A first‐hand experience of co‐design in mental health service design: Opportunities, challenges, and lessons

2021 ◽  
Author(s):  
Rachel Marie Tindall ◽  
Melissa Ferris ◽  
Meredith Townsend ◽  
Gayle Boschert ◽  
Steven Moylan
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Design

scholarly journals Lessons learned from service design of a trial of a digital mental health service: Informing implementation in primary care clinics

2020 ◽  
Vol 10 (3) ◽  
pp. 598-605
Author(s):  
Andrea K Graham ◽  
Carolyn J Greene ◽  
Thomas Powell ◽  
Pauli Lieponis ◽  
Amanda Lunsford ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Design ◽  
Lessons Learned ◽  
Primary Care Clinics ◽  
Digital Service ◽  
Direct To Consumer ◽  
Bridge Building

Abstract Implementing a digital mental health service in primary care requires integration into clinic workflow. However, without adequate attention to service design, including designing referral pathways to identify and engage patients, implementation will fail. This article reports results from our efforts designing referral pathways for a randomized clinical trial evaluating a digital service for depression and anxiety delivered through primary care clinics. We utilized three referral pathways: direct to consumer (e.g., digital and print media, registry emails), provider referral (i.e., electronic health record [EHR] order and provider recommendation), and other approaches (e.g., presentations, word of mouth). Over the 5-month enrollment, 313 individuals completed the screen and reported how they learned about the study. Penetration was 13%, and direct to consumer techniques, most commonly email, had the highest yield. Providers only referred 16 patients through the EHR, half of whom initiated the screen. There were no differences in referral pathway based on participants’ age, depression severity, or anxiety severity at screening. Ongoing discussions with providers revealed that the technologic implementation and workflow design may not have been optimal to fully affect the EHR-based referral process, which potentially limited patient access. Results highlight the importance of designing and evaluating referral pathways within service implementation, which is important for guiding the implementation of digital services into practice. Doing so can ensure that sustained implementation is not left to post-evaluation bridge-building. Future efforts should assess these and other referral pathways implemented in clinical practice outside of a research trial.

Parental attitudes towards an online, school-based, mental health service: implications for service design and delivery

2018 ◽  
Vol 17 (2) ◽  
pp. 146-160 ◽  
Author(s):  
Bridianne O'Dea ◽  
Charlotte Leach ◽  
Melinda Achilles ◽  
Catherine King ◽  
Mirjana Subotic-Kerry ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Parental Attitudes ◽  
Service Design ◽  
School Based ◽  
Online School

scholarly journals General Practitioners’ Attitudes Toward a Web-Based Mental Health Service for Adolescents: Implications for Service Design and Delivery

2018 ◽  
Vol 5 (1) ◽  
pp. e12 ◽  
Author(s):  
Mirjana Subotic-Kerry ◽  
Catherine King ◽  
Kathleen O'Moore ◽  
Melinda Achilles ◽  
Bridianne O'Dea
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
General Practitioners ◽  
Service Design ◽  
Web Based

scholarly journals General Practitioners� Attitudes Toward a Web-Based Mental Health Service for Adolescents: Implications for Service Design and Delivery (Preprint)

2017 ◽  
Author(s):  
Mirjana Subotic-Kerry ◽  
Catherine King ◽  
Kathleen O'Moore ◽  
Melinda Achilles ◽  
Bridianne O'Dea
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
General Practitioners ◽  
Health Care Professionals ◽  
Strong Support ◽  
Service Design ◽  
Web Based ◽  
Wide Range

BACKGROUND Anxiety disorders and depression are prevalent among youth. General practitioners (GPs) are often the first point of professional contact for treating health problems in young people. A Web-based mental health service delivered in partnership with schools may facilitate increased access to psychological care among adolescents. However, for such a model to be implemented successfully, GPs’ views need to be measured. OBJECTIVE This study aimed to examine the needs and attitudes of GPs toward a Web-based mental health service for adolescents, and to identify the factors that may affect the provision of this type of service and likelihood of integration. Findings will inform the content and overall service design. METHODS GPs were interviewed individually about the proposed Web-based service. Qualitative analysis of transcripts was performed using thematic coding. A short follow-up questionnaire was delivered to assess background characteristics, level of acceptability, and likelihood of integration of the Web-based mental health service. RESULTS A total of 13 GPs participated in the interview and 11 completed a follow-up online questionnaire. Findings suggest strong support for the proposed Web-based mental health service. A wide range of factors were found to influence the likelihood of GPs integrating a Web-based service into their clinical practice. Coordinated collaboration with parents, students, school counselors, and other mental health care professionals were considered important by nearly all GPs. Confidence in Web-based care, noncompliance of adolescents and GPs, accessibility, privacy, and confidentiality were identified as potential barriers to adopting the proposed Web-based service. CONCLUSIONS GPs were open to a proposed Web-based service for the monitoring and management of anxiety and depression in adolescents, provided that a collaborative approach to care is used, the feedback regarding the client is clear, and privacy and security provisions are assured.

Barriers to mental health service use in Asian American and European American college students.

2020 ◽  
Vol 11 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Christina B. Gee ◽  
Gagan S. Khera ◽  
Alyssa T. Poblete ◽  
Barunie Kim ◽  
Syeda Y. Buchwach
Keyword(s):  
Mental Health ◽  
College Students ◽  
Mental Health Service ◽  
Health Service ◽  
Asian American ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
European American
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