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Integrated mental health, collaborative care

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https://www.readbyqxmd.com/read/29117426/get-on-board-realizing-full-partnerships-in-health-care
#1
Jake Creviston, Michael Polacek
Psychiatric-mental health nurses (PMHNs) have a strong leadership history, but challenges (e.g., subordinate roles to physicians) to presenting a professional persona have made it difficult to actualize nursing leadership and realize full partnership in health care reform. Physicians outnumber nurses approximately four to one on hospital and other boards, and data suggest this gap is widening. Time, preparation, desire to serve, lack of a unified voice, and being viewed as employees versus professionals are barriers to optimal nursing leadership...
November 8, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29116022/enhancing-mental-and-physical-health-of-women-through-engagement-and-retention-empower-a-protocol-for-a-program-of-research
#2
Alison B Hamilton, Melissa M Farmer, Tannaz Moin, Erin P Finley, Ariel J Lang, Sabine M Oishi, Alexis K Huynh, Jessica Zuchowski, Sally G Haskell, Bevanne Bean-Mayberry
BACKGROUND: The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women's Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women's Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation...
November 7, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29106512/interventions-and-approaches-to-integrating-hiv-and-mental-health-services-a-systematic-review
#3
Fiona Leh Hoon Chuah, Victoria Elizabeth Haldane, Francisco Cervero-Liceras, Suan Ee Ong, Louise A Sigfrid, Georgina Murphy, Nicola Watt, Dina Balabanova, Sue Hogarth, Will Maimaris, Laura Otero, Kent Buse, Martin McKee, Peter Piot, Pablo Perel, Helena Legido-Quigley
Background: The frequency in which HIV and AIDS and mental health problems co-exist, and the complex bi-directional relationship between them, highlights the need for effective care models combining services for HIV and mental health. Here, we present a systematic review that synthesizes the literature on interventions and approaches integrating these services. Methods: This review was part of a larger systematic review on integration of services for HIV and non-communicable diseases...
July 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29104848/cultural-adaptation-of-an-evidence-informed-psychosocial-intervention-to-address-the-needs-of-phiv-youth-in-thailand
#4
Gisselle Pardo, Chutima Saisaengjan, Priya Gopalan, Jintanat Ananworanich, Sudrak Lakhonpon, Danielle Friedman Nestadt, Torsak Bunupuradah, Claude Ann Mellins, Mary McKernan McKay
Globally, pediatric HIV has largely become an adolescent epidemic. Thailand has the highest HIV prevalence in Asia (1.2%), with more than 14,000 children living with HIV. There is growing demand for evidence-based psychosocial interventions for this population that include health and mental health support and sexual risk reduction, which can be integrated into HIV care systems. To address this need, a multidisciplinary team of Thai and US researchers adapted an existing evidence-informed, family-based intervention, The Collaborative HIV Prevention and Adolescent Mental Health Program + (CHAMP+), which has been tested in multiple global trials...
2017: Global Social Welfare: Research, Policy & Practice
https://www.readbyqxmd.com/read/29095057/high-inpatient-utilization-among-veterans-health-administration-patients-with-substance-use-disorders-and-co-occurring-mental-health-conditions
#5
Janelle M Painter, Carol A Malte, Anna D Rubinsky, Timothy R Campellone, Amanda K Gilmore, John S Baer, Eric J Hawkins
BACKGROUND: Substance-use disorders (SUDs) are common and costly conditions. Understanding high inpatient utilization (HIU) among patients with SUD can inform the development of treatment approaches designed to reduce healthcare expenditures and improve service quality. OBJECTIVES: To examine the prevalence, type, and predictors of HIU among patients with SUD and co-occurring mental health conditions. METHODS: Service utilization and demographic and clinical variables were extracted from a national sample of Veterans Health Administration (VA) patients with SUD-only [n = 148,960 (98...
November 2, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/29083536/bipolar-disorder-in-pregnancy-a-review-of-pregnancy-outcomes
#6
REVIEW
Debra A Scrandis
INTRODUCTION: Women with bipolar disorder may benefit from continuation of their medications during pregnancy, but there may be risks to the fetus associated with some of these medications. This article examines the evidence relating to the effect of bipolar disorder and pharmacologic treatments for bipolar disorder on pregnancy outcomes. METHODS: MEDLINE, CINAHL, ProQuest Dissertation & Theses, and the Cochrane Database of Systematic Reviews were searched for English-language studies published between 2000 and 2017, excluding case reports and integrative reviews...
October 30, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29078987/collaborative-care-and-related-interventions-in-patients-with-heart-disease-an-update-and-new-directions
#7
REVIEW
Jeff C Huffman, Caitlin N Adams, Christopher M Celano
BACKGROUND: Psychiatric disorders, such as depression, are very common in cardiac patients and are independently linked to adverse cardiac outcomes, including mortality. Collaborative care and other integrated care models have been used successfully to manage psychiatric conditions in patients with heart disease, with beneficial effects on function and other outcomes. Novel programs using remote delivery of mental health interventions and promotion of psychological well-being may play an increasingly large role in supporting cardiovascular health...
