Academic literature on the topic 'Geriatrics Mental health services'

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Journal articles on the topic "Geriatrics Mental health services"

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Kietzman, Kathryn G., Alina Palimaru, and Janet C. Frank. "ADVANCING POLICY TO BUILD A BEHAVIORAL HEALTH WORKFORCE THAT ADDRESSES THE NEEDS OF OLDER ADULTS." Innovation in Aging 3, Supplement_1 (November 2019): S665. http://dx.doi.org/10.1093/geroni/igz038.2462.

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Abstract California’s Mental Health Services Act has infused funding for workforce education and training into the public mental health system. However, funding has not kept pace with an existing behavioral health workforce shortage crisis, the rapid growth of an aging population, and the historical lack of geriatric training in higher education for the helping professions. This study draws on findings from a recent evaluation of how older adults are served by California’s public mental health delivery system, and a review of state planning documents and academic literature, to describe gaps and deficiencies in the workforce that serves older adults. While California has more than 80,000 licensed behavioral health professionals in a variety of disciplines, very few have specialized training in geriatrics. Across the U.S., there are fewer than 1,800 geriatric psychiatrists and only about 3% of medical students take any geriatrics electives during their training. Very few nurses (1%), psychologists (4%), or social workers (4%) have training in and/or specialize in geriatrics. Of additional concern in California is the lack of representation of ethnic and racial minorities, and rural/urban geographic disparities in the distribution of the behavioral health workforce. Recommendations for advancing policy change to improve the preparation and distribution of the geriatric behavioral workforce are presented to three distinct audiences: state policymakers and administrators; educational institutions, accrediting bodies, and licensing boards; and county mental health/behavioral health departments and their contracted providers.
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Cole, Martin G. "Public Health Models of Mental Health Care for Elderly Populations." International Psychogeriatrics 14, no. 1 (March 2002): 3–6. http://dx.doi.org/10.1017/s1041610202008220.

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During the past 30 years, the growth of geriatric psychiatry services has been dramatic. Indeed, the majority of developed countries can boast of an impressive range of hospital-based, community-based, and long-term-care programs (Reifler & Cohen, 1998). For the most part, these services are traditional clinical services: The client (or caretaker) identifies a problem and the mental health professional offers comprehensive assessment and treatment.
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Alfaro, Ana Jessica, Rachel Rodriguez, and Michele Karel. "Optimizing the Geriatric Mental Health Workforce Through Innovative Approaches." Innovation in Aging 5, Supplement_1 (December 1, 2021): 29–30. http://dx.doi.org/10.1093/geroni/igab046.106.

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Abstract The drastic demand for geriatrics-trained providers in medical and mental healthcare persists years after the Institute of Medicine first highlighted this need (2008; 2012). New innovative approaches must instead optimize the current workforce through leveraging existing geriatric experts’ knowledge and skills related to working aging adults. This symposium will highlight four approaches spanning post-licensure education to using technology to deliver specialized services and training. First, Dr. Gregg will discuss the evaluation of an advanced topics workshop in Geropsychology which has significantly enhanced depth of Geropsychology competencies for psychologists working in primarily rural areas. Next, Dr. Asghar-Ali will describe the multi-modal interactive geriatric educational opportunities for interprofessional staff developed by the South East Texas Geriatric Workforce Enhancement Program (SETx GWEP). He will discuss how these training opportunities have been tailored to address the impact of COVID-19 and healthcare disparities among older adults. Third, Dr. Filips will present an evaluation of a consultation model in which a geriatric psychiatrist provides tele-consultation in a 5-state region to rural aging Veterans with complex medical and behavioral comorbidities. Finally, Dr. Beaudreau will describe adaptations to a national VA Problem Solving Training program for mental health clinicians of older Veterans with complex comorbidities. Dr. Karel, VA National Geriatric Mental Health Director, will serve as discussant and comment on the ways in which these novel approaches are meeting the ever-growing need for competent geriatric mental health providers.
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Ownby, Raymond L. "Improving access to geriatric mental health services." Current Psychiatry Reports 7, no. 1 (February 2005): 8–9. http://dx.doi.org/10.1007/s11920-005-0017-4.

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Babu, B., A. Khalid, S. Sadiq, J. Essem, and E. Ruiz-Mendoza. "15 Structured Geriatric Liaison Services in Mental Health Inpatient Facilities." Age and Ageing 49, Supplement_1 (February 2020): i1—i8. http://dx.doi.org/10.1093/ageing/afz183.15.

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Abstract Introduction Older people admitted to mental health facilities may be at increased risk of deterioration in the physical co-morbidities and increased rates of mortality when admitted in acute medical settings. Our model of care focuses on intervening in the physical aspect of patients admitted in the mental health unit addressing their comorbidities and polypharmacy and offering staff support during the admission process. Our Older Mental Health Unit is based in the district hospital with a total of 22 beds for people over 65 years old distributed in two areas: dementia with behavioral and psychological symptoms (BPS) and functional disorders. Methods Allocated geriatrician once a week to attend MDT and medical ward rounds. 5 working days telephone consultations for advice and supporting trainees in teaching and research. We measure the impact of our intervention comparing the data predating our intervention comparing 20 patients in each period 2016 and 2018. Results Mean age increased from 74.3 to 77.8 in a two year period with an average of 3.5 medical co-morbidities. Reduction in polypharmacy from 7.15 to 5.5 number of medication, 58% reduction in the number of hospital transfers and 90% reduction in specialty referrals. Conclusions Structured Geriatric Liaison Services in Mental Health in inpatient facilities are shown to be effective in reducing acute hospital and outpatient clinic attendances minimising the challenges of management of these patients in non-mental health facilities.
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Jang, Yuri, Giyeon Kim, Lianne Hansen, and David A. Chiriboga. "Attitudes of Older Korean Americans Toward Mental Health Services." Journal of the American Geriatrics Society 55, no. 4 (April 2007): 616–20. http://dx.doi.org/10.1111/j.1532-5415.2007.01125.x.

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Bartels, Stephen, and Jürgen Unützer. "Special Issue on Mental Health Services Research." American Journal of Geriatric Psychiatry 11, no. 5 (September 2003): 483–85. http://dx.doi.org/10.1097/00019442-200309000-00002.

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Teaster, Pamela B., Kim L. Stansbury, Lisa Nerenberg, and Patricia Stanis. "An Adult Protective Services' View of Collaboration With Mental Health Services." Journal of Elder Abuse & Neglect 21, no. 4 (October 9, 2009): 289–306. http://dx.doi.org/10.1080/08946560903004821.

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Kim, Kye Y., Everett Jones, and Marion Z. Goldstein. "Practical Geriatrics: Mental Health Services for Older Veterans in the VA System." Psychiatric Services 52, no. 6 (June 2001): 765–68. http://dx.doi.org/10.1176/appi.ps.52.6.765.

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Dening, T., and J. Bains. "Mental health services for residents of care homes." Age and Ageing 33, no. 1 (December 28, 2003): 1–2. http://dx.doi.org/10.1093/ageing/afh004.

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Dissertations / Theses on the topic "Geriatrics Mental health services"

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Karlin, Bradley Eric. "Patterns and predictors of mental health service use and serious mental illness among community-dwelling elderly." Texas A&M University, 2005. http://hdl.handle.net/1969.1/4374.

