The Experts below are selected from a list of 105 Experts worldwide ranked by ideXlab platform
Margaret Glogowska - One of the best experts on this subject based on the ideXlab platform.
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Attitudes to physical Healthcare in severe Mental illness; a patient and Mental Health Clinician qualitative interview study.
BMC family practice, 2020Co-Authors: J Butler, S De Cassan, Paul Turner, Belinda R. Lennox, Gail Hayward, Margaret GlogowskaAbstract:People with severe Mental illness experience physical Health significantly worse than the general population. Physical Health monitoring is shared between primary care and secondary Mental Healthcare services, though there is debate whether Mental Health teams should provide more physical Healthcare. The views of Mental Health Clinicians and patients with Mental illness towards physical Healthcare provision are unclear. To explore the attitudes of Community Mental Health Team (CMHT) Clinicians and patients experiencing severe Mental illness towards physical Healthcare and its provision. Qualitative study in a CMHT setting. Interviews were carried out with CMHT Clinicians and patients with severe Mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. There were 14 patients and 15 Clinicians recruited. Patients varied in their awareness of the association between physical and Mental Health, but were engaged in physical Health monitoring. Clinicians were aware of the importance of physical Healthcare but reported barriers to provision, including lack of training, resource constraints and uncertainty in their role. There was no consensus in either group regarding how physical Healthcare should be provided, with diverse attitudes expressed for why CMHTs should and shouldn't provide more physical Healthcare. Increasing physical Healthcare provision from Mental Health teams requires Healthcare-related barriers be addressed, but it remains unclear whether CMHT Clinicians or patients believe this to be a solution.
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attitudes to physical Healthcare in severe Mental illness a patient and Mental Health Clinician qualitative interview study
BMC Family Practice, 2020Co-Authors: J Butler, S De Cassan, Paul Turner, Belinda R. Lennox, Gail Hayward, Margaret GlogowskaAbstract:BACKGROUND People with severe Mental illness experience physical Health significantly worse than the general population. Physical Health monitoring is shared between primary care and secondary Mental Healthcare services, though there is debate whether Mental Health teams should provide more physical Healthcare. The views of Mental Health Clinicians and patients with Mental illness towards physical Healthcare provision are unclear. AIMS To explore the attitudes of Community Mental Health Team (CMHT) Clinicians and patients experiencing severe Mental illness towards physical Healthcare and its provision. DESIGN AND SETTING Qualitative study in a CMHT setting. METHODS Interviews were carried out with CMHT Clinicians and patients with severe Mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. RESULTS There were 14 patients and 15 Clinicians recruited. Patients varied in their awareness of the association between physical and Mental Health, but were engaged in physical Health monitoring. Clinicians were aware of the importance of physical Healthcare but reported barriers to provision, including lack of training, resource constraints and uncertainty in their role. There was no consensus in either group regarding how physical Healthcare should be provided, with diverse attitudes expressed for why CMHTs should and shouldn't provide more physical Healthcare. CONCLUSIONS Increasing physical Healthcare provision from Mental Health teams requires Healthcare-related barriers be addressed, but it remains unclear whether CMHT Clinicians or patients believe this to be a solution.
John Wiggers - One of the best experts on this subject based on the ideXlab platform.
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Mental Health Clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision
BMC psychiatry, 2016Co-Authors: Kate Bartlem, Jenny Bowman, Kate Ross, Megan Freund, Paula Wye, Kathleen Mcelwaine, Karen Gillham, Emma Doherty, Luke Wolfenden, John WiggersAbstract:Background Preventive care for chronic disease risk behaviours by Mental Health Clinicians is sub-optimal. Little research has examined the association between Clinician attitudes and such care delivery. This study aimed to explore: i) the attitudes of a multi-disciplinary group of community Mental Health Clinicians regarding their perceived role, perception of client interest, and perceived self-efficacy in the provision of preventive care, ii) whether such attitudes differ by professional discipline, and iii) the association between these attitudes and Clinician provision of such care.
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Care provision to prevent chronic disease by community Mental Health Clinicians.
