Clinician perceptions of My Health Record in mental health care: medication management and sharing mental health information

2019 ◽  
Vol 25 (1) ◽  
pp. 66 ◽  
Author(s):  
Timothy C. Kariotis ◽  
Keith M. Harris
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Information ◽  
Medication Management ◽  
Health Record ◽  
Limited Information ◽  
Information Need ◽  
Australian Health ◽  
Mental Health Information

My Health Record (MHR) is a national personally controlled electronic health record, which is projected to be used by all Australian health professionals by 2022. It has also been proposed for use in mental health care, but there is limited information on how clinicians will successfully implement it. This study interviewed seven general practitioners and four psychologists in Tasmania, Australia. Participants were asked about information continuity and barriers and benefits to using My Health Record in mental health care. Thematic analysis identified two pertinent themes: Medication Management and Mental Health Information. Participants reported MHR could improve the quality and frequency of medication information shared between clinicians, but wanted additional medication-related alert features. Mental health information issues were broad in scope and included concerns over sensitive data that might be accessed through MHR and completeness of information. Participants also reported barriers to MHR use, including time burdens and privacy and confidentiality concerns. My Health Record used in mental health care may improve the timely sharing of medication-related information, but clinicians’ concerns regarding the sharing of patients’ highly sensitive mental health information need to be addressed.

scholarly journals Mental health information systems: problems and opportunities

1995 ◽  
Vol 1 (8) ◽  
pp. 216-222 ◽  
Author(s):  
Paul Lelliott
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Information Systems ◽  
Mental Health Care ◽  
Health Information ◽  
Nursing Staff ◽  
Health Information Systems ◽  
Mental Health Information ◽  
Working Lives ◽  
Audit Commission

Medical and nursing staff in acute specialities spend up to 25% of their working lives collecting, analysing, using and communicating information (Audit Commission, 1995). It is likely that staff delivering mental health care, which often involves services and staff based in a number of locations and inter-agency collaboration, spend just as much of their time on these activities.

scholarly journals Preferences of Young Adults With First-Episode Psychosis for Receiving Specialized Mental Health Services Using Technology: A Survey Study

2015 ◽  
Vol 2 (2) ◽  
pp. e18 ◽  
Author(s):  
Shalini Lal ◽  
Jennifer Dell'Elce ◽  
Natasha Tucci ◽  
Rebecca Fuhrer ◽  
Robyn Tamblyn ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young Adults ◽  
Young People ◽  
Mental Health Care ◽  
Health Information ◽  
First Episode ◽  
Related Services ◽  
Mental Health Information ◽  
Services And Supports

Background Despite the potential and interest of using technology for delivering specialized psychiatric services to young adults, surprisingly limited attention has been paid to systematically assess their perspectives in this regard. For example, limited knowledge exists on the extent to which young people receiving specialized services for a first-episode psychosis (FEP) are receptive to using new technologies as part of mental health care, and to which types of technology-enabled mental health interventions they are amenable to. Objective The purpose of this study is to assess the interest of young adults with FEP in using technology to receive mental health information, services, and supports. Methods This study uses a cross-sectional, descriptive survey design. A convenience sample of 67 participants between the ages of 18 and 35 were recruited from two specialized early intervention programs for psychosis. Interviewer-administered surveys were conducted between December 2013 and October 2014. Descriptive statistics are reported. Results Among the 67 respondents who completed the survey, the majority (85%, 57/67) agreed or strongly agreed with YouTube as a platform for mental health-related services and supports. The top five technology-enabled services that participants were amenable to were (1) information on medication (96%, 64/67); (2) information on education, career, and employment (93%, 62/67); (3) decision-making tools pertaining to treatment and recovery (93%, 62/67); (4) reminders for appointments via text messaging (93%, 62/67); and (5) information about mental health, psychosis, and recovery in general (91%, 61/67). The top self-reported barriers to seeking mental health information online were lack of knowledge on how to perform an Internet search (31%, 21/67) and the way information is presented online (27%, 18/67). Two thirds (67%; 45/67) reported being comfortable in online settings, and almost half (48%; 32/67) reported a preference for mixed formats when viewing mental health information online (eg, text, video, visual graphics). Conclusions Young people diagnosed with FEP express interest in using the Internet, social media, and mobile technologies for receiving mental health-related services. Increasing the awareness of young people in relation to various forms of technology-enabled mental health care warrants further attention. A consideration for future research is to obtain more in-depth knowledge on young people’s perspectives, which can help improve the design, development, and implementation of integrated technological health innovations within the delivery of specialized mental health care.