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Older adults have historically utilized mental health services at substantially low rates. Unfortunately, though professional, policy, and other recent developments portend an increase in service use, there has been scant empirical attention devoted to the current or recent utilization of mental health treatment by the elderly, and almost nothing is known about the correlates of mental health need and service use among older adults. Accordingly, the present study examined patterns of serious mental illness (SMI), specific mental health syndromes, and service use among older (65+) and younger (18- 64) adults throughout the United States, and the extent to which various factors predict mental health need and the use and magnitude of mental health treatment. In addition, the study examined factors related to unmet need, as well as age group differences in perceived benefit from treatment. The findings reveal that older adults were three times less likely than their younger counterparts to receive any outpatient mental health treatment. Only 2.5% of older individuals utilized any outpatient mental health service in the past year, versus 7.0% of younger adults. The results indicate that the low rate of utilization by older adults may be partly a function of limited subjective mental health need. Prevalence estimates for SMI and all specific mental health syndromes, with the exception of agoraphobia, were markedly lower in the older than the younger cohort. Importantly, though mental health problems appear to be significantly undertreated in older and younger age groups, the study also reveals that those older and younger adults that make it into services typically benefit considerably from treatment. It is hoped that the knowledge yielded by the current study will promote efforts to enhance mental health care access and reduce the long neglected mental health needs of the nation’s elderly population. Several factors related to mental health need and service use were identified in the study that may assist policy, planning, and outreach efforts aimed at increasing service access.
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Pusateri, Cassandra G. "Mental Health Services in Appalachia." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/3160.

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Wilson, Gwendolyn Dianne. "A hearing services program for rural elderly individuals based upon their knowledge, preferences, attitudes and needs for these services /." Access Digital Full Text version, 1991. http://pocketknowledge.tc.columbia.edu/home.php/bybib/1116119x.

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Thesis (Ed.D.) -- Teachers College, Columbia University, 1991.
Typescript; issued also on microfilm. Sponsor: Seymour Rigrodsky. Dissertation Committee: Eleanor B. Morrison. Includes bibliographical references: (leaves 82-87).
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Berenschot, David. "A Descriptive Study of the Elderly in California Substance Abuse Treatment Programs." CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/549.

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As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a public data set which includes admissions data from multiple substance abuse treatment facilities associated with the Substance Abuse and Mental Health Services Association (SAMHSA). This is a regional study, therefore this study focuses only on individuals 55-years or older who have been admitted into substance abuse treatment facilities in the state of California in the year 2014. The TEDS-A is a data set that is supported and conducted by members of SAMHSA. Most of their public data sets, including the TEDS-A, can be accessed on their website (https://www.datafiles.samhsa.gov/study/treatment-episode-data-set-admissions-teds-2014-nid16949). The data available in the TEDS-A involves a number of admission questions, including demographic data, reasons for intake, primary through tertiary substance concerns, questions regarding social status, information on medical insurance, and more. This study looks at the descriptive frequencies of the use of alcohol, crack/cocaine, marijuana/hashish, heroin, other opiates & synthetics, methamphetamine, and other substances. The study includes 13,512 cases, of which 9966 (73.8%) of cases were male, 3539 (26.2%) were female, and 7 (0.1%) were missing and/or invalid. The results of the data suggests that, while alcohol abuse is a problem, those over 55 are admitted into substance abuse clinics for many other reasons, not just alcohol abuse.
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Jefferies, Natalie. "Young people moving on from child and adolescent mental health services to adult mental health services." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3715/.

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There is a sound evidence base on the effects of the therapeutic alliance on outcome in psychotherapy for adults. In comparison, there is a smaller amount of literature on the effects of the therapeutic alliance on outcomes for adolescents. Adolescents rarely are seen individually for therapy and instead are often seen by family therapists as part of a system with other members of the family. At present, it is uncertain what the effects of the therapeutic alliance on outcome for adolescents in family therapy are. This paper presents a systematic review that aims to investigate the effects of the therapeutic alliance on outcome in adolescents in family therapy and what factors influence the therapeutic alliance with adolescents in family therapy. A systematic review of electronic databases was carried out using a quality assurance checklist adapted from the American Academy of Neurology Clinical Practice Guidelines (2004). This checklist was used as it assessed aspects of the studies’ theoretical basis, design, measures, analysis and results. Eleven studies met the inclusion criteria and were reviewed. The findings of this review suggest that the therapeutic alliance affects outcome for adolescents in family therapy. The presence of identifiable features of the therapeutic alliance, such as task, goal and bond can strengthen the therapeutic alliance with adolescents. Research into this area is still in its preliminary stages. However, important factors have been identified that affect outcome. Further research is necessary before more substantial claims of the therapeutic alliance on outcome can be made. The limitations of this review are presented, followed by clinical, training and supervision implications and suggestions for future research.
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Harley, Judith Ann. "Mental Health Consumers' Perspectives on Traditional Mental Health Services Versus Peer-Run Services: A Qualitative Study." Ashland University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ashland1352125523.

