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Journal articles on the topic 'Health services administration Mental health'

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Published: 10 December 2022

Last updated: 28 January 2023

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1

Figg, Bethany. "Substance Abuse and Mental Health Services Administration." Journal of Consumer Health on the Internet 22, no. 3 (July 3, 2018): 253–62. http://dx.doi.org/10.1080/15398285.2018.1513760.

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2

Harrison, Lyn. "Integrating Mental Health Services." Journal of Integrated Care 7, no. 3 (June 1999): 15–25. http://dx.doi.org/10.1108/14769018199900015.

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3

Lindow, Vivien. "Integrating Mental Health Services." Journal of Integrated Care 7, no. 3 (June 1999): 26–28. http://dx.doi.org/10.1108/14769018199900016.

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4

Binner, Paul R. "DRGs and the administration of mental health services." American Psychologist 41, no. 1 (January 1986): 64–69. http://dx.doi.org/10.1037/0003-066x.41.1.64.

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5

Armbruster, Paula. "The administration of school-based mental health services." Child and Adolescent Psychiatric Clinics of North America 11, no. 1 (January 2002): 23–41. http://dx.doi.org/10.1016/s1056-4993(03)00059-2.

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6

Little, John T., Marsden H. McGuire, Theresa Gleason, and Richard M. Allman. "Geriatric Mental Health Services and Research in the Veterans Health Administration." American Journal of Geriatric Psychiatry 24, no. 3 (March 2016): S34—S35. http://dx.doi.org/10.1016/j.jagp.2016.01.050.

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7

Cammarata, Frank A., and Michael William R. Stott. "Judicial Administration of Mental Health Services for Juvenile Offenders." Juvenile and Family Court Journal 28, no. 4 (July 30, 2009): 3–7. http://dx.doi.org/10.1111/j.1755-6988.1977.tb01336.x.

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8

Seligman, Jamie, Stephanie S. Felder, and Maryann E. Robinson. "Substance Abuse and Mental Health Services Administration (SAMHSA) Behavioral Health Disaster Response App." Disaster Medicine and Public Health Preparedness 9, no. 5 (July 13, 2015): 516–18. http://dx.doi.org/10.1017/dmp.2015.84.

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AbstractThe Substance Abuse and Mental Health Services Administration (SAMHSA) in the Department of Health and Human Services offers extensive disaster behavior health resources to assist disaster survivors in preparing for, responding to, and recovering from natural and manmade disasters. One of SAMHSA’s most innovative resources is the SAMHSA Behavioral Health Disaster Response App (SAMHSA Disaster App). The SAMHSA Disaster App prepares behavioral health responders for any type of traumatic event by allowing them to access disaster-related materials and other key resources right on their phone, at the touch of a button. The SAMHSA Disaster App is available on iPhone, Android, and BlackBerry devices. (Disaster Med Public Health Preparedness. 2015;9:516–518)

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9

Marsh, Anna, Mary Jansen, Charlene Lewis, and Roger B. Straw. "Evaluation in the Substance Abuse and Mental Health Services Administration." Evaluation & the Health Professions 19, no. 3 (September 1996): 363–76. http://dx.doi.org/10.1177/016327879601900308.

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10

Friesen, Barbara J., and Nancy M. Koroloff. "Family-centered services: Implications for mental health administration and research." Journal of Mental Health Administration 17, no. 1 (March 1990): 13–25. http://dx.doi.org/10.1007/bf02518576.

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11

Sadek, Joseph. "Internet Resources: Substance Abuse and Mental Health Services Administration (SAMHSA)." Child and Adolescent Psychopharmacology News 8, no. 3 (May 2003): 12. http://dx.doi.org/10.1521/capn.8.3.12.23074.

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12

Drebing, Charles E., Lisa Mueller, E. Alice Van Ormer, Patricia Duffy, James LePage, Robert Rosenheck, Robert Drake, Gary S. Rose, Kendra King, and Walter Penk. "Pathways to vocational services: Factors affecting entry by veterans enrolled in Veterans Health Administration mental health services." Psychological Services 9, no. 1 (February 2012): 49–63. http://dx.doi.org/10.1037/a0026662.

