Proposition 63 and the Future of Mental Health Funding in California: Understanding Successes and Challenges: Prevention and Early Intervention

10.7249/ct519 ◽  
2019 ◽  
Author(s):  
Nicole Eberhart
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Mental Health Funding ◽  
Health Funding ◽  
The Future ◽  
Successes And Challenges

scholarly journals A Novel Landscape for Understanding Physical and Mental Health: Body Mapping Research with Youth Experiencing Psychosis

2018 ◽  
Vol 3 (2) ◽  
pp. 236-261 ◽  
Author(s):  
Katherine M. Boydell ◽  
Jeffrey Ball ◽  
Jackie Curtis ◽  
Adèle De Jager ◽  
Megan Kalucy ◽  
...  
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Young People ◽  
Physical Health ◽  
Social Issues ◽  
The Body ◽  
First Episode ◽  
Physical And Mental Health ◽  
Body Mapping ◽  
The Future

Estimates indicate the lifespan of individuals with psychotic illness is reduced by approximately 15-20 years. Consequently there is a need to address the physical health of those who live with a mental illness, like psychosis. The Bondi Centre provides an integrated model of care to young people with a first episode of psychosis. The Keeping the Body In Mind program focuses on prevention and early intervention of physical health issues and is offered alongside treatment for mental health and social issues as part of routine care. We used body mapping, an arts-based research method, to explore the complexity of this physical health intervention. Our aim was to develop an in-depth understanding of experiences of young clients of the early intervention centre, with a particular focus on the embodied relationship between physical and mental health. Six young people engaged in creating life-sized body maps depicting their experience of the physical intervention program over four 3-hour sessions, followed by an in-depth interview. Analysis of our body maps drew on thematic analysis and narrative inquiry. The narrative trope was one of recovery, highlighting the importance of the link between body and mind, individual and community, and the balance between light and darkness. There was an emphasis on developing feelings of connectedness (to self and others), hope and optimism for the future, a sense of having an identity, and a sense of meaning and empowerment. Recovery was conceptualised as an ongoing process rather than an end product or fixed state. Involvement in the body mapping process was consistently identified as therapeutic, offering an opportunity for reflection on the journey to recovery with a focus on past, present and imagined storylines of the future. 

Lessons Learned: The Evaluation of a Drug Education Program

1982 ◽  
Vol 12 (2) ◽  
pp. 181-190 ◽  
Author(s):  
David Royse ◽  
Stephen Keller ◽  
James L. Schwartz
Keyword(s):  
Mental Health ◽  
Data Analysis ◽  
Education Program ◽  
Lessons Learned ◽  
Drug Education ◽  
Education Programs ◽  
Instrument Selection ◽  
Mental Health Funding ◽  
Health Funding ◽  
Funding Body

In an evaluation of a mass drug education program involving over 1,000 students, a mental health funding body in southwestern Ohio learned a number of lessons which should prove useful to anyone engaging in, or planning to engage in, evaluations of drug education programs. Problems such as instrument selection, logistical constraints and data analysis are discussed. Suggestions are given as to how the present study could have been improved and recommendations for future evaluations are made.

VA Mental Health Funding

JAMA ◽  
2007 ◽  
Vol 297 (2) ◽  
pp. 146
Author(s):  
Mike Mitka
Keyword(s):  
Mental Health ◽  
Mental Health Funding ◽  
Health Funding

scholarly journals Funding Growth and Service Match: Doing More of the Same, or Doing Things Better?

2010 ◽  
Vol 29 (S5) ◽  
pp. 97-109 ◽  
Author(s):  
Heather Stuart ◽  
Terry Krupa ◽  
Michelle Koller
Keyword(s):  
Mental Health ◽  
Systematic Approach ◽  
Care Service ◽  
Level Of Care ◽  
Service Access ◽  
Care Planning ◽  
Mental Health Funding ◽  
Health Funding ◽  
Before And After ◽  
Repeated Samples

We evaluated service access and match in Southeastern Ontario following community mental health funding increases using repeated samples drawn before and after the enhancements. Access to care increased by an estimated 12% (350 clients) between 2001 and 2006, but only about a third of clients were appropriately matched to their needed level of care. Service match increased slightly after the funding increases, but changes were non-statistically significant. Almost half of the clients remained underserviced and 20% were overserviced, suggesting that a more targeted and systematic approach to care planning is necessary to shift systemwide resources to client groups who are in the greatest need.

scholarly journals Barriers and Drivers to Stakeholder Engagement in Global Mental Health Projects

2020 ◽  
Author(s):  
Jill Murphy ◽  
Onaiza Qureshi ◽  
Tarik Endale ◽  
Georgina Miguel Esponda ◽  
Soumitra Pathare ◽  
...  
Keyword(s):  
Mental Health ◽  
Stakeholder Engagement ◽  
Global Mental Health ◽  
Scale Up ◽  
Health Interventions ◽  
Successful Implementation ◽  
Effective Implementation ◽  
Mental Health Funding ◽  
Health Funding ◽  
Mental Health Interventions

Abstract Background: Engagement with diverse stakeholders, including policy makers, care providers and end users, is essential for successful implementation of global mental health interventions. Despite being a fundamental factor in the implementation process, evidence about challenges and drivers to stakeholder engagement is limited in the global mental health literature. Methods: We conducted semi-structured qualitative interviews with n=29 recipients of global Grand Challenges Canada Global Mental Health funding to assess barriers and drivers to global mental health implementation across a portfolio of Grand Challenges Canada-funded projects. We used framework analysis to identify key themes related to implementation barriers and facilitators. This paper reports on barriers and facilitators to stakeholder engagement, with results related to capacity development and service delivery reported elsewhere in this volume. Results: Barriers and drivers to stakeholder engagement were identified across four themes: 1) Contextual Considerations, 2) Resources, 3) Participation, Uptake and Empowerment, and 3) Stigma. While complex contextual challenges create barriers, mechanisms such as formative research can facilitate a deeper contextual understanding that supports effective implementation planning. Limited financial and human resources and competing priorities can lead to substantial challenges. Investing in and leveraging existing local resources and expertise can help to mitigate these barriers. The challenge of achieving active participation from stakeholders and diverging expectations about the nature of participation were identified as barriers, while providing opportunities for meaningful participation and empowerment acted as facilitators. Stigma at the institutional and individual level was also identified as a substantial barrier to engagement. Conclusion: Stakeholder engagement is critical to successful implementation of global mental health interventions, particularly for promoting scale-up and sustainability. The findings of this study are relevant to implementors in global mental health. They also have implications for global mental health funding agencies and policy organizations, who can support improved stakeholder engagement in several ways. Investing in high-quality formative research, supporting capacity building in methods such as integrated knowledge translation and participatory priority-setting, investing in longer-term funding schemes to support sustainable partnerships and scale-up and supporting researchers to build skills in policy engagement would help to foster successful engagement and thus support effective implementation of global mental health innovations.

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