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Jones, Siobhan. "Adolescent engagement in mental health services." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/14807/.

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Despite older adolescence being a risk period for the development of mental health concerns, mental health service engagement is low amongst 16-18 year olds. As therapeutic attendance is linked to clinical outcome, it is important to understand engagement in this population. There is a paucity of research looking specifically at the older adolescent engagement phenomenon. Previous qualitative research into adolescent experiences has provided rich and detailed results. Ten 16-18 years olds, engaged in Child and Adolescent Mental Health Services, were recruited from two London-based services. Each young person was interviewed in order to understand their personal experience of engaging in mental health services. Interviews were transcribed and underwent Interpretative Phenomenological Analysis. Analysis produced twelve subthemes subsumed within five superordinate themes: engagement begins at help seeking, strength of inner resolve, evolution of the self, in the clinic room, and, existing within service walls: physical and policy-based boundaries. Themes are discussed in detail. Conclusions are drawn in relation to previous theory and research. When considering 16-18 year understandings of the engagement phenomena, key elements include: clinician and service developmental appropriateness, negotiation of developmental tasks in relation to engagement, experience of the physical building environment, and awareness of service policy limitations. Suggestions for clinical practice in relation to engagement facilitators and threat are made, and recommendations for future research proposed.
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Curtis, Kathryn. "Mental health services and American expatriates." Manhattan, Kan. : Kansas State University, 2008. http://hdl.handle.net/2097/670.

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Lovell, Jonathan. "Self-disclosure in mental health services." Thesis, University of York, 2017. http://etheses.whiterose.ac.uk/19278/.

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Sharing lived experience of mental health experiences by mental health practitioners is a topic of increasing relevance in statutory UK mental health settings, in part because of the rise in recent years of the employment of peer workers who share their lived experience by default. Literature to date has suggested that self-disclosure can have a range of benefits and risks, but existing studies have tended to focus on general rather than mental health disclosure, have not taken place in statutory settings, have studied a narrow section of the workforce, or have used analogue methodology. The current study used quantitative and qualitative methods through surveys and focus groups to explore statutory UK mental health practitioners’ and service-users’ views about the helpfulness of sharing personal mental health lived experience versus other types of lived experience. Service-users indicated that personal mental health lived experience was the most helpful disclosure topic, was valued when disclosed by all types of qualified practitioner, but it was shared least often. Practitioners who rate disclosure as helpful may be more reflective than practitioners who rate disclosure as unhelpful. Practitioners may be deterred from disclosing by a range of pressures, including risk of negative disclosure effects; adherence to therapeutic models; negative judgements from colleagues; pre-qualifying training; and perceived direction from professional codes of conduct and ethics. Despite perceived risks associated with hypothetical disclosure, most practitioners disclosed to some extent. Respondents gave almost 500 examples of real life disclosures which were almost exclusively helpful. It is recommended that practitioners are afforded greater autonomy, respect and permission to make decisions about disclosure without fear of judgment about professionalism. Training and guidance may be beneficial to help practitioners make best use of disclosures in statutory mental health service delivery.
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Murphy, K. "Recovery-orientation in mental health services." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11184/.

