scholarly journals The impact of technology-enabled care coordination in a complex mental health system: A local system dynamics model (Preprint)

10.2196/25331 ◽  
2020 ◽  
Author(s):  
Frank Iorfino ◽  
Jo-An Occhipinti ◽  
Adam Skinner ◽  
Tracey Davenport ◽  
Shelley Rowe ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
Care Coordination ◽  
Mental Health System ◽  
Local System ◽  
System Dynamics Model ◽  
Dynamics Model ◽  
System A ◽  
Impact Of Technology ◽  
The Impact

scholarly journals The Impact of Technology-Enabled Care Coordination in a Complex Mental Health System: A Local System Dynamics Model (Preprint)

2020 ◽  
Author(s):  
Frank Iorfino ◽  
Jo-An Occhipinti ◽  
Adam Skinner ◽  
Tracey Davenport ◽  
Shelley Rowe ◽  
...  
Keyword(s):  
Mental Health ◽  
Growth Rate ◽  
Psychological Distress ◽  
Health System ◽  
Care Coordination ◽  
Mental Health System ◽  
Service Capacity ◽  
Health Related ◽  
Care Systems ◽  
The Impact

BACKGROUND Prior to the COVID-19 pandemic, major shortcomings in the way mental health care systems were organized were impairing the delivery of effective care. The mental health impacts of the pandemic, the recession, and the resulting social dislocation will depend on the extent to which care systems will become overwhelmed and on the strategic investments made across the system to effectively respond. OBJECTIVE This study aimed to explore the impact of strengthening the mental health system through technology-enabled care coordination on mental health and suicide outcomes. METHODS A system dynamics model for the regional population catchment of North Coast New South Wales, Australia, was developed that incorporated defined pathways from social determinants of mental health to psychological distress, mental health care, and suicidal behavior. The model reproduced historic time series data across a range of outcomes and was used to evaluate the relative impact of a set of scenarios on attempted suicide (ie, self-harm hospitalizations), suicide deaths, mental health–related emergency department (ED) presentations, and psychological distress over the period from 2021 to 2030. These scenarios include (1) business as usual, (2) increase in service capacity growth rate by 20%, (3) standard telehealth, and (4) technology-enabled care coordination. Each scenario was tested using both pre– and post–COVID-19 social and economic conditions. RESULTS Technology-enabled care coordination was forecast to deliver a reduction in self-harm hospitalizations and suicide deaths by 6.71% (95% interval 5.63%-7.87%), mental health–related ED presentations by 10.33% (95% interval 8.58%-12.19%), and the prevalence of high psychological distress by 1.76 percentage points (95% interval 1.35-2.32 percentage points). Scenario testing demonstrated that increasing service capacity growth rate by 20% or standard telehealth had substantially lower impacts. This pattern of results was replicated under post–COVID-19 conditions with technology-enabled care coordination being the only tested scenario, which was forecast to reduce the negative impact of the pandemic on mental health and suicide. CONCLUSIONS The use of technology-enabled care coordination is likely to improve mental health and suicide outcomes. The substantially lower effectiveness of targeting individual components of the mental health system (ie, increasing service capacity growth rate by 20% or standard telehealth) reiterates that strengthening the whole system has the greatest impact on patient outcomes. Investments into more of the same types of programs and services alone will not be enough to improve outcomes; instead, new models of care and the digital infrastructure to support them and their integration are needed.

scholarly journals Supportive-expressive dynamic psychotherapy in the community mental health system: A pilot effectiveness trial for the treatment of depression.

Psychotherapy ◽  
2012 ◽  
Vol 49 (3) ◽  
pp. 303-316 ◽  
Author(s):  
Mary Beth Connolly Gibbons ◽  
Sarah M. Thompson ◽  
Kelli Scott ◽  
Lindsay A. Schauble ◽  
Tessa Mooney ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Effectiveness Trial ◽  
Dynamic Psychotherapy ◽  
System A ◽  
Treatment Of Depression

Adapting the Brief Coping Cat for Children with Anxiety to a Group Setting in the Spanish Public Mental Health System: a Hybrid Effectiveness-Implementation Pilot Study

2018 ◽  
Vol 27 (10) ◽  
pp. 3300-3315 ◽  
Author(s):  
Olga Santesteban-Echarri ◽  
Laura Hernández-Arroyo ◽  
Simon M. Rice ◽  
M. José Güerre-Lobera ◽  
María Serrano-Villar ◽  
...  
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Health System ◽  
Mental Health System ◽  
Public Mental Health ◽  
Public Mental Health System ◽  
Group Setting ◽  
System A ◽  
Coping Cat
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