American journal of preventive medicine, 2014Co-Authors: Kate Bartlem, Megan Freund, Paula Wye, Kathleen Mcelwaine, Karen Gillham, Luke Wolfenden, Jennifer A. Bowman, Elizabeth Campbell, John WiggersAbstract:People with a Mental illness have higher prevalence of behavioral risks for chronic disease than the general population. Despite recommendations regarding the provision of preventive care by Mental Health services, limited research has examined the extent to which such care is provided. To examine Mental Health Clinician provision of care for preventable chronic disease risks, and whether such care was associated with the availability of practice support strategies. A cross-sectional survey was undertaken of 151 community Mental Health Clinicians in New South Wales, Australia regarding the provision of three elements of preventive care (i.e., assessment, brief advice, and referral/follow-up) for four Health risk behaviors (i.e., tobacco smoking, inadequate fruit and vegetable consumption, harmful alcohol consumption, and inadequate physical activity). Clinicians reported the availability of 16 strategies to support such care delivery. Data were collected in 2010 and analyzed in 2012-2013. Preventive care provision varied by both care element and risk behavior. Optimal care (each care element provided to at least 80% of clients for all Health behaviors) was provided by few Clinicians: assessment (8.6%), brief advice (24.5%), and referral/follow-up (9.9%). Less than half of Clinicians reported more than four support strategies were available (44.4%). The availability of five or more strategies was associated with increased optimal preventive care. The provision of preventive care focused on chronic disease prevention in community Mental Health services is suboptimal. Interventions to increase the routine provision of such care should involve increasing the availability of evidence-based strategies to support care provision. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
Lauren M Denneson - One of the best experts on this subject based on the ideXlab platform.
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Qualitative analysis of US Department of veterans affairs Mental Health Clinician perspectives on patient-centered care
International Journal for Quality in Health Care, 2016Co-Authors: Steven K. Dobscha, Risa Cromer, Aysha Crain, Lauren M DennesonAbstract:Objective Enhanced patient involvement in care has the potential to improve patient experiences and Health outcomes. As such, large national and global Healthcare systems and organizations, including the US Department of Veterans Affairs (VA), have made patient-centered care a primary goal. Little is known about Mental Health Clinician perspectives on, and experiences with, providing patient-centered care. Our main objective was to better understand VA Mental Health Clinicians' perceptions of patient-centered care, and ascertain possible facilitators and barriers to patient-centered practices in Mental Health settings. Design Qualitative study of six focus groups conducted in late 2013. Setting and participants Thirty-five Mental Health Clinicians and staff from a large VA Medical Center. Outcomes Transcripts were analyzed using an inductive and deductive thematic analysis approach. Results Participants described patient-centered care ideally as a process of shared discovery, and expressed general enthusiasm for patient-centered care. Participants described several ongoing patient-centered care practices but conveyed concerns about the practicalities of its full implementation. Participants expressed a strong desire to change the current biomedical culture and policies of the institution that may hinder Clinicians' flexibility and Clinician–Clinician collaboration when serving patients. In particular, Clinicians worried about being held responsible for addressing all of the needs or goals that a patient may identify. Conclusions If patient-centered care is to be practiced fully in Mental Health settings, Healthcare institutions need to develop multimodal strategies to enhance Clinician–Clinician and Clinician–patient collaborations to promote and support a focus on discovery and shared accountability for outcomes.
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VA Mental Health Clinician experiences and attitudes toward OpenNotes.
General hospital psychiatry, 2015Co-Authors: Steven K. Dobscha, Risa Cromer, Lauren M Denneson, Laura E. Jacobson, Holly B. Williams, Susan WoodsAbstract:To describe Department of Veterans Affairs (VA) Mental Health Clinician attitudes toward and experiences with OpenNotes (also known as Blue Button), which provides patients direct access to clinical notes online. A 35-item online survey was administered to 263 Mental Health Clinicians and nurses from one VA Medical Center. Seventy-nine percent of eligible subjects participated. Most respondents agreed or somewhat agreed that OpenNotes is a good idea in general, but only half agreed that making Mental Health notes available online is a good idea. Most believed that patients will better remember plans of care and be better prepared for visits. Most also felt that patients will worry more and request changes in notes. Many Clinicians reported being less detailed and changing the tone of their notes. As a group, Mental Health Clinicians are positive about OpenNotes in general but ambivalent about the use of OpenNotes in Mental Health care. The results call for research on outcomes of OpenNotes use in Mental Health and to develop education and support to help Clinicians adapt to OpenNotes. Published by Elsevier Inc.
Steven K. Dobscha - One of the best experts on this subject based on the ideXlab platform.
