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Summarizes findings from the first two phases of a project that identified best practices in mental health reform and strategies for their implementation. The first phase was a critical evidence-based review of the current state of knowledge about best practices relevant to mental health reform, with a focus on chronic and severe mental illness. The second phase was a situational analysis of mental health reform policies, practices, and initiatives in Canada which approximated best practices. The report then addresses the implementation of best practices across entire systems of care. The benefits and timeliness of integrating mental health services are discussed, separation from the rest of health care is described as a necessary developmental stage, and those best practices which should be given priority are identified. Recommendations for action are also provided.
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Best Practices in Community Mental Health: A Pocket Guide is a quick reference guide to best practices that are essential for providing comprehensive, holistic care. Intended for use across a wide range of disciplines within mental health-social work, counseling, psychiatric nursing and rehabilitation, public psychiatry-the pocket guide offers a well-rounded foundation of services that can be adapted to each practice setting. This comprehensive but compact overview lends itself well to in-service trainings and makes an ideal companion for students in mental health internships and practicums. The accessible, actionable format spares busy professionals the need to hunt through long textbooks and articles for the information they need right away. This pocket guide is the first book of its kind to compile such a diverse set of practices, providing essential theory and background for each one, along with a review of available evidence, steps for implementation, and strategies for assessment and evaluation. Each chapter opens with a case study that provides an insider's perspective and closes with a glossary and links to online resources.
The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
How can professionals maintain or improve the quality of care they provide when pressured by payers to reduce the cost of care? Clinicians today face the challenge of providing optimal care in an environment where costs drive clinical practice. But high quality, not cost, remains the goal of professionals. By arming themselves with measurable results, clinicians can improve the processes of delivering mental health care and translate those improvements into better outcomes for patients and their families. In this timely guide, the editors have gathered the work of 49 distinguished contributors and crafted a valuable resource for overcoming the extraordinary challenge of delivering high quality mental health care. This groundbreaking book is divided into three sections: The challenges today's clinicians face in providing optimal mental health care -- Beginning with a review of the report to then-President Clinton from the Advisory Commission on Consumer Protection and Quality in the Health Care Industry, subsequent chapters discuss professional ethics and managed care, how Wall Street investors are changing the practice of medicine, problems faced by managed care, and changes needed in medical education to ensure that physicians are well prepared to practice medicine in the 21st century. Proven techniques for quality measurement -- Measuring quality of care presents significant conceptual and methodological problems. These chapters review quality measurement methods and describe support by the federal government to improve these methods. Also addressed are how consumers are joining the quality of care measurement movement and how one large urban county mental health program is advancing quality measurement. Fourteen case reports of quality improvement projects -- These chapters detail principles and techniques that can be replicated or tailored to fulfill the requirements of a variety of clinical settings, ranging from the national health service in Great Britain to a small geriatric unit in a large hospital. The work showcased here was done by clinicians or administrators who, concerned about the quality of care in their own settings, used data to test for themselves whether their interventions resulted in improved care. Even if managed care disappeared, we would still need to question, examine, and improve the quality of patient care -- with clinicians taking the lead, because only they can appreciate the subtle nuances that maintain or improve quality standards, and only they can make substantive changes in their clinical settings. As both a broad conceptual framework for considering the quality of mental health care and as a practical field guide to real-life techniques for measuring the quality of care, this volume will prove exceptionally valuable for mental health care professionals, administrators, and policymakers as well as for consumers and consumer advocates, researchers, students, and public health professionals.
This timely brief resource introduces a new evidence-based model for treatment of mentally ill individuals in jails, with emphasis on community-based options. Forensic mental health experts review police alternatives to arresting mentally ill persons in confrontations, the efficacy of problem-solving courts, and continuity of care between jail and community. The book's best-practices approach extends to frequently related issues such as addiction, domestic violence, juvenile considerations, and trauma and describes successful programs coordinating judicial and clinical systems. These guidelines for decriminalizing non-violent behaviors and making appropriate services available to those with mental problems should also help address issues affecting the justice system, such as overcrowding. Included in the coverage: The Best Practices Model. Best practices in law enforcement crisis interventions with the mentally ill. Problem-solving courts and therapeutic jurisprudence. Competency restoration programs. A review of best practices for the treatment of persons with mental illness in jail. Conclusions, recommendations, and helpful appendices. With its practical vision for systemic improvement, Best Practices Model for Intervention with the Mentally Ill in the Criminal Justice System is progressive reading for practitioners in the mental health field, especially practitioners working with inmates, as well as for stakeholders in the law enforcement and justice systems.