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Collaborative mental health care

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331 papers 100 to 500 followers Health service delivery models and postgraduate education in integrated, collaborative and/or colocated liaison care between psychiatry and primary care
https://www.readbyqxmd.com/read/28063879/the-effect-of-vishram-a-grass-roots-community-based-mental-health-programme-on-the-treatment-gap-for-depression-in-rural-communities-in-india-a-population-based-study
#1
Rahul Shidhaye, Vaibhav Murhar, Siddharth Gangale, Luke Aldridge, Rahul Shastri, Rachana Parikh, Ritu Shrivastava, Suvarna Damle, Tasneem Raja, Abhijit Nadkarni, Vikram Patel
BACKGROUND: VISHRAM was a community-based mental health programme with the goal of addressing the mental health risk factors for suicide in people from 30 villages in the Amravati district in Vidarbha, central India. We aimed to assess whether implementation of VISHRAM was associated with an increase in the proportion of people with depression who sought treatment (contact coverage). METHODS: A core strategy of VISHRAM was to increase the demand for care by enhancing mental health literacy and to improve the supply of evidence-based interventions for depression and alcohol-use disorders...
January 4, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28030423/unique-educational-opportunities-for-pcps-and-specialists-arising-from-electronic-consultation-services
#2
Erin J Keely, Douglas Archibald, Delphine S Tuot, Heather Lochnan, Clare Liddy
Health care reform should be driven by the goals of better patient experience, improved population health, lower per capita costs, and improved provider satisfaction. Electronic consultation (eConsult) services have been adopted by several jurisdictions in the United States, Canada, and Europe to improve access to specialists by primary care providers (PCPs) and are being heralded as a key component for delivery of coordinated care. The primary intent of an eConsult service is to provide PCPs with efficient, timely, direct access to specialist expertise to help guide the management of their patients, reduce the need for unnecessary face-to-face specialty consultations, and improve the quality of the initial face-to-face consultation when needed, through the preconsultative communication...
January 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27995711/instruments-measuring-integrated-care-a-systematic-review-of-measurement-properties
#3
REVIEW
Mary Ann C Bautista, Milawaty Nurjono, Yee Wei Lim, Ezra Dessers, Hubertus Jm Vrijhoef
: Policy Points: Investigations on systematic methodologies for measuring integrated care should coincide with the growing interest in this field of research. A systematic review of instruments provides insights into integrated care measurement, including setting the research agenda for validating available instruments and informing the decision to develop new ones. This study is the first systematic review of instruments measuring integrated care with an evidence synthesis of the measurement properties...
December 2016: Milbank Quarterly
https://www.readbyqxmd.com/read/28050654/misalignments-of-purpose-and-power-in-an-early-canadian-interprofessional-education-initiative
#4
Sarah Whyte, Elise Paradis, Carrie Cartmill, Ayelet Kuper, Heather Boon, Corinne Hart, Saleem Razack, Mandy Pipher, Cynthia R Whitehead
Interprofessional education (IPE) has been widely incorporated into health professional curricula and accreditation standards despite an arguably thin base of evidence regarding its clinical effects, theoretical underpinnings, and social implications. To better understand how and why IPE first took root, but failed to grow, this study examines one of the earliest documented IPE initiatives, which took place at the University of British Columbia between 1960 and 1975. We examined a subset of 110 texts (academic literature, grey literature, and unpublished records) from a larger study that uses Critical Discourse Analysis to trace the emergence of IPE in Canada...
January 3, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28031028/enablers-and-barriers-to-implementing-collaborative-care-for-anxiety-and-depression-a-systematic-qualitative-review
#5
REVIEW
Gritt Overbeck, Annette Sofie Davidsen, Marius Brostrøm Kousgaard
BACKGROUND: Collaborative care is an increasingly popular approach for improving quality of care for people with mental health problems through an intensified and structured collaboration between primary care providers and health professionals with specialized psychiatric expertise. Trials have shown significant positive effects for patients suffering from depression, but since collaborative care is a complex intervention, it is important to understand the factors which affect its implementation...
December 28, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27623464/a-public-health-perspective-on-mental-and-medical-comorbidity
#6
COMMENT
Elizabeth Reisinger Walker, Benjamin G Druss
No abstract text is available yet for this article.
