The Experts below are selected from a list of 223068 Experts worldwide ranked by ideXlab platform
Sanjeev Sockalingam - One of the best experts on this subject based on the ideXlab platform.
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delivery of compassionate Mental Health Care in a digital technology driven age scoping review
Journal of Medical Internet Research, 2020Co-Authors: Jessica Kemp, Timothy Zhang, Fiona Inglis, David Wiljer, Sanjeev SockalingamAbstract:Background Compassion is a vital component to the achievement of positive Health outcomes, particularly in Mental Health Care. The rise of digital technologies may influence the delivery of compassionate Care, and thus this relationship between compassion and digital Health Care needs to be better understood. Objective This scoping review aimed to identify existing digital technologies being used by patients and Health professionals in the delivery of Mental Health Care, understand how digital technologies are being used in the delivery of compassionate Mental Health Care, and determine the facilitators of and barriers to digital technology use among patients and Health professionals in the delivery of compassionate Mental Health Care. Methods We conducted this scoping review through a search of Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online (MEDLINE), MEDLINE In-Process and EPub Ahead of Print, PsycINFO, and Web of Science for articles published from 1990 to 2019. Results Of the 4472 articles screened, 37 articles were included for data extraction. Telemedicine was the most widely used technology by Mental Health professionals. Digital technologies were described as facilitating compassionate Care and were classified using a conceptual model to identify each digital intersection with compassionate Care. Facilitators of and barriers to providing compassionate Care through digital technology were identified, including increased safety for providers, Health Care professional perceptions and abilities, and the use of picture-in-picture feedback to evaluate social cues. Conclusions Implementing digital technology into Mental Health Care can improve the current delivery of compassionate Care and create novel ways to provide compassion. However, as this is a new area of study, Mental Health professionals and organizations alike should be mindful that compassionate human-centered Care is maintained in the delivery of digital Health Care. Future research could develop tools to facilitate and evaluate the enactment of compassion within digital Health Care.
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delivery of compassionate Mental Health Care in a digital technology driven age protocol for a scoping review
BMJ Open, 2019Co-Authors: Gillian Strudwick, Timothy Zhang, Fiona Inglis, Sanjeev Sockalingam, Mikayla Munnery, Shuranjeet Singh Takhar, Rebecca Charow, David WiljerAbstract:Introduction As digital technologies become an integral part of Mental Health Care delivery, concerns have risen regarding how this technology may detract from Health professionals’ ability to provide compassionate Care. To maintain and improve the quality of Care for people with Mental illness, there is a need to understand how to effectively incorporate technologies into the delivery of compassionate Mental Health Care. The objectives of this scoping review are to: (1) identify the digital technologies currently being used among patients and Health professionals in the delivery of Mental Health Care; (2) determine how these digital technologies are being used in the context of the delivery of compassionate Care and (3) uncover the barriers to, and facilitators of, digital technology-driven delivery of compassionate Mental Health Care. Methods and analysis Searches were conducted of five databases, consisting of relevant articles published in English between 1990 and 2019. Identified articles will be independently screened for eligibility by two reviewers, first at a title and abstract stage, and then at a full-text level. Data will be extracted and compiled from eligible articles into a data extraction chart. Information collected will include a basic overview of the publication including the article title, authors, year of publication, country of origin, research design and research question addressed. On completion of data synthesis, the authors will conduct a consultation phase with relevant experts in the field. Ethics and dissemination Ethical approval is not required for this scoping review. With regards to the dissemination plan, principles identified from the relevant articles may be presented at conferences and an article will be published in an academic journal with study results. The authors also intend to engage interested Mental Health professionals, Health professional educators and patients in a discussion about the study findings and implications for the future.
David Wiljer - One of the best experts on this subject based on the ideXlab platform.