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Qualitative analysis of US Department of veterans affairs Mental Health Clinician perspectives on patient-centered care
International Journal for Quality in Health Care, 2016Co-Authors: Steven K. Dobscha, Risa Cromer, Aysha Crain, Lauren M DennesonAbstract:Objective Enhanced patient involvement in care has the potential to improve patient experiences and Health outcomes. As such, large national and global Healthcare systems and organizations, including the US Department of Veterans Affairs (VA), have made patient-centered care a primary goal. Little is known about Mental Health Clinician perspectives on, and experiences with, providing patient-centered care. Our main objective was to better understand VA Mental Health Clinicians' perceptions of patient-centered care, and ascertain possible facilitators and barriers to patient-centered practices in Mental Health settings. Design Qualitative study of six focus groups conducted in late 2013. Setting and participants Thirty-five Mental Health Clinicians and staff from a large VA Medical Center. Outcomes Transcripts were analyzed using an inductive and deductive thematic analysis approach. Results Participants described patient-centered care ideally as a process of shared discovery, and expressed general enthusiasm for patient-centered care. Participants described several ongoing patient-centered care practices but conveyed concerns about the practicalities of its full implementation. Participants expressed a strong desire to change the current biomedical culture and policies of the institution that may hinder Clinicians' flexibility and Clinician–Clinician collaboration when serving patients. In particular, Clinicians worried about being held responsible for addressing all of the needs or goals that a patient may identify. Conclusions If patient-centered care is to be practiced fully in Mental Health settings, Healthcare institutions need to develop multimodal strategies to enhance Clinician–Clinician and Clinician–patient collaborations to promote and support a focus on discovery and shared accountability for outcomes.
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VA Mental Health Clinician experiences and attitudes toward OpenNotes.
General hospital psychiatry, 2015Co-Authors: Steven K. Dobscha, Risa Cromer, Lauren M Denneson, Laura E. Jacobson, Holly B. Williams, Susan WoodsAbstract:To describe Department of Veterans Affairs (VA) Mental Health Clinician attitudes toward and experiences with OpenNotes (also known as Blue Button), which provides patients direct access to clinical notes online. A 35-item online survey was administered to 263 Mental Health Clinicians and nurses from one VA Medical Center. Seventy-nine percent of eligible subjects participated. Most respondents agreed or somewhat agreed that OpenNotes is a good idea in general, but only half agreed that making Mental Health notes available online is a good idea. Most believed that patients will better remember plans of care and be better prepared for visits. Most also felt that patients will worry more and request changes in notes. Many Clinicians reported being less detailed and changing the tone of their notes. As a group, Mental Health Clinicians are positive about OpenNotes in general but ambivalent about the use of OpenNotes in Mental Health care. The results call for research on outcomes of OpenNotes use in Mental Health and to develop education and support to help Clinicians adapt to OpenNotes. Published by Elsevier Inc.
Belinda R. Lennox - One of the best experts on this subject based on the ideXlab platform.
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Attitudes to physical Healthcare in severe Mental illness; a patient and Mental Health Clinician qualitative interview study.
BMC family practice, 2020Co-Authors: J Butler, S De Cassan, Paul Turner, Belinda R. Lennox, Gail Hayward, Margaret GlogowskaAbstract:People with severe Mental illness experience physical Health significantly worse than the general population. Physical Health monitoring is shared between primary care and secondary Mental Healthcare services, though there is debate whether Mental Health teams should provide more physical Healthcare. The views of Mental Health Clinicians and patients with Mental illness towards physical Healthcare provision are unclear. To explore the attitudes of Community Mental Health Team (CMHT) Clinicians and patients experiencing severe Mental illness towards physical Healthcare and its provision. Qualitative study in a CMHT setting. Interviews were carried out with CMHT Clinicians and patients with severe Mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. There were 14 patients and 15 Clinicians recruited. Patients varied in their awareness of the association between physical and Mental Health, but were engaged in physical Health monitoring. Clinicians were aware of the importance of physical Healthcare but reported barriers to provision, including lack of training, resource constraints and uncertainty in their role. There was no consensus in either group regarding how physical Healthcare should be provided, with diverse attitudes expressed for why CMHTs should and shouldn't provide more physical Healthcare. Increasing physical Healthcare provision from Mental Health teams requires Healthcare-related barriers be addressed, but it remains unclear whether CMHT Clinicians or patients believe this to be a solution.
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attitudes to physical Healthcare in severe Mental illness a patient and Mental Health Clinician qualitative interview study
BMC Family Practice, 2020Co-Authors: J Butler, S De Cassan, Paul Turner, Belinda R. Lennox, Gail Hayward, Margaret GlogowskaAbstract:BACKGROUND People with severe Mental illness experience physical Health significantly worse than the general population. Physical Health monitoring is shared between primary care and secondary Mental Healthcare services, though there is debate whether Mental Health teams should provide more physical Healthcare. The views of Mental Health Clinicians and patients with Mental illness towards physical Healthcare provision are unclear. AIMS To explore the attitudes of Community Mental Health Team (CMