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Community Mental Health (community + mental_health)
Terms modified by Community Mental Health Selected AbstractsThe Heart of the Matter: An Essay about the Effects of Managed Care on Family Therapy with Children,FAMILY PROCESS, Issue 4 2001Ellen Pulleyblank Coffey Ph.d. This essay is based on a pilot study that examined the effects of managed care on the treatment of children and families, with special attention to community mental health. We embarked on the pilot study to test the accuracy and generalizability of our impression that family therapy and other systemic practices have been marginalized in ordinary clinics and agencies, and to understand the reasons why. We interviewed managed care providers, researchers, family therapy trainers, and clinicians in the Northeast. Our findings led to seven themes that support our impression that, even though there is a consensus about the need for coordinated family-based services, there is a disconnection between state policies, contractual requirements and what is actually occurring at the implementation level. This study suggests that our knowledge of human systems may be in danger of being disqualified and lost, with damaging consequences for the care of children. Yet, as systemic thinkers and practitioners, it is our belief that ethical and effective treatment need not be at odds with care that is cost-efficient. The direction of our future research will be to study whether the involvement of all stakeholders at all levels of planning and training leads to systemic family-based practices that consistently save costs and provide high-quality care. [source] Does Deinstitutionalization Increase Suicide?HEALTH SERVICES RESEARCH, Issue 4 2009Jangho Yoon Objectives. (1) To test whether public psychiatric bed reduction may increase suicide rates; (2) to investigate whether the supply of private hospital psychiatric beds,separately for not-for-profit and for-profit,can substitute for public bed reduction without increasing suicides; and (3) to examine whether the level of community mental health resources moderates the relationship between public bed reduction and suicide rates. Methods. We examined state-level variation in suicide rates in relation to psychiatric beds and community mental health spending in the United States for the years 1982,1998. We categorize psychiatric beds separately for public, not-for-profit, and for-profit hospitals. Principal Findings. Reduced public psychiatric bed supply was found to increase suicide rates. We found no evidence that not-for-profit or for-profit bed supply compensates for public bed reductions. However, greater community mental health spending buffers the adverse effect of public bed reductions on suicide. We estimate that in 2008, an additional decline in public psychiatric hospital beds would raise suicide rates for almost all states. Conclusions. Downsizing of public inpatient mental health services may increase suicide rates. Nevertheless, an increase in community mental health funding may be promising. [source] Community-oriented primary care: a multidisciplinary community-oriented approach to primary care?JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 1 2001Penny Lenihan Abstract Developing more of a local public health focus, and involving local communities in Great Britain in health care decision-making, are key aspects of the radically changing face of primary care. Community-oriented primary care (COPC) is an international model for innovative primary health care delivery historically applied in developing or deprived communities, but increasingly seen as having broader relevance for a wider range of primary care settings. COPC has a long history of development in deprived communities, it is still however seen as innovative. It fits the current requirements of clinical governance and the ,Modern and Dependable NHS', but does its long history also provide information about it's pitfalls? COPC is promoted as an approach that is applicable to community mental health problems, community psychologists can provide the expertise to facilitate addressing community mental health in COPC programmes. This paper describes the COPC model and highlights the relevance of the COPC philosophy and the problems of its implementation for community psychologists in primary care. Copyright © 2001 John Wiley & Sons, Ltd. [source] Evaluation of a community mental health carepath for early psychosisJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 1 2006Laura A. Hanson PhD RPsych Abstract Purpose, To implement a carepath for early psychosis across all community mental health centres through the Early Psychosis Intervention Programme in the Fraser South Area of British Columbia, Canada. Methods, Prior to developing the carepath, chart reviews and interviews were performed to assess for adherence to published guidelines for early psychosis intervention. This assessment revealed the inadequacies of narrative recording and that core psychosocial interventions were inconsistently provided. The carepath developed included prompts for interventions and standardized assessments and ultimately replaced the charting system used in the mental health centres for early psychosis clients. Results and conclusions One-year evaluation revealed some improvements in clinical practice but also identified other areas that require further improvement. This project demonstrated that it is possible to successfully implement a carepath in community mental health and that doing so provides a standardized method for ongoing improvements in care. [source] Identifying occupational therapists' referral priorities in community healthOCCUPATIONAL THERAPY INTERNATIONAL, Issue 2 2003MSc Occupational Therapy Course Leader, Priscilla Harries Dip.COT Abstract Occupational therapists in British community mental health teams have been debating how the most effective services can be targeted at the most needy clients. This paper presents the results of a quantitative study that examined 40 British occupational therapists' referral prioritization policies. Results showed half of the participants felt their generic responsibilities, which involved having care coordination responsibilities, were too large. Only 25% of participants co-ordinated care for clients whose needs were related to occupational dysfunction. Judgement analysis, that involved regressing the 40 individuals' prioritization decisions onto the 90 respective referral scenarios, was used to statistically model how referral information had been weighted. Group agreement of prioritization was moderate with the reason for referral, history of violence and diagnosis being given the most weighting. Consistency in policy application, as measured by examining prioritization decisions on identical referrals, showed wide variability. Further research is required to identify the optimal and most stable policies within this group. Copyright © 2003 Whurr Publishers Ltd. [source] Keeping a Rural Psychology Presence AliveCLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 3 2007David S. Hargrove Rural communities were brought into the national mental health picture in the 1960s in President John F. Kennedy's Community Mental Health Centers Act of 1962. The delivery of services and the human resource application of that act designated rural areas as underserved, in need of some attention. Training programs in psychology, psychiatry, social work, and nursing focused some efforts to produce professional people who could work in the rural environment. As federal initiatives in community mental health have changed, the stimuli for the continued development of rural services have lagged. A thread of concern has lingered, however, as the article by Jameson and Blank (2007) demonstrates. [source] | |||||||||||||