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13

Wray, Laura O., Benjamin R. Szymanski, Lisa K. Kearney, and John F. McCarthy. "Implementation of Primary Care-Mental Health Integration Services in the Veterans Health Administration: Program Activity and Associations with Engagement in Specialty Mental Health Services." Journal of Clinical Psychology in Medical Settings 19, no. 1 (March 2012): 105–16. http://dx.doi.org/10.1007/s10880-011-9285-9.

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14

Lessing, Kate, and Ilse Blignault. "Mental health telemedicine programmes in Australia." Journal of Telemedicine and Telecare 7, no. 6 (December 1, 2001): 317–23. http://dx.doi.org/10.1258/1357633011936949.

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A national survey of mental health telemedicine programmes was conducted and data collected on their catchment areas, organizational structure, equipment, clinical and non-clinical activity, and use by populations who traditionally have been poorly served by mental health services in Australia. Of 25 programmes surveyed, information was obtained for 23. Sixteen programmes had dealt with a total of 526 clients during the preceding three months. Of these, 397 (75%) were resident in rural or remote locations at the time of consultation. Thirty-seven (7%) were Aboriginals or Torres Strait Islanders. Only 19 (4%) were migrants from non-English-speaking backgrounds. The programmes provided both direct clinical and secondary support services. Overall, the number of videoconferencing sessions devoted to clinical activity was low, the average being 123 sessions of direct clinical care per programme per year. Videoconferencing was also used for professional education, peer support, professional supervision, administration and linking families. The results of the study suggest that telehealth can increase access to mental health services for people in rural and remote areas, particularly those who have hitherto been poorly served by mental health services in Australia.

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15

Verhulst, Johan, and James Mundt. "Mental health administration and service utilization patterns." Administration in Mental Health 14, no. 1 (1986): 28–43. http://dx.doi.org/10.1007/bf00822037.

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16

Monteith, Lindsey L., Ryan Holliday, Claire A. Hoffmire, and Nazanin H. Bahraini. "Female Veterans’ Willingness to Seek Veterans Health Administration and Non–Veterans Health Administration Services for Suicidal Thoughts and Mental Health Concerns." Medical Care 59 (February 2021): S23—S30. http://dx.doi.org/10.1097/mlr.0000000000001480.

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17

Ajike, Patience Taiwo, Esther Abimbola Ariyo, Adijat Motunrayo Ariyo, and Kikelomo Adubi. "Emerging Adults’ Awareness and Perceptions of Mental Health Problems and Services in Nigeria." Policy Insights from the Behavioral and Brain Sciences 9, no. 1 (February 23, 2022): 44–48. http://dx.doi.org/10.1177/23727322211068028.

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Despite the high prevalence of psychiatric disorders among Nigerian youths, mental health care access and usage in this population is extremely low. This review examines emerging adults’ awareness and perceptions of mental health problems and services in Nigeria. Specifically, we (1) provide background information about mental health perception, services, and challenges in Nigeria; (2) describe the current state of mental health among the emerging adult population in Nigeria; (3) discuss risk factors among emerging adults in Nigeria; (4) document emerging adults’ perception of mental health problems and services in Nigeria, and potential explanations for this mental health trend. We conclude with a discussion of practices and policies. In a nation like Nigeria, where mental health services are scarce and health gaps and disparities abound, the value of mental health awareness and realistic health policies cannot be overstated.

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18

McCance-Katz, Elinore F. "The Substance Abuse and Mental Health Services Administration (SAMHSA): New Directions." Psychiatric Services 69, no. 10 (October 2018): 1046–48. http://dx.doi.org/10.1176/appi.ps.201800281.

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19

Chen, Derek, Ryan J. Watson, Theodore L. Caputi, and Chelsea L. Shover. "Proportion of U.S. Clinics Offering LGBT-Tailored Mental Health Services Decreased Over Time: A Panel Study of the National Mental Health Services Survey." Annals of LGBTQ Public and Population Health 2, no. 3 (September 1, 2021): 174–84. http://dx.doi.org/10.1891/lgbtq-2020-0071.

