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Collaborative mental health care

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https://www.readbyqxmd.com/read/29332302/preoperative-cognitive-impairment-as-a-predictor-of-postoperative-outcomes-in-a-collaborative-care-model
#1
Kahli Zietlow, Shelley R McDonald, Richard Sloane, Jeffrey Browndyke, Sandhya Lagoo-Deenadayalan, Mitchell T Heflin
OBJECTIVES: To compare postoperative outcomes of individuals with and without cognitive impairment enrolled in the Perioperative Optimization of Senior Health (POSH) program at Duke University, a comanagement model involving surgery, anesthesia, and geriatrics. DESIGN: Retrospective analysis of individuals enrolled in a quality improvement program. SETTING: Tertiary academic center. PARTICIPANTS: Older adults undergoing surgery and referred to POSH (N = 157)...
January 13, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29328357/sensitizing-inpatient-mental-health-staff-to-the-challenges-of-aging
#2
Michelle R Zechner, Joseph C Birkmann, Jennifer Sperduto, Carlos Pratt
Although the aging inpatient population in state psychiatric hospitals is growing significantly, there are few examples of available training to improve staff knowledge and practice. The current article describes a 10-week training series developed through a university and psychiatric hospital collaboration. Training was attended by 135 direct care nursing and rehabilitation staff and focused on improving aging awareness, problem solving, using person-centered therapeutic techniques, and engaging older adults...
January 11, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29327162/explication-of-a-behavioral-health-primary-care-integration-learning-collaborative-and-its-quality-improvement-implications
#3
Martha Okafor, Victor Ede, Rosemary Kinuthia, David Satcher
In an effort to tackle fragmented care in the US healthcare delivery system, we explored the use of learning collaborative (LC) to advance integration of behavioral health and primary care as one of the potential solutions to a holistic approach to the delivery of quality healthcare to individuals with physical and mental illness. How a diverse group of primary care and behavioral health providers formed a Community of Practice (CoP) with a common purpose and shared vision to advance integrated care using a LC approach is described...
January 11, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29322290/psychologists-and-pediatricians-in-the-primary-care-sandbox-communication-is-key-to-cooperative-play
#4
Anne E Pidano, Prerna Arora, Polly Y Gipson, Bradley O Hudson, Kriston B Schellinger
Recent literature, public policy, and funding opportunities call attention to the need for better increased integration of health and mental health care services in primary care settings so as to best meet the needs of children and families. There are many benefits to such integration, but pediatric primary care providers (PCPs) face multiple barriers to identifying and managing patients with mental health difficulties. One way to address this problem is through the integration of psychologists into primary care settings who can collaborate with PCPs to provide integrated behavioral health care to youth and families...
January 10, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29317008/patients-with-advanced-cancer-and-depression-report-a-significantly-higher-symptom-burden-than-non-depressed-patients
#5
Kjersti Støen Grotmol, Hanne C Lie, Jon Håvard Loge, Nina Aass, Dagny Faksvåg Haugen, Patrick C Stone, Stein Kaasa, Marianne Jensen Hjermstad
OBJECTIVE: Clinical observations indicate that patients with advanced cancer and depression report higher symptom burden than nondepressed patients. This is rarely examined empirically. Study aim was to investigate the association between self-reported depression disorder (DD) and symptoms in patients with advanced cancer controlled for prognostic factors. METHOD: The sample included 935 patients, mean age 62, 52% males, from an international multicentre observational study (European Palliative Care Research Collaborative - Computerised Symptom Assessment and Classification of Pain, Depression and Physical Function)...
January 10, 2018: Palliative & Supportive Care
https://www.readbyqxmd.com/read/29310541/family-members-existential-and-moral-dilemmas-with-coercion-in-mental-healthcare
#6
Reidun Norvoll, Marit Helene Hem, Hilde Lindemann
Coercion in mental healthcare does not only affect the patient, but also the patient's families. Using data from interviews with 36 family members of adult and adolescent people with mental health problems and coercion experiences, the present narrative study explores family members' existential and moral dilemmas regarding coercion and the factors influencing these dilemmas. Four major themes are identified: the ambiguity of coercion; struggling to stay connected and establishing collaboration; worries and distress regarding compulsory care; and dilemmas regarding initiating coercion...
