scholarly journals Introducing the routine use of outcomes measurement to mental health services

2001 ◽  
Vol 24 (1) ◽  
pp. 43 ◽  
Author(s):  
Tom Callaly ◽  
Assoc. Prof. Erica L. Hallebone
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Public Mental Health ◽  
Practical Experience ◽  
Limited Attention ◽  
Significant Progress ◽  
Public Mental Health Service ◽  
Service Managers ◽  
Made In

Significant progress has been made in preparing for the introduction of the routine use of outcome measurementinstruments to mental health services. However, limited attention has been paid to the linked issues of the practicalchallenge of their implementation and their possible uses in clinical practice.This paper reports on a qualitative study examining the views of clinicians, service managers, consumers and carerson how to effectively introduce a suite of measures to a public mental health service and use ratings generated by themin clinical practice. These findings are combined with practical experience gained in introducing a suite of outcomemeasures in order to suggest future strategies for implementation.

Planning Mental Health Services: II. Current Canadian Initiatives*

1992 ◽  
Vol 37 (4) ◽  
pp. 259-263 ◽  
Author(s):  
Paula Goering ◽  
Donald Wasylenki ◽  
Eric Macnaughton
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Planning ◽  
Significant Progress ◽  
Federal Level ◽  
Key Issues ◽  
The Common ◽  
Recent Policy ◽  
Made In

A brief overview of recent policy developments across Canada and a discussion of the common themes and challenges they address demonstrates the scope of activity in this field. The federal level of mental health planning and a summary of recent of policy developments in each province are described. Significant progress has been made in Canada in the development of mental health services since deinstitutionalization. Major challenges remain, however, which are being addressed to varying degrees across the country. The challenges related to the key issues of major mental illness, integration and consumerism are illustrated.

Mothers with a Mental Illness: Stressors and Resources for Parenting and Living

2000 ◽  
Vol 81 (2) ◽  
pp. 118-129 ◽  
Author(s):  
Carol Mowbray ◽  
Sondra Schwartz ◽  
Deborah Bybee ◽  
Jan Spang ◽  
Alba Rueda-Riedle ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Low Income ◽  
Present Report ◽  
Public Mental Health ◽  
Psychiatric Disabilities ◽  
Limited Attention ◽  
Macro Practice

Policy changes as well as improved treatment and rehabilitation practices mean that more women with mental illness are carrying out parenting roles. However, mental-health services have only given limited attention to parenting problems and benefits for clients with psychiatric disabilities. Previous research has focused more on mothers' clinical characteristics, and less on the social and economic contexts in which parenting occurs. The present report involves a large, primarily minority sample of women with serious mental illness who are mothers and who are being served in the public mental-health system of a large urban area. We sought to collect more comprehensive information to better understand their situations and improve service provisions. The women in the study report experiencing severe financial strains and health problems, even when compared with other low-income, urban-based populations. Many also have experienced crises, loss of significant others, assaults, and other negative life events that are very stressful, along with a high number of chronic hassles. They do have resources available to them, through interpersonal supports, religion, and mental-health services. The discussion focuses on implications for micro- and macro-practice to improve these women's lives, their parenting, and the potential outcomes of their children.

scholarly journals Routine outcome measurement in public mental health — what do clinicians think?

2006 ◽  
Vol 30 (2) ◽  
pp. 144 ◽  
Author(s):  
Tom Trauer ◽  
Lisa Gill ◽  
Glenda Pedwell ◽  
Peta Slattery
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measurement ◽  
Public Mental Health ◽  
Good Information ◽  
Routine Outcome Measurement ◽  
Real Progress ◽  
Made In

IN ORDER TO FULLY EVALUATE and manage a service, one should be able to answer all parts of the question ?Who receives what services, from whom, at what cost, and with what effect??1 While there is good information on the first four elements, mental health services generally do less well in demonstrating the effectiveness of what they do, and it is here that routine outcome measurement (ROM) can make a contribution. Despite the very real progress that has been made in implementing ROM in Australia it is evident from a variety of sources, formal and informal, that not everyone is convinced of its necessity or value.

Enhancing the contribution of clinical psychology: an under-utilised workforce in public mental health services

2021 ◽  
pp. 103985622199264
Author(s):  
Henry Jackson ◽  
Caroline Hunt ◽  
Carol Hulbert
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Psychology ◽  
Public Mental Health ◽  
Psychological Theory ◽  
Clinical Psychologists ◽  
Pathways To Care ◽  
Mental Health Training ◽  
Public Mental Health Services

Objective: Clinical psychologists are practitioners with expertise in mental health, who apply advanced psychological theory and knowledge to their practice in order to assess and treat complex psychological disorders. Given their robust specialised mental health training, clinical psychology is an integral component of the Australian mental health workforce, but is under-utilised. Recent reviews have identified significant problems with Australia’s mental health system, including unequal access to clinical psychology services and fragmentation of service delivery, including convoluted pathways to care. Conclusions: Clinical psychology is well placed to contribute meaningfully to public mental health services (PMHS). We describe what clinical psychologists currently contribute to team-based care in PMHS, how we could further contribute and the barriers to making more extensive contributions. We identify significant historical and organisational factors that have limited the contribution made by clinical psychologists and provide suggestions for cultural change to PMHS.

scholarly journals Access to public mental health services among older adults with severe mental illness

2009 ◽  
Vol 24 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Todd P. Gilmer ◽  
Victoria D. Ojeda ◽  
Dahlia Fuentes ◽  
Viviana Criado ◽  
Piedad Garcia
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Severe Mental Illness ◽  
Public Mental Health ◽  
Public Mental Health Services

Integrating Mental Health Services through Reimbursement Reform and Managed Mental Health Care

1997 ◽  
Vol 2 (2) ◽  
pp. 86-93 ◽  
Author(s):  
David Mechanic
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Financial Incentives ◽  
Systems Of Care ◽  
Public Mental Health ◽  
Community Services ◽  
Integration Of Services ◽  
The Usa ◽  
The Uk

People with serious and persistent mental illness require a range of community services typically provided by different specialized agencies. At the clinical level, assertive team case management is the strategy commonly used to achieve integration of services across specialized sectors. The USA also has used various financial and organizational approaches to reduce fragmentation and increase effectiveness, including development of stronger public mental health authorities, use of financial incentives to change professional and institutional behavior, requirements to allocate savings from hospital closures to community systems of care, and introduction of mental health managed care on a broad scale. These approaches have potential but also significant problems and there is often a large gap between theory and implementation. These US developments are discussed with attention to the implications for mental health services in the UK.

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