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Our objective was to characterize the proportion of U.S. mental health clinics that offered LGBT-tailored mental health services between 2014 and 2018. We used data from the National Mental Health Services Survey (NMHSS) to construct a mixed logistic model of availability of LGBT-tailored mental health services over time, by region (Northeast, South, Midwest and West), and by facility type (Veterans Administration, inpatient/residential, outpatient, community mental health centers and mixed). Our results show that the overall proportion of mental health clinics that offered LGBT-tailored services decreased from 2014 to 2018. Our results also indicate that Veteran Affairs clinics and facilities in the West and Northeast were most likely to offer LGBT-tailored mental health services. Given the temporal, regional, and facility gaps in LGBT-tailored mental health services availability, more effort should be dedicated to addressing this disparity.

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20

Frowen, Beverlea. "Challenges, Complexities and Contradictions in Mental Health Services." Journal of Integrated Care 5, no. 5 (October 1997): 167–74. http://dx.doi.org/10.1108/14769018199700032.

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21

Fischer, Ellen P., Geoffrey M. Curran, John C. Fortney, Jean C. McSweeney, D. Keith Williams, and J. Silas Williams. "Impact of Attitudes and Rurality on Veterans’ Use of Veterans Health Administration Mental Health Services." Psychiatric Services 72, no. 5 (May 2021): 521–29. http://dx.doi.org/10.1176/appi.ps.201900275.

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22

Bloom, Joan R., Garry Toerber, Jaclyn W. Hausman, Brian Cuffel, and Thomas J. Barrett. "An Analysis of Capitation for Mental Health Services." Policy Studies Journal 22, no. 4 (December 1994): 681–90. http://dx.doi.org/10.1111/j.1541-0072.1994.tb01498.x.

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23

Abraham, Kristen M., Ming-Un Myron Chang, Tony Van, Sandra G. Resnick, and Kara Zivin. "Employment After Vocational Rehabilitation Predicts Decreased Health Care Utilization in Veterans With Mental Health Diagnoses." Military Medicine 186, no. 9-10 (August 28, 2021): 850–57. http://dx.doi.org/10.1093/milmed/usab113.

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ABSTRACT Introduction Although the benefits of employment for veterans with mental health conditions are well-known, the effect of veterans’ employment on a health system has not been evaluated. The purpose of this study was to evaluate the effect of veterans’ employment (versus unemployment) on subsequent health care utilization in the Veterans Health Administration (VHA). Materials and Methods This study used a sample of 29,022 veterans with mental health and substance use disorders who were discharged from VHA’s employment services programs between fiscal years 2006 and 2010. Veterans’ employment status (employed/unemployed) upon discharge from VHA employment programs was ascertained from program discharge forms and linked with VHA administrative health care utilization data for the subsequent 1- and 5-year periods. Results Multivariable ordinary least-squares and logistic regression models adjusted for site clustering and covariates indicated that employment (versus unemployment) predicted less health care utilization 1 year and 5 years post-discharge from employment services, including fewer outpatient mental health visits, homelessness services visits, employment services visits, primary care visits, and lower odds of mental health hospitalizations, mental health or vocational rehabilitation residential stays, and medical hospitalizations. Employment did not predict emergency department visits. Conclusions VHA’s investment in employment services for veterans with mental health and substance use disorders could reduce health care utilization system wide.

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24

Greenberg, Greg A., and Robert A. Rosenheck. "An Evaluation of an Initiative to Improve Veterans Health Administration Mental Health Services: Broad Impacts of the VHA’s Mental Health Strategic Plan." Military Medicine 174, no. 12 (December 2009): 1263–69. http://dx.doi.org/10.7205/milmed-d-04-3008.

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25

Kingdon, David. "The mental health practitioner – bypassing the recruitment bottleneck." Psychiatric Bulletin 26, no. 9 (September 2002): 328–31. http://dx.doi.org/10.1192/pb.26.9.328.

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Lack of resources has been a major restriction on the development of mental health services. However, even with the resources currently available there are insufficient numbers of trained medical, nursing, occupational therapy, psychology and social work staff to maintain services to adequate levels in many areas. This seriously interferes with provision of services, especially in acute wards but also in other areas. It certainly restricts developments and the use of skills attained through training (e.g. from THORN psychosocial intervention courses (Gournay & Birley, 1998)). The introduction of crisis resolution and early intervention teams, as described in the NHS Implementation Guide (Department of Health, 2001a), looks likely to simply deprive in-patient wards and community teams of staff, making the new teams ineffective through lack of core services. This will occur directly by recruitment of staff from them, or competitively through taking new entrants from nursing and social work programmes. Solutions proposed have included increasing numbers of support workers and administration staff; recruitment from abroad; or increased delegation of tasks, but there remains a need for more appropriately-trained professional staff.