September 13, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/26854549/the-south-west-local-health-integration-network-behavioural-supports-ontario-experience
#7
Iris Gutmanis, Jennifer Speziale, Lisa Van Bussel, Julie Girard, Loretta Hillier, Kelly Simpson
Creating a seamless system of care with improved system and patient outcomes is imperative to the estimated 35,000 older adults living with mental health problems and addictions in the South West Local Health Integration Network. Building on existing investments and those offered through the Behavioural Supports Ontario program, strategies to improve system coordination were put in place, cross-sectoral partnerships were fostered, interdisciplinary teams from across the care continuum were linked, and educational opportunities were promoted...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700970/understanding-clinical-complexity-the-hard-way-a-primary-care-journey
#8
Ross E G Upshur
Ten years ago, complexity was not a term often used in primary care. In the last decade, however, the population seen in primary care has shifted, posing substantial challenges for both primary care providers and health systems. In this essay, I will document the approaches that evolved in an academic family practice environment to address the challenges posed by complex patients typified by multiple concurrent chronic conditions and social determinants challenges. I will describe the research that lead to the creation, implementation and evaluation of an inter-professional model of care and associated outcomes...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700976/building-bridges-to-integrate-care-bridges-incubating-health-service-innovation-across-the-continuum-of-care-for-patients-with-multiple-chronic-conditions
#9
Onil Bhattacharyya, Michael Schull, Kaveh Shojania, Vicky Stergiopoulos, Gary Naglie, Fiona Webster, Ricardo Brandao, Tamara Mohammed, Jennifer Christian, Gillian Hawker, Lynn Wilson, Wendy Levinson
Integrating care for people with complex needs is challenging. Indeed, evidence of solutions is mixed, and therefore, well-designed, shared evaluation approaches are needed to create cumulative learning. The Toronto-based Building Bridges to Integrate Care (BRIDGES) collaborative provided resources to refine and test nine new models linking primary, hospital and community care. It used mixed methods, a cross-project meta-evaluation and shared outcome measures. Given the range of skills required to develop effective interventions, a novel incubator was used to test and spread opportunities for system integration that included operational expertise and support for evaluation and process improvement...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27385244/population-of-us-practicing-psychiatrists-declined-2003-13-which-may-help-explain-poor-access-to-mental-health-care
#10
Tara F Bishop, Joanna K Seirup, Harold Alan Pincus, Joseph S Ross
A large proportion of the US population suffers from mental illness. Limited access to psychiatrists may be a contributor to the underuse of mental health services. We studied changes in the supply of psychiatrists from 2003 to 2013, compared to changes in the supply of primary care physicians and neurologists. During this period the number of practicing psychiatrists declined from 37,968 to 37,889, which represented a 10.2 percent reduction in the median number of psychiatrists per 100,000 residents in hospital referral regions...
July 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27908899/undertreatment-of-people-with-major-depressive-disorder-in-21-countries
#11
Graham Thornicroft, Somnath Chatterji, Sara Evans-Lacko, Michael Gruber, Nancy Sampson, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Laura Andrade, Guilherme Borges, Ronny Bruffaerts, Brendan Bunting, Jose Miguel Caldas de Almeida, Silvia Florescu, Giovanni de Girolamo, Oye Gureje, Josep Maria Haro, Yanling He, Hristo Hinkov, Elie Karam, Norito Kawakami, Sing Lee, Fernando Navarro-Mateu, Marina Piazza, Jose Posada-Villa, Yolanda Torres de Galvis, Ronald C Kessler
BACKGROUND: Major depressive disorder (MDD) is a leading cause of disability worldwide. AIMS: To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. METHOD: Representative community household surveys from 21 countries as part of the World Health Organization World Mental Health Surveys...
December 1, 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27932546/what-can-a-participatory-approach-to-evaluation-contribute-to-the-field-of-integrated-care
#12
Laura Eyre, Michael Farrelly, Martin Marshall
Better integration of care within the health sector and between health and social care is seen in many countries as an essential way of addressing the enduring problems of dwindling resources, changing demographics and unacceptable variation in quality of care. Current research evidence about the effectiveness of integration efforts supports neither the enthusiasm of those promoting and designing integrated care programmes nor the growing efforts of practitioners attempting to integrate care on the ground. In this paper we present a methodological approach, based on the principles of participatory research, that attempts to address this challenge...
