scholarly journals Managing the delivery of Short Term Mental Health Services to underserviced and/or hard to reach populations

2018 ◽  
Vol 18 (s1) ◽  
pp. 87
Author(s):  
Vidhya Makam ◽  
Emily Cheung
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Short Term ◽  
Hard To Reach Populations

Mental Health Services for Syrian Refugees in Lebanon: Perceptions and Experiences of Professionals and Refugees

2020 ◽  
Vol 30 (6) ◽  
pp. 849-864
Author(s):  
Hala Kerbage ◽  
Filippo Marranconi ◽  
Yara Chamoun ◽  
Alain Brunet ◽  
Sami Richa ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Conditions ◽  
Adaptive Mechanism ◽  
Syrian Refugees ◽  
Health Practice ◽  
Short Term ◽  
Mental Health Practice ◽  
Depth Interviews

We applied semi-structured and in-depth interviews to explore the perceptions and experiences of 60 practitioners/policymakers and 25 Syrian participants involved in mental health services for refugees in Lebanon. Refugees were found to view their distress as a normal shared reaction to adversity while professionals perceived it as symptomatic of mental illness. Practitioners viewed Syrian culture as an obstacle to providing care and prioritized educating refugees about mental health conditions. Policymakers invoked the state of crisis to justify short-term interventions, while Syrian refugees requested community interventions and considered resettlement in a third country the only solution to their adverse living conditions. The therapeutic relationship seems threatened by mistrust, since refugees change their narratives as an adaptive mechanism in response to the humanitarian system, which professionals consider manipulative. We discuss the implications of our findings for mental health practice in humanitarian settings.

scholarly journals Mental health services: results of a survey of English district plans

1989 ◽  
Vol 13 (2) ◽  
pp. 77-78 ◽  
Author(s):  
D. Kingdon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Strategic Plan ◽  
Substantial Proportion ◽  
Short Term ◽  
Health Authorities ◽  
Comprehensive Service ◽  
Initial Reading

In November 1987, I wrote to the ‘Planning Officer (Mental Health)’ of the 192 English Health Authorities requesting a copy of the section of their 1984 Strategic Plan dealing with mental health and any recent update. A checklist of information to be analysed was drawn up on the basis of an initial reading of the plans. This contained a substantial proportion of the elements for a comprehensive service listed by Hirsch (1988) and by MIND (1983). Replies were received from 137 (71%) of the health authorities. Of these, 127 (67%) sent planning documents, ten wrote saying that their plans were under review and therefore unavailable, or “meaningless”. Strategies were sent dated 1983 (2), 1984/5 (63), 1986 (11) and 1987/8 (45). Planning reports and Short Term Programmes were also sent which meant that four (3%) provided information updated to 1988, 74 (58%) to 1987, 16 (13%) to 1986, 17 (13%) to 1985, 15 (12%) to 1984, with one giving details relating to 1983 only.

scholarly journals Alternatives to standard acute in-patient care in England: short-term clinical outcomes and cost-effectiveness

2010 ◽  
Vol 197 (S53) ◽  
pp. s14-s19 ◽  
Author(s):  
M. Slade ◽  
S. Byford ◽  
B. Barrett ◽  
B. Lloyd-Evans ◽  
H. Gilburt ◽  
...  
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Mental Health Services ◽  
Health Services ◽  
Global Assessment ◽  
Subjective Experience ◽  
Global Assessment Of Functioning ◽  
Short Term ◽  
Clear Cut ◽  
Threshold Assessment

BackgroundOutcomes following admission to residential alternatives to standard in-patient mental health services are underresearched.AimsTo explore short-term outcomes and costs of admission to alternative and standard services.MethodHealth of the Nation Outcome Scales (HoNOS), Threshold Assessment Grid (TAG), Global Assessment of Functioning (GAF) and admission cost data were collected for six alternative services and six standard services.ResultsAll outcomes improved during admission for both types of service (n = 433). Adjusted improvement was greater for standard services in scores on HoNOS (difference 1.99, 95% CI 1.12–2.86), TAG (difference 1.40, 95% CI 0.39–2.51) and GAF functioning (difference 4.15, 95% CI 1.08–7.22) but not GAF symptoms. Admissions to alternatives were 20.6 days shorter, and hence cheaper (UK£3832v. £9850). Standard services cost an additional £2939 per unit HoNOS improvement.ConclusionsThe absence of clear-cut advantage for either type of service highlights the importance of the subjective experience and longer-term costs.

scholarly journals Are specialist psychiatric services losing the PbR race?: commentary on… clustering in mental health payment by results

2014 ◽  
Vol 20 (4) ◽  
pp. 235-236
Author(s):  
Vishwa Radhakrishnan
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Mental Health Services ◽  
Health Services ◽  
Healthcare Services ◽  
Psychiatric Services ◽  
Short Term ◽  
Specialist Services ◽  
Health Payment

SummaryPayment by results (PbR) is a payment platform for healthcare services. Introduced to acute physical healthcare services in England in 2003–2004, the system has continued to expand and is currently being implemented in acute mental health services. Owing to the variations and complexities of the patients who access specialist psychiatric services, existing clusters do not always accurately capture their needs. The development of PbR tools specific to psychiatric subspecialties is ongoing, but might not be available in the short term. The funding of acute mental health services through PbR might have funding implications for specialist services such as psychiatry of intellectual disability.

Exploration of Aggression/Violence Among Adult Patients Admitted for Short-term, Acute-care Mental Health Services

2018 ◽  
Vol 32 (2) ◽  
pp. 215-223 ◽  
Author(s):  
Ellen Giarelli ◽  
Romy Nocera ◽  
Michael Jobes ◽  
Carol Boylan ◽  
Jen Lopez ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Acute Care ◽  
Adult Patients ◽  
Short Term

scholarly journals NHS links: achievements of a scheme between one London mental health trust and Uganda

2009 ◽  
Vol 33 (7) ◽  
pp. 265-269 ◽  
Author(s):  
Dave Baillie ◽  
Jed Boardman ◽  
Tom Onen ◽  
Cerdic Hall ◽  
Maia Gedde ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Short Term ◽  
Middle Income ◽  
Middle Income Countries ◽  
Educational Partnership ◽  
The Uk ◽  
Health Trust ◽  
Low And Middle Income

SummaryThis paper describes a link between a mental health trust (the East London Foundation Trust (ELFT)) in the UK and mental health services in Uganda which has developed since 2004. the aim of the link was to help support the development of mental health services in Uganda by establishing an educational partnership. During the first 3 years, nine staff from ELFT and nine staff from Butabika, from a variety of disciplines, have made short-term exchange visits. Evaluation of the link has demonstrated that benefits have been experienced in both London and Uganda. Such links can provide one way of strategically supporting and strengthening existing health services in low- and middle-income countries.

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