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Policy initiatives are calling for mental health services to change their ways of working to prioritising the promotion of service users’ personal recovery. This requires a major re-negotiation of working practices and the relationship between service users and staff/services and their respective social positions. Preliminary research has shown that change has been problematic. The present study aimed to explore the construction of recovery and the positioning of service users and staff during the adoption of recovery-oriented practices in a community support and recovery team. Transcripts of two rounds of focus groups with service users (n=9) and staff (n=5) held six months apart, service user care plans and Recovery Star notes were analysed using a Foucauldian Discourse Analysis. The study found that recovery was constructed as clinical/medical and personal recovery, at different times and in tension with each other. These constructions positioned service users as dependent, passive and hopeless or empowered and hopeful, and staff as helpless or facilitative. It was also apparent that a discourse of personal recovery was not available to service users. Staff oscillated between the constructions of recovery as medical and personal resulting in different subject positions and opportunities for action. The study concluded that adopting a recovery-orientation in services should lead to service users being positioned as more influential in decisions about their treatment and modes of support from the service, and services less likely to dictate their treatment. However, this can only happen if the recovery-orientation constitutes a widely shared discourse with all its assumptions and associated practices. The problematic aspects of the medical discourse and how it can position people socially and how those positions impact on the potential for personal recovery needs to be highlighted.
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Books on the topic "Geriatrics Mental health services"

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A, Toner John, Mierswa Therese M, and Howe Judith L, eds. Geriatric mental health disaster and emergency preparedness. New York, NY: Springer Pub. Co., 2010.

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Carl, Eisdorfer, ed. Integrated textbook of geriatric mental health. Baltimore: Johns Hopkins University Press, 2011.

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Geriatric mental health ethics: A casebook. New York: Springer, 2009.

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Toner, John A. Geriatric mental health disaster and emergency preparedness. New York: Springer Pub. Co., 2010.

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M, Mellow Alan, ed. Geriatric psychiatry. Washington, D.C: American Psychiatric Pub., 2003.

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New York (State). Legislature. Assembly. Committee on Mental Health, Mental Retardation, and Developmental Disabilities. Public hearing: Addressing the comprehensive geriatric mental health act. [New York]: En-De Reporting Services, 2008.

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1952-, Hartman-Stein Paula E., ed. Innovative behavioral healthcare for older adults: A guidebook for changing times. San Francisco, Calif: Jossey-Bass, 1998.

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Butler, Robert N. Aging and mental health: Positive psychosocial and biomedical approaches. 5th ed. Boston: Allyn & Bacon, 1998.

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Butler, Robert N. Aging and mental health: Positive psychosocial and biomedical approaches. 4th ed. New York: Merrill, 1991.

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Gattai, Aldo. Senescenza e senilità: Aspetti biologici, demografici, sanitari, psicologici, etico-sociali, assistenziali. Milano: OEMF, 1991.

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Book chapters on the topic "Geriatrics Mental health services"

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Lo, W. H., and T. Lo. "Mental Health Services to Community-Based Retarded Citizens." In Child and Adolescent Psychiatry, Mental Retardation, and Geriatric Psychiatry, 241–46. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4615-9367-6_41.

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Vela, Daniela, Izabella Dutra de Abreu, Megan Tusken, Audrey Eichenberger, and Mary “Molly” Camp. "Cognitive Behavioral Therapy for Older Adults with Insomnia and Depression: A Randomized Controlled Trial in Community Mental Health Services." In Essential Reviews in Geriatric Psychiatry, 393–96. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94960-0_68.

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Ward, Michael, Brian Strickland, and James Ahn. "Mental Health Issues in Geriatrics." In Behavioral Emergencies for Healthcare Providers, 319–28. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-52520-0_32.

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Simm, Kadri. "Mental Health Services." In Encyclopedia of Global Bioethics, 1–8. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05544-2_287-1.

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Zhang, Liqing, Richard Holbert, Robert Averbuch, and Uma Suryadevara. "Mental Health Services." In Encyclopedia of Gerontology and Population Aging, 1–7. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-69892-2_705-1.

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Prior, Pauline M. "Mental Health Services." In Gender and Mental Health, 116–37. London: Macmillan Education UK, 1999. http://dx.doi.org/10.1007/978-1-349-27671-4_7.

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Corney, Roslyn. "Mental health services." In Interprofessional issues in community and primary health care, 137–63. London: Macmillan Education UK, 1995. http://dx.doi.org/10.1007/978-1-349-13236-2_8.

