Co‐designing the InnoWell Platform to deliver the right mental health care first time to regional youth

2020 ◽  
Vol 28 (2) ◽  
pp. 190-194 ◽  
Author(s):  
Shelley C. Rowe ◽  
Tracey A. Davenport ◽  
Michael A. Easton ◽  
Tanya A. Jackson ◽  
Jennifer Melsness ◽  
...  
2021 ◽  
Author(s):  
Tracey A. Davenport ◽  
Haley M. LaMonica ◽  
Shelley Rowe ◽  
Julie Sturgess ◽  
Elizabeth M. Scott ◽  
...  

2021 ◽  
Author(s):  
Gerhard Gründer ◽  
Henrik Jungaberle

AbstractSerotonergic psychedelics such as psilocybin, lysergic acid diethylamide (LSD), or dimethyltryptamine (DMT), as well as psychoactive drugs that trigger phenomenologically- related experiences like 3,4-methylenedioxymethamphetamine (MDMA) and ketamine, belong to the most promising treatment approaches in contemporary psychiatry. Psychedelic-assisted psychotherapy is not only a new treatment paradigm in psychopharmacology, but it also requires a redefinition of psychotherapeutic processes and the contextualization of psychopharmacological interventions within a new treatment infrastructure. Crucial for future practice and research in the field are (1) informed patient referral and co-treatment practices, (2) screening (e. g., choosing the right patients for these therapies), (3) the dosing preparation sessions, (4) the assisted dosing sessions as well as after-care procedures such as (5) psychological integration and (6) supporting the development of structured patient communities. Definition of future treatment delivery infrastructures and requirements for therapist training are further challenges for research and practice. Finally, the implementation of psychedelic-assisted psychotherapy in routine mental health care must be embedded into public communication about the potential and risks of these innovative therapeutic approaches. This paper provides a synopsis of challenges for practitioners, researchers, and regulators to be addressed in the approval processes of psychedelics.


Author(s):  
Jorun Rugkåsa ◽  
Andrew Molodynski ◽  
Tom Burns

This book gives a broad overview of the historical development of ideas about coercion, its current practice, and theory. It also considers future directions for research and clinical practice. Crucially it gives, for the first time, a global picture of these issues from those researching or working in mental health care across all continents. Coercion has always been a central concern in mental health care, and never more than now. The move away from asylums (deinstitutionalization) and into the community has widened the debate to all those with mental health problems rather than the much smaller group detained in institutions. The issues facing us now are consequently different and much more varied and wide ranging. This volume will bring the reader up to date regarding concepts, theories, and key issues pertaining to community coercion in different regions of the world.


2003 ◽  
Vol 27 (4) ◽  
pp. 126-129 ◽  
Author(s):  
Gyles R. Glover

On Christmas Eve 2002, the Department of Health published the financial allocations to Primary Care Trusts (PCTs) for 2003/4. As usual, this was accompanied by a detailed ‘exposition book’, setting out how the distribution of the available £45.3 bn was decided (Department of Health Finance and Investment Directorate, 2002). Three years ago, I wrote a short article showing how a close reading of this publication could be used to identify notional mental health budgets in these allocations (Glover, 1999). Bindman et al (2000) demonstrated that many health authorities, particularly those that service more deprived areas, spend substantially less on mental health care. As this is the first time financial allocations have been made directly to PCTs, it is helpful to repeat that calculation for the new organisations.


2007 ◽  
Vol 24 (1) ◽  
pp. 31-39 ◽  
Author(s):  
John Tobin

AbstractThe Irish State has been party to a collection of international treaties and declarations that directly affect the care of those who suffer from mental disorders. These documents set up what are considered as minimum core standards that outline the standard of care that should be provided as a basic human right. This article reviews the relevant sections of these documents and reflects as to how they have been applied in Ireland. International conventions, which have the status of a treaty, are monitored and interpreted by various commissions and committees. This article draws on the comments of these bodies as to how a state should provide for those with mental illness. Areas such as the rights of children who are mentally ill and those who are detained by the state are examined in detail. Other areas covered are the right to the highest attainable level of mental health care, the right not to be subjected to a clinical trial, equal access to mental health care, and the right to be safeguarded against unjust involuntary detention.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J M T Mendonca ◽  
A A Freire ◽  
T Rewa ◽  
D Zorzi ◽  
C N Monteiro ◽  
...  