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delivery of compassionate Mental Health Care in a digital technology driven age scoping review
Journal of Medical Internet Research, 2020Co-Authors: Jessica Kemp, Timothy Zhang, Fiona Inglis, David Wiljer, Sanjeev SockalingamAbstract:Background Compassion is a vital component to the achievement of positive Health outcomes, particularly in Mental Health Care. The rise of digital technologies may influence the delivery of compassionate Care, and thus this relationship between compassion and digital Health Care needs to be better understood. Objective This scoping review aimed to identify existing digital technologies being used by patients and Health professionals in the delivery of Mental Health Care, understand how digital technologies are being used in the delivery of compassionate Mental Health Care, and determine the facilitators of and barriers to digital technology use among patients and Health professionals in the delivery of compassionate Mental Health Care. Methods We conducted this scoping review through a search of Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online (MEDLINE), MEDLINE In-Process and EPub Ahead of Print, PsycINFO, and Web of Science for articles published from 1990 to 2019. Results Of the 4472 articles screened, 37 articles were included for data extraction. Telemedicine was the most widely used technology by Mental Health professionals. Digital technologies were described as facilitating compassionate Care and were classified using a conceptual model to identify each digital intersection with compassionate Care. Facilitators of and barriers to providing compassionate Care through digital technology were identified, including increased safety for providers, Health Care professional perceptions and abilities, and the use of picture-in-picture feedback to evaluate social cues. Conclusions Implementing digital technology into Mental Health Care can improve the current delivery of compassionate Care and create novel ways to provide compassion. However, as this is a new area of study, Mental Health professionals and organizations alike should be mindful that compassionate human-centered Care is maintained in the delivery of digital Health Care. Future research could develop tools to facilitate and evaluate the enactment of compassion within digital Health Care.
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delivery of compassionate Mental Health Care in a digital technology driven age protocol for a scoping review
BMJ Open, 2019Co-Authors: Gillian Strudwick, Timothy Zhang, Fiona Inglis, Sanjeev Sockalingam, Mikayla Munnery, Shuranjeet Singh Takhar, Rebecca Charow, David WiljerAbstract:Introduction As digital technologies become an integral part of Mental Health Care delivery, concerns have risen regarding how this technology may detract from Health professionals’ ability to provide compassionate Care. To maintain and improve the quality of Care for people with Mental illness, there is a need to understand how to effectively incorporate technologies into the delivery of compassionate Mental Health Care. The objectives of this scoping review are to: (1) identify the digital technologies currently being used among patients and Health professionals in the delivery of Mental Health Care; (2) determine how these digital technologies are being used in the context of the delivery of compassionate Care and (3) uncover the barriers to, and facilitators of, digital technology-driven delivery of compassionate Mental Health Care. Methods and analysis Searches were conducted of five databases, consisting of relevant articles published in English between 1990 and 2019. Identified articles will be independently screened for eligibility by two reviewers, first at a title and abstract stage, and then at a full-text level. Data will be extracted and compiled from eligible articles into a data extraction chart. Information collected will include a basic overview of the publication including the article title, authors, year of publication, country of origin, research design and research question addressed. On completion of data synthesis, the authors will conduct a consultation phase with relevant experts in the field. Ethics and dissemination Ethical approval is not required for this scoping review. With regards to the dissemination plan, principles identified from the relevant articles may be presented at conferences and an article will be published in an academic journal with study results. The authors also intend to engage interested Mental Health professionals, Health professional educators and patients in a discussion about the study findings and implications for the future.
Courtney A Gidengil - One of the best experts on this subject based on the ideXlab platform.
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hospital based quality measures for pediatric Mental Health Care
Pediatrics, 2018Co-Authors: Naomi S Bardach, Michael J Murphy, Q Burkhart, Laura P Richardson, Carol P Roth, Layla Parast, Courtney A GidengilAbstract:BACKGROUND AND OBJECTIVES: Patients with a primary Mental Health condition account for nearly 10% of pediatric hospitalizations nationally, but little is known about the quality of Care provided for them in hospital settings. Our objective was to develop and test medical record–based measures used to assess quality of pediatric Mental Health Care in the emergency department (ED) and inpatient settings. METHODS: We drafted an evidence-based set of pediatric Mental Health Care quality measures for the ED and inpatient settings. We used the modified Delphi method to prioritize measures; 2 ED and 6 inpatient measures were operationalized and field-tested in 2 community and 3 children’s hospitals. Eligible patients were 5 to 19 years old and diagnosed with psychosis, suicidality, or substance use from January 2012 to December 2013. We used bivariate and multivariate models to examine measure performance by patient characteristics and by hospital. RESULTS: Eight hundred and seventeen records were abstracted with primary diagnoses of suicidality (n = 446), psychosis (n = 321), and substance use (n = 50). Performance varied across measures. Among patients with suicidality, male patients (adjusted odds ratio: 0.27, P CONCLUSIONS: These new pediatric Mental Health Care quality measures were used to identify sex and race disparities and substantial hospital variation. These measures may be useful for assessing and improving hospital-based pediatric Mental Health Care quality.