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Zhang, Liqing, Richard Holbert, Robert Averbuch, and Uma Suryadevara. "Mental Health Services." In Encyclopedia of Gerontology and Population Aging, 3182–87. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-22009-9_705.

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Simm, Kadri. "Mental Health: Services." In Encyclopedia of Global Bioethics, 1871–77. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-09483-0_287.

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MacIntyre, Gillian. "Mental health services." In Social Work in a Changing Scotland, 161–70. 1st Edition. | New York : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315100821-17.

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Conference papers on the topic "Geriatrics Mental health services"

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Topham, Phil, Praminda Caleb-Solly, Paul Matthews, Andy Farmer, and Chris Mash. "Mental Health App Design." In MobileHCI '15: 17th International Conference on Human-Computer Interaction with Mobile Devices and Services. New York, NY, USA: ACM, 2015. http://dx.doi.org/10.1145/2786567.2787136.

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"Mental Health Self-check System using “Lyspect”." In Sixth International Symposium on e-Health Services and Technologies. SciTePress - Science and and Technology Publications, 2012. http://dx.doi.org/10.5220/0004474600090018.

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TERASHIMA, SHOGO. "THE PRESENT STATE OF MENTAL HEALTH SERVICES IN JAPAN." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0276.

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Mulyadi, Eko, Nelyta Oktavianisya, Gabriella Gabriella, Imaniyah Imaniyah, Suraying Suraying, and Abdul Muhith. "Boarding School that provide community-based mental health services." In Proceedings of the 1st International Conference on Business, Law And Pedagogy, ICBLP 2019, 13-15 February 2019, Sidoarjo, Indonesia. EAI, 2019. http://dx.doi.org/10.4108/eai.13-2-2019.2286499.

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Nugroho, Indra Febrio, Fitra Arifiansyah, and M. T. S.Kom. "Designing Interaction of Institut Teknologi Bandung Mental Health Services." In 2022 9th International Conference on Advanced Informatics: Concepts, Theory and Applications (ICAICTA). IEEE, 2022. http://dx.doi.org/10.1109/icaicta56449.2022.9932965.

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Topmiller, Michael, Jessica McCann, Jennifer Rankin, and Mark Carrozza. "Spatial Social Polarization and Access to Mental Health Services." In NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.3576.

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De Choudhury, Munmun. "Social media derived biomarkers of mental health." In MobiSys '21: The 19th Annual International Conference on Mobile Systems, Applications, and Services. New York, NY, USA: ACM, 2021. http://dx.doi.org/10.1145/3469266.3471435.

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Hancock, Tamara. "Barriers to Seeking Mental Health Services Among Veterinary Medical Students." In 2019 AERA Annual Meeting. Washington DC: AERA, 2019. http://dx.doi.org/10.3102/1432828.

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Donkoh-Moore, Nathaniel, Madeline McNult, Grace Boland, Patrick Leonard, Colin Cool, Neal Goodloe, Lereto Peter Alonzi, K. Preston White, and Michael Smith. "Effects of Access to Mental Health Services Following Release from Custody." In 2021 Systems and Information Engineering Design Symposium (SIEDS). IEEE, 2021. http://dx.doi.org/10.1109/sieds52267.2021.9483772.

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Nartia, Ellen Joyce B., Jessie R. Paragas, and Neil Pascual. "Detection of Students’ Mental Health Status: A Decision Support System." In 2021 3rd International Conference on Research and Academic Community Services (ICRACOS). IEEE, 2021. http://dx.doi.org/10.1109/icracos53680.2021.9701996.

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Reports on the topic "Geriatrics Mental health services"

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Grimm, Fiona, Ben Alcock, Jessica Butler, Roberto Fernandez Crespo, Alisha Davies, Sebastien Peytrignet, Roberta Piroddi, Ruth Thorlby, and Charles Tallack. Improving children and young people’s mental health services. The Health Foundation, July 2022. http://dx.doi.org/10.37829/hf-2022-ndl1.