September 18, 2017: Psychosomatics
https://www.readbyqxmd.com/read/29075683/lessons-from-the-deployment-of-the-spirit-app-to-support-collaborative-care-for-rural-patients-with-complex-psychiatric-conditions
#8
Amy M Bauer, Sarah Hodsdon, Suzanne Hunter, Youlim Choi, Jared Bechtel, John C Fortney
We report the design and deployment of a mobile health system for patients receiving primary care-based mental health services (Collaborative Care) for post-traumatic stress disorder and/or bipolar disorder in rural health centers. Here we describe the clinical model, our participatory approach to designing and deploying the mobile system, and describe the final system. We focus on the integration of the system into providers' clinical workflow and patient registry system. We present lessons learned about the technical and training requirements for integration into practice that can inform future efforts to incorporate health technologies to improve care for patients with psychiatric conditions...
September 2017: Proceedings of the ACM International Conference on Ubiquitous Computing
https://www.readbyqxmd.com/read/29067899/mental-health-care-for-adult-refugees-in-high-income-countries
#9
D Giacco, S Priebe
Approximately one-third of people who have obtained refugee status live in high-income countries. Over recent years, the number of refugees has been increasing, and there are questions on how many of them need mental health care and which type of interventions are beneficial. Meta-analyses showed highly variable rates of mental disorders in adult refugees. This variability is likely to reflect both real differences between groups and contexts, and methodological inconsistencies across studies. Overall prevalence rates after resettlement are similar to those in host populations...
October 25, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29062530/-hitting-the-spot-developing-individuals-with-lived-experience-of-health-and-social-care-as-facilitators-to-deliver-a-course-to-enhance-public-involvement-in-research-a-welsh-perspective
#10
Alan Meudell, Sian Jones, Natalie Simon, Zoe Hunter, Barbara Moore, Jim Elliott, Dawn Casey
PLAIN ENGLISH SUMMARY: Public involvement in research has become an important and integral part of the research process in health and social care, from the early stages of research prioritisation and development to the later stages of research conduct and dissemination. Learning and development opportunities, including training, can assist the public and researchers in working together in the research process, and a training schedule exists in Wales for this purpose. One of the key components of this training schedule in Wales is the course Involving the Public in the Design and Conduct of Research: Building Research Partnerships...
2017: Res Involv Engagem
https://www.readbyqxmd.com/read/29056982/perception-of-interprofessional-collaboration-and-co-location-of-specialists-and-primary-care-teams-in-youth-mental-health
#11
Cécile Rousseau, Annie Pontbriand, Lucie Nadeau, Janique Johnson-Lafleur
OBJECTIVES: Interprofessional collaboration is a cornerstone of youth mental health collaborative care models. This article presents quantitative results from a mixed-methods study. It analyses the organizational predictors of the perception of interprofessional collaboration of professionals comparing two models of services within recently constituted youth mental health collaborative care teams. METHODS: Professionals (n=104) belonging to six health and social services institutions completed an online survey measuring their perceptions of interprofessional collaboration through a validated questionnaire, the PINCOM-Q...
2017: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29025818/mental-health-and-addictions-capacity-building-for-community-health-centres-in-ontario
#12
Akwatu Khenti, Fiona C Thomas, Sirad Mohamoud, Pablo Diaz, Oriana Vaccarino, Kate Dunbar, Jaime C Sapag
PROBLEM ADDRESSED: In recent years, there has been increased recognition in Canada of the need to strengthen mental health services in primary health care (PHC). Collaborative models, including partnerships between PHC and specialized mental health care providers, have emerged as effective ways for improving access to mental health care and strengthening clinical capacity. Primary health care physicians and other health professionals are well positioned to facilitate the early detection of mental disorders and provide appropriate treatment and follow-up care, helping to tackle stigma toward mental health problems in the process...
October 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29017488/understanding-collaborative-care-implementation-in-the-department-of-veterans-affairs-core-functions-and-implementation-challenges
#13
Jessica M Lipschitz, Justin K Benzer, Christopher Miller, Siena R Easley, Jenniffer Leyson, Edward P Post, James F Burgess
BACKGROUND: The collaborative care model is an evidence-based practice for treatment of depression in which designated care managers provide clinical services, often by telephone. However, the collaborative care model is infrequently adopted in the Department of Veterans Affairs (VA). Almost all VA medical centers have adopted a co-located or embedded approach to integrating mental health care for primary care patients. Some VA medical centers have also adopted a telephone-based collaborative care model where depression care managers support patient education, patient activation, and monitoring of adherence and progress over time...
