scholarly journals Correctional psychiatry in Nigeria: dynamics of mental healthcare in the most restrictive alternative

2018 ◽  
Vol 15 (2) ◽  
pp. 35-38
Author(s):  
A. O. Ogunlesi ◽  
A. Ogunwale
Keyword(s):  
Mental Health ◽  
20Th Century ◽  
International Collaboration ◽  
Mental Healthcare ◽  
Task Shifting ◽  
Evidence Based ◽  
Fit For Purpose ◽  
Correctional Mental Health

Nigeria has poorly structured services for correctional mental health driven by a mix of socioeconomic and legal factors. The archaic asylum systems established in the early part of the 20th century under the Lunacy ordinance of 1916 are no longer fit for purpose. The present strategy is to provide mental healthcare for mentally abnormal offenders within some prisons in the country. The current models for this are poorly staffed and underfunded. Adoption of task-shifting approaches based on evidence-based strategies within the context of professional innovation, government commitment and international collaboration should help to develop and sustain the needed correctional psychiatry services.

scholarly journals Alternative medicine under the Mental Health Care Act, 2017: Future implications and concerns

2022 ◽  
Vol 07 (01) ◽  
pp. 37-41
Author(s):  
Ramdas Ransing ◽  
Sujita Kumar Kar ◽  
Vikas Menon
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Alternative Medicine ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Evidence Based ◽  
Insufficient Evidence ◽  
Indian Government ◽  
Evidence Based Care

In recent years, the Indian government has been promoting healthcare with an insufficient evidence base, or which is non-evidence-based, alongside delivery of evidence-based care by untrained practitioners, through supportive legislation and guidelines. The Mental Health Care Act, 2017, is a unique example of a law endorsing such practices. In this paper, we aim to highlight the positive and negative implications of such practices for the delivery of good quality mental healthcare in India.

The Emperor’s New Clothes: Head-to-Health Centres expand in the absence of evaluation of efficacy

2021 ◽  
pp. 103985622110546
Author(s):  
Jeffrey CL Looi ◽  
Tarun Bastiampillai ◽  
Stephen Allison ◽  
Stephen R Kisely
Keyword(s):  
Mental Health ◽  
Federal Government ◽  
Private Practice ◽  
Mental Healthcare ◽  
Health Needs ◽  
Evidence Based ◽  
Health Needs Assessment ◽  
Practice Model ◽  
Adult Mental Health ◽  
Health Centres

Objective: To discuss concerns about the Australian federal government announcement of further funding expansion of the Adult Mental Health Centres (AMHCs), now known as Head-to-Health centres. Conclusions: The expansion of AMHCs prior to evaluation recapitulates the policy predicaments and perils of the headspace federal-infrastructure allied-health private-practice model. Comprehensive evidence-based mental healthcare planning and practice is needed, rather than stand-alone services of unclear efficacy. We describe the principles of such an approach based upon an evidence-based Health Needs Assessment.

scholarly journals Expanding the Reach of Psychosocial Services for Youth: Untapped Potential of Mentor-Delivered Single Session Interventions

2021 ◽  
Author(s):  
Mackenzie J. Hart ◽  
Jenna Sung ◽  
Samuel D. McQuillin ◽  
Jessica L. Schleider
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Healthcare ◽  
Targeted Prevention ◽  
Evidence Based ◽  
Structural Barriers ◽  
Multiple Perspectives ◽  
Single Session ◽  
Psychosocial Services

At present, the mental healthcare system cannot meet the demand for services, and the need-to-access gap is widest among children and adolescents. Single session interventions (SSIs) or brief, intentional, and mechanism-targeted prevention and intervention programs have shown promise in increasing the reach of effective, evidence-based services, but a wide gap still remains due to other structural barriers (e.g., workforce shortages). The present paper calls for the coupling of SSIs and mentor-delivered programs as a promising future step to further overcome the inaccessibility of youth mental health services. Indeed, capitalizing on the advantages of mentoring relationships (e.g., the associated interpersonal benefits and mentors’ pre-existence in most community settings) has the power to complement and enhance the value of SSIs, and to expand the acceptability and reach of evidence-based mental health services. In this paper, we discuss the anticipated benefits of mentor-delivered SSIs from multiple perspectives, as well as cautionary considerations related to the proposed model. To conclude, we highlight necessary implementation considerations prior to deploying any systems change.

scholarly journals ‘Gentlemen, we have no money therefore we must think’ – mental health services in hard times

2011 ◽  
Vol 35 (3) ◽  
pp. 81-83 ◽  
Author(s):  
Frank Holloway
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Health System ◽  
Mental Health System ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Evidence Based ◽  
Demographic Trends ◽  
Hard Times ◽  
Uncertain Future

SummaryIn common with all elements of public services, mental healthcare in England faces a troubling and uncertain future. Two things, however, are certain: demographic trends ensure that demand will rise and harsh economic realities dictate that resources will in real terms shrink. In order to cope with these challenges, commissioners and providers will have to review very critically all aspects of the mental health system, including those that are currently fashionable. There is a need to identify and promote activities that are evidence-based and effective and to jettison practices and services that lack an evidence base.

scholarly journals Best Practices for Working with Latinx Older Adults in Mental Healthcare

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 857-857
Author(s):  
Kendall Weber ◽  
Lisa Stone
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Best Practices ◽  
Mental Health Professionals ◽  
Mental Healthcare ◽  
Later Life ◽  
The United States ◽  
Evidence Based ◽  
Health Providers ◽  
Starting Point

