First responder mental healthcare: Evidence-based prevention, postvention, and treatment.

2018 ◽  
Vol 49 (3) ◽  
pp. 193-204 ◽  
Author(s):  
Allyssa Lanza ◽  
Gargi Roysircar ◽  
Sarajane Rodgers
Keyword(s):  
Mental Healthcare ◽  
Evidence Based ◽  
First Responder

scholarly journals Alternative medicine under the Mental Health Care Act, 2017: Future implications and concerns

2022 ◽  
Vol 07 (01) ◽  
pp. 37-41
Author(s):  
Ramdas Ransing ◽  
Sujita Kumar Kar ◽  
Vikas Menon
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Alternative Medicine ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Evidence Based ◽  
Insufficient Evidence ◽  
Indian Government ◽  
Evidence Based Care

In recent years, the Indian government has been promoting healthcare with an insufficient evidence base, or which is non-evidence-based, alongside delivery of evidence-based care by untrained practitioners, through supportive legislation and guidelines. The Mental Health Care Act, 2017, is a unique example of a law endorsing such practices. In this paper, we aim to highlight the positive and negative implications of such practices for the delivery of good quality mental healthcare in India.

scholarly journals ‘Happiness-deficit disorder’? Prevention is better than cure

2011 ◽  
Vol 35 (2) ◽  
pp. 41-45 ◽  
Author(s):  
Brendan D. Kelly
Keyword(s):  
Personal Values ◽  
Mental Healthcare ◽  
Well Being ◽  
Good Health ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Physical And Mental Health ◽  
Financial Situation ◽  
Stable Family ◽  
Disorder Prevention

SummaryBeing happy is associated not only with better health, higher earnings and a longer life, but also with a stable family upbringing, stable financial situation, employment, good health, freedom and personal values. Psychiatrists may increase their patients' happiness by promoting effective, evidence-based mental healthcare. Individuals may enhance their own happiness by optimising physical and mental health; recognising the importance of personal values and happy communities; and optimising their financial situation. Government may boost citizens' happiness by deepening democracy; providing effective healthcare; supporting evidence-based well-being initiatives in communities; and then leaving citizens to seek out personal happiness in their own way.

scholarly journals The role of the outer setting in implementation: associations between state demographic, fiscal, and policy factors and use of evidence-based treatments in mental healthcare

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Eric J. Bruns ◽  
Elizabeth M. Parker ◽  
Spencer Hensley ◽  
Michael D. Pullmann ◽  
Philip H. Benjamin ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Multilevel Models ◽  
Mental Healthcare ◽  
Mental Health Program ◽  
Evidence Based ◽  
Structural Factors ◽  
Stakeholder Relationships ◽  
Outer Setting ◽  
Per Capita

Abstract Background Despite consistent recognition of their influence, empirical study of how outer setting factors (e.g., policies, financing, stakeholder relationships) influence public systems’ investment in and adoption of evidence-based treatment (EBT) is limited. This study examined associations among unmodifiable (e.g., demographic, economic, political, structural factors) and modifiable (e.g., allocation of resources, social processes, policies, and regulations) outer setting factors and adoption of behavioral health EBT by US states. Methods Multilevel models examined relationships between state characteristics, an array of funding and policy variables, and state adoption of behavioral health EBTs for adults and children across years 2002–2012, using data from the National Association for State Mental Health Program Directors Research Institute and other sources. Results Several unmodifiable state factors, including per capita income, controlling political party, and Medicaid expansion, predicted level of state fiscal investments in EBT. By contrast, modifiable factors, such as interagency collaboration and investment in research centers, were more predictive of state policies supportive of EBT. Interestingly, level of adult EBT adoption was associated with state fiscal supports for EBT, while child EBT adoption was predicted more by supportive policies. State per capita debt and direct state operation of services (versus contracting for services) predicted both child and adult EBT adoption. Conclusions State-level EBT adoption and associated implementation support is associated with an interpretable array of policy, financing, and oversight factors. Such information expands our knowledge base of the role of the outer setting in implementation and may provide insight into how best to focus efforts to promote EBT for behavioral health disorders.

