scholarly journals Community-based free clinics: opportunities for interprofessional collaboration, health promotion, and complex care management

2016 ◽  
Vol 30 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Martha A. Kaeser ◽  
Cheryl Hawk ◽  
Michelle L. Anderson ◽  
Richard Reinhardt
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Health Professional ◽  
Mental Health Professional ◽  
Pain Medication ◽  
Self Report ◽  
Full Time ◽  
Diverse Populations ◽  
Community Based ◽  
Cross Sectional

Objective: Free or outreach clinics offer students the opportunity to work with diverse patient populations. The objective of this study was to describe the demographics and clinical characteristics of a sample of chiropractic patients at a free community-based clinic to assess clinical and educational opportunities for students to work with diverse populations, collaborate with other professions and practice health promotion through patient education. Methods: This was a prospective, descriptive cross-sectional study conducted over 2 months. Data on demographics, health status, and health risks were collected from patients and their interns. Results: Of the 158 patients, 50.6% were women and 50.6% African-American, while only 20.9% were employed full-time. Of the 24.7% tobacco users, 48.7% expressed interest in cessation. Of 80.0% overweight or obese patients, 48.8% expressed interest in weight loss. By self-report, 16.5% were diabetic, 10.1% took hypertension medication, 36.7% used prescription pain medication (9.4% opiate use), 33.5% used nonprescription pain medication, and 9.4% were under the care of a mental health professional. Conclusion: This patient population is demographically diverse. A high proportion of patients who used tobacco, or were overweight or obese expressed interest in information on those topics. A substantial proportion reported being under care with a mental health professional. This clinic provides opportunities for students to work with diverse populations, collaborate with other professions, and practice health promotion.

scholarly journals Association between food insecurity and access to a mental health professional: cross-sectional analysis of NHANES 2007–2014

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Camille Burruss ◽  
Marina Girgis ◽  
Karen Elizabeth Green ◽  
Lingyi Lu ◽  
Deepak Palakshappa
Keyword(s):  
Mental Health ◽  
Health Professional ◽  
Food Insecurity ◽  
Mental Health Professional ◽  
The United States ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The Past ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

Abstract Background To determine if individuals with food insecurity (FI) were less likely to have seen a mental health professional (MHP) within the past year than individuals without FI. Methods This is a cross-sectional analysis of data from the National Health and Nutrition Examination Survey (NHANES) conducted in the United States between 2007 and 2014. All participants 20 years of age or older were eligible for this study. We excluded participants who were pregnant, missing FI data, or missing data from the Patient Health Questionnaire (PHQ-9). The primary outcome was self-reported contact with a MHP in the past 12 months. We used multivariable logistic regression models to test the association between FI and contact with a MHP, controlling for all demographic and clinical covariates. Results Of the 19,789 participants, 13.9% were food insecure and 8.1% had major depressive disorder (MDD). In bivariate analysis, participants with FI were significantly more likely to have MDD (5.3% vs 2.8%, p < 0.0001) and to have been seen by a MHP in the preceding 12 months (14.0% vs 6.9%, p < 0.0001). In multivariable models, adults with FI had higher odds of having seen a MHP (OR = 1.32, CI: 1.07, 1.64). Conclusions This study demonstrates that individuals with FI were significantly more likely to have seen a MHP in the preceding 12 months compared to individuals without FI. Given the growing interest in addressing unmet social needs in healthcare settings, this data suggests that visits with MHPs may be a valuable opportunity to screen for and intervene on FI.

scholarly journals ReCAP: Would Women With Breast Cancer Prefer to Receive an Antidepressant for Anxiety or Depression From Their Oncologist?