Abstract Background The gap in care for psychological distress has been one of the greatest challenges for health systems. Stepped care models represent attempts to maximize the effectiveness and efficiency of decisions about resource allocation in therapy. In Brazil, there are no tools that support this process. The Hospital Israelita Albert Einstein executes the project entitled PlanificaSUS to organize the health care network and strengthen PHC. We aimed to develop and search for evidence of Content validity on the Mental Health Care Needs Stratification Scale. Methods The latent variable is the need for mental health care. The 130 items considered the literature and 73 experts' opinion. The items were categorized into six dimensions referred by users (social, autonomy, functionality, interpersonal relationship, spirituality, and clinical history) and a dimension evaluated by the professional (clinic). The invitation was made by the snowball method. Content validity was based on clarity, relevance, and semantics, and calculated by Content Validity Ratio (CVR), considering a critical CVR value> 0.11. This study was approved by the research ethics committee. Results A total of 73 professionals including health service professionals, teachers, and psychometrists, from all regions of Brazil participated, most of them female (73%), the average age was 40 years old, most with specialization (47%). Most were nurses (36.8%), psychologists (15.8%), PHC doctors (10.5%), social workers (9.2%), with more than 10 years of experience in the service (28.9%). At the end of the content validation, the scale presented 43 items with CVR between 0.11 and 0.25. Conclusions There is evidence of content validity of the scale, and it will supports professionals in making decisions about which is the right therapy, at the right time, for the right patient. Key messages The scale will be a powerful tool for the coordination of care between Primary Health Care and Mental Health specialized services. For practice use, it still is necessary to validate the internal structure.


2003 ◽  
Vol 27 (04) ◽  
pp. 126-129
Author(s):  
Gyles R. Glover

On Christmas Eve 2002, the Department of Health published the financial allocations to Primary Care Trusts (PCTs) for 2003/4. As usual, this was accompanied by a detailed ‘exposition book’, setting out how the distribution of the available £45.3 bn was decided (Department of Health Finance and Investment Directorate, 2002). Three years ago, I wrote a short article showing how a close reading of this publication could be used to identify notional mental health budgets in these allocations (Glover, 1999). Bindman et al (2000) demonstrated that many health authorities, particularly those that service more deprived areas, spend substantially less on mental health care. As this is the first time financial allocations have been made directly to PCTs, it is helpful to repeat that calculation for the new organisations.


2015 ◽  
Vol 10 (2) ◽  
pp. 132
Author(s):  
Jens Peter Dam Eckardt Jensen

<p>Preventing suicide: Involvement of relatives</p><p>In addition to the devastating consequences of suicide attempt and suicide contemplation, suicidal behavior also has dramatic consequences for family and loved ones. However, close connections may play an important role in the prevention of suicide if they are capable of aiding the mental health care services with early detection and management. To do so, they should be informed and given the right tools. This article sums up existing knowledge and recommendations on the topic but further studies are needed before definite conclusions can be drawn.</p>


Author(s):  
Atalay Alem ◽  
Catherine Manning

Mental health care on the African continent is plagued by a number of difficulties that range from a scarcity of resources to the stigma about and misunderstanding of mental illness itself. This chapter focuses on community psychiatry in Sub-Saharan Africa in particular and considers diverse issues such as economic shortages, stigma, faith healing, and the role of the family. It is the first time that such issues have been published in such a way, collating information from a variety of countries in the region. The authors have searched for all the available literature and assimilated it into a coherent narrative of ‘where we are’ with coercion in community psychiatry in Africa.


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