Requirement of Mental‐Health Referral Letters for Staged and Revision Genital Gender‐Affirming Surgeries: An Unsanctioned Barrier to Care

Andrology ◽  
2021 ◽  
Author(s):  
Nance Yuan ◽  
Theodore Chung ◽  
Edward C. Ray ◽  
Caitlin Sioni ◽  
Alma Jimenez‐Eichelberger ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Referral ◽  
Barrier To Care ◽  
Referral Letters

scholarly journals Disparities in Mental Health Referral and Diagnosis in the New York City Jail Mental Health Service

2015 ◽  
Vol 105 (9) ◽  
pp. 1911-1916 ◽  
Author(s):  
Fatos Kaba ◽  
Angela Solimo ◽  
Jasmine Graves ◽  
Sarah Glowa-Kollisch ◽  
Allison Vise ◽  
...  
Keyword(s):  
Mental Health ◽  
New York ◽  
New York City ◽  
Mental Health Service ◽  
Health Service ◽  
York City ◽  
Mental Health Referral

scholarly journals ReCAP: Would Women With Breast Cancer Prefer to Receive an Antidepressant for Anxiety or Depression From Their Oncologist?

2016 ◽  
Vol 12 (2) ◽  
pp. 172-174 ◽  
Author(s):  
Daniel C. McFarland ◽  
Megan Johnson Shen ◽  
Kirk Harris ◽  
John Mandeli ◽  
Amy Tiersten ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Health Professional ◽  
Mental Health Professional ◽  
Antidepressant Medication ◽  
Self Report ◽  
Mental Health Provider ◽  
Anxiety And Depression ◽  
Pharmacologic Treatment ◽  
Mental Health Referral

QUESTIONS ASKED: Preferences of patients with breast cancer for provider-specific pharmacologic management of anxiety and depression are unknown. Use of patient-guided treatment preferences for the treatment of depression and anxiety are known to improve adherence and treatment outcomes in primary care settings, but these preferences are not known in women with breast cancer. This may be especially true shortly after the patient receives a diagnosis of cancer and is most psychologically symptomatic, yet committed to following through with her oncologic care. Do breast cancer patients have preferences regarding having their anxiety and depression assessed and treated by their oncologists versus being cared for by a psychiatrist or mental health provider? SUMMARY ANSWER: The majority of patients accepted antidepressant prescribing by their oncologist; only a minority preferred treatment by a mental health professional. These findings are consistent with previous data from medically ill patients that demonstrated a preference for medical providers to address and treat their depression or anxiety. Twenty percent of participants would not want any treatment. Patients who met depression criteria were less likely to prefer a mental health referral. Patients who were already taking an antidepressant or demonstrated higher levels of chronic stress were more likely to prefer a mental health referral. METHODS: Patients with breast cancer (stages 0-IV) were asked two questions: (1) “Would you be willing to have your oncologist treat your depression or anxiety with an antidepressant medication if you were to become depressed or anxious at any point during your treatment?” and (2) “Would you prefer to be treated by a psychiatrist or mental health professional for problems with either anxiety or depression?” In addition, the Distress Thermometer and Problem List, Hospital Anxiety and Depression Scale, Risky Families Questionnaire, and demographic information were assessed. BIAS, CONFOUNDING FACTORS, DRAWBACKS: This was a survey of only women who were asked to self-report hypothetical preferences. Although minimal differences were noted for the 16.8% of participants who were already taking an antidepressant medication, it is not clear how they might have interpreted the questions in a more realistic setting. REAL-LIFE IMPLICATIONS: These findings suggest a benefit for promoting education of oncologists to assess psychological symptoms and manage anxiety and depression as a routine part of an outpatient visit. It highlights a fertile opportunity for oncologists to integrate mental health treatment for their patients by beginning pharmacologic treatment, discussing their anxiety or depressive symptoms, and initiating or comanaging pharmacologic treatment of anxiety or depression. Early recognition and management of distress, anxiety, and depression would limit the delay in obtaining appropriate treatment, especially during the first year after a cancer diagnosis when patients are most symptomatic and have many difficult treatment decisions to make. The oncologist’s use of antidepressant medications to treat anxiety and depression may benefit patients most by following guidelines. A collaborative care model offers one potential solution that could establish ownership, expand resources, disseminate knowledge, and provide a system of integration for mental health and oncology providers. [Table: see text]

Checklist Identification of Elementary Schoolboys for Clinical Referral or Evaluation of Eligibility for Special Education