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Galea, Sandro. PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services Among Reserves. Fort Belvoir, VA: Defense Technical Information Center, November 2011. http://dx.doi.org/10.21236/ada568657.

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Galea, Sandro. PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services among Reserves. Fort Belvoir, VA: Defense Technical Information Center, November 2012. http://dx.doi.org/10.21236/ada578786.

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Finley, Jeanette. An Evaluation of Direct Services of Delaunay Institute for Mental Health. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1713.

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Galea, Sandro. PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services Among Reserves. Fort Belvoir, VA: Defense Technical Information Center, July 2010. http://dx.doi.org/10.21236/ada543842.

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Frank, Richard, and Martin Gaynor. Incentives, Optimality, and Publicly Provided Goods: The Case of Mental Health Services. Cambridge, MA: National Bureau of Economic Research, May 1991. http://dx.doi.org/10.3386/w3700.

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Lehman, Anthony. Evidence-Based Mental Health Treatments and Services: Examples to Inform Public Policy. New York, NY: Milbank Memorial Fund, June 2004. http://dx.doi.org/10.1599/2004lehman.

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Ursano, Robert J. PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services among National Guard Forces. Fort Belvoir, VA: Defense Technical Information Center, October 2012. http://dx.doi.org/10.21236/ada578785.

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Ursano, Robert J., and Sandro Galea. PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services Among National Guard Soldiers. Fort Belvoir, VA: Defense Technical Information Center, October 2010. http://dx.doi.org/10.21236/ada544007.

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10

Agarwal, Smisha, Madhu Jalan, Holly C. Wilcox, Ritu Sharma, Rachel Hill, Emily Pantalone, Johannes Thrul, Jacob C. Rainey, and Karen A. Robinson. Evaluation of Mental Health Mobile Applications. Agency for Healthcare Research and Quality (AHRQ), May 2022. http://dx.doi.org/10.23970/ahrqepctb41.

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Abstract:
Background. Mental health mobile applications (apps) have the potential to expand the provision of mental health and wellness services to traditionally underserved populations. There is a lack of guidance on how to choose wisely from the thousands of mental health apps without clear evidence of safety, efficacy, and consumer protections. Purpose. This Technical Brief proposes a framework to assess mental health mobile applications with the aim to facilitate selection of apps. The results of applying the framework will yield summary statements on the strengths and limitations of the apps and are intended for use by providers and patients/caregivers. Methods. We reviewed systematic reviews of mental health apps and reviewed published and gray literature on mental health app frameworks, and we conducted four Key Informant group discussions to identify gaps in existing mental health frameworks and key framework criteria. These reviews and discussions informed the development of a draft framework to assess mental health apps. Iterative testing and refinement of the framework was done in seven successive rounds through double application of the framework to a total of 45 apps. Items in the framework with an interrater reliability under 90 percent were discussed among the evaluation team for revisions of the framework or guidance. Findings. Our review of the existing frameworks identified gaps in the assessment of risks that users may face from apps, such as privacy and security disclosures and regulatory safeguards to protect the users. Key Informant discussions identified priority criteria to include in the framework, including safety and efficacy of mental health apps. We developed the Framework to Assist Stakeholders in Technology Evaluation for Recovery (FASTER) to Mental Health and Wellness and it comprises three sections: Section 1. Risks and Mitigation Strategies, assesses the integrity and risk profile of the app; Section 2. Function, focuses on descriptive aspects related to accessibility, costs, organizational credibility, evidence and clinical foundation, privacy/security, usability, functions for remote monitoring of the user, access to crisis services, and artificial intelligence (AI); and Section 3. Mental Health App Features, focuses on specific mental health app features, such as journaling and mood tracking. Conclusion. FASTER may be used to help appraise and select mental health mobile apps. Future application, testing, and refinements may be required to determine the framework’s suitability and reliability across multiple mental health conditions, as well as to account for the rapidly expanding applications of AI, gamification, and other new technology approaches.
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