Integrating Mental Health Services into a General Hospital in Puerto Rico

Jiménez, Julio; Rivera, Dalisse; Benítez, Pedro Carpintero; Tarrats, H.; Ramos, Axel

doi:10.1007/s10880-012-9352-x

Cited by 8 publications

(5 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Contact with these health service providers helps in obtaining direct information on the medical conditions of patients, contributes to reaching an accurate diagnosis of mental disorders, and facilitates the implementation of comprehensive treatment. This approach has been shown to help improve health outcomes for patients and reduce costs related to healthcare expenses [ 12 ].The theoretical model of integrated care on which CPSP operates was designed and implemented by [ 20 ], the CPSP coordinator and senior researcher and author of our research team.…”

Section: Discussionmentioning

confidence: 99%

Commonly diagnosed mental disorders in a general hospital system

Scott

Beauchamp-Lebrón

Rosa-Jiménez

et al. 2021

Int J Ment Health Syst

View full text Add to dashboard Cite

Background Considering many patients receive care from general hospitals, these healthcare institutions are uniquely situated to address mental and physical health needs. Little is documented, however, on the common current mental disorders diagnosed in patients receiving care in general hospital settings, especially in Puerto Rico. The objective of this study was to characterize the five most common current DSM-5 mental disorder diagnoses made in patients receiving non-psychiatric medical and surgical care from a general hospital system in southern Puerto Rico between January 2015 and December 2019. Methods Our clinical health psychology team provides integrated psychology consultation-liaison services to select clinical units in general hospitals across the southwestern region of Puerto Rico. The clinical team conducted routine standardized psychological evaluations at patients' bedside, arrived at a current DSM-5 diagnosis if warranted, and documented the diagnosis and other select variables. A retrospective study of cross-sectional data generated from the clinical team’s standardized evaluations of 5494 medical patients was implemented. Multinomial logistic regression analyses were used to assess the odds of being diagnosed with a current DSM-5 mental disorder during hospitalization. Results Overall, 53% of the entire sample was diagnosed with a mental disorder during hospitalization. Major depressive, neurocognitive, anxiety, substance-related and schizophrenia-spectrum disorders were the most frequently diagnosed. Interestingly, females were 23% less likely to have been diagnosed with major depressive disorder than males (aOR: 0.769, CI [0.650, 0.909], p = 0.002). This is to say males evidenced 1.30 higher odds of being diagnosed with depression compared to their female counterpart. Age, biological sex, civil status, employment status, monthly household income, previous mental disorder and history substance use/abuse history was differentially associated with receiving a current DSM-5 disorder. Conclusion The integration of clinical health psychology services within a general hospital facilitated our team’s work of identifying and treating co-occurring mental disorders among hospitalized patients receiving medical and surgical care. Future studies examining the opportunities and barriers of integrating clinical health psychology services within a general hospital’s administrative and clinical infrastructure for rapid identification and treatment of co-occurring mental disorders among medical patients is encouraged.

show abstract

Section: Discussionmentioning

confidence: 99%

Commonly diagnosed mental disorders in a general hospital system

Scott

Beauchamp-Lebrón

Rosa-Jiménez

et al. 2021

Int J Ment Health Syst

View full text Add to dashboard Cite

show abstract

“…Having a clinical health psychology team embedded within the care delivery model of a general hospital system requires integration at the administrative and clinical care levels. The speci c integrative model on which the CPSP clinical team operates has been detailed elsewhere (Jiménez et al, 2013).…”

Section: Key Implicationsmentioning

confidence: 99%

Commonly Diagnosed Mental Disorders in a General Hospital System

Scott

Beauchamp-Lebrón

Rosa-Jiménez

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Considering many patients seek care from general hospitals, these healthcare institutions are uniquely situated to address comorbid mental and physical health needs. Little is documented, however, on the most common mental disorders in patients seeking care in general hospital settings, especially in Puerto Rico. The objective of this study was to characterize the five most common DSM-5 mental disorder diagnoses made in a hospital system in southern Puerto Rico between January 2015 and December 2019. Methods: A retrospective study of cross-sectional data obtained from 5,494 inpatients was implemented and a multinomial logistic regression was used to assess the odds of being diagnosed with a current mental disorder.Results: Overall, 53% of the entire sample was diagnosed with a mental disorder during hospitalization. Major depressive, neurocognitive, anxiety, substance-related and schizophrenia-spectrum disorders were the most frequently diagnosed. Interestingly, females were 23% less likely to have been diagnosed with major depressive disorder than males (aOR: .769, CI [.650, .909], p = .002). Thus, males evidenced 1.30 higher odds of being diagnosed with depression. Conclusion: The integration of clinical health psychology services within a general hospital facilitated our team’s work of identifying and treating co-occurring mental disorders among hospitalized patients. Future studies examining the opportunities and barriers of integrating clinical health psychology services within a general hospital’s administrative and clinical infrastructure for rapid identification and treatment of co-occurring mental disorders among medical patients are warranted.

show abstract

“…The model established in the THCU was based on one previously implemented in community hospitals in both Aibonito and Ponce, PR. 42 Through this model, the personnel offered psychological assessments and diagnosed mental health disorders (using the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders [DSM-V]). Furthermore, shortterm psychotherapy sessions were given (when needed) to patients, and their families/caregivers were given emotional/ psychological support.…”

Section: Experience In the Development And Implementation Of An Mhs Mmentioning

confidence: 99%

Promoting Integrated Mental Health Care Services in Disaster Response Programs: Lessons Learned After the Impact of Hurricane María in Puerto Rico

Chávez

Sánchez

Maldonado

et al. 2019

Disaster med. public health prep.

View full text Add to dashboard Cite

Meteorological and even human-made disasters are increasing every year in frequency and magnitude. The passage of a disaster affects a society without distinction, but groups with social vulnerability (low socioeconomic status, chronic medical, or psychological conditions, limited access to resources) face the most significant impact. As a result, psychological and behavioral symptoms (eg, depression and anxiety) can ensue, making the immediate response of mental health services crucial. Secondary data from a database of a temporary healthcare unit were analyzed. A total of 54 records were reviewed to collect information; univariate and bivariate analyses were done. The purpose of this article is to present our experience regarding the incorporation of a mental health services model, with its respective benefits and challenges, into a temporary healthcare unit, after Hurricane Maria in 2017.

show abstract

Integrating Mental Health Services into a General Hospital in Puerto Rico

Cited by 8 publications

References 47 publications

Commonly diagnosed mental disorders in a general hospital system

Commonly diagnosed mental disorders in a general hospital system

Commonly Diagnosed Mental Disorders in a General Hospital System

Promoting Integrated Mental Health Care Services in Disaster Response Programs: Lessons Learned After the Impact of Hurricane María in Puerto Rico

Contact Info

Product

Resources

About