Benjamin Le Cook - One of the best experts on this subject based on the ideXlab platform.
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Trends in Mental Health Care Use in MediCare from 2009 to 2014 by Gender Minority and Disability Status.
LGBT health, 2019Co-Authors: Ana M Progovac, Brian Mullin, Timothy B. Creedon, Alex Mcdowell, Maria Jose Sanchez-roman, Laura A. Hatfield, Mark A. Schuster, Benjamin Le CookAbstract:Purpose: This study examines trends in MediCare beneficiaries' Mental Health Care use from 2009 to 2014 by gender minority and disability status. Methods: Using 2009 to 2014 MediCare claims, we modeled Mental Health Care use (outpatient Mental Health Care, inpatient Mental Health Care, and psychotropic drugs) over time, adjusting for age and behavioral Health diagnoses. We compared trends for gender minority beneficiaries (identified using diagnosis codes) to trends for a 5% random sample of other beneficiaries, stratified by original entitlement reason (age vs. disability). Results: Adjusted outpatient and inpatient Mental Health Care use decreased and differences generally narrowed between gender minority and other beneficiaries over the study period. Among beneficiaries qualifying through disability, the gap in the number of outpatient and inpatient visits (among those with at least one visit in a given year) widened. Psychotropic drug use rose for all beneficiaries, but the proportion of gender minority beneficiaries in the aged cohort who had a psychotropic medication prescription rose faster than for other aged beneficiaries. Conclusions: Mental Health Care needs for MediCare beneficiaries may be met increasingly by using psychotropic medications rather than outpatient visits, and this pattern is more pronounced for identified gender minority (especially aged) beneficiaries. These trends may indicate a growing need for research and provider training in safe and effective psychotropic medication prescribing alongside gender-affirming treatments such as hormone therapy, especially for aged gender minority individuals who likely already experience polypharmacy.
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assessing the individual neighborhood and policy predictors of disparities in Mental Health Care
Medical Care Research and Review, 2017Co-Authors: Benjamin Le Cook, Ana M Progovac, Samuel H Zuvekas, Jie Chen, Alisa K LincolnAbstract:This study assesses individual- and area-level predictors of racial/ethnic disparities in Mental Health Care episodes for adults with psychiatric illness. Multilevel regression models are estimated using data from the Medical Expenditure Panel Surveys linked to area-level data sets. Compared with Whites, Blacks and Latinos live in neighborhoods with higher minority density, lower average education, and greater specialist Mental Health provider density, all of which predict lesser Mental Health Care initiation. Neighborhood-level variables do not have differential effects on Mental Health Care by race/ethnicity. Racial/ethnic disparities arise because minorities are more likely to live in neighborhoods where treatment initiation is low, rather than because of a differential influence of neighborhood disadvantage on treatment initiation for minorities compared with Whites. Low rates of initiation in neighborhoods with a high density of specialists suggest that interventions to increase Mental Health Care specialists, without a focus on treating racial/ethnic minorities, may not reduce access disparities.
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assessing the individual neighborhood and policy predictors of disparities in Mental Health Care
Medical Care Research and Review, 2017Co-Authors: Benjamin Le Cook, Ana M Progovac, Samuel H Zuvekas, Jie Chen, Alisa K LincolnAbstract:This study assesses individual- and area-level predictors of racial/ethnic disparities in Mental Health Care episodes for adults with psychiatric illness. Multilevel regression models are estimated...
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geographic variation in Mental Health Care disparities among racially ethnically diverse adults with psychiatric disorders
Social Psychiatry and Psychiatric Epidemiology, 2017Co-Authors: Giyeon Kim, Benjamin Le Cook, Natalie D Dautovich, Katy L Ford, Daniel E Jimenez, Richard M Allman, Patricia A ParmeleeAbstract:Purpose The main purpose of this paper is to examine geographic variation in unmet need for Mental Health Care among racially/ethnically diverse adults with psychiatric disorders in the US.