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26

Dougherty, Richard H. "Reducing Disparity in Behavioral Health Services: A Report from the American College of Mental Health Administration." Administration and Policy in Mental Health 31, no. 3 (January 2003): 253–63. http://dx.doi.org/10.1023/b:apih.0000018833.22506.fc.

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27

Jones, Norah, Paul Thomas, and Les Rudd. "Collaborating for Mental Health Services in Wales: A Process Evaluation." Public Administration 82, no. 1 (March 2004): 109–21. http://dx.doi.org/10.1111/j.0033-3298.2004.00385.x.

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28

Barker, Ingrid, Karen Newbiggin, and Edward Peck. "Characteristics for Sustained Advocacy Projects in Mental Health Services." Journal of Integrated Care 5, no. 4 (August 1997): 132–38. http://dx.doi.org/10.1108/14769018199700025.

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29

Salasin, Susan E. "Evolution of women's trauma-integrated services at the Substance Abuse and Mental Health Services Administration." Journal of Community Psychology 33, no. 4 (2005): 379–93. http://dx.doi.org/10.1002/jcop.20058.

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30

Gillard, Steve, Kati Turner, Kathleen Lovell, Kingsley Norton, Tom Clarke, Rachael Addicott, Gerry McGivern, and Ewan Ferlie. "“Staying native”: coproduction in mental health services research." International Journal of Public Sector Management 23, no. 6 (August 24, 2010): 567–77. http://dx.doi.org/10.1108/09513551011069031.

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31

Affleck, J. W. "Clinical Administration." Bulletin of the Royal College of Psychiatrists 10, no. 9 (September 1986): 226–30. http://dx.doi.org/10.1192/s0140078900028297.

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In times of pessimism when psychiatry is described as in decline, subject to public scepticism with the psychiatrist's role threatened by social workers, psychologists and community nurses, one's immediate reaction is to adopt a historical perspective. The advances achieved during the last 50 years which I recall are so impressive that it seems reasonable to see current legal and bureaucratic problems as resembling a ditch rather than a precipice! These advances have occurred in spite of adverse administrative situations. It is important to remember that in spite of its merits the National Health Service was not conceived with Mental Health Services in mind—nor were Social Work Services.

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32

Mancini, Michael A., and Hal A. Lawson. "Facilitating Positive Emotional Labor in Peer-Providers of Mental Health Services." Administration in Social Work 33, no. 1 (January 5, 2009): 3–22. http://dx.doi.org/10.1080/03643100802508619.

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33

McDaid, David, and Martin Knapp. "Black-skies planning? Prioritising mental health services in times of austerity." British Journal of Psychiatry 196, no. 6 (June 2010): 423–24. http://dx.doi.org/10.1192/bjp.bp.110.080549.

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SummaryDuring the period of austerity that we now face, the National Health Service (NHS), including mental health services, will have to make efficiency savings at a time when demand for services is likely to rise. It is critical to highlight that investment in evidence-based prevention, early intervention and treatment for mental disorders can have economic benefits that go far beyond the health sector. Many potential areas for efficiency savings, such as resources invested in management and administration, are relevant across the whole of the health system. The economic downturn may, however, also present a specific opportunity for radical innovation within the mental health system.

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34

Shaw, Ian. "Evaluating Quality in Mental Health Services: contexts and issues." Policy & Politics 27, no. 1 (January 1, 1999): 113–20. http://dx.doi.org/10.1332/030557399782019480.

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35

Twamley, Elizabeth W., Dewleen G. Baker, Sonya B. Norman, James O. E. Pittman, James B. Lohr, and Sandra G. Resnick. "Veterans Health Administration vocational services for Operation Iraqi Freedom/Operation Enduring Freedom Veterans with mental health conditions." Journal of Rehabilitation Research and Development 50, no. 5 (2013): 663. http://dx.doi.org/10.1682/jrrd.2012.08.0137.