The Emperor’s New Clothes: Head-to-Health Centres expand in the absence of evaluation of efficacy

2021 ◽  
pp. 103985622110546
Author(s):  
Jeffrey CL Looi ◽  
Tarun Bastiampillai ◽  
Stephen Allison ◽  
Stephen R Kisely
Keyword(s):  
Mental Health ◽  
Federal Government ◽  
Private Practice ◽  
Mental Healthcare ◽  
Health Needs ◽  
Evidence Based ◽  
Health Needs Assessment ◽  
Practice Model ◽  
Adult Mental Health ◽  
Health Centres

Objective: To discuss concerns about the Australian federal government announcement of further funding expansion of the Adult Mental Health Centres (AMHCs), now known as Head-to-Health centres. Conclusions: The expansion of AMHCs prior to evaluation recapitulates the policy predicaments and perils of the headspace federal-infrastructure allied-health private-practice model. Comprehensive evidence-based mental healthcare planning and practice is needed, rather than stand-alone services of unclear efficacy. We describe the principles of such an approach based upon an evidence-based Health Needs Assessment.

scholarly journals Correctional psychiatry in Nigeria: dynamics of mental healthcare in the most restrictive alternative

2018 ◽  
Vol 15 (2) ◽  
pp. 35-38
Author(s):  
A. O. Ogunlesi ◽  
A. Ogunwale
Keyword(s):  
Mental Health ◽  
20Th Century ◽  
International Collaboration ◽  
Mental Healthcare ◽  
Task Shifting ◽  
Evidence Based ◽  
Fit For Purpose ◽  
Correctional Mental Health

Nigeria has poorly structured services for correctional mental health driven by a mix of socioeconomic and legal factors. The archaic asylum systems established in the early part of the 20th century under the Lunacy ordinance of 1916 are no longer fit for purpose. The present strategy is to provide mental healthcare for mentally abnormal offenders within some prisons in the country. The current models for this are poorly staffed and underfunded. Adoption of task-shifting approaches based on evidence-based strategies within the context of professional innovation, government commitment and international collaboration should help to develop and sustain the needed correctional psychiatry services.

scholarly journals Expanding the Reach of Psychosocial Services for Youth: Untapped Potential of Mentor-Delivered Single Session Interventions

2021 ◽  
Author(s):  
Mackenzie J. Hart ◽  
Jenna Sung ◽  
Samuel D. McQuillin ◽  
Jessica L. Schleider
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Healthcare ◽  
Targeted Prevention ◽  
Evidence Based ◽  
Structural Barriers ◽  
Multiple Perspectives ◽  
Single Session ◽  
Psychosocial Services

At present, the mental healthcare system cannot meet the demand for services, and the need-to-access gap is widest among children and adolescents. Single session interventions (SSIs) or brief, intentional, and mechanism-targeted prevention and intervention programs have shown promise in increasing the reach of effective, evidence-based services, but a wide gap still remains due to other structural barriers (e.g., workforce shortages). The present paper calls for the coupling of SSIs and mentor-delivered programs as a promising future step to further overcome the inaccessibility of youth mental health services. Indeed, capitalizing on the advantages of mentoring relationships (e.g., the associated interpersonal benefits and mentors’ pre-existence in most community settings) has the power to complement and enhance the value of SSIs, and to expand the acceptability and reach of evidence-based mental health services. In this paper, we discuss the anticipated benefits of mentor-delivered SSIs from multiple perspectives, as well as cautionary considerations related to the proposed model. To conclude, we highlight necessary implementation considerations prior to deploying any systems change.

scholarly journals ‘Gentlemen, we have no money therefore we must think’ – mental health services in hard times

2011 ◽  
Vol 35 (3) ◽  
pp. 81-83 ◽  
Author(s):  
Frank Holloway
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Health System ◽  
Mental Health System ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Evidence Based ◽  
Demographic Trends ◽  
Hard Times ◽  
Uncertain Future

SummaryIn common with all elements of public services, mental healthcare in England faces a troubling and uncertain future. Two things, however, are certain: demographic trends ensure that demand will rise and harsh economic realities dictate that resources will in real terms shrink. In order to cope with these challenges, commissioners and providers will have to review very critically all aspects of the mental health system, including those that are currently fashionable. There is a need to identify and promote activities that are evidence-based and effective and to jettison practices and services that lack an evidence base.

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