Preferences for Gender-Targeted Health Information

2013 ◽  
Vol 8 (3) ◽  
pp. 240-248 ◽  
Author(s):  
Jessica A. Turchik ◽  
Samantha Rafie ◽  
Craig S. Rosen ◽  
Rachel Kimerling
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Information ◽  
Health Care Services ◽  
Sexual Trauma ◽  
Veterans Health ◽  
Health Administration ◽  
Male Veterans ◽  
Gender Neutral

No prior research has examined men’s opinions or preferences regarding receiving health education materials related to sexual violence. The objective of the current study was to investigate whether male veteran patients who have experienced military sexual trauma (MST) prefer gender-targeted versus gender-neutral printed health information and whether receipt of this information increased utilization of outpatient mental health services in the following 6-month period. In-person 45-minute interviews were conducted with 20 male veterans receiving health care services at a large Veterans Health Administration facility to evaluate opinions on a gender-targeted and a gender-neutral brochure about MST. An additional 153 veterans received psychoeducational materials through the mail and participated in the completion of a survey as part of a psychoeducational intervention. Our results demonstrate that male veterans prefer gender-targeted information about sexual trauma compared to gender-neutral information. Whereas veterans in the study had clear preferences for gender-targeted materials, receipt of information about MST (whether gender-targeted or gender-neutral) did not increase utilization of mental health care in the 6 months following receipt of these materials. These results demonstrated that materials about sexual trauma are acceptable to men and should be gender-targeted. Further research is needed to examine strategies to increase access to mental health care among male Veterans who have experienced MST.

Building A Psychosocial Rehabilitation Unit: The Experience of Centro Hospitalar Entre Douro e Vouga

2017 ◽  
Vol 41 (S1) ◽  
pp. s791-s791
Author(s):  
V. Pais ◽  
O. Pinto ◽  
J. Figueiredo ◽  
E. Larez ◽  
F. Lopes ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychotic Disorders ◽  
Medication Management ◽  
Psychosocial Rehabilitation ◽  
Psychometric Evaluation ◽  
Skills Training ◽  
Community Based ◽  
Rehabilitation Unit

IntroductionIn Portugal, the National Mental Health Plan sought to reform the mental health care system, decentralizing mental health care by promoting community based services. Guidelines point to treatment of Psychotic Disorders with collaborative, person directed and individualized approaches.ObjectiveThe authors propose to describe the development of a new psychosocial rehabilitation unit in a recently created psychiatric department.MethodsThe CHEDV's psychiatry department (2009) serves a population of around 340,000. The Psychosocial Rehabilitation Unit (2015) aims to ensure a multidisciplinary and integrated response to users with major psychiatric disorders. The Psychosocial Rehabilitation Unit structures 4 axes of response: detection and initial approach of the disease, intervention in crisis, psychosocial rehabilitation and management of difficult patients.ResultsCHEDV's psychosocial rehabilitation unit is responsible for the care of about 25 patients daily. Treatment activities range from specialized consultations, home visits, medication management and crisis telephone to social skills training, psycho-education, neurocognitive rehabilitation, occupational workshops and social intervention/orientation. The unit bases its work on constant communication within the team but also with all other carers of the patient (in or out of hospital).ConclusionsBringing to the population a set of previously unavailable responses is the most blatant success of this unit that is helping people getting a better and closer care. To improve our work we aim at integrating the quantitative and qualitative psychometric evaluation of the patients. The lack of resources, necessity of further training, insufficient funding, and low political priority remain as the main barriers to community based mental health care.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Mental health care professionals’ appraisal of patients’ use of online access to their electronic health record: a qualitative study. (Preprint)

2021 ◽  
Author(s):  
Antonius Mattheus van Rijt ◽  
Pauline Hulter ◽  
Anne Marie Weggelaar-Jansen ◽  
Kees Ahaus ◽  
Bettine Pluut
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Health Record ◽  
Patient Portal ◽  
Patient Access ◽  
Patient Portals ◽  
Electronic Health

BACKGROUND Patients, in a range of health care sectors, can access their medical health record using a patient portal. In mental health care, the use of patient portals among mental health care professionals (MHCPs) remains low. MHCPs worry that patient access to electronic health records will negatively affect the patient’s wellbeing and their own workload. This study explores the appraisal work carried out by MHCPs shortly after the introduction of online patient access and sheds light on the challenges MHCPs face when trying to make a patient portal work for them, the patient, and their relationship. OBJECTIVE This study aims to provide insights into the appraisal work of MHCPs to assess and understand patient access to their electronic health record (EHR) through a patient portal. METHODS We conducted a qualitative study including ten semi-structured interviews (N=11) and a focus group (N=10). Participants were MHCPs from different professional backgrounds and staff employees (e.g., team leaders, communication advisor). We collected data on their opinions and experiences with the recently implemented patient portal and their attempts to modify work practices. RESULTS Our study provides insights into MHCPs’ appraisal work to assess and understand patient access to the EHR through a patient portal. Four topics emerge from our data analysis: 1) appraising the effect on the patient-professional relationship, 2) appraising the challenge of sharing and registering delicate information, 3) appraising patient vulnerability, and 4) redefining consultation routines and registration practices. CONCLUSIONS MHCPs struggle with the effects of online patient access and are searching for the best ways to modify their registration and consultation practices. Our study suggests various solutions to the challenges faced by MHCPs. To optimize the effects of online patient access to EHRs, MHCPs need to be involved in the process of developing, implementing, and embedding patient portals.