January 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29309230/cross-sector-service-use-among-high-health-care-utilizers-in-minnesota-after-medicaid-expansion
#7
Katherine Diaz Vickery, Peter Bodurtha, Tyler N A Winkelman, Courtney Hougham, Ross Owen, Mark S Legler, Erik Erickson, Matthew M Davis
Childless adults in the Medicaid expansion population have complex social and behavioral needs. This study compared the cross-sector involvement of Medicaid expansion enrollees who were high health care utilizers to that of other expansion enrollees in Hennepin County, Minnesota. We examined forty-six months of annualized utilization and cost data for expansion-eligible residents with at least twelve months of enrollment (N = 70,134) across health care, housing, criminal justice, and human service sectors...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29305437/dementia-in-latin-america-assessing-the-present-and-envisioning-the-future
#8
REVIEW
Mario A Parra, Sandra Baez, Ricardo Allegri, Ricardo Nitrini, Francisco Lopera, Andrea Slachevsky, Nilton Custodio, David Lira, Olivier Piguet, Fiona Kumfor, David Huepe, Patricia Cogram, Thomas Bak, Facundo Manes, Agustin Ibanez
The demographic structure of Latin American countries (LAC) is fast approaching that of developing countries, and the predicted prevalence of dementia in the former already exceeds the latter. Dementia has been declared a global challenge, yet regions around the world show differences in both the nature and magnitude of such a challenge. This article provides evidence and insights on barriers which, if overcome, would enable the harmonization of strategies to tackle the dementia challenge in LAC. First, we analyze the lack of available epidemiologic data, the need for standardizing clinical practice and improving physician training, and the existing barriers regarding resources, culture, and stigmas...
January 5, 2018: Neurology
https://www.readbyqxmd.com/read/29297336/engaging-stakeholders-lessons-from-the-use-of-participatory-tools-for-improving-maternal-and-child-care-health-services
#9
Elizabeth Ekirapa-Kiracho, Upasona Ghosh, Rittika Brahmachari, Ligia Paina
BACKGROUND: Effective stakeholder engagement in research and implementation is important for improving the development and implementation of policies and programmes. A varied number of tools have been employed for stakeholder engagement. In this paper, we discuss two participatory methods for engaging with stakeholders - participatory social network analysis (PSNA) and participatory impact pathways analysis (PIPA). Based on our experience, we derive lessons about when and how to apply these tools...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29283611/exploring-attrition-fidelity-and-effectiveness-of-wraparound-services-among-low-income-youth-of-different-racial-backgrounds
#10
Justina Yohannan, John S Carlson, Millie Shepherd, Kim Batsche-McKenzie
INTRODUCTION: Wraparound services (i.e., community-based collaborative care) for children with severe mental health needs have been reported as effective. Yet, no attention has been given to aggregating treatment results across racially and economically diverse groups of youth. While controlling for socioeconomic status (i.e., free/reduced lunch status) this study explored potential racial disparities in response to wraparound services. METHOD: Data from a diverse statewide sample (N = 1,006) of low-income youth (ages 6-18 years) identified as having a serious emotional disturbance were analyzed for differences in wraparound attrition, fidelity, and effectiveness...
December 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29283474/the-work-and-challenges-of-care-managers-in-the-implementation-of-collaborative-care-a-qualitative-study
#11
Gritt Overbeck, Marius Brostrøm Kousgaard, Annette Sofie Davidsen
INTRODUCTION: In collaborative care models for anxiety and depression the care manager (CM), often a mental health nurse, has a key role. However, the work and challenges related to this role remain poorly investigated. AIM: To explore CMs' experiences of their work and the challenges they face when implementing their role in a collaborative care intervention in the Capital Region of Denmark. METHODS: Interviews with eight CMs, a group-interview with five CMs, and a recording of one supervision session were analyzed by thematic analysis...
December 28, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29273612/interprofessional-care-collaboration-for-patients-with-heart-failure
#12
Amanda Boykin, Danielle Wright, Lydia Stevens, Lauren Gardner
PURPOSE: An innovative collaborative care model to improve transitions of care (TOC) for patients with heart failure (HF) is described. SUMMARY: As part of a broad effort by New Hanover Regional Medical Center (NHRMC) to reduce avoidable 30-day hospital readmissions and decrease associated healthcare costs through a team-centered, value-based approach to patient care, an interprofessional team was formed to help reduce hospital readmissions among discharged patients with HF...
January 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29260379/perspectives-on-monitoring-youth-with-ongoing-mental-health-problems-in-primary-health-care-family-physicians-are-out-of-the-loop
#13
Kyleigh E Schraeder, Judith Belle Brown, Graham J Reid
Children's mental health (CMH) problems often recur. Following specialized mental health treatment, youth may require monitoring and follow-up. For these youth, primary health care is highly relevant, as family physicians (FPs) are the only professionals who follow patients across the lifespan. The current study gained multiple perspectives about (1) the role of FPs in caring for youth with ongoing/recurring CMH problems and (2) incorporating routine mental health monitoring into primary health care. A total of 33 interviews were conducted, including 10 youth (aged 12-15) receiving CMH care, 10 parents, 10 CMH providers, and 3 FPs...
December 19, 2017: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/29226789/the-emotional-distress-of-asylum-seekers-in-israel-and-the-characteristics-of-those-seeking-psychiatric-versus-medical-help
#14
Naama Kiat, Rafael Youngmann, Ido Lurie
Israel has become a destination for asylum seekers. Asylum seekers often experience emotional distress, but have limited access to health services and rarely use psychiatric services. This study sought to understand and characterize the use of psychiatric versus medical services by asylum seekers in Israel. We compared the emotional distress, stressful life events and previous treatment consultations of 21 psychiatric service users (PSU) and 55 medical service users (MSU) at the Open Clinic of Physicians for Human Rights in Tel-Aviv...