2016 ◽  
Vol 12 (2) ◽  
pp. 172-174 ◽  
Author(s):  
Daniel C. McFarland ◽  
Megan Johnson Shen ◽  
Kirk Harris ◽  
John Mandeli ◽  
Amy Tiersten ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Health Professional ◽  
Mental Health Professional ◽  
Antidepressant Medication ◽  
Self Report ◽  
Mental Health Provider ◽  
Anxiety And Depression ◽  
Pharmacologic Treatment ◽  
Mental Health Referral

QUESTIONS ASKED: Preferences of patients with breast cancer for provider-specific pharmacologic management of anxiety and depression are unknown. Use of patient-guided treatment preferences for the treatment of depression and anxiety are known to improve adherence and treatment outcomes in primary care settings, but these preferences are not known in women with breast cancer. This may be especially true shortly after the patient receives a diagnosis of cancer and is most psychologically symptomatic, yet committed to following through with her oncologic care. Do breast cancer patients have preferences regarding having their anxiety and depression assessed and treated by their oncologists versus being cared for by a psychiatrist or mental health provider? SUMMARY ANSWER: The majority of patients accepted antidepressant prescribing by their oncologist; only a minority preferred treatment by a mental health professional. These findings are consistent with previous data from medically ill patients that demonstrated a preference for medical providers to address and treat their depression or anxiety. Twenty percent of participants would not want any treatment. Patients who met depression criteria were less likely to prefer a mental health referral. Patients who were already taking an antidepressant or demonstrated higher levels of chronic stress were more likely to prefer a mental health referral. METHODS: Patients with breast cancer (stages 0-IV) were asked two questions: (1) “Would you be willing to have your oncologist treat your depression or anxiety with an antidepressant medication if you were to become depressed or anxious at any point during your treatment?” and (2) “Would you prefer to be treated by a psychiatrist or mental health professional for problems with either anxiety or depression?” In addition, the Distress Thermometer and Problem List, Hospital Anxiety and Depression Scale, Risky Families Questionnaire, and demographic information were assessed. BIAS, CONFOUNDING FACTORS, DRAWBACKS: This was a survey of only women who were asked to self-report hypothetical preferences. Although minimal differences were noted for the 16.8% of participants who were already taking an antidepressant medication, it is not clear how they might have interpreted the questions in a more realistic setting. REAL-LIFE IMPLICATIONS: These findings suggest a benefit for promoting education of oncologists to assess psychological symptoms and manage anxiety and depression as a routine part of an outpatient visit. It highlights a fertile opportunity for oncologists to integrate mental health treatment for their patients by beginning pharmacologic treatment, discussing their anxiety or depressive symptoms, and initiating or comanaging pharmacologic treatment of anxiety or depression. Early recognition and management of distress, anxiety, and depression would limit the delay in obtaining appropriate treatment, especially during the first year after a cancer diagnosis when patients are most symptomatic and have many difficult treatment decisions to make. The oncologist’s use of antidepressant medications to treat anxiety and depression may benefit patients most by following guidelines. A collaborative care model offers one potential solution that could establish ownership, expand resources, disseminate knowledge, and provide a system of integration for mental health and oncology providers. [Table: see text]

scholarly journals The Association between Recent Cannabis Use and Suicidal Ideation in Adults: A Population-based Analysis of the NHANES from 2005 to 2018: L’association Entre L’utilisation Récente de Cannabis et L’idéation Suicidaire Chez les Adultes: Une Analyse Dans la Population de la NHANES de 2005 à 2018

2021 ◽  
pp. 070674372199611
Author(s):  
Calvin Diep ◽  
Venkat Bhat ◽  
Duminda N. Wijeysundera ◽  
Hance A. Clarke ◽  
Karim S. Ladha
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Health Professional ◽  
Mental Health Professional ◽  
Cannabis Use ◽  
Future Research ◽  
Medical Cannabis ◽  
Cross Sectional ◽  
Data Set ◽  
The Past

