Healthcare providers’ experience with the management of mental health conditions in the context of Workers’ Compensation

Work ◽  
2018 ◽  
Vol 59 (3) ◽  
pp. 449-462 ◽  
Author(s):  
Lena Schnitzler ◽  
Agnieszka Kosny ◽  
Marni Lifshen
Keyword(s):  
Mental Health ◽  
Healthcare Providers ◽  
Health Conditions ◽  
Workers Compensation ◽  
Mental Health Conditions

scholarly journals What clinical challenges are associated with diagnosing and managing work-related mental health conditions? A qualitative study in general practice

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037734 ◽  
Author(s):  
Samantha Paubrey Chakraborty ◽  
Jacinta Dermentzis ◽  
Bianca Brijnath ◽  
Eli Ivey ◽  
Danielle Mazza
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Clinical Care ◽  
Care Patient ◽  
Health Conditions ◽  
Diagnostic Tools ◽  
Workers Compensation ◽  
Compensation Scheme ◽  
Mental Health Conditions ◽  
Work Related

ObjectiveWhen providing care for patients with work-related mental health conditions (MHCs), the general practitioner’s (GP) role includes clinical care, patient advocacy and assessment of a patient’s ability to work. GPs can experience difficulty representing these competing roles. As clinical guidelines were being developed to assist GPs in providing this care, our aim was to identify the clinical challenges GPs experience when diagnosing and managing patients with work-related MHCs.DesignQualitative research.SettingThis study was conducted in general practice and workers’ compensation settings across Australia.ParticipantsTwenty-five GPs, seven psychiatrists and nine compensation scheme workers. GPs were eligible to participate if they were actively treating (or treated within the previous three years) patient(s) who had submitted a workers’ compensation claim for a MHC. Psychiatrists and compensation scheme workers were eligible to participate if they were active in these roles, as they are best placed to identify additional clinical challenges GPs themselves did not raise.MethodParticipants were invited by letter to participate in qualitative semi-structured telephone interviews. Prior to each interview, participants were asked to reflect on two case vignettes, each depicting a patient’s illness trajectory over 12 months. Data were thematically analysed using inductive and deductive techniques and then categorised by stages of clinical reasoning.ResultsParticipants reported clinical challenges across four key areas: (1) Diagnosis (identifying appropriate diagnostic tools, determining the severity and work-relatedness of a MHC, and managing the implications of labelling the patient with MHC). (2) Management (determining optimal treatment, recommending work participation). (3) Referral (ambiguity of communication pathways within compensation schemes). (4) Procedure (difficulties navigating compensation systems).ConclusionWe found that GPs experienced clinical challenges at all stages of care for people with work-related MHCs. We were also able to identify systemic and procedural issues that influence a GP’s ability to provide care for patients with work-related MHCs.

scholarly journals Effectiveness and impact of networked communication interventions in young people with mental health conditions: A rapid review

2018 ◽  
Vol 4 ◽  
pp. 205520761876220 ◽  
Author(s):  
Alice Verran ◽  
Ayesha Uddin ◽  
Rachel Court ◽  
Frances Taggart ◽  
Paul Sutcliffe ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Healthcare Providers ◽  
Evidence Base ◽  
Health Conditions ◽  
Rapid Review ◽  
Online Chat ◽  
Mental Health Conditions ◽  
Communication Interventions

Objective To describe the latest evidence of effectiveness and impact of networked communication interventions for young people with mental health conditions. Methods Searching five databases from 2009 onwards, we included studies of any design investigating two-way communication interventions for the treatment of young people (mean age 12–25) with a chronic mental health disorder. The data were synthesised using narrative summary. Results Six studies met the inclusion criteria, covering a range of mental health conditions (depression, psychosis, OCD). Interventions included an online chat room ( n = 2), videoconferencing ( n = 3) and telephone ( n = 1). Where studies compared two groups, equivalence or a statistically significant improvement in symptoms was observed compared to control. Views of patients and clinicians included impact on the patient-clinician interaction. Clinicians did not feel it hindered their diagnostic ability. Conclusion Networked communication technologies show promise in the treatment of young people with mental health problems but the current available evidence remains limited and the evidence base has not advanced much since the previous inception of this review in 2011. Practice implications Although the available research is generally positive, robust evidence relating to the provision of care for young persons via these technologies is lacking and healthcare providers should be mindful of this.

scholarly journals 4151 Understanding barriers and solutions towards access to mental health among rural adolescents

2020 ◽  
Vol 4 (s1) ◽  
pp. 150-151
Author(s):  
Brandy Davis ◽  
Kimberly B. Garza ◽  
Salisa Westrick ◽  
Edward Chou ◽  
Cherry Jackson
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Health Conditions ◽  
Rural Adolescents ◽  
Health Providers ◽  
Mental Health Conditions ◽  
Preferred Solutions

