Evaluation of the Department of Veterans Affairs Mental Health Services


Book Description

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.




Evaluating Managed Mental Health Services


Book Description

Based on a five-year evaluation of an $80 million U.S. Army demonstration program, this first-of-its kind study explores the cost effectiveness of a managed care model of service delivery for children and adolescents with mental health and substance addiction problems. Contributions report on the quality, cost, and clinical outcome and raise critical questions about the effectiveness of mental health services and their delivery in community settings. Chapters describe new approaches to measurement and provide analyses assisting future research on managed care.




Primary Care


Book Description

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.




Mental Health Service Evaluation


Book Description

With the emerging international consensus toward community care of the mentally ill, there comes a growing need for meaningful evaluation of services. Redressing the current lack of guidance this book describes how to do mental health service research. Contributors comprehensively review the most recent developments in research design, method and measurement at the level of both whole service systems and individual programs within mental health services. Practical descriptions of comprehensive evaluation projects illustrate each issue and many chapters examine important earlier advances in effective service knowledge as well as future work that will further develop our understanding of meeting patient requirements.




Common Mental Health Disorders


Book Description

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.




Behavioral Emergencies for the Emergency Physician


Book Description

This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.




Assessment in Rehabilitation and Mental Health Counseling


Book Description

This graduate-level text on rehabilitation and mental health counseling disseminates foundational knowledge of assessment principles and processes with a focus on clinical application. Written by recognized leaders in rehabilitation and mental health, it is the only book to use the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) framework to integrate assessment tools and techniques addressing practice with varied populations and settings. Written by leading practitioners with specialized knowledge, chapters focus on specific populations and service delivery settings. The book features a variety of learning tools to foster critical thinking, including learning objectives and case examples highlighting important principles and applications. Sample reports and templates further reinforce understanding of specific applications. A robust instructor package offers PowerPoints, a test bank including discussion questions, and sample syllabi. Purchase includes access to the ebook for use on most mobile devices and computers. KEY FEATURES Provides the only comprehensive view of assessment in rehabilitation and mental health using the ICF framework Integrates assessment tools and techniques for both rehabilitation and mental health in diverse settings Written by recognized leaders in the field of rehabilitation and mental health Includes learning objectives and case examples highlighting important principles and applications Presents sample report templates and completed reports to strengthen integration and presentation of test results Offers a robust instructor package with PowerPoints, a test bank including discussion questions, and sample syllabi




Mental Health Outcome Evaluation


Book Description

Mental Health Outcome Evaluation bridges the gap between traditional research and evaluation methods by presenting an alternative to the highly technical and statistical methods developed in the laboratory for mental health care professionals. It focuses on outcome evaluation of mental health services for adults, concentrating on the general principles that can be used to assess the service effectiveness of community health centers, clinics, and private practices. The book presents a formidable argument for descriptive outcome studies through its evaluation of the results and consequences of care and treatment as well as clinician ratings. It is written in a non-technical style, making it accessible to anyone in the mental health industry. - Addresses industry efforts to monitor and assess information about results and consequences of mental health care and treatment - Evaluates use of clinician ratings as outcome information - Offers accessible general principles for managers and mental health services researchers - Presents the best argument for descriptive outcome studies




Improving the Quality of Health Care for Mental and Substance-Use Conditions


Book Description

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.




Cognitive Behavioural Therapy in Mental Health Care


Book Description

This second edition provides an accessible and thorough overview of the practice of CBT within mental health care. Updates and additions include: - Revised chapters on the therapeutic relationship and case formulation - New material on personality disorders and bipolar disorder - New material on working with diversity - Content on the multidisciplinary context of CBT, the service user perspective, CBT from a holistic perspective - Developments within the cognitive behavioural psychotherapies - Continous professional development for the CBT practitioner - Photocopiable worksheets linked to case studies. Already a tried-and-tested guide for trainee psychologists and psychotherapists, as well as clinicians in mental health services and private practices, this text is also of value to practitioners who need refresher courses in CBT.