Objective: With the increasing prevalence of cannabis use, there is a growing concern about its association with depression and suicidality. The aim of this study was to examine the relationship between recent cannabis use and suicidal ideation using a nationally representative data set. Methods: A cross-sectional analysis of adults was undertaken using National Health and Nutrition Examination Survey data from 2005 to 2018. Participants were dichotomized by whether or not they had used cannabis in the past 30 days. The primary outcome was suicidal ideation, and secondary outcomes were depression and having recently seen a mental health professional. Multiple logistic regression was used to adjust for potential confounders, and survey sample weights were considered in the model. Results: Compared to those with no recent use ( n = 18,599), recent users ( n = 3,127) were more likely to have experienced suicidal ideation in the past 2 weeks (adjusted odds ratio [aOR] 1.54, 95% CI, 1.19 to 2.00, P = 0.001), be depressed (aOR 1.53, 95% CI, 1.29 to 1.82, P < 0.001), and to have seen a mental health professional in the past 12 months (aOR 1.28, 95% CI, 1.04 to 1.59, P = 0.023). Conclusions: Cannabis use in the past 30 days was associated with suicidal thinking and depression in adults. This relationship is likely multifactorial but highlights the need for specific guidelines and policies for the prescription of medical cannabis for psychiatric therapy. Future research should continue to characterize the health effects of cannabis use in the general population.

Counselors’ Role in Decreasing Suicide in Mental Health Professional Shortage Areas in the United States

2020 ◽  
Vol 42 (2) ◽  
pp. 170-186
Author(s):  
Kaprea F. Johnson ◽  
Dana L. Brookover
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Professional ◽  
Mental Health Professional ◽  
Health Resources ◽  
State Level ◽  
The United States ◽  
Professional Counselors ◽  
Cross Sectional ◽  
Adverse Health Outcomes

A mental health professional shortage area (MHPSA) is an area lacking psychiatrists as designated by the Health Resources and Services Administration. Prior research found the lack of psychiatrists can be directly related to adverse health outcomes. The current investigation focused on the United States by state level and the relationship between MHPSAs, suicide rates, and access to professional counselors. Results from a cross-sectional analysis found MHPSAs were highly correlated with suicide deaths. There was a significant inverse relationship between number of professional counselors in an area and suicide deaths, and being uninsured was highly related to MHPSA and suicide. The results support the need for access to professional counselors. Policies incentivizing professional counselors to work in MHPSAs are needed because of their potential role in minimizing suicide deaths.

scholarly journals Users’ choice and change of allocated primary mental health professional in community-based mental health services: A scoping review

2020 ◽  
Vol 66 (4) ◽  
pp. 373-381 ◽  
Author(s):  
Giulia Rioli ◽  
Silvia Ferrari ◽  
Claire Henderson ◽  
Riccardo Vandelli ◽  
Giacomo Galli ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Professional ◽  
Scoping Review ◽  
Mental Health Professional ◽  
Community Mental Health Services ◽  
Cochrane Library ◽  
Community Based ◽  
The Relationship

Background: The recovery model in mental health care emphasizes users’ right to be involved in key decisions of their care, including choice of one’s primary mental health professional (PMHP). Aims: The aim of this article was to provide a scoping review of the literature on the topic of users’ choice, request of change and preferences for the PMHP in community mental health services. Method: A search of the PubMed, Cochrane Library, Web of Science and PsycINFO for papers in English was performed. Additional relevant research articles were identified through the authors’ personal bibliography. Results: A total of 2,774 articles were screened and 38 papers were finally included. Four main aspects emerged: (1) the importance, for users, to be involved in the choice of their PMHP; (2) the importance, for users, of the continuity of care in the relationship with their PMHP; (3) factors of the user/PMHP dyad influencing users’ preferences; and (4) the effect of choice on the treatment outcomes. Conclusion: While it is generally agreed that it is important to consider users’ preferences in choosing or requesting to change their PMHP, little research on this topic is available. PMHPs’ and other stakeholders’ views should also be explored in order to discuss ethical and practical issues.

The Law and the Mental Health Professional

1984 ◽  
Vol 29 (9) ◽  
pp. 701-702
Author(s):  
R. Matthew Reese ◽  
Jan B. Sheldon
Keyword(s):  
Mental Health ◽  
Health Professional ◽  
Mental Health Professional ◽  
The Law
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