Quality assessment in a Medicaid managed mental health care plan: An Iowa case study.

1999 ◽  
Vol 69 (3) ◽  
pp. 410-414 ◽  
Author(s):  
Barbara M. Rohland
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Quality Assessment ◽  
Care Plan ◽  
Health Care Plan

Use of Psychiatric Emergency Services and Enrollment Status in a Public Managed Mental Health Care Plan

2001 ◽  
Vol 52 (11) ◽  
pp. 1494-1501 ◽  
Author(s):  
Dane Wingerson ◽  
Joan Russo ◽  
Richard Ries ◽  
Christos Dagadakis ◽  
Peter Roy-Byrne
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Emergency Services ◽  
Psychiatric Emergency ◽  
Care Plan ◽  
Psychiatric Emergency Services ◽  
Enrollment Status ◽  
Health Care Plan

scholarly journals Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
J. E. M. Nakku ◽  
S. D. Rathod ◽  
E. C. Garman ◽  
J. Ssebunnya ◽  
S. Kangere ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Symptom Severity ◽  
Population Level ◽  
Care Plan ◽  
Health Care Plan ◽  
The Impact

Abstract Background The burden of mental disorders in low- and middle-income countries is large. Yet there is a major treatment gap for these disorders which can be reduced by integrating the care of mental disorders in primary care. Aim We aimed to evaluate the impact of a district mental health care plan (MHCP) on contact coverage for and detection of mental disorders, as well as impact on mental health symptom severity and individual functioning in rural Uganda. Results For adults who attended primary care facilities, there was an immediate positive effect of the MHCP on clinical detection at 3 months although this was not sustained at 12 months. Those who were treated in primary care experienced significant reductions in symptom severity and functional impairment over 12 months. There was negligible change in population-level contact coverage for depression and alcohol use disorder. Conclusion The study found that it is possible to integrate mental health care into primary care in rural Uganda. Treatment by trained primary care workers improves clinical and functioning outcomes for depression, psychosis and epilepsy. Challenges remain in accessing the men for care, sustaining the improvement in detection over time, and creating demand for services among those with presumed need.

scholarly journals Developing a mental health care plan in a low resource setting: the theory of change approach

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Maji Hailemariam ◽  
Abebaw Fekadu ◽  
Medhin Selamu ◽  
Atalay Alem ◽  
Girmay Medhin ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Theory Of Change ◽  
Care Plan ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Health Care Plan

scholarly journals Change in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder: a repeat cross sectional community survey in Nepal

2019 ◽  
Author(s):  
Nagendra Prasad Luitel ◽  
Emily C Garman ◽  
Mark JD Jord ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Alcohol Use ◽  
Mental Health Care ◽  
Alcohol Use Disorder ◽  
Care Plan ◽  
Cross Sectional ◽  
Treatment Coverage ◽  
Health Care Plan

Abstract Background: Despite the availability of evidence-based treatment, there is a substantial gap between the number of individuals in need of mental health care and those who receive treatment. The aim of this study was to assess changes in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder (AUD) before and after implementation of a district mental health care plan (MHCP) in Nepal. Methods: The repeat population-based cross-sectional community survey was conducted with randomly selected adults in the baseline (N=1983) and the follow-up (N=1499) surveys, 3 years and 6 months apart. The Patient Health Questionnaire and Alcohol Use Disorder Identification Test were used to screen people with probable depression and AUD. Barriers to seeking mental health care were assessed by using a standardized tool, the Barriers to Care Evaluation Scale (BACE). Results: The proportion of the participants receiving treatment for depression increased by 3.7 points (from 8.1% in the baseline to 11.8% in the follow-up) and for AUD by 5.2 points (from 5.1% in the baseline to 10.3% in the follow-up study), however, these changes were not statistically significant. There was no significant reduction in the overall BACE score in both unadjusted and adjusted models for both depression and AUD. The possible reasons for non-significant changes in treatment coverage and barriers to care could be that (i) the method of repeat population level surveys with a random sample was too distal to the intervention to be able to register a change and (ii) the study was underpowered to detect such changes. Conclusion: The study found non-significant trends for improvements in treatment coverage and barriers to mental health care following implementation of the district mental health care plan. The key areas for improvement in the current strategy to improve treatment coverage and barriers to mental health care included change in the content of the existing community sensitization program, particularly for changing attitude and intention of people with mental illness for seeking care.