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trends in racial ethnic disparities in access to Mental Health Care 2004 2012
Psychiatric Services, 2017Co-Authors: Benjamin Le Cook, Nhiha Trinh, Sherry Shuyeu Hou, Ana M ProgovacAbstract:Objective:This study compared trends in racial-ethnic disparities in Mental Health Care access among whites, blacks, Hispanics, and Asians by using the Institute of Medicine definition of disparities as all differences except those due to clinical appropriateness, clinical need, and patient preferences.Methods:Racial-ethnic disparities in Mental Health Care access were examined by using data from a nationally representative sample of 214,597 adults from the 2004–2012 Medical Expenditure Panel Surveys. The main outcome measures included three Mental Health Care access measures (use of any Mental Health Care, any outpatient Care, and any psychotropic medication in the past year).Results:Significant disparities were found in 2004–2005 and in 2011–2012 for all three racial-ethnic minority groups compared with whites in all three measures of access. Between 2004 and 2012, black-white disparities in any Mental Health Care and any psychotropic medication use increased, respectively, from 8.2% to 10.8% and from 7...
Timothy Zhang - One of the best experts on this subject based on the ideXlab platform.
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delivery of compassionate Mental Health Care in a digital technology driven age scoping review
Journal of Medical Internet Research, 2020Co-Authors: Jessica Kemp, Timothy Zhang, Fiona Inglis, David Wiljer, Sanjeev SockalingamAbstract:Background Compassion is a vital component to the achievement of positive Health outcomes, particularly in Mental Health Care. The rise of digital technologies may influence the delivery of compassionate Care, and thus this relationship between compassion and digital Health Care needs to be better understood. Objective This scoping review aimed to identify existing digital technologies being used by patients and Health professionals in the delivery of Mental Health Care, understand how digital technologies are being used in the delivery of compassionate Mental Health Care, and determine the facilitators of and barriers to digital technology use among patients and Health professionals in the delivery of compassionate Mental Health Care. Methods We conducted this scoping review through a search of Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online (MEDLINE), MEDLINE In-Process and EPub Ahead of Print, PsycINFO, and Web of Science for articles published from 1990 to 2019. Results Of the 4472 articles screened, 37 articles were included for data extraction. Telemedicine was the most widely used technology by Mental Health professionals. Digital technologies were described as facilitating compassionate Care and were classified using a conceptual model to identify each digital intersection with compassionate Care. Facilitators of and barriers to providing compassionate Care through digital technology were identified, including increased safety for providers, Health Care professional perceptions and abilities, and the use of picture-in-picture feedback to evaluate social cues. Conclusions Implementing digital technology into Mental Health Care can improve the current delivery of compassionate Care and create novel ways to provide compassion. However, as this is a new area of study, Mental Health professionals and organizations alike should be mindful that compassionate human-centered Care is maintained in the delivery of digital Health Care. Future research could develop tools to facilitate and evaluate the enactment of compassion within digital Health Care.
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delivery of compassionate Mental Health Care in a digital technology driven age protocol for a scoping review
BMJ Open, 2019Co-Authors: Gillian Strudwick, Timothy Zhang, Fiona Inglis, Sanjeev Sockalingam, Mikayla Munnery, Shuranjeet Singh Takhar, Rebecca Charow, David WiljerAbstract:Introduction As digital technologies become an integral part of Mental Health Care delivery, concerns have risen regarding how this technology may detract from Health professionals’ ability to provide compassionate Care. To maintain and improve the quality of Care for people with Mental illness, there is a need to understand how to effectively incorporate technologies into the delivery of compassionate Mental Health Care. The objectives of this scoping review are to: (1) identify the digital technologies currently being used among patients and Health professionals in the delivery of Mental Health Care; (2) determine how these digital technologies are being used in the context of the delivery of compassionate Care and (3) uncover the barriers to, and facilitators of, digital technology-driven delivery of compassionate Mental Health Care. Methods and analysis Searches were conducted of five databases, consisting of relevant articles published in English between 1990 and 2019. Identified articles will be independently screened for eligibility by two reviewers, first at a title and abstract stage, and then at a full-text level. Data will be extracted and compiled from eligible articles into a data extraction chart. Information collected will include a basic overview of the publication including the article title, authors, year of publication, country of origin, research design and research question addressed. On completion of data synthesis, the authors will conduct a consultation phase with relevant experts in the field. Ethics and dissemination Ethical approval is not required for this scoping review. With regards to the dissemination plan, principles identified from the relevant articles may be presented at conferences and an article will be published in an academic journal with study results. The authors also intend to engage interested Mental Health professionals, Health professional educators and patients in a discussion about the study findings and implications for the future.