October 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29218963/mental-health-recovery-a-review-of-the-peer-reviewed-published-literature
#15
Sini Jacob, Ian Munro, Beverley Joan Taylor, Debra Griffiths
The concept of mental health recovery promotes collaborative partnership among consumers, carers and service providers. However views on mental health recovery are less explored among carers and service providers. The aim of this review was to analyse contemporary literature exploring views of mental health consumers, carers and service providers in relation to their understanding of the meaning of mental health recovery and factors influencing mental health recovery. The literature review questions were: How is mental health recovery and factors influencing mental health recovery viewed by consumers, carers and service providers? What are the differences and similarities in those perceptions? How can the outcomes and recommendations inform the Australian mental health practices? A review of the literature used selected electronic databases and specific search terms and supplemented with manual searching...
2017: Collegian: Journal of the Royal College of Nursing, Australia
https://www.readbyqxmd.com/read/29214229/feasibility-trial-of-a-psychoeducational-intervention-for-parents-with-personality-difficulties-the-helping-families-programme
#16
Crispin Day, Jackie Briskman, Mike J Crawford, Lucy Harris, Paul McCrone, Mary McMurran, Paul Moran, Lou Morgan, Stephen Scott, Daniel Stahl, Paul Ramchandani, Timothy Weaver
The Helping Families Programme is a psychoeducational parenting intervention that aims to improve outcomes and engagement for parents affected by clinically significant personality difficulties. This is achieved by working collaboratively with parents to explore ways in which their emotional and relational difficulties impact on parenting and child functioning, and to identify meaningful and realistic goals for change. The intervention is delivered via one-to-one sessions at weekly intervals over a period of 16 weeks...
December 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29206265/students-perceptions-of-the-psychological-well-being-of-a-transgender-client-through-simulation
#17
Cherrill Stockmann, Desiree A Diaz
BACKGROUND: The need to address mental health concerns for transgender clients is imperative. Nursing curricula must prepare students to provide holistic care for individuals within this community. The purpose of this study was to explore undergraduate nursing students' experiences providing mental health care for a transgender client through simulation. METHOD: Focus group interviews were conducted with data analyzed using content analysis. RESULTS: The three categories that emerged were limited experience addressing mental health needs, intervening with client anxiety with the subcategories of prioritizing care and collaboration, and therapeutic nurse-client relationship with the subcategory of therapeutic communication...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29200329/medical-legal-partnerships-at-veterans-affairs-medical-centers-improved-housing-and-psychosocial-outcomes-for-vets
#18
Jack Tsai, Margaret Middleton, Jennifer Villegas, Cindy Johnson, Randye Retkin, Alison Seidman, Scott Sherman, Robert A Rosenheck
Medical-legal partnerships-collaborations between legal professionals and health care providers that help patients address civil legal problems that can affect health and well-being-have been implemented at several Veterans Affairs (VA) medical centers to serve homeless and low-income veterans with mental illness. We describe the outcomes of veterans who accessed legal services at four partnership sites in Connecticut and New York in the period 2014-16. The partnerships served 950 veterans, who collectively had 1,384 legal issues; on average, the issues took 5...
December 2017: Health Affairs
https://www.readbyqxmd.com/read/29199842/a-preliminary-survey-of-pediatricians-experiences-with-and-preferences-for-communication-with-mental-health-specialists
#19
Duncan G Campbell, Andrew Downs, William J Meyer, Megan M McKittrick, Nicole M Simard, Patricia O'Brien
INTRODUCTION: Pediatricians are more likely than mental health (MH) specialists to manage children's MH concerns, and multiple factors complicate their abilities to do so adequately. Integrated care initiatives mitigate systems-related shortcomings that hamstring MH management in primary care. These initiatives, which improve outcomes for adults, are not widespread for youth. Integrated health care for children with MH concerns requires regular collaborative communication among pediatricians and MH specialists...
December 4, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29194850/the-third-person-in-the-room-the-needs-of-care-partners-of-older-people-in-home-care-services-a-systematic-review-from-a-person-centred-perspective
#20
REVIEW
Camilla Anker-Hansen, Kirsti Skovdahl, Brendan McCormack, Siri Tønnessen
AIMS AND OBJECTIVES: To identify and synthesise the needs of care partners of older people living at home with assistance from home care services. BACKGROUND: "Aging in place" is a promoted concept where care partners and home care services play significant roles. Identifying the needs of care partners and finding systematic ways of meeting them can help care partners to cope with their role. DESIGN/ METHODS: This study is based on the PRISMA reporting guidelines...
November 30, 2017: Journal of Clinical Nursing
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