scholarly journals YouthCHAT as a Primary Care E-Screening Tool for Mental Health Issues Among Te Tai Tokerau Youth: Protocol for a Co-Design Study

10.2196/12108 ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. e12108 ◽  
Author(s):  
Rhiannon Mary Martel ◽  
Margot Louise Darragh ◽  
Aniva Joanne Lawrence ◽  
Matthew John Shepherd ◽  
Tracey Wihongi ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Screening Tool ◽  
Health Issues ◽  
Design Study ◽  
Mental Health Issues

scholarly journals YouthCHAT as a Primary Care E-Screening Tool for Mental Health Issues Among Te Tai Tokerau Youth: Protocol for a Co-Design Study (Preprint)

2018 ◽  
Author(s):  
Rhiannon Mary Martel ◽  
Margot Louise Darragh ◽  
Aniva Joanne Lawrence ◽  
Matthew John Shepherd ◽  
Tracey Wihongi ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care Providers ◽  
Early Identification ◽  
Screening Tool ◽  
Well Being ◽  
Stepped Care ◽  
Health Issues ◽  
Care Providers ◽  
Mental Health Issues

BACKGROUND In New Zealand (NZ), 1 in 4 adolescents is affected by mental health issues (eg, depression and anxiety) and engages in risk behaviors (eg, harmful drinking and substance abuse), with rates among Māori youth being significantly higher. The majority of NZ secondary school students visit their local primary health care providers (PHPs) at least annually, yet most do not seek help for mental health and risk behavior (MHB) concerns. While youth think it acceptable to discuss sensitive issues during a consultation with their PHPs, unless problems are severe, such conversations are not initiated by PHPs. Early intervention for MHB concerns can prevent long-term health and well-being issues. However, this relies on the early identification of developing problems and youth being offered and accepting help. YouthCHAT is an electronic, multi-item screening tool developed in 2016 to assess MHB concerns among youth. YouthCHAT is completed before a consultation with the PHP, who can access a summary report straight away. A help question allows young people to identify issues that need addressing. A resource pack uses stepped care pathways to guide providers to use appropriate brief interventions. OBJECTIVE This study aimed to explore the utility, feasibility, and acceptability of YouthCHAT when tailored for use with youth in primary care settings with large Māori populations. Objectives of the study are to evaluate the implementation of YouthCHAT in nurse-led youth clinics, school-based clinics, and general practice in Te Tai Tokerau (Northland, NZ); to develop a framework for the scaling up of YouthCHAT across further settings; to assess health provider and youth acceptability of the tool; to improve screening rates for mental health and help-seeking behavior; to enable early identification of emerging problems; and to improve brief intervention delivery. METHODS Using a bicultural mixed-methods co-design approach, 3 phases over a 3-year period will provide an iterative evaluation of the utility, feasibility, and acceptability of YouthCHAT, aiming to create a framework for wider-scale rollout and implementation. RESULTS Recruitment for the first phase began in September 2018. YouthCHAT was implemented at the first site in October 2018 and is expected to be at a further two sites in late January to early February 2019. The study is due for completion at the end of 2021. CONCLUSIONS YouthCHAT has potential as a user-friendly, time efficient, and culturally safe screening tool for early detection of MHB issues in NZ youth. The resource pack assists the clinician to provide appropriate interventions for emerging and developed youth mental health and lifestyle issues. Involving input from community providers, users, and stakeholders will ensure that modifiable elements of YouthCHAT are tailored to meet the health needs specific to each context and will have a positive influence on future mental, physical, and social outcomes for NZ youth. INTERNATIONAL REGISTERED REPOR PRR1-10.2196/12108

Should Mental Health Issues be Addressed in Primary Care, and can it be Done? Views of Rural General Practitioners in Queensland

2007 ◽  
Vol 15 (1_suppl) ◽  
pp. S90-S94 ◽  
Author(s):  
Heidi Sturk ◽  
David Kavanagh ◽  
Cindy Gallois ◽  
David King ◽  
Merrill Turpin ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioners ◽  
Health Issues ◽  
Mental Health Issues

The physical health Wellness Clinic model of care for patients with mental health issues who are ‘hard to engage’

2019 ◽  
Vol 28 (3) ◽  
pp. 303-306 ◽  
Author(s):  
Susanne H Stanley ◽  
Lucia Ferguson ◽  
Ajay Velayudhan
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Physical Health ◽  
Level Of Care ◽  
Treatment Model ◽  
Health Issues ◽  
Model Of Care ◽  
Mental Health Issues ◽  
Service Setting ◽  
Ongoing Monitoring

Objective: People with chronic and severe mental health issues die 15–25 years earlier than people in the general population – the main reason for this is poor physical health. An innovative treatment model for the management of primary care within a mental health service setting for ‘hard to engage’ patients is presented. Conclusion: The Wellness Clinic model provides the final level of care, where individuals who are at risk will receive a thorough physical health check and be referred for any additional tests and scans that are needed ensuring that any health issues are addressed. Ongoing monitoring and treatment occurs with the overall aim of reintegrating individuals back into the community through linking them in with community GPs.

scholarly journals The Pediatric Disaster Mental Health Intervention: Meeting the Primary Care Special Needs of Children in the Aftermath of Disasters

2019 ◽  
Vol 34 (s1) ◽  
pp. s60-s61
Author(s):  
Arthur Cooper ◽  
Michael Frogel ◽  
George Foltin
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Healthcare Providers ◽  
Primary Care Providers ◽  
Mental Health Intervention ◽  
Disaster Mental Health ◽  
Health Issues ◽  
Care Providers ◽  
Mental Health Issues ◽  
Pediatric Mental Health

Introduction:Effects of a disaster on a community’s mental health can persist after the physical effects of the event have passed. The pediatric population is often overrepresented in disasters and prone to serious mental health disorders based on their age and parental/community response. Pediatric primary healthcare providers require the psychosocial skills necessary to work in disaster zones and to care for children in disasters.Aim:Pediatric Disaster Mental Health Intervention (PDMHI) was initially developed in response to Superstorm Sandy’s impact on children and their families in New York City. The objective was to develop training for primary care providers in pediatric disaster mental healthcare and to study its impact on the trainees.Methods:A faculty of experts in pediatric mental health, psychiatry, psychology, and disaster preparedness was convened to develop curriculum. The faculty developed a four-hour intervention to equip healthcare providers with the skills and knowledge necessary to care for pediatric patients with mental health problems stemming from a disaster via evaluation, triage, intervention, and referral.Results:Three PDMHI training sessions were held. A total of 67 providers were trained. Of these, there were 31 pediatricians, 18 nurses, 8 social workers, 4 psychologists, 2 psychiatrists, and 4 others. Pre- and post-tests measured knowledge before and impact 3 months post-intervention. 62.5% of responding primary care providers made changes to their practice. 92% felt better equipped to identify, treat, and refer patients. 81% would be willing to work in a disaster zone and felt prepared to treat patients with disaster mental health issues.Discussion:PDMHI covers psychosocial responses to disasters from normal to mental health disorders. Participants gained tools for managing pediatric mental health issues in primary care. Study data showed an increase in the participants perceived knowledge and skills about pediatric disaster mental health, and willingness to participate in future disasters.

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