This study aimed to examine the association between user satisfaction and clinical outcomes with child and adolescent mental health services (CAMHS) from the perspective of young people and their ...parents. The evidence bases for CAMHS user satisfaction measures are limited, with few studies investigating the link between user satisfaction and clinical outcomes. In particular, the perspectives of young people are missing.
The parent and youth versions of the Experience of Service Questionnaire (ESQ), which evaluates the factors of general satisfaction (GS), satisfaction with care (SWC) and satisfaction with environment (SWE), were used to measure user satisfaction. The outcome measures were scores on the Strengths and Difficulties Questionnaire (SDQ), Children's Global Assessment Scale (CGAS), and Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). Hierarchical regression analysis was conducted on data collected from 233 young people and 495 parents who utilized CAMHS services.
GS and SWC predicted outcomes for both young people (ΔR
= 0.08, p <.05) and parents (ΔR
= 0.01, p <.05), indicating that user satisfaction had a significant impact on clinical outcomes for CAMHS users. In addition, GS and SWC significantly predicted young people-reported outcomes in the interaction model (ΔR
= 0.10, p <.05), while no significant association was found with parent-reported outcomes (ΔR
= 0.02, p =.09).
User satisfaction, particularly for young people, has a significant impact on clinical outcomes. The causal relationship between user satisfaction and mental health outcomes requires further study.
Due to COVID-19, face-to-face mental health service delivery has been interrupted by social distancing and stay-at-home orders. To abridge physical distance between patients and healthcare providers, ...while limiting exposure to COVID-19, telepsychiatry has been widely adopted to provide services to patients with pre-existing mental health disorders. Though telepsychiatry has become more mainstream in delivering mental health services during COVID-19, evaluation studies of the rapid conversion of care delivery from face-to-face to telepsychiatry have been limited. The aim of this study was to review the literature on the transition of mental health service delivery to telepsychiatry during COVID-19. The findings of the current review showed that a majority of patients and healthcare providers were satisfied with telepsychiatry services, and suggest that telepsychiatry is feasible and appropriate for supporting patients and healthcare providers during COVID-19.
This is a brief introduction to four papers examining the impact of the COVID‐19 pandemic on the continuum of integrated infant and early childhood mental health services offered across hospital and ...community settings. The COVID‐19 pandemic profoundly impacted the delivery of perinatal, infant, and early childhood behavioral health services. Perinatal and early childhood integrated behavioral health services ensured access to early childhood and family mental health services, adapted service delivery to meet the needs of the populations being served and comply with public health guidelines, and promoted appropriate utilization of preventive, primary care, and hospital services for populations with and without medical complexity during the COVID‐19 pandemic.
Providing human support for users of behavioral health technology can help facilitate the necessary engagement and clinical integration of digital tools in mental health care. A team conducted ...digital navigator training that taught participants how to promote patrons' digital literacy, evaluate and recommend health apps, and interpret smartphone data. The authors trained 80 participants from 21 organizations, demonstrating this training's feasibility, acceptability, and need. Case studies explore the implementation of this training curriculum. As technology's potential in mental health care expands, training can empower digital navigators to ensure that the use of digital tools is informed, equitable, and clinically relevant.
Global mental health (GMH) is an emerging field that focuses on the need for culturally sensitive mental health services in low‐ and middle‐income countries (LMICs). While many new initiatives have ...been established worldwide to understand GMH needs and to provide care in LMICs, family therapists have primarily worked with families in high‐income countries. The few existing family‐based initiatives in GMH focus on psychoeducation and are typically not based on general systems theory. However, emerging trends in family therapy may enable family therapists to impact mental health issues in LMICs. These trends, which are shared interests of both family therapy and GMH, include collaborative care, a growing emphasis on the importance of culture in understanding and treating mental health issues, recognition of the ability of families to support or impede recovery from mental illness, and the use of strength‐based and evidence‐based treatments. This paper describes ways for family therapists to become active in the GMH community.
La salud mental mundial es un área emergente que se centra en la necesidad de servicios de salud mental respetuosos de otras culturas en países de ingresos bajos y medianos. Si bien se han creado numerosas iniciativas nuevas en todo el mundo para comprender las necesidades del área de salud mental mundial y para prestar asistencia en países de ingresos bajos y medianos, los terapeutas familiares han trabajado principalmente con familias de países de ingresos altos. Las pocas iniciativas existentes basadas en la familia en el ámbito de la salud mental mundial se centran en la psicoeducación y normalmente no están basadas en la teoría de sistemas general. Sin embargo, las tendencias emergentes en la terapia familiar pueden permitir a los terapeutas familiares influir en cuestiones relacionadas con la salud mental en países de ingresos bajos y medianos. Estas tendencias, que son intereses comunes tanto del área de la terapia familiar como de la salud mental mundial, incluyen la atención colaborativa, un énfasis cada vez mayor en la importancia de la cultura a la hora de comprender y tratar cuestiones de salud mental, el reconocimiento de la capacidad de las familias para apoyar o impedir la recuperación de enfermedades mentales, y el uso de tratamientos factuales y basados en fortalezas. Este artículo describe las maneras en las que los terapeutas familiares pueden participar en la comunidad del área de la salud mental mundial.