December 8, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27903097/in-support-of-a-call-for-enhancing-general-medical-training-of-psychiatrists-response-to-rosen-and-arbuckle
#13
Erik R Vanderlip, Lori E Raney, Benjamin G Druss
No abstract text is available yet for this article.
December 1, 2016: American Journal of Psychiatry
https://www.readbyqxmd.com/read/27903110/reflections-from-a-primary-care-physician-and-psychiatrist-on-a-framework-for-extending-psychiatrists-roles-in-treating-general-health-conditions
#14
Paul Rosen
No abstract text is available yet for this article.
December 1, 2016: American Journal of Psychiatry
https://www.readbyqxmd.com/read/27988820/bridges-to-better-health-and-wellness-an-adapted-health-care-manager-intervention-for-hispanics-with-serious-mental-illness
#15
Leopoldo J Cabassa, Yamira Manrique, Quisqueya Meyreles, David Camacho, Lucia Capitelli, Richard Younge, Dianna Dragatsi, Juana Alvarez, Roberto Lewis-Fernández
This study examined the feasibility, acceptability, and initial impact of bridges to better health and wellness (B2BHW), a culturally-adapted health care manager intervention for Hispanics with serious mental illness (SMI). Thirty-four Hispanics with SMI and at risk for cardiovascular disease were enrolled. Mixed-linear models were used to examine changes over 12-months on patient activation, self-efficacy, patient-rated quality of care, receipt of preventive primary care services, and quality of life. The majority of participants completed the intervention (85%) with high satisfaction...
December 17, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27927838/patients-financially-driven-delay-of-gp-visits-is-it-less-likely-to-occur-in-stronger-primary-care-systems
#16
Jens Detollenaere, Amelie Van Pottelberge, Lise Hanssens, Wienke Boerma, Stefan Greß, Sara Willems
Available evidence has suggested that strong primary care (PC) systems are associated with better outcomes. This study aims to investigate whether PC strength is specifically related to the prevalence of patients' financially driven postponement of general practitioner (GP) care. Therefore, data from a cross-sectional multicountry study in 33 countries among GPs and their patients were analyzed using multilevel logistic regression modelling. According to the results, the variation between countries in the levels of patients' postponement of seeking GP care for financial reasons was large...
December 6, 2016: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/27797313/closing-the-mortality-gap-mental-illness-and-medical-care
#17
Lisa Rosenbaum
No abstract text is available yet for this article.
October 20, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27959597/adding-value-by-talking-more
#18
Robert S Kaplan, Derek A Haas, Jonathan Warsh
The prevailing fee-for-service payment model has led U.S. health care administrators and physician practices to impose severe constraints on the time physicians spend talking, for which they are reimbursed poorly or not at all. New value-based reimbursement models, however, such as bundled..
November 17, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27973984/medicare-payment-for-behavioral-health-integration
#19
Matthew J Press, Ryan Howe, Michael Schoenbaum, Sean Cavanaugh, Ann Marshall, Lindsey Baldwin, Patrick H Conway
Integrating behavioral health care with primary care is now widely considered an effective strategy for improving outcomes for the many millions of Americans with mental or behavioral health conditions. Uptake of behavioral health integration (BHI) has remained limited, however, largely because BHI..
December 14, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27974004/barriers-to-integrating-mental-health-services-in-community-based-primary-care-settings-in-mexico-city-a-qualitative-analysis
#20
William Martinez, Jorge Galván, Nayelhi Saavedra, Shoshana Berenzon
OBJECTIVE: Despite the high prevalence of mental disorders in Mexico, minimal mental health services are available and there are large gaps in mental health treatment. Community-based primary care settings are often the first contact between patients and the health system and thus could serve as important settings for assessing and treating mental disorders. However, no formal assessment has been undertaken regarding the feasibility of implementing these services in Mexico. Before tools are developed to undertake such an assessment, a more nuanced understanding of the microprocesses affecting mental health service delivery must be acquired...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
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