that the questionnaire was characterized by sufficient diagnostic accuracy. Internal consistency of the tool was sufficient and inter-rater reliability was moderate.Conclusions:An age-specific tool to detect older adults with severe PDs was developed based on expert opinion. Psychometric properties were evaluated showing sufficient diagnostic accuracy. The tool may preliminarily be used in mental health care to detect older adults with severe PDs to refer them to highly specialized care in an early phase.

scholarly journals Mental health crisis and spatial accessibility to mental health services in the city of Toronto: A geographic study

2021 ◽  
Vol 1 (2) ◽  
pp. 191-213
Author(s):  
Lu Wang ◽  
Joseph Ariwi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Spatial Accessibility ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
The City ◽  
Specialized Mental Health

Abstract: Mental illness includes a wide range of disorders that affect mood, thinking, behaviour and overall wellbeing. One in five Canadians has mental health care needs, many of which are unmet. Within the City of Toronto, the provision of specialized mental health care is delivered by over 100 public and private community service organisations and over 700 physicians with a psychiatric specialization - each providing community-based general or specialised care to residents in need. Research has shown that travel distance is an enabling factor of health service utilisation, thus equitable spatial access to services remains a key priority. Using spatial quantitative methods, this study examines potential spatial accessibility to both general and specialized mental health services within the City of Toronto, and levels of statistical association between access to care and prevalence of mental health crisis events. The main datasets analyzed including geo-referenced Census data and occurrence data on mental health crisis (represented by apprehensions under the Mental Health Act undertaken by the Toronto Police Service). The enhanced two-step floating catchment area (E2SFCA) method is used to model spatial accessibility to mental health services based four modes of transportation: driving, walking, cycling and public transit. Areas that are underserved by mental health specialists and mental health community services are identified and shown to have different socioeconomic characteristics. The study reveals spatially explicit patterns of access to various mental health services in Toronto, providing detailed data to inform the planning of and policy on mental health care delivery concerning severe mental health crisis.

scholarly journals Working Alliance in Blended Versus Face-to-Face Cognitive Behavioral Treatment for Patients with Depression in Specialized Mental Health Care

2020 ◽  
Vol 9 (2) ◽  
pp. 347 ◽  
Author(s):  
Kooistra ◽  
Ruwaard ◽  
Wiersma ◽  
van Oppen ◽  
Riper
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Working Alliance ◽  
Depressive Symptomatology ◽  
Short Form ◽  
Cognitive Behavioral ◽  
Face To Face ◽  
Composite Scores ◽  
Specialized Mental Health

This study investigates working alliance in blended cognitive behavioral therapy (bCBT) for depressed adults in specialized mental health care. Patients were randomly allocated to bCBT (n = 47) or face-to-face CBT (n = 45). After 10 weeks of treatment, both patients and therapists in the two groups rated the therapeutic alliance on the Working Alliance Inventory Short-Form Revised (WAI-SR; Task, Bond, Goal, and composite scores). No between-group differences were found in relation to either patient or therapist alliance ratings, which were high in both groups. In the full sample, a moderate positive association was found between patient and therapist ratings on Task (ρ = 0.41, 95% CI 0.20; 0.59), but no significant associations emerged on other components or composite scores. At 30 weeks, within-and between-group associations between alliance and changes in depression severity (QIDS, Quick Inventory of Depressive Symptomatology) were analyzed with linear mixed models. The analyses revealed an association between depression over time, patient-rated alliance, and group (p < 0.001). In face-to-face CBT, but not in bCBT, lower depression scores were associated with higher alliance ratings. The online component in bCBT may have led patients to evaluate the working alliance differently from patients receiving face-to-face CBT only.

scholarly journals Factors of Specialized Mental Health Care Use in the Netherlands: A Scoping Review Applying Andersen-Newman’s Care Utilization Model

2021 ◽  
Vol 14 ◽  
pp. 117863292110481
Author(s):  
Daphne Aimée Van der Draai ◽  
Erik Van Duijn ◽  
Derek Paul De Beurs ◽  
Anika Bexkens ◽  
Aartjan Theodoor Frans Beekman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
The Netherlands ◽  
Mental Health Care ◽  
Scoping Review ◽  
Predisposing Factors ◽  
Care Utilization ◽  
Enabling Factors ◽  
Specialized Mental Health

As mental disorders impact quality of life and result in high costs for society, it is important patients receive timely and adequate care. This scoping review first aims to summarize which factors contribute to specialized mental health care (SMHC) use. Within the Dutch health care system, the general practitioner (GP) is the filter for SMHC and care use costs are relatively low. Second, to organize factors by Andersen and Newman’s care utilization model in illness level, predisposing, and enabling factors. Third, to assess equity of access to SMHC in the Netherlands. A health care system is equitable when illness level and the demographic predisposing factors age and gender account for most variation in care use and inequitable when enabling factors and social predisposing factors such as education predominate. We identified 13 cross-sectional and cohort studies in the Netherlands published between 1970 and September 2020 with 20 assessed factors. Illness level factors, disease severity, diagnosis, personality, and comorbidity contributed the most to SMHC use. Predisposing factors related to a more solitary lifestyle contributed to a lesser degree. Enabling factors income and urbanicity contributed the least to SMHC use. These results imply inequity. Factors that did not fit the care utilization model were GP related, for example the ability to recognize mental disorders. This emphasizes their importance in a system where patients are dependent on GPs for access to SMHC. Focus should be on improving recognition of mental disorders by GPs as well as collaboration with mental health care professionals.

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