The impact of providing group performance feedback on a large mental health system.

Psychotherapy ◽  
2018 ◽  
Vol 55 (2) ◽  
pp. 203-206 ◽  
Author(s):  
Martyn Whittingham ◽  
Larry Graham
Keyword(s):  
Mental Health ◽  
Health System ◽  
Performance Feedback ◽  
Mental Health System ◽  
Group Performance ◽  
The Impact

scholarly journals The Impact of Technology-Enabled Care Coordination in a Complex Mental Health System: A Local System Dynamics Model (Preprint)

2020 ◽  
Author(s):  
Frank Iorfino ◽  
Jo-An Occhipinti ◽  
Adam Skinner ◽  
Tracey Davenport ◽  
Shelley Rowe ◽  
...  
Keyword(s):  
Mental Health ◽  
Growth Rate ◽  
Psychological Distress ◽  
Health System ◽  
Care Coordination ◽  
Mental Health System ◽  
Service Capacity ◽  
Health Related ◽  
Care Systems ◽  
The Impact

BACKGROUND Prior to the COVID-19 pandemic, major shortcomings in the way mental health care systems were organized were impairing the delivery of effective care. The mental health impacts of the pandemic, the recession, and the resulting social dislocation will depend on the extent to which care systems will become overwhelmed and on the strategic investments made across the system to effectively respond. OBJECTIVE This study aimed to explore the impact of strengthening the mental health system through technology-enabled care coordination on mental health and suicide outcomes. METHODS A system dynamics model for the regional population catchment of North Coast New South Wales, Australia, was developed that incorporated defined pathways from social determinants of mental health to psychological distress, mental health care, and suicidal behavior. The model reproduced historic time series data across a range of outcomes and was used to evaluate the relative impact of a set of scenarios on attempted suicide (ie, self-harm hospitalizations), suicide deaths, mental health–related emergency department (ED) presentations, and psychological distress over the period from 2021 to 2030. These scenarios include (1) business as usual, (2) increase in service capacity growth rate by 20%, (3) standard telehealth, and (4) technology-enabled care coordination. Each scenario was tested using both pre– and post–COVID-19 social and economic conditions. RESULTS Technology-enabled care coordination was forecast to deliver a reduction in self-harm hospitalizations and suicide deaths by 6.71% (95% interval 5.63%-7.87%), mental health–related ED presentations by 10.33% (95% interval 8.58%-12.19%), and the prevalence of high psychological distress by 1.76 percentage points (95% interval 1.35-2.32 percentage points). Scenario testing demonstrated that increasing service capacity growth rate by 20% or standard telehealth had substantially lower impacts. This pattern of results was replicated under post–COVID-19 conditions with technology-enabled care coordination being the only tested scenario, which was forecast to reduce the negative impact of the pandemic on mental health and suicide. CONCLUSIONS The use of technology-enabled care coordination is likely to improve mental health and suicide outcomes. The substantially lower effectiveness of targeting individual components of the mental health system (ie, increasing service capacity growth rate by 20% or standard telehealth) reiterates that strengthening the whole system has the greatest impact on patient outcomes. Investments into more of the same types of programs and services alone will not be enough to improve outcomes; instead, new models of care and the digital infrastructure to support them and their integration are needed.

scholarly journals The mental health consumer movement and peer providers in Israel

2018 ◽  
Vol 27 (5) ◽  
pp. 420-426 ◽  
Author(s):  
G. S. Moran
Keyword(s):  
Mental Health ◽  
Health System ◽  
Peer Support ◽  
Mental Health System ◽  
Community Integration ◽  
Models Of Care ◽  
Community Services ◽  
Unique Contribution ◽  
Consumer Movement ◽  
The Impact

Self-help peer-support groups in Israel emerged in the 1980s and, over time, dynamically interacted and co-developed with the statutory mental health (MH) system. In this editorial, I outline historical milestones of how the evolution of the Israeli mental health system was influenced by the consumer movement. A brief depiction of the consumer movement history. At first, consumers operated outside of the mainstream MH system. Gradually, consumer groups and institutional personnel joined efforts towards community integration and enhancement of quality of life, pushing forward a person-centered recovery orientation. In turn, some administrators and key stakeholders in rehabilitation community services grew to value the impact of knowledge-by-experience in contemporary mental health care. In this context, over the past decade, peer roles were developed in the mental health system, including consumer-providers in community services and peer specialists in inpatient psychiatric hospitals. The insertion of peer roles into the mainstream MH system is far-reaching, including the placement of a peer-project coordinator within the ministry of health. I describe the unique contribution of peers, as experts-by-experience, to mainstream professional knowledge and practice. I also highlight the potential challenges involved when peer models of care are added to traditional medical models of care. The Israeli case demonstrates how the consumer movement can play an active role in MH systems and be acknowledged and recognised as a partner for changing policy, practice and reshaping formal institutions. In addition, they play a vital role in the development of peer-support services.