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36

Steen, Jeff T. "Addressing the Specific Behavioral Health Needs of Men, by Substance Abuse and Mental Health Services Administration (SAMHSA)." Journal of Social Work Practice in the Addictions 14, no. 2 (April 3, 2014): 208–10. http://dx.doi.org/10.1080/1533256x.2014.902254.

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37

Cozza, Massimo, Mariannina Amara, Nicola Butera, Gaetano Infantino, Alessandra Maria Monti, and Rosa Provenzano. "Patients' and relatives' satisfaction with mental health services in Rome." Epidemiologia e Psichiatria Sociale 6, no. 3 (December 1997): 173–83. http://dx.doi.org/10.1017/s1121189x00005029.

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SUMMARYObjective – Satisfaction's measurement with Mental Health Services in patients and their relatives. Design – Satisfaction scale administration to the patients who were treated in community-based psychiatric service from 1.1.1996 to 31.3.1996 and the relatives who were primarily involved in caring for the patient. Setting – The ASL Rome «C» community-based psychiatric service. Main outcome measures – Verona Service Satisfaction Scale-54, a multidimensional instrument which measure satisfaction with community-based psychiatric service. Results – Main results (301 scales for patients, 163 scales for relatives), pointed out for patients a higher satisfaction for the technical and interpersonal skills of psychiatrists and psychologists (score of specific items >4). Lowest scores of satisfaction were towards the appearance, comfort level and physical layout of the facility (score 2.95) and towards the response of the service to emergencies during the night, weekend and Bank Holidays (score 2.87). Relatives were not particulary keen for the item regarding help to find open employement (score 2.76). Furthermore patients and their relatives gave a negative evaluation of the publicity and information offered by Mental Health Services. Dimensions's analysis reachs the same conclusions deduced items's average score. The result of this study emphasizes the patients higher degree of satisfaction than the relatives. Conclusions – The above results point out three aspects to be improved by the Menthal Health Service in order to satisfy the demands of the patients and relatives: 1. appearance, comfort level and physical layout of the facility, 2. publicity and information, 3. social actives and social skills.

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38

Loo, Robert. "Strategic planning for mental health services in Canada's federal police force." Canadian Public Administration/Administration publique du Canada 29, no. 3 (September 1986): 469–73. http://dx.doi.org/10.1111/j.1754-7121.1986.tb00821.x.

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39

Bommersbach, Tanner, Elina Stefanovics, and Robert Rosenheck. "Mental health service utilization in rural areas nationally in the Veterans Health Administration." Journal of Rural Mental Health 45, no. 3 (July 2021): 229–42. http://dx.doi.org/10.1037/rmh0000182.

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40

McDonagh, James G., William Blake Haren, Mary Valvano, Anouk L. Grubaugh, Frank C. Wainwright, Colette H. Rhue, Christine M. Pelic, Christopher G. Pelic, Renee Koval, and Janet A. York. "Cultural Change: Implementation of a Recovery Program in a Veterans Health Administration Medical Center Inpatient Unit." Journal of the American Psychiatric Nurses Association 25, no. 3 (July 4, 2018): 208–17. http://dx.doi.org/10.1177/1078390318786024.

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INTRODUCTION:The Freedom Commission’s recommendations, Substance Abuse and Mental Health Services Administration’s framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre–post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.

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41

Looi, Jeffrey CL, Stephen Allison, and Tarun Bastiampillai. "Commonwealth of common mental health: the need for a comprehensive overhaul of corporate governance in mental healthcare in Australia." Australasian Psychiatry 28, no. 3 (December 23, 2019): 300–302. http://dx.doi.org/10.1177/1039856219891657.

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Objective: We aim to spark renewed discussion of the need for a more effective corporate governance structure for mental health services in Australia. While acknowledging clinical governance faces challenges, we focus here on corporate governance as the overarching level of administration, which profoundly influences delivery of mental healthcare in Australia. Conclusion: Australia’s mental health services are ineffectively governed. Improved corporate governance, including psychiatric expertise, is fundamental to create a comprehensive, effective mental healthcare system in Australia.

