The patient Experience with the mental Health System

Wittwer, Sherri D.

doi:10.18553/jmcp.2006.12.s2-a.s21

Cited by 9 publications

(5 citation statements)

References 1 publication

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“…This is consistent with findings by Bushnell and colleagues (2005) in which approximately 35% of people with current psychological symptoms reported that they had intentionally not disclosed them to their general practitioner. This may reflect the stigma often associated with behavioral health conditions and is consistent with the findings of others that even when related problems are detected, many patients do not follow through with recommended treatments (Barney, Griffiths, Jorm, & Christnesen, 2006; Das, Olfson, McCurtis, & Weissman, 2006; Wittwer, 2006).…”

Section: Implementation Lessons Learnedsupporting

confidence: 81%

Lessons learned: Challenges implementing a personal digital assistant (PDA) to assess behavioral health in primary care.

Zeman¹,

Johnson²,

Arfken³

et al. 2006

Families, Systems, & Health

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Multiple barriers to optimal behavioral health care in primary care settings exist, yet it continues to be the treatment setting of choice for most people with behavioral health conditions. This article describes some of these barriers and how information technology may address them. The authors discuss their experiences implementing a computerized behavioral health assessment in four urban primary care clinics, the lessons they learned that warrant attention before successful implementation is possible, and how they addressed them. Lessons learned were grouped as technology, clinic, patient, and physician challenges. Lack of physician interest and motivation is a critical barrier even if technology offers a lowcost alternative, requires few additional resources, is easy to use, and provides evidence-based diagnostic and treatment information.

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Section: Implementation Lessons Learnedsupporting

confidence: 81%

Lessons learned: Challenges implementing a personal digital assistant (PDA) to assess behavioral health in primary care.

Zeman¹,

Johnson²,

Arfken³

et al. 2006

Families, Systems, & Health

View full text Add to dashboard Cite

show abstract

“…A recent study also showed that clients were very positive about the integrated mental health care that they had received (Magez, Ruppert, Valentini, Stegbauer, & Gotz, 2017). Yet there is still some way to go to reduce stigmatization and barriers (Chien, Yeung, & Chan, 2014; Wittwer, 2006). True experimental studies on ICMHS are also scarce.…”

Section: Discussionmentioning

confidence: 99%

Walking with the illness and life: Experience of the community life of people previously under the services of an integrated community mental health service

Chiang

Chien

Wan³

et al. 2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? There have been some studies on the experience and community life of mental health clients receiving integrated community mental health service (ICMHS). Evaluation of ICMHS suggests that the service could have positive clinical and social outcomes, but the results are inconclusive. What does the paper add to existing knowledge? Research studies have focused on clients and/or staff of the ICMHS, while in this study, the experiences and perspectives of family members are also explored. More comprehensive knowledge about the work for, and community life of, people previously under the services of ICMHS is added to the existing knowledge. This study found that with “timely support” and “family presence,” people who had received the services of ICMHS continued to engage in more social activities (“expanding social networks”), had “better family relationships,” were “letting go” of thinking too much and more able to relax, and had “better self‐efficacy and self‐caring” in the community. Professional contact after ICMHS through continuous conversations (e.g. home visits and follow‐up calls) and social activities are essential for both clients and their families to carry on living with the illness. Timely support, family presence, support to family members in the community and better social networks are key experiences of ICMHS clients. What are the implications for practice? Although the ICMHS’ resources are limited, better promotion is urgently needed for the public to realize the services and to support mental health clients. Mental health professionals may develop practice models through exploratory and confirmatory factors analyses of the themes identified from this study as the outcome measures. The cost‐effectiveness of services and relapse rates over time should also be evaluated for future practice development. Further studies for practice on the difference that family support can make to the community life of former ICMHS clients are warranted. This may be achieved through research designs that compare people with, and without, family members. Abstract IntroductionMore comprehensive understanding, from the experiences and multiple perspectives of the clients, families and staff, about the community life of former clients of the integrated community mental health service (ICMHS) is scarce. AimTo explore the community life experiences of people after their discharge from the ICMHS. MethodA qualitative approach with an interpretative phenomenological analysis was utilized for this study. Data were collected through individual semi‐structured interviews of 37 participants, including people discharged from an Integrated Community Centre of Mental Wellness, their family members and staff members. ResultsSix themes emerged from the analysis: “timely support,” “family presence,” “better family relationships,” “expanding social networks,” “letting go” and “better self‐efficacy and self‐care,” under the main theme of “walking with the illness and life.” Discuss...

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“…Underutilization of mental health/substance abuse services for people with a mental health condition is well documented 7 and legislation alone is not sufficient to address this issue in the U.S. This is due, in part, to stigma, [8][9][10] which is not directly addressed in mental health benefits legislation. Although the Affordable Care Act has received a lot of attention, awareness of mental health benefits legislation is low in general, which may affect service use.…”

Section: Considerations For Implementationmentioning

confidence: 99%

Recommendation for Mental Health Benefits Legislation

Force¹

2015

American Journal of Preventive Medicine

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The patient Experience with the mental Health System

Cited by 9 publications

References 1 publication

Lessons learned: Challenges implementing a personal digital assistant (PDA) to assess behavioral health in primary care.

Lessons learned: Challenges implementing a personal digital assistant (PDA) to assess behavioral health in primary care.

Walking with the illness and life: Experience of the community life of people previously under the services of an integrated community mental health service

Recommendation for Mental Health Benefits Legislation

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