Leveraging collaborative care to improve access to mental health care on a global scale

Unützer, Jürgen; Carlo, Andrew D.; Collins, Pamela Y.

doi:10.1002/wps.20696

Cited by 33 publications

(39 citation statements)

References 7 publications

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“…Even in non-rural areas, there are shortages of clinicians with specialty MH/SUD expertise [ 24 ], and even fewer who accept insurance [ 25 ]. The well-documented shortage of specialty clinicians has been an impetus to finding alternative delivery models, such as collaborative care with primary care and digital health to assist in the treatment of patients with milder conditions [ 26 , 27 ]. Widespread clinician shortages in many communities may limit the success telemedicine can have in improving geographical access to care.…”

Section: Health Policy and Public Health Considerations For The Use Omentioning

confidence: 99%

Telemedicine for treating mental health and substance use disorders: reflections since the pandemic

Busch

Sugarman

Horvitz

et al. 2021

Neuropsychopharmacol.

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Section: Health Policy and Public Health Considerations For The Use Omentioning

confidence: 99%

Telemedicine for treating mental health and substance use disorders: reflections since the pandemic

Busch

Sugarman

Horvitz

et al. 2021

Neuropsychopharmacol.

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“…In the realm of global mental health, the US National Institute of Mental Health, Grand Challenges Canada, the Wellcome Trust, and the UK Department for International Development have invested heavily in research on integrated mental health care for adults and children. 7 , 67 A concerted cross-funder effort could support a similar domestic agenda which could include: Development and testing of brief, broadband (trans-diagnostic) therapies that can be readily learned by individuals with and without formal mental health training and that can be delivered to families in a variable number of short sessions. 29 , 68 Adaptation of parent support and parent-child interaction interventions for primary care, both in early childhood and across the pediatric age range.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 In addition, the child mental health workforce lacks sufficient capacity as it is presently configured. 6 Integration of mental health services into primary care has been promoted as one answer to these challenges 7 and is endorsed by national and international organizations. 8,9 Nearly all children have primary care visits, 10 and the philosophy of pediatric primary care in the United States is oriented toward universal prevention, surveillance, and early intervention.…”

mentioning

confidence: 99%

Policy Recommendations to Promote Integrated Mental Health Care for Children and Youth

Wissow

Platt

Sarvet

2021

Academic Pediatrics

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“…Some countries have taken a first step towards integrating perinatal mental health in primary care settings, providing templates for the operationalization of this goal worldwide (27). To address system and providerlevel barriers, most of these templates follow a stepped-care approach, with mild to moderate cases being counseled or treated by minimally trained non-specialists and only severe cases being referred to specialists (28).…”

Section: Introductionmentioning

confidence: 99%

Perspectives of Health Service Providers on Barriers to Accessing Perinatal Mental Health Services in Karnataka, India: A Qualitative Study

Mukherjee

Dolcy

John

et al. 2021

Preprint

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Background: Poor maternal mental health is a major public health concern since it adversely impacts both maternal and child health outcomes. This study aimed to document the barriers to utilizing perinatal mental health services in Karnataka, India, and to determine its relationship with risk factors of poor maternal mental health in this context. Methods: Qualitative research methods using in-depth interviews were conducted on twenty-one local stakeholders who represented health service providers in various capacities: mental health specialists (n = 4), gynaecologists (n = 2), government officials from the Department of Health and Family Welfare (n = 2), and Department of Women and Child Development (n = 2), senior state consultant to United Nations Children’s Fund (n = 1), and frontline workers (n = 10). Data were analysed using a thematic framework analysis approach. Results: We identified multiple barriers to service utilization operating at the levels of the health system, community, family, and the individual. Health-system level barriers included lack of a universal screening mechanism, poor infrastructure, poor training of frontline workers on mental health issues, and inadequate time for counselling and treatment. Community-level barriers included stigma and misconceptions, leading to a lack of social support. Family and individual level barriers included the financial burden of availing services, lack of family and partner support, and lack of empowerment and motivation in the woman to seek services. Family and individual level barriers interacted with risk factors of poor maternal mental health. Based on this evidence and drawing from the literature, we propose a contextualised, stepped-care model for universal screening, detection, referral, and treatment of women with perinatal mental health conditions for Karnataka that is integrated with the reproductive, maternal, and child health (RMNCH) program in primary care settings. Conclusions: The framework developed in this study suggests that addressing the identified barriers would potentially increase uptake of available services, create awareness about and demand for high-quality mental health services, reduce the risk factors of poor maternal mental health, and eventually improve our understanding of its true burden in the state of Karnataka. This is essential for proper implementation, monitoring, and evaluation of programs relevant to perinatal mental health.

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Leveraging collaborative care to improve access to mental health care on a global scale

Cited by 33 publications

References 7 publications

Telemedicine for treating mental health and substance use disorders: reflections since the pandemic

Telemedicine for treating mental health and substance use disorders: reflections since the pandemic

Policy Recommendations to Promote Integrated Mental Health Care for Children and Youth

Perspectives of Health Service Providers on Barriers to Accessing Perinatal Mental Health Services in Karnataka, India: A Qualitative Study

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