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42

O’Malley, Meagan, Staci J. Wendt, and Christina Pate. "A View From the Top: Superintendents’ Perceptions of Mental Health Supports in Rural School Districts." Educational Administration Quarterly 54, no. 5 (June 27, 2018): 781–821. http://dx.doi.org/10.1177/0013161x18785871.

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Purpose: A chasm exists between the expanding mental health needs of school-aged youth and the school resources available to address them. Education agencies must efficiently allocate their limited resources by adopting innovative public health models. The need for these effective approaches is acute in rural regions, where resources tend to be scarce. This mixed-methods study of school superintendents illuminates key opportunities to optimize access to care for students struggling with mental health needs in rural communities. Method: Superintendents serving rural California school districts were targeted for a web-based, mixed response–type, 53-item survey designed to examine their perceptions across three school mental health–related categories: (a) strengths and gaps in community ethos and district infrastructure, (b) school personnel groups’ knowledge and skills, and (c) predominant barriers. Of the targeted respondents, 16.7% completed the survey ( N = 62). Quantitative data were analyzed using a series of descriptive analyses and paired-sample t tests. Qualitative data were analyzed using a constant comparative method with an open-coding approach. Findings and Implications: Budget constraints and access to trained school-based and community-based mental health personnel are the most frequently cited barriers to addressing mental health in schools. Knowledge and skills related to mental health are perceived to be more pronounced in district and school leadership than in other personnel groups, including staff typically responsible for providing mental health services, such as school psychologists. Our findings suggest a need to improve superintendent knowledge of innovative public health models for delivering mental health services within the constraints of rural school district settings.

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43

Jokela, S., and J. Mäki-Opas. "PALOMA project – developing National mental health policies for refugees." European Psychiatry 41, S1 (April 2017): S337—S338. http://dx.doi.org/10.1016/j.eurpsy.2017.02.292.

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IntroductionEarlier researches have established that migrants with refugee background have increased risk for variety of mental health problems due to often traumatic reasons for leaving their home country, hazardous journey and post-migration adversity. The challenge is that mental health work with refugees is not systematically organized in Finland. PALOMA (developing National mental health policies for refugees 2016-2018) project was launched to answer these challenges. The project is carried out through the combined effort of National institute for health and welfare, The Finnish association for mental health, Helsinki and Kuopio university hospitals, and the municipality of Hämeenlinna. PALOMA Project is founded by the Asylum, migration and integration fund (AMIF).ObjectivesPALOMA project focuses on exploring existing good practices and weaknesses in mental health services in use for refugees. The objectives of the project are to develop a national model for effective mental health services for refugees and implement it nationwide in Finland.AimsThe aim of PALOMA Project is to develop a national model for effective mental health services for refugees in Finland.MethodsPALOMA Project includes three phases: data collection (interviews, literature review, seminars), building the model in expert groups and implementing the model.ResultsAs a result of PALOMA Project, there will be guidelines for professionals working in different levels of administration with refugees in Finland.ConclusionRefugees’ mental health and wellbeing will be improved as a result of better prevention, recognition and appropriate care of mental health problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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44

Saeidi, Saeideh, and Richard Wall. "The case for mental health support at a primary care level." Journal of Integrated Care 26, no. 2 (April 16, 2018): 130–39. http://dx.doi.org/10.1108/jica-10-2017-0036.

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Purpose Severe mental illness affects a significant number of people and, if left untreated, leads to poor quality of life and disability. Many of the aspirations proposed for new models of care assert that better preventative services, closer integration between professionals, and increased access to cognitive behavioural therapy in primary care will bring substantial benefits and improved outcomes. The purpose of this paper is to explore the benefits of integrating mental health services into primary care, and improving collaboration between secondary services and primary care. There is a transition underway in healthcare whereby a focus on illness is being supplemented with, or refocused towards achieving better patient well-being. New approaches to service provision are being proposed that: focuses on more holistic outcomes; integrates services around the user; and employs innovative system techniques to incentivise professional and organisational collaboration. Such a transition must be inclusive of those with mental health needs managed in primary care and for those people with serious mental illness in secondary care. Design/methodology/approach This paper discusses the issues of professional collaboration and the need to provide mental healthcare in a continuous and coordinated manner and; how this may improve timely access to treatment, early diagnosis and intervention. Importantly, it is essential to consider the limitations and reality of recent integration initiatives, and to consider where the true benefit of better integrating mental health into a more collaborative system may lie. Findings Identifying and addressing issues of parity is likely to call for a new approach to service provision that: focuses on outcomes; co-designs services integrated around the user; and employs innovative contracting techniques to incentivise provider integration. Practical implications There is a transition underway in healthcare whereby a focus on illness is being supplemented with or refocused towards working towards wellness. Such a transition requires primary care mental health services to be provided in a continuous and coordinated manner in order to meet the health needs of people with serious mental illness. Originality/value It discusses the issues of professional collaboration and how this may improve timely access to treatment, early diagnosis and intervention. It is essential to consider the limitations and reality of recent integration initiatives, and to consider where the true benefit may lie.

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45

Pebole, Michelle M., Elizabeth E. VanVoorhees, Nivedita Chaudhry, Karen M. Goldstein, Jillian Thompson, Ryan Parker, Kelly M. Caron, and Katherine S. Hall. "Patient-centered behavioral services for women veterans with mental health conditions." Translational Behavioral Medicine 11, no. 9 (June 3, 2021): 1676–81. http://dx.doi.org/10.1093/tbm/ibab057.

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Abstract The Veterans Health Administration (VHA) is undergoing a transformational shift from disease-focused care to a Whole Health model that emphasizes physical, mental, emotional, and spiritual health and well-being. As this shift is occurring, women veterans using VHA services face challenges navigating a system that has historically served a primarily male demographic, without consistent consensus on which services require specialization by gender. A quality improvement project was conducted to solicit feedback on VHA behavioral and wellness programs from women veterans enrolled in VHA mental healthcare services. A multi-disciplinary work group of clinical researchers and healthcare providers developed a needs assessment survey to assess patient needs and preferences for behavioral health services. A convenience sample of female veterans using VHA mental healthcare services within a comprehensive Women’s Health Clinic were invited to complete this anonymous survey. 107 women Veterans 18–65+ years old (65.3% African American; 5.9% LatinX; 54.2% aged under 55) completed the survey. Over 50% of patients endorsed relationships, physical activity, sleep/nightmares, pain management, anger, or spiritual/moral pain as top wellness priorities. Programatic preferences included location (located at the main VA Hospital) and gender composition (female only group formats). Schedule conflicts were the most frequently cited barriers. Results from this quality improvement project highlight considerations for tailoring the content and delivery of behavioral services for women veterans with mental health conditions.

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D. Koehn, Sharon, Pavlina Jarvis, Sharanjit K. Sandhra, Satwinder K. Bains, and Madeleine Addison. "Promoting mental health of immigrant seniors in community." Ethnicity and Inequalities in Health and Social Care 7, no. 3 (September 9, 2014): 146–56. http://dx.doi.org/10.1108/eihsc-11-2013-0048.

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Purpose – The purpose of this paper is to explore if and how community organizations providing services to late-in-life Punjabi immigrants in British Columbia, Canada, offer services with the potential to promote their mental health or well-being. The authors also wanted to know how Punjabi seniors perceived available services and if they supported their mental well-being. Design/methodology/approach – To guide the research, the authors used the VicHealth Framework, which identifies three overarching social and economic determinants of mental health: social inclusion (SI), freedom from violence and discrimination, and access to economic resources and participation. This mixed methods study combines descriptive survey and qualitative focus group data with input from Punjabi seniors and community service providers. Findings – All three mental health determinants were identified as important by service providers and seniors, with SI as the most important. Family dynamics (shaped by migration and sponsorship status) influence all three determinants and can promote or diminish mental well-being. Research limitations/implications – The pilot study is limited in sample size and scope and further inquiry with different groups of immigrant older adults is warranted. Practical implications – Service providers assert that more outreach and sustainable funding are needed to reach the majority of potential beneficiaries unable to participate in community programmes. Information on mental well-being of seniors should be targeted at both seniors and their families. Originality/value – The VicHealth Framework provided a unique lens through which to explore the contributions of community organizations to mental health promotion for immigrant older adults.

