Evaluating the Implementation of a Mental Health Referral Service “Connect to Wellbeing”: A Quality Improvement Approach

Onnis, Leigh-ann; Kinchin, Irina; Pryce, Josephine; Ennals, Priscilla; Petrucci, Joe; Tsey, Komla

doi:10.3389/fpubh.2020.585933

Cited by 3 publications

(8 citation statements)

References 21 publications

(29 reference statements)

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“…Overall, the providers and users regarded the referrals from other health providers and informal recommendations as chief facilitators. These results are coherent with previous research among adolescents and caregivers who described networks and referrals as a driving force in service utilization [ 38 , 39 ].…”

Section: Discussionsupporting

confidence: 92%

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Mubeen,

Fatmi,

Hameed

et al. 2024

BMC Health Serv Res

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Introduction Adolescents’ Mental Healthcare (MHC) is influenced by numerous factors, and adolescents occasionally seek professional help for mental health (MH) issues. These factors become more complex within low-middle-income countries (LMICs); therefore, this study aims to understand barriers and facilitators to access mental health services among adolescents aged 10 to 19 years old from the perspective of users (parents) and providers (Mental Healthcare Providers - MHPs). Method Using a qualitative exploratory design, a semi-structured interview guide was developed using Andersen’s health service utilization model. In-depth interviews were conducted with MHPs (n = 21) and parents of adolescents (n = 19) in the psychiatry department of public and private hospitals in Karachi, from October—December 2021. Data was thematically analyzed using an inductive approach. Result The findings revealed a consensus of users and providers in all three categories of the Andersen model and referred the compulsion as the major driving force to MHC access and utilization rather than personal choices. Within pre-disposing, need, and enabling factors; the participants highlighted a unique perspective; users regarded frequent migration, daily wage loss, and women’s societal status as barriers while the need for marriage and patient willingness were stated as facilitators. Whereas, MHPs indicated societal tolerance, the burden on the health system, and the absence of Child and Adolescent Mental Health (CAMH) services as major gaps in service delivery. Conclusion Service utilization is mainly facilitated by the severity of illness rather than healthy choices and beliefs, and accessibility and affordability. It is therefore imperative to prioritize adolescent MH through promotion and prevention approaches and address service delivery gaps to prevent treatment delays via task-shifting and capacity building of the health workforce.

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Section: Discussionsupporting

confidence: 92%

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Mubeen,

Fatmi,

Hameed

et al. 2024

BMC Health Serv Res

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“…Limited resources. Across the studies, the most considerable barrier was limited resources [ 18 , 33 – 36 , 38 , 39 , 42 , 45 , 50 – 56 , 58 – 66 , 71 , 74 , 75 , 78 – 80 , 82 ]. This key concept considered limited resources at the healthcare provider and service user level.…”

Section: Resultsmentioning

confidence: 99%

“…System complexity and navigation. The complexity in using and navigating the system was a common aspatial barrier [ 18 , 33 , 36 , 40 – 42 , 45 , 46 , 51 – 53 , 57 – 59 , 61 , 63 , 65 , 66 , 69 , 73 , 74 , 78 , 80 ], which affected healthcare providers in coordinating patient care and service users in utilising such care. These issues were most frequently reflected in reports on extended wait times and delays in assessment and diagnosis [ 34 , 40 , 46 , 53 , 55 , 57 , 58 , 62 , 66 , 78 , 80 ].…”

Section: Resultsmentioning

confidence: 99%

“…Person-centred and collaborative care. Many studies reported that person- (or client-) centred care that is non-judgemental and permits collaboration to be an important aspatial facilitator to mental health service access and utilisation [ 31 , 34 – 36 , 41 , 42 , 56 – 59 , 61 , 63 – 65 , 72 , 74 , 81 ]. It is noteworthy that person centred care was specifically reported in studies pertaining to the service user [ 61 ] and healthcare provider [ 63 , 64 ] in the current review, suggesting that this approach is recognised as important by both those delivering and using the service.…”

Section: Resultsmentioning

confidence: 99%

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A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia

Kavanagh,

Corney,

Beks

et al. 2023

BMC Health Serv Res

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Background Inadequate healthcare access and utilisation are implicated in the mental health burden experienced by those living in regional, rural, and remote Australia. Facilitators that better enable access and utilisation are also reported in the literature. To date, a synthesis on both the barriers and facilitators to accessing and utilising mental health services within the rural Australian context has not been undertaken. This scoping review aims to (1) synthesise the barriers and facilitators to accessing and utilising mental health services in regional, rural, and remote Australia, as identified using the Modified Monash Model; and (2) better understand the relationship between barriers and facilitators and their geographical context. Methods A systematic search of Medline Complete, EMBASE, PsycINFO, Scopus, and CINAHL was undertaken to identify peer-reviewed literature. Grey literature was collated from relevant websites. Study characteristics, including barriers and facilitators, and location were extracted. A descriptive synthesis of results was conducted. Results Fifty-three articles were included in this scoping review. Prominent barriers to access and utilisation included: limited resources; system complexity and navigation; attitudinal and social matters; technological limitations; distance to services; insufficient culturally-sensitive practice; and lack of awareness. Facilitators included person-centred and collaborative care; technological facilitation; environment and ease of access; community supports; mental health literacy and culturally-sensitive practice. The variability of the included studies precluded the geographical analysis from being completed. Conclusion Both healthcare providers and service users considered a number of barriers and facilitators to mental health service access and utilisation in the regional, rural, and remote Australian context. Barriers and facilitators should be considered when re-designing services, particularly in light of the findings and recommendations from the Royal Commission into Victoria’s Mental Health System, which may be relevant to other areas of Australia. Additional research generated from rural Australia is needed to better understand the geographical context in which specific barriers and facilitators occur.

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“…Education should be provided to hospital doctors but also to nurses, residents and social workers to better recognize mental illness so referrals can see an increase [ 41 , 42 ]. Collaborative screening and accurate referrals would require the consolidation of a multi- and interdisciplinary mental health service [ 43 , 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

Anxiety/Depression Predominance in Liaison-Psychiatry Users of a South-East Mexico Tertiary Hospital

2022

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Patients at tertiary hospitals may find themselves in need of mental health support due to the distress associated with the illness that may or not lead to a psychiatric condition. Here is an overview of the clinical cases treated by the liaison psychiatry service of a public tertiary hospital from Southeast Mexico during its first years of operation (2008–2018), with the purpose of gathering information about the status and needs of this population. A sample of 304 clinical records of patients treated for the first time by the psychiatry service was reviewed, and the distribution by demographic characteristics, diagnosis of mental illness and medical area of reference was analyzed. Anxiety and depression symptoms were the most frequent. Most patients were women, lived in Merida and returned after the first appointment. The neurology service referred most patients, yet most attended directly. General tertiary hospitals should prioritize integrating ad hoc mental and physical health care. Adult women with a profile of anxiety and/or depression would be the first target group. Some areas of opportunity for further research and improvement of mental health services are: preventive services for anxiety and depression, follow-up of patients, attention to relatives of patients at intensive care units, implementation of telehealth alternatives, training on mental health screening and inter- and intra-institutional collaboration.

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Evaluating the Implementation of a Mental Health Referral Service “Connect to Wellbeing”: A Quality Improvement Approach

Cited by 3 publications

References 21 publications

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia

Anxiety/Depression Predominance in Liaison-Psychiatry Users of a South-East Mexico Tertiary Hospital

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