Abstract Background The number of older adults in the United States is growing rapidly. The percentage of individuals from ethnic minority groups that make up this population is also rapidly increasing, with Latinx older adults comprising the fastest growing subgroup. However, Latinx older adults historically underutilize mental health services, in large part due to the lack of culturally sensitive and informed care provided by mental health professionals (de Guzman et al., 2015). However, to date, comprehensive, evidence-based best practices for mental healthcare for Latinx older adults do not exist. Method: A literature review was conducted of research on the developmental, social, cognitive, biological, and affective bases of behavior among Latinx older adults. Results Taking an integrated, evidence-based psychological approach with cultural considerations, we found that the literature could broadly be organized into six best practice guidelines. We propose assessing for and incorporating the following topics into mental health treatment of Latinx older adults: immigration status, acculturation, attitudes towards mental health, physical and cognitive health disparities, discrimination, and unique preferences for care structure in later life. Discussion These guidelines are intended to represent basic principles to incorporate into practice and do not represent an exhaustive list of factors to consider for a heterogenous group of older adults. Instead, the six, empirically-based guidelines proposed in this study can serve as a starting point for increasing mental health providers’ awareness of the unique experiences of Latinx older adults, with the aim of improving the experience of this historically underserved population in mental healthcare treatment.

scholarly journals Section 12 approval: fit for purpose?

2019 ◽  
Vol 43 (6) ◽  
pp. 251-254 ◽  
Author(s):  
David Rigby ◽  
Lynsey McAlpine
Keyword(s):  
Mental Health ◽  
Royal College ◽  
Summative Assessment ◽  
Learning Objectives ◽  
Evidence Based ◽  
Knowledge And Skills ◽  
Mental Health Act ◽  
Fit For Purpose ◽  
Educational Perspective ◽  
The Uk

SummaryIn light of the increasing numbers of detentions of mentally unwell patients in the UK and the recent review of the Mental Health Act, this editorial seeks to analyse the process of Section 12 approval of doctors from a medical educational perspective. We compare the approval mechanisms with assessments in other specialities and suggest evidence-based improvements. We believe that a rethinking of the Royal College of Psychiatrists' learning objectives for Section 12 approval and the introduction of a summative assessment would improve the knowledge and skills of clinicians performing an important and scrutinised role within our society.

Portents from Orwell’s 1984: Bureaucracies, Ministries of Truth and Plenty – challenges facing the administration of mental healthcare in Australia

2020 ◽  
pp. 103985622093764 ◽  
Author(s):  
Jeffrey CL Looi ◽  
Stephen Allison ◽  
Stephen R Kisely ◽  
Paul Maguire
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Current Situation ◽  
Evidence Based ◽  
Health Administration ◽  
Mental Health Administration

Objective: We reflect upon the processes of mental health administration in Australia with reference to George Orwell’s novel, 1984. Conclusions: Mental healthcare in Australia is distorted by politicisation, spin and a refusal to acknowledge the reality of the current situation. These challenges for mental healthcare demonstrate some similarities with the Ministries of Truth and Plenty, which conversely performed as their opposites in Orwell’s novel. Psychiatrists and their professional bodies should play a greater role in advocacy for clinician-led, evidence-based services in partnership with our communities.

scholarly journals Fifty years of progress in community mental health in US: the growth of evidence-based practices

2013 ◽  
Vol 23 (1) ◽  
pp. 5-9 ◽  
Author(s):  
L. B. Dixon ◽  
E. C. Schwarz
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Healthcare ◽  
Health Centers ◽  
Evidence Based ◽  
Community Mental Health Centers ◽  
Evidence Based Practices ◽  
Recovery Movement ◽  
The Us ◽  
Mental Health Centers

Fifty years have elapsed since the passage of the Community Mental Health Centers (CMHC) Act in 1963 that reflected the legislative peak of the community mental healthcare movement in the US Progress of the last 10 years is represented both by expansions of evidence-based practices (EBPs) and the development of emerging practices and fundamental shifts in the orientation of the system stimulated by the consumer-driven recovery movement. Established EBPs have accumulated expanded evidence, new EBPs have been developed and emerging EBPs are gaining increased acceptance. While the lack of widespread implementation of EBPs as well as the limitations of these technologies produces unnecessary suffering and disability, we believe that the growth of evidence for treatments and services justifies optimism for the future.

Cultural Adaptations of Evidence-Based Mental Health Interventions for Refugees: Implications for Clinical Social Work

2020 ◽  
Author(s):  
Maya Fennig
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Clinical Social Work ◽  
Mental Healthcare ◽  
Health Interventions ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Cultural Adaptations ◽  
Critical Issues ◽  
Mental Health Interventions

Abstract As the number of refugees worldwide reaches unprecedented levels, social workers’ ability to provide effective and appropriate mental healthcare to this population is as critical as ever. This article provides a review of contemporary debates revolving around the cultural adaptation (CA) of mental health interventions—when it is warranted, what approach should be taken and what components of an intervention should be adapted. CA is presented as a promising and pragmatic approach to service delivery, one that can assist clinical social workers in designing and implementing interventions that reflect refugees’ local needs and knowledge without neglecting important advances in research evidence and clinical expertise. However, it is not without its challenges. By drawing on literature related to the integration of cultural and contextual factors in mental health interventions and services, the article addresses critical issues in the CA approach and asks: is it possible to strike a balance between fidelity to evidence-based interventions and culturally compatible care?

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