scholarly journals Disparities in mental health care provision to immigrants with severe mental illness in Italy

2014 ◽  
Vol 24 (4) ◽  
pp. 342-352 ◽  
Author(s):  
P. Rucci ◽  
A. Piazza ◽  
E. Perrone ◽  
I. Tarricone ◽  
R. Maisto ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Severe Mental Illness ◽  
Health Information System ◽  
Health Care Provision ◽  
Care Provision ◽  
Mental Health Information ◽  
Mental Health Information System

Aim.To determine whether disparities exist in mental health care provision to immigrants and Italian citizens with severe mental illness in Bologna, Italy.Methods.Records of prevalent cases on 31/12/2010 with severe mental illness and ≥1 contact with Community Mental Health Centers in 2011 were extracted from the mental health information system. Logistic and Poisson regressions were carried out to estimate the probability of receiving rehabilitation, residential or inpatient care, the intensity of outpatient treatments and the duration of hospitalisations and residential care for immigrant patients compared to Italians, adjusting for demographic and clinical covariates.Results.The study population included 8602 Italian and 388 immigrant patients. Immigrants were significantly younger, more likely to be married and living with people other than their original family and had a shorter duration of contact with mental health services. The percentages of patients receiving psychosocial rehabilitation, admitted to hospital wards or to residential facilities were similar between Italians and immigrants. The number of interventions was higher for Italians. Admissions to acute wards or residential facilities were significantly longer for Italians. Moreover, immigrants received significantly more group rehabilitation interventions, while more social support individual interventions were provided to Italians.Conclusions.The probability of receiving any mental health intervention is similar between immigrants and Italians, but the number of interventions and the duration of admissions are lower for immigrants. Data from mental health information system should be integrated with qualitative data on unmet needs from the immigrants' perspective to inform mental health care programmes and policies.

scholarly journals Development and Usability Evaluation of a Q&A knowledge database-based mobile chatbot for perinatal women’s and partners’ obstetric and mental health care: Mixed-Methods Study (Preprint)

2020 ◽  
Author(s):  
Kyungmi Chung ◽  
Hee Young Cho ◽  
Jin Young Park
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Information ◽  
Perinatal Care ◽  
Ease Of Use ◽  
Perceived Benefits ◽  
Male And Female ◽  
Knowledge Database ◽  
User Intent

BACKGROUND To motivate people to adopt medical chatbots, the establishment of a specialized medical knowledge database which fits their personal interests is of great importance in developing a medical chatbot for perinatal care, particularly with the help of health professionals. OBJECTIVE The objectives of this study are to (1) develop a user-friendly Q&A knowledge database-based chatbot (Dr. Joy) for perinatal women’s and their partners’ obstetric and mental health care by applying a text-mining technique and (2) implement a contextual usability testing (UT) by using quantitative and qualitative methods, thus determining whether this medical chatbot built on mobile instant messenger (KakaoTalk) can provide its male and female users with good user experience. METHODS Two men (mean 39.00, SD 1.41) and 13 women (mean 34.31, SD 3.95) in pregnancy preparation or different pregnancy stages were enrolled. All participants completed the 7-day long UT during which they were given the tasks of (1) asking Dr. Joy at least 3 questions per day at any time and place and giving the chatbot either positive or negative feedback with emoji, (2) using at least one feature of the obstetrics chatbot, and then (3) sending a facilitator all screenshots for the history of one-day use via KakaoTalk before midnight. One day after the UT completion, all were asked to fill out a questionnaire on the evaluation of usability, perceived benefits and risks, and intention to seek and share health information on the chatbot, as well as demographic characteristics. RESULTS Despite the relatively higher score of ease of learning (EOL), the results of the Spearman correlation indicated that EOL was not significantly associated with usefulness (ρ=0.26, P=.36), ease of use (ρ=0.19, P=.51), satisfaction (ρ=0.21, P=.46), and total usability scores (ρ=0.32, P=.24). Unlike EOL, all the 3 sub-factors and the total usability had significant positive associations each other (all ρ>0.80, P<.001). Furthermore, perceived risks exhibited no significant negative associations with perceived benefits (PB; ρ=-0.29, P=.30) and intention to seek (SEE; ρ=-0.28, P=.32) and share (SHA; ρ=-0.24, P=.40) health information on the chatbot using via KakaoTalk, whereas PB exhibited significant positive associations with both SEE and SHA. PB was more strongly associated with SEE (ρ=0.94, P<.001) than with SHA (ρ=0.70, P=.004). CONCLUSIONS This study provides the potential for the uptake of this newly developed Q&A knowledge database-based KakaoTalk chatbot for obstetric and mental health care. As Dr. Joy had quality contents with both utilitarian and hedonic value, its male and female users could be encouraged to use medical chatbots in a convenient, easy-to-use, and enjoyable manner. To boost their continued usage intention for Dr. Joy, its Q&A sets need to be periodically updated to satisfy user intent by monitoring both male and female user utterance.

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