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.

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

What do general practitioners consider support? Findings from a local pilot initiative

2010 ◽  
Vol 16 (1) ◽  
pp. 87 ◽  
Author(s):  
Anoop Sankaranarayanan ◽  
Kerry Allanson ◽  
Dinesh K. Arya
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
General Practitioners ◽  
Cost Effective ◽  
Telephone Advice ◽  
Royal Australian College ◽  
Advice Service

This paper reports the findings of a local pilot that was aimed to assess if making a local psychiatrist available would improve GP satisfaction with regard to responsiveness and access to specialist mental health services. A psychiatrist was made available via a telephone advice line for 1 h every day. Pre- and post-survey of all GPs was conducted to elicit GP satisfaction and suggestions. The pilot was conducted from Maitland, the base of Hunter Valley Mental Health Service. A total of 202 GPs in the area were contacted and surveyed; 17% responded to the pre-survey and 27% to the post-survey. Only 8% of the GPs used the telephone advice service. Despite low use, most responding GPs indicated that they would like to see the services continue. Most of the responding GPs (both users and non-users of this service) were not aware of or had not used the Royal Australian College of General Practitioners’ GP Psych Support initiative. Results from this pilot indicate that making a local psychiatrist available improves GP satisfaction with regard to responsiveness and access, despite low use. Further research is needed to establish if such a service can be made available at an area level and whether this would be cost effective.

Setting the Standards: A report on a GP/Mental Health Service Liaison Project in a Rural Area

2000 ◽  
Vol 6 (4) ◽  
pp. 215
Author(s):  
Tina Philip ◽  
Mark Welch ◽  
Greg Aldridge ◽  
Helen Fisher ◽  
Marjorie Cross
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Rural Area ◽  
General Practitioners ◽  
Large Scale ◽  
East Division ◽  
Department Of Health

One of the most discussed, yet open areas of change and re-evaluation in contemporary mental health care is the coworking relationship between general practitioners (GPs) and local Mental Health Services. It is crucial to the role of general practitioners and central to mental health services which have seen large-scale deinstitutionalisation, a shift to primary and community care, and the twin thrusts of government policy (NSW Department of Health, 1998) of prevention and partnerships. This paper outlines a liaison project developed jointly by the South-East Division of General Practitioners and Southern Area Mental Health Service to address these issues. It will describe the response to the findings of a needs analysis by the development of Basic Standards for GP/MHS liaison which were relevant to a rural area, practical, pragmatic and possible, and, when fully established, would be the foundation of effective, efficient and efficacious shared care in mental health.

scholarly journals School Counselors� Perspectives of a Web-Based Stepped Care Mental Health Service for Schools: Cross-Sectional Online Survey (Preprint)

2017 ◽  
Author(s):  
Bridianne O'Dea ◽  
Catherine King ◽  
Mirjana Subotic-Kerry ◽  
Kathleen O'Moore ◽  
Helen Christensen
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
School Counselors ◽  
Mental Health Problems ◽  
School Context ◽  
Stepped Care ◽  
Successful Implementation ◽  
Cross Sectional ◽  
Web Based

BACKGROUND Mental health problems are common among youth in high school, and school counselors play a key role in the provision of school-based mental health care. However, school counselors occupy a multispecialist position that makes it difficult for them to provide care to all of those who are in need in a timely manner. A Web-based mental health service that offers screening, psychological therapy, and monitoring may help counselors manage time and provide additional oversight to students. However, for such a model to be implemented successfully, school counselors’ attitudes toward Web-based resources and services need to be measured. OBJECTIVE This study aimed to examine the acceptability of a proposed Web-based mental health service, the feasibility of providing this type of service in the school context, and the barriers and facilitators to implementation as perceived by school counselors in New South Wales (NSW), Australia. METHODS This study utilized an online cross-sectional survey to measure school counselors’ perspectives. RESULTS A total of 145 school counselors completed the survey. Overall, 82.1% (119/145) thought that the proposed service would be helpful to students. One-third reported that they would recommend the proposed model, with the remaining reporting potential concerns. Years of experience was the only background factor associated with a higher level of comfort with the proposed service (P=.048). Personal beliefs, knowledge and awareness, Internet accessibility, privacy, and confidentiality were found to influence, both positively and negatively, the likelihood of school counselors implementing a Web-based school mental health service. CONCLUSIONS The findings of this study confirmed that greater support and resources are needed to facilitate what is already a challenging and emotionally demanding role for school counselors. Although the school counselors in this study were open to the proposed service model, successful implementation will require that the issues outlined are carefully addressed.

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