scholarly journals FINANCIAR LA SALUD MENTAL EN NUESTRO PAÍS ES POSIBLE, SOLO TENEMOS QUE PREVENIR Y PLANEAR

2015 ◽  
Vol 20 (58) ◽  
pp. 113-120
Author(s):  
Armando Mayo Castro ◽  
Beatriz Pérez Sánchez ◽  
Andrés Guzmán Sala
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Well Being ◽  
Degenerative Diseases ◽  
The Public ◽  
El Sistema ◽  
Salud Mental ◽  
The Impact ◽  
Mental Well Being

RESUMEN: Objetivo: Definir un modelo de promoción de la cultura en el bienestar mental como parte importante de la salud integral, identificando el impacto de las patologías y de las comorbilidades que generan incidencia en patologías crónico degenerativas y oncológicas. Prevenir y planear para no incurrir en costos innecesarios. Material y método: Los métodos que se utilizaron fueron analítico, crítico y prospectivo. El enfoque fue de finanzas públicas en el sistema de salud mental. Los hallazgos se sustentan en la rigurosidad propia de la información estadística conocida, en el contrastar de la realidad y en el ejercicio creativo de la interpretación que proporciona la revisión documental seria. Resultados: Vincular las acciones de promoción, la creación de una cultura de salud mental y la importancia de las finanzas públicas para el desarrollo del modelo. La planeación y la prevención como herramientas de ahorro y de cuidar la inversión público- privada. Conclusiones: El modelo contiene cinco acciones: Relacionarse con las personas de tu alrededor, salir de paseo, ser curioso, continuar aprendiendo y dar con generosidad; lo que se obtendrá es: presupuestar financieramente y con mejor estrategia, el sistema de salud mental en nuestro entorno. ABSTRACT: Objective: Define a model of culture in promoting mental well-being as an important part of overall health, identifying the impact of diseases and comorbidities that generate impact on chronic degenerative diseases and cancer. Material and method: The methods used were analytical, critical and prospective. The focus was on public finances in the mental health system. The findings are based on the very rigor of statistical information known, in contrast reality and the creative exercise of interpretation that provides serious documentary review. Results: Link promotion actions , creating a culture of mental health and the importance of public finance for the development of the model. Planning tools and prevention as savings and care for the public- private investment. Conclusions: The model contains five parts: Interacting with people around you, go for a walk, be curious, keep learning and give generously; what you get is: financially and better budgeting strategy, the mental health system in our environment.

scholarly journals In re Roger S.: The Impact of a Child's Due Process Victory on the California Mental Health System

1982 ◽  
Vol 70 (2) ◽  
pp. 373 ◽  
Author(s):  
Carol K. Dillon ◽  
Margaret Rockwell Roisman ◽  
Joel S. Sanders ◽  
Betsy Buchalter Adler
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Due Process ◽  
The Impact

Does the Australian mental health system provide mental health or psychiatric care? Returning to Engel 40 years on

2020 ◽  
pp. 103985622093312
Author(s):  
Nagesh Pai ◽  
Shae-Leigh Vella
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Health System ◽  
Mental Health System ◽  
Disease Burden ◽  
Psychiatric Care ◽  
Social Needs ◽  
Holistic Care ◽  
The Impact

Objective: This article discusses the treatment that is actually provided by the Australian mental health system, arguing that the treatment provided constitutes purely psychiatric care in the sense that it is solely reliant on pharmaceuticals. This issue is framed in the context of an increasing mental health disease burden and the need to move to more holistic care in accordance with that advocated by Engel. Conclusion: Thus, with the predictions of an increase in mental and substance use in the next 30 years, it is imperative to take measures to try to negate this increasing burden and associated costs. Therefore, returning to the holistic views of Engel and incorporating the psychological and social needs of patients in treatment is recommended as a way to attempt to minimise the impact.

The Impact of the Baby Boom on the Mental Health System

1985 ◽  
Vol 36 (5) ◽  
pp. 536-537
Author(s):  
William B. Ghiselli ◽  
Paul S. Frances
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Baby Boom ◽  
The Impact
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