OBJECTIVES/GOALS: There are two objectives: 1) To identify healthcare providers’ (HCP) barriers and potential solutions towards rural adolescents’ access to mental healthcare. Healthcare providers include pharmacists, physicians, and mental healthcare providers (MHPs). 2) To identify rural high schoolers’ barriers and potential solutions towards access to mental healthcare. METHODS/STUDY POPULATION: Fifteen HCPs will be recruited via email listserv and the snowball method. Perceived barriers of rural adolescents, personal barriers, current practices to address mental health in adolescents, and preferred solutions will be discussed. Twenty student and parent dyads will be recruited using fliers in school systems and will be interviewed individually outside of class time on school grounds or over the phone. Barriers to care and preferred solutions will be discussed. All interviews will be semi-structured, recorded, conducted in person or over the phone, and last for 30 minutes to an hour. Compensation will be $25 for students and parents each, $50 for pharmacists and mental health providers and $100 for physicians. Thematic qualitative data analysis will be performed using Atlas.ti software. RESULTS/ANTICIPATED RESULTS: Data collection is ongoing. Anticipated results for barriers include absence of mental healthcare providers in rural areas, inability to access mental healthcare providers further away, stigma towards mental healthcare, and lack of knowledge of mental health conditions and treatment. Anticipated results for potential solutions may include promoting mobile applications to assist with telehealth and self-care. Other solutions may be collaboration among rural healthcare providers for adolescents with mental health conditions. Preferred solutions may also include pharmacists disseminating knowledge to rural adolescents and their parents or referrals to mental healthcare providers. DISCUSSION/SIGNIFICANCE OF IMPACT: This project will identify barriers and solutions to access to mental healthcare among rural adolescents. These solutions can then be applied towards the creation of programs that address salient issues within rural communities with a greater chance of uptake and use so that rates of depression and suicide will decrease. CONFLICT OF INTEREST DESCRIPTION: Funding through UAB TL1 award.

Understanding Childhood Perspectives

2018 ◽  
Vol 31 (2) ◽  
pp. 131-133 ◽  
Author(s):  
Paula M. Karnick
Keyword(s):  
Mental Health ◽  
Healthcare Providers ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Happy Time

Childhood should be a carefree and happy time. Some children, however, experience feelings of sadness, depression, anxiety, and other behavioral and mental health conditions. Healthcare providers need to develop a keen eye and an understanding demeanor to aid children and identify their needs and concerns. By providing a warm, inviting area for children to express their feelings and being with them in true presence, children may be more forthcoming in providing information about what they value.

70-LB: Fat Mass and Obesity-Associated rs9939609 Gene Variant Is Related to Fasting Glucose in Children with Mental Health Conditions

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 70-LB
Author(s):  
ALEJANDRA M. WIEDEMAN ◽  
YING FAI NGAI ◽  
AMANDA M. HENDERSON ◽  
CONSTADINA PANAGIOTOPOULOS ◽  
ANGELA M. DEVLIN
Keyword(s):  
Mental Health ◽  
Fat Mass ◽  
Fasting Glucose ◽  
Health Conditions ◽  
Gene Variant ◽  
Mental Health Conditions

Mental health recovery and its correlates: Perspectives from 2 countries (Preprint)

2020 ◽  
Author(s):  
Huiting Xie
Keyword(s):  
Mental Health ◽  
United States ◽  
Self Efficacy ◽  
The United States ◽  
Mental Illnesses ◽  
Health Conditions ◽  
Mental Health Recovery ◽  
Mental Health Conditions ◽  
Serious Mental Illnesses ◽  
Promote Mental Health

BACKGROUND Many people are affected by mental health conditions, yet its prevalence in certain populations are not well documented. OBJECTIVE The aim of this study is to describe the attributes of people with mental health conditions in U.S and SG in terms of: perception of mental health recovery and its correlates such as strengths self-efficacy, resourcefulness and stigma experience. With the findings, not only could the knowledge base for mental health recovery in both countries be enhanced but interventions and policies relating to self-efficacy, resourcefulness and de-stigmatization for mental health recovery could be informed. METHODS A A cross-sectional, descriptive study with convenience sample of 200 community dwelling adults were selected, 100 pax from the United States (U.S) and 100 pax from Singapore (SG). Adults with serious mental illnesses without substance abuse impacting on their recovery were recruited. Participants completed self-administered questionaires measuring their mental health recovery, strengths self-efficacy, resourcefulness and stigma experience. RESULTS This study offered the unique opportunity to examine mental health recovery as well as its correlates such as strengths self-efficacy, resourcefulness and stigma experience from both the United States and Singapore. While the perception of mental health recovery and positive attributes like strengths self-efficacy and resourcefulness remained strong in participants with serious mental illnesses across both countries, people with serious mental illnesses in both countries still experienced negative perception like stigma. The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries. CONCLUSIONS The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries.

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