5 results
Search Results
2. Patient Experiences Completing Patient Reported Outcome Measures in Behavioral Health Within a Health Safety-Net Setting.
- Author
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Kramer, Joanna, Perez, Daisy, Ramseier, Denisa, Morgan, Lily, Wilens, Timothy E., Rao, Vinod, and Yule, Amy M.
- Subjects
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MENTAL health , *SAFETY-net health care providers , *RESEARCH funding , *INTERVIEWING , *QUESTIONNAIRES , *THEMATIC analysis , *ATTENTION , *RESEARCH methodology , *HEALTH outcome assessment , *PATIENT satisfaction , *LITERACY , *PATIENTS' attitudes , *TIME - Abstract
Measurement based care (MBC), a practice that uses patient reported outcome measures (PROMs), is not widely used in behavioral health settings and little is known about the patient experience with MBC in safety-net settings. This study aimed to understand patient experiences completing PROMs on paper when presenting to an outpatient, behavioral health setting within a public safety-net hospital. Semi-structured interviews were conducted with 22 participants in English and Spanish. Participants were 42 years old (SD = 12.7), mostly white (36.4%) and Black (31.8%). Thematic analysis was used to analyze findings. Overall, participants were engaged with PROMs and described them as helpful for themselves and their clinicians. Participants also expressed themes focused on PROMs user-friendliness, including formatting, time to complete measures, and participant characteristics such as attention and literacy. These findings are important to consider to ensure equitable access to MBC when implemented in behavioral health in the health safety-net setting. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Toward a Socioeconomic Equity in Combating Adolescent Substance Abuse: An Outreach and Drop-In Centre to Bridge the Gap.
- Author
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Joseph, Shinto, Van den Bulke, Frank, Mathew, Jasmine, Trappeniers, Monne, Van Hoecke, Kathleen, Van Cauwenberghe, Anthea, and Pradeep, Krishnakumar I.
- Subjects
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SUBSTANCE abuse prevention , *PUBLIC relations , *RESEARCH methodology , *PSYCHOLOGY of drug abusers , *COMMUNITY health services , *REGRESSION analysis , *INTERVIEWING , *HEALTH information systems , *GOVERNMENT programs , *AT-risk people , *SOCIOECONOMIC disparities in health , *DATA analysis software , *ADOLESCENCE - Abstract
This paper describes a case study of an Outreach and Drop-in Centre (ODIC) established under the National Action Plan for Drug Demand Reduction, Ministry of Social Justice and Empowerment, Government of India. In the quantitative part, data were gathered from the ODIC office documents and analysed using MS Excel. Linear regression analysis demonstrated a relationship between the number of in-centre clients and the number of Community Outreach Programmes (COPs). Similarly, this study examined the relationship between the number of networks established and the number of participants in COPs. Hence, two regression lines were derived accordingly. In addition, qualitative data collected through key informant interviews corroborated the quantitative results. This case study highlights the importance of networks and COPs in increasing the reach of ODIC and ensuring the quality of services. Finally, in partnership with other government agencies, this ODIC sets a model for engaging marginalised adolescents in reducing substance abuse. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. State-Federal Vocational Rehabilitation Services, Demographic Characteristics and Employment Outcomes for Native Americans with Mental Illnesses.
- Author
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Salimi, Nahal, Gere, Bryan, and Shahab, Amin
- Subjects
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NATIVE Americans , *EMPLOYMENT of people with disabilities , *RESEARCH methodology , *MENTAL health , *PUBLIC health , *REHABILITATION counselors , *REHABILITATION of people with mental illness , *GOVERNMENT programs , *COMPARATIVE studies , *EXPERIENCE , *CHI-squared test , *VOCATIONAL rehabilitation , *SOCIODEMOGRAPHIC factors , *HEALTH equity , *PREDICTION models , *PUBLIC welfare , *SUPPORTED employment , *DATA mining - Abstract
There were 9.7 million Native Americans (American Indian, Alaska Native-AI/AN- these acronyms will be used interchangeably with Native Americans throughout the paper) in 2019 comprising 2.9% of the U.S. population. Native American populations have disproportionately higher rates of mental illnesses compared to other racial groups in the U.S. Mental health is a significant public health concern for this population, impacting different areas of their lives including employment. Additionally, Native Americans continue to experience significant disparities in access to Vocational Rehabilitation (VR) services and have poor employment outcomes. However, little is known about the relationships among demographic factors, vocational rehabilitation services, and employment outcomes of Native Americans with mental illness. Consequently, the current study examined how demographic factors and VR services are related to successful employment outcomes for Native American VR clients with mental illnesses using data from the Rehabilitation Services Administration (RSA) program year (2019) Case Service Report (9–11). Both descriptive analysis and data mining approaches were used to answer the research questions. Chi-square Automatic Interaction Detector (CHAID) analysis was used to determine which of the VR services could best predict the successful employment outcome of Native Americans with mental illness. The findings of the data mining approach revealed that among all the vocational rehabilitation services, job placement assistance was the strongest predictor of successful employment among Native American clients with mental illnesses. The second most important service predicting successful employment for those who received job placement assistance was shown to be maintenance. Implications for rehabilitation counselors and future research are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
5. Availability and Accessibility of Mental Health Services for Youth: A Descriptive Survey of Safety-Net Health Centers During the COVID-19 Pandemic.
- Author
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Adams, Danielle R.
- Subjects
HEALTH services accessibility ,RESEARCH methodology ,COMMUNITY health services ,COMMUNITY mental health services for teenagers ,SURVEYS ,COMPARATIVE studies ,SAFETY-net health care providers ,DESCRIPTIVE statistics ,RESEARCH funding ,METROPOLITAN areas ,MEDICAID ,COVID-19 pandemic ,OUTPATIENT services in hospitals - Abstract
Community Mental Health Centers (CMHCs) and Federally Qualified Health Centers (FQHCs) are critical access points for families with adolescents needing mental health care, especially those enrolled in Medicaid. However, barriers exist which may reduce their accessibility. This study aims to describe the availability and accessibility of outpatient mental health services for children and adolescents at safety-net health centers in a large metropolitan county. Approximately one year after the COVID-19 pandemic began in the U.S., a comprehensive sample of 117 CMHCs and 117 FQHCs were called and administered a 5-minute survey. Approximately 10% of health centers were closed, and 20% (28.2% of FQHCs and 7.7% of CMHCs) reported not offering outpatient mental health services. Despite CMHCs having 5.4 more clinicians on staff on average, reported wait times were longer at CMHCs than FQHCs. These findings indicate that online directories intended to be a comprehensive and accessible resource, such as the SAMHSA Treatment Locator, are often inaccurate or out-of-date. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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