全球精神健康(GMH) 是一个着重于针对中低收入国家(LMICs)中对于文化敏感精神健康服务需求的新兴领域。虽然在全球范围内已经建立了很多致力于理解GMH需求的新项目,家庭心理咨询师依然主要服务于高收入国家中的家庭。现存仅有的几个以家庭为基础的GMH项目着重于心理教育,并且通常不基于普通系统理论。然而,家庭心理治疗中的新兴趋势可能帮助家庭心理治疗师对LMIC中精神健康问题产生影响。这些趋势对于家庭心理治疗和GMH同样有益。它们包括合作照料,日益重视文化在理解和治疗精神健康问题中的重要性,认识到家庭在支持或阻碍恢复精神健康中的作用,以及使用力量为基础和证据为基础的治疗方法。该篇文章描述了家庭心理治疗师积极加入GMH社区的各种方式。
Studies investigating the prevalence of positive mental health and its correlates are still scarce compared to the studies on mental disorders, although there is growing interest of assessing ...positive mental health in adolescents. So far, no other study examining the prevalence and determinants of positive mental health in Chinese adolescents has been found. The purpose of this study was to assess the prevalence and correlates of positive mental health in Chinese adolescents.
This cross-sectional study used a questionnaire including Mental Health Continuum-Short Form (MHC-SF) and items regarding multiple aspects of adolescent life. The sample involved a total of 5399 students from grade 8 and 10 in Weifang, China. Multivariate Logistic regression analyses were performed to evaluate the associations between potential indicators regarding socio-economic situations, life style, social support and school life and positive mental health and calculate odds ratios and 95% confidence intervals.
More than half (57.4%) of the participants were diagnosed as flourishing. The correlated factors of positive mental health in regression models included gender, perceived family economy, the occurrence of sibling(s), satisfaction of self-appearance, physical activity, sleep quality, stress, social trust, desire to learn, support from teachers and parents as well as whether being bullied at school (OR ranging from 1.23 to 2.75). The Hosmer-Lemeshow p-value for the final regression model (0.45) indicated adequate model fit.
This study gives the first overview on prevalence and correlates of positive mental health in Chinese adolescents. The prevalence of positive mental health in Chinese adolescents is higher than reported in most of the previous studies also using MHC-SF. Our findings suggest that adolescents with advantageous socio-economic situations, life style, social support and school life are experiencing better positive mental health than others.
The global experience of the COVID-19 pandemic is unprecedented. The magnitude, pace, and uncertainty of the pandemic have taxed systems and catalyzed innovation in many fields, including behavioral ...health. Behavioral health leaders have absorbed changing information about regulations and laws, proper use of personal protective equipment, isolation and quarantine, telepsychiatry practices (broadly defined here as the use of virtual and telephonic means to provide behavioral health care), and financial opportunities and challenges while attending to the mental health needs of local populations. This Open Forum reviews many of the adaptations of the behavioral health system in response to COVID-19 on the basis of a point-in-time snapshot and describes needed multidimensional policy and practice considerations for the future.
Accessible summary
What is known on the subject?
In many countries, the majority of psychiatric care is being delivered in an outpatient setting and the proportion of outpatients is increasing on a ...global level.
Nurses are the largest workforce in psychiatric care, but their role has been said to be difficult to define.
According to our knowledge, there are no previous reviews focusing on nurse‐delivered interventions in the adult psychiatric outpatient setting.
What this paper adds to existing knowledge?
This review summarizes nurse‐delivered interventions identified in the research literature and describes these systematically. Analysing all the identified interventions using the Nursing Interventions Classification, we conclude that the emphasis of nurse‐delivered interventions in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients and their family members by building on their own strengths. These findings differ from those presented in a review on inpatient psychiatric nursing.
There are several clinical trials describing nurse‐delivered evidence‐based treatments, such as psychoeducation for patients and their family members in the case of patients diagnosed with schizophrenia and bipolar disorder. The quality of randomized controlled trials was higher than in earlier reviews describing psychiatric nursing interventions in general or in connection with a specific patient group.
Further clinical trials are needed to describe the role of nurses in the care of patients diagnosed with depression and in the use of web‐based interventions. Additionally, it would be important to study what supports, and on the other hand hinders, the role of nurses in delivering evidence‐based treatments at the clinical level.
What are the implications for practice?
Nurses can play a central role in responding to the growing demand for evidence‐based practices in adult outpatient psychiatry, by delivering treatments for patients and family members.
It is important that both nursing education and clinical practices recognize and support this role.
Introduction
According to our knowledge, there are no previous reviews on nurse‐delivered interventions in the adult psychiatric outpatient setting.
Aim
To identify and systematically describe and analyse nurse‐delivered interventions based on research literature.
Method
An integrative review.
Results
This review included 60 studies, of which 46 were intervention studies, including 40 clinical trials. The most common patient groups were patients diagnosed with schizophrenia and bipolar disorder. The nursing interventions described in the studies resembled a total of 68 interventions from the Nursing Interventions Classification. The treatment delivery methods varied and treatments often lacked a clear theoretical background.
Implications for practice
The core of nurse‐delivered interventions identified in research literature in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients and their family members by building on their own strengths. These findings differ from the interventions identified in a review describing nursing in the inpatient setting. There are high‐quality clinical trials describing nurse‐delivered treatments for patients diagnosed with schizophrenia and bipolar disorder. These include evidence‐based treatments such as psychoeducation. Understanding of how these treatments are transferred in clinical practice is missing. Clinical trials describing nurse‐delivered web‐based interventions and interventions for patients diagnosed with depression are needed.
After the War Grenier, Stéphane; Montgomery, Adam
2018, 2018-02-17
eBook
A veteran Canadian peacekeeper who served in Rwanda during the 1994 genocide, Stéphane Grenier shares his journey to changing how workplaces deal with mental health.
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