scholarly journals Mental health care in Nepal: current situation and challenges for development of a district mental health care plan

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Nagendra P Luitel ◽  
Mark JD Jordans ◽  
Anup Adhikari ◽  
Nawaraj Upadhaya ◽  
Charlotte Hanlon ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Current Situation ◽  
Care Plan ◽  
Health Care Plan

scholarly journals Change in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder: a repeat cross sectional community survey in Nepal

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nagendra P. Luitel ◽  
Emily C. Garman ◽  
Mark J. D. Jordans ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Alcohol Use ◽  
Mental Health Care ◽  
Alcohol Use Disorder ◽  
Care Plan ◽  
Cross Sectional ◽  
Treatment Coverage ◽  
Health Care Plan

Abstract Background Despite the availability of evidence-based treatment, there is a substantial gap between the number of individuals in need of mental health care and those who receive treatment. The aim of this study was to assess changes in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder (AUD) before and after implementation of a district mental health care plan (MHCP) in Nepal. Methods The repeat population-based cross-sectional community survey was conducted with randomly selected adults in the baseline (N = 1983) and the follow-up (N = 1499) surveys, 3 years and 6 months apart. The Patient Health Questionnaire and Alcohol Use Disorder Identification Test were used to screen people with probable depression and AUD. Barriers to seeking mental health care were assessed by using a standardized tool, the Barriers to Care Evaluation Scale (BACE). Results The proportion of the participants receiving treatment for depression increased by 3.7 points (from 8.1% in the baseline to 11.8% in the follow-up) and for AUD by 5.2 points (from 5.1% in the baseline to 10.3% in the follow-up study), however, these changes were not statistically significant. There was no significant reduction in the overall BACE score in both unadjusted and adjusted models for both depression and AUD. The possible reasons for non-significant changes in treatment coverage and barriers to care could be that (i) the method of repeat population level surveys with a random sample was too distal to the intervention to be able to register a change and (ii) the study was underpowered to detect such changes. Conclusion The study found non-significant trends for improvements in treatment coverage and barriers to mental health care following implementation of the district mental health care plan. The key areas for improvement in the current strategy to improve treatment coverage and barriers to mental health care included change in the content of the existing community sensitization program, particularly for changing attitude and intention of people with mental illness for seeking care.

scholarly journals Impact of a district mental health care plan on suicidality among patients with depression and alcohol use disorder in Nepal

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231158
Author(s):  
Luke R. Aldridge ◽  
Emily C. Garman ◽  
Nagendra P. Luitel ◽  
Mark J. D. Jordans
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Alcohol Use ◽  
Mental Health Care ◽  
Alcohol Use Disorder ◽  
Care Plan ◽  
Health Care Plan

Transitioning Concussion Care to Mental Health Care: A Case Study of an Elite Athlete

2021 ◽  
Vol 5 (1) ◽  
pp. 135-144
Author(s):  
Natalie S. Sherry ◽  
Abigail Feder ◽  
Raymond Pan ◽  
Shawn R. Eagle ◽  
Anthony P. Kontos
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Biopsychosocial Model ◽  
Elite Athlete ◽  
Clinical Presentation ◽  
Health Changes ◽  
Memory Problems ◽  
Treatment Focus

Athletes with recent concussion experience a constellation of physical (e.g., headache, nausea), cognitive (e.g., memory problems, difficulty concentrating), sleep, and emotional (e.g., anxiety, depressed mood) symptoms after injury. Mental health changes may also be a product of typical maturation in adolescents/young adults, making mood disruption difficult to disentangle from concussion sequelae. In this case study, we present the case of a high-achieving 18-year-old female rower whose concussion clinical trajectory exhibits this type of difficulty. Specifically, we provide a detailed chronological summary of the athlete’s visits with a multidisciplinary concussion team. We highlight in this case study (a) an individualized, biopsychosocial model of concussion care and (b) subtle aspects of her clinical presentation that led the clinical team to transition her treatment focus from concussion specific to formal mental health care.

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