October 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28974105/variables-associated-with-perceived-work-role-performance-among-professionals-in-multidisciplinary-mental-health-teams-overall-and-in-primary-care-and-specialized-service-teams-respectively
#14
Marie-Josée Fleury, Guy Grenier, Jean-Marie Bamvita, François Chiocchio
This study had a dual purpose (1) to identify variables associated with perceived work role performance (WRP) among 315 mental health professionals (MHPs) in Quebec and (2) to compare variables related to WRP in MH primary care teams (PCTs) and specialized service teams (SSTs), respectively. WRP was measured using an adapted version of the work role questionnaire. Variables were organized within five areas: individual characteristics, perceived team attributes, perceived team processes, perceived team emergent states, and geographical and organizational context...
January 1, 2017: Evaluation & the Health Professions
https://www.readbyqxmd.com/read/28966902/mental-health-in-allergic-rhinitis-depression-and-suicidal-behavior
#15
Ameya U Amritwar, Christopher A Lowry, Lisa A Brenner, Andrew J Hoisington, Robert Hamilton, John W Stiller, Teodor T Postolache
A high proportion of suicides visit their medical provider in the month prior to death, but depression, suicidal thoughts, and substance use are seldom addressed. For the clinicians routinely treating a substantial patient population with allergic diseases, there are additional concerns, as allergy has been linked with both depression and suicidal behavior. While psychotropic medications may affect diagnosis of allergies, medications used to treat allergies impact mood and behavior. Thus, we present an overview of the overlap of allergic rhinitis with depression and suicidal behavior in adults, based on clinical and epidemiological data, and our research and clinical experience...
March 2017: Current Treatment Options in Allergy
https://www.readbyqxmd.com/read/28965319/digitally-driven-integrated-primary-care-and-behavioral-health-how-technology-can-expand-access-to-effective-treatment
#16
REVIEW
Lori Raney, David Bergman, John Torous, Michael Hasselberg
PURPOSE OF REVIEW: Widespread implementation of integrated primary care and behavioral health is possible, but workforce shortages, competencies to deliver evidence-based approaches, and sufficient reimbursement are lacking. There are numerous telehealth solutions that could be utilized to assist with integration efforts that have the potential to be successfully used alone or in combination. This will require that the developers of such technologies understand the current evidence base for effective integration efforts and apply this knowledge to new solutions...
September 30, 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28961647/four-states-four-projects-one-mission-collectively-enhancing-mental-and-behavioral-health-capacity-throughout-the-gulf-coast
#17
Jennifer Langhinrichsen-Rohling, Howard Osofsky, Joy Osofsky, Glenn Rohrer, Timothy Rehner
CONTEXT: The 2010 Deepwater Horizon oil spill triggered numerous concerns regarding the health and well-being of citizens within the already vulnerable Gulf Coast region. Four Mental and Behavioral Health Capacity Projects (MBHCPs) united to form the Quad-State MBHCP component of the Gulf Region Health Outreach Program (GRHOP). Their shared mission was to increase mental and behavioral health (MBH) capacity within coastal counties of Louisiana, Mississippi, Alabama, and the Florida Panhandle...
November 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28940229/patient-participation-in-mental-health-care-perspectives-of-healthcare-professionals-an-integrative-review
#18
REVIEW
Kim Jørgensen, Jacob Dahl Rendtorff
BACKGROUND: In contemporary Western liberal society, patient participation has become a key goal in psychiatric healthcare treatment. Health professionals must encourage patients to play an active and involved part in their treatment. According to Danish health law, patients have the right to participate in their treatment, and the mental health system therefore needs to be reformed in order to ensure that treatment is based on individual, liberal, values. However, patient participation is not clearly defined, and it is therefore a challenge to transfer it to clinical practice...
September 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28916018/essential-elements-of-a-collaborative-mental-health-training-program-for-primary-care
#19
REVIEW
Lisa L Giles, D Richard Martini
Mental health integration in primary care is based on creating an environment that encourages collaboration and supports appropriate care for patients and families while offering a full range of services. Training programs for primary care practitioners should include sessions on how to build and maintain such a practice along with information on basic mental health competencies.
October 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28916006/using-effective-public-private-collaboration-to-advance-integrated-care
#20
REVIEW
Lee S Beers, Leandra Godoy, Matthew G Biel
Integrated mental health services within health care settings have many benefits; however, several key barriers pose challenges to fully implemented and coordinated care. Collaborative, multistakeholder efforts, such as health networks, have the potential to overcome prevalent obstacles and to accelerate the dissemination of innovative clinical strategies. In addition to engaging clinical experts, efforts should also include the perspectives of families and communities, a grounding in data and evaluation, and a focus on policy and advocacy...
October 2017: Child and Adolescent Psychiatric Clinics of North America
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