1993 ◽  
Vol 18 (3) ◽  
pp. 218-227 ◽  
Author(s):  
Richard E. Mattison ◽  
James C. Lynch ◽  
Helen Kales ◽  
Alan D. Gamble
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
General Population ◽  
Population Group ◽  
Regression Analyses ◽  
Practical Procedure ◽  
Emotional Dysfunction ◽  
Mental Health Referral ◽  
General Population Group ◽  
Clinical Referral

Achenbach and Edelbrock teacher and parent checklists were used to develop a practical procedure to assist educators in determining if a boy with behavioral/emotional dysfunction in elementary school requires mental health referral or SED evaluation. SED, psychiatric outpatient, and general population Caucasian boys ages 6 to 11 years were compared. Appropriately, scores for the SED and the outpatient groups were pathological and significantly greater than scores for the general population group on both checklists, while SED scores were significantly higher than outpatient scores on the teacher checklist. Logistic regression analyses showed the Total Problem scales of both checklists to be the most efficient and economical scales for classification. Finally, probability tables were constructed to distinguish SED and outpatient boys from general population boys, and SED boys from outpatient boys.

The problem of mental health referral

1971 ◽  
Vol 22 (5) ◽  
pp. 41-45
Author(s):  
W. E. Wygant
Keyword(s):  
Mental Health ◽  
Mental Health Referral

scholarly journals Success of mental health referral among pregnant and postpartum women with psychiatric distress

2009 ◽  
Vol 31 (2) ◽  
pp. 155-162 ◽  
Author(s):  
Megan V. Smith ◽  
Lin Shao ◽  
Heather Howell ◽  
Hong Wang ◽  
Karalee Poschman ◽  
...  
Keyword(s):  
Mental Health ◽  
Postpartum Women ◽  
Psychiatric Distress ◽  
Mental Health Referral

Development and Implementation of the National Mental Health Referral Network for Elite Athletes: A Case Study of the Australian Institute of Sport

2020 ◽  
Vol 4 (S1) ◽  
pp. S1-27-S1-35 ◽  
Author(s):  
Simon Rice ◽  
Matt Butterworth ◽  
Matti Clements ◽  
Daniel Josifovski ◽  
Sharyn Arnold ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Cultural Change ◽  
Help Seeking ◽  
Elite Athletes ◽  
Australian Institute ◽  
Mental Health Referral ◽  
Referral Network ◽  
National Mental Health

Awareness-raising and antistigma campaigns have sought to increase the acceptance of mental ill health across the general community and subpopulations of elite athletes. Nonetheless, gaps remain for models of clinical service provision. As cultural change prompts elite athletes toward more open and positive perceptions of help seeking, the number of athletes seeking evidence-based mental health intervention has been predicted to increase. In this context, the Australian Institute of Sport (AIS) established the national Mental Health Referral Network. The network comprises registered mental health professionals (psychologists) and is led by the AIS Athlete Wellbeing and Engagement branch. This case study describes the development and implementation of this network, including the service-provider procurement process and strategic consultation provided by Orygen. Details are provided for international bodies seeking to undertake similar initiatives. Reflections on program implementation highlight opportunities for expansion and data capture, informing future education-based initiatives.

Reducing Stigma in Mental Health Through Digital Storytelling

2018 ◽  
pp. 169-183 ◽  
Author(s):  
Tatiana Davidson ◽  
Angela Moreland ◽  
Brian E. Bunnell ◽  
Jennifer Winkelmann ◽  
Jessica L. Hamblen ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Digital Storytelling ◽  
Web Based ◽  
Major Barrier ◽  
Increased Risk ◽  
Health Disorders ◽  
Mental Health Programs ◽  
Barrier To Care ◽  
Two Populations

The authors present the use of digital storytelling with two populations that have been consistently shown to be at increased risk for developing mental health disorders: veterans and firefighters. Despite efforts to increase access to evidence-based mental health programs, stigma remains a major barrier to care. AboutFace and Firefighters Helping Firefighters are two DST resources designed to help recognize the symptoms of posttraumatic stress disorder (PTSD) and related mental health symptoms, and to encourage help-seeking. These web-based video galleries introduce the viewer to 70+ peers who have experienced PTSD and have received formal treatment. These sites use the shared bonds of service to educate and help normalize common reactions that they may have due to the stressful nature of their occupations. Visitors to the site can “meet” peers and hear how mental illness has affected them through unscripted, authentic personal stories and can learn about common symptoms, struggles regarding decisions to seek care, and detailed descriptions of what treatment was like.

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