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Park, Jungwee, and Jean Burritt Robertson. "Mental Health Needs and Supportive Services for Elderly and Disabled Residents." Journal of Housing For the Elderly 13, no. 1-2 (July 21, 1999): 79–91. http://dx.doi.org/10.1300/j081v13n01_07.

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Sinanovic, Osman, Esmina Avdibegovic, Mevludin Hasanovic, Izet Pajevic, Alija Sutovic, Slobodan Loga, and Ismet Ceric. "The organisation of mental health services in post-war Bosnia and Herzegovina." International Psychiatry 6, no. 1 (January 2009): 10–12. http://dx.doi.org/10.1192/s1749367600000229.

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Bosnia and Herzegovina (BH) is located on the western part of the Balkan Peninsula. It has an area of 51 210 km2 and a population of 3 972 000. According to the Dayton Agreement of November 1995, which ended the 1992-95 war, BH comprises two ‘entities’ - the Federation of Bosnia and Herzegovina (FBH) and the Republic of Srpska (RS) - and the District of Brcko. The administrative arrangements for the management and financing of mental health services reflect this. The FBH, with 2 325 018 residents, is a federation of 10 cantons, which have equal rights and responsibilities. The RS has 1 487 785 residents and, in contrast, a centralised administration. Brcko District has just under 80 000 residents.

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Haque, Lamia, and Robert Rosenheck. "Mental health and addiction service use among United States veterans with liver disease nationally in the Veterans Health Administration." Journal of Public Mental Health 20, no. 3 (May 5, 2021): 191–200. http://dx.doi.org/10.1108/jpmh-07-2020-0088.

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Purpose While many studies have shown that liver diseases (LD) can be caused or exacerbated by substance use disorders (SUD), few have examined the proportion of adults with LD and SUD who receive mental health and addiction treatment or correlates of such use. Design/methodology/approach Using national Fiscal Year (FY) 2012 data from the United States Veterans Health Administration (VHA), the authors studied all 43,246 veterans diagnosed with both LD and SUD in FY 2012 and compared those who received mental health treatment (n = 30,456; 70.4%) to those who did not (n = 12,790; 29.6%). Findings Veterans who received mental health treatment were less like to be older than 75 years of age, more likely to have served during recent Middle East conflicts (Operation Iraqi Freedom or Operation Enduring Freedom), more likely to have been recently homeless and to have drug dependence as contrasted with alcohol dependence when compared with those who did not receive mental health treatment. Although the majority, 70.4%, received mental health treatment, only 30.6% of the total received specialized addiction treatment, and these veterans were more likely to experience homelessness and have drug dependence diagnoses. Originality/value This is the first study as per the authors’ best knowledge that broadly examines mental health and addiction treatment received by veterans with LD and SUD. High rates of mental health treatment in this population likely reflect the integrated nature of the VHA and its emphasis on providing comprehensive services to homeless veterans. Further research is needed to identify barriers to specialized addiction treatment in this population.

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Callegari, Lisa, Stephanie Edmonds, Sonya Borrero, Ginny Ryan, Caitlin Cusack, and Laurie Zephyrin. "Preconception Care in the Veterans Health Administration." Seminars in Reproductive Medicine 36, no. 06 (November 2018): 327–39. http://dx.doi.org/10.1055/s-0039-1678753.

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AbstractPreconception care (PCC), defined as a set of interventions to help women optimize their health and well-being prior to pregnancy, can improve pregnancy outcomes and is recommended by national organizations including the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists. Women Veterans who use the Department of Veterans Affairs (VA) health care system may face elevated risks of adverse pregnancy and birth outcomes due to a high prevalence of chronic medical and mental health conditions as well as psychosocial stressors including sexual trauma history and intimate partner violence. Many women Veterans of childbearing age experience poverty and homelessness, which are key social determinants of poor reproductive health outcomes. Furthermore, racial/ethnic disparities in maternal and neonatal outcomes are well documented, and nearly half of women Veterans of reproductive age are minority race/ethnicity. High-quality, equitable, patient-centered PCC services to address modifiable risks in this population are therefore a priority for VA. In this article, we provide a brief background of PCC, discuss the health risks of Veterans associated with adverse pregnancy outcomes, and highlight VA initiatives related to PCC. Lastly, we discuss implications and future directions for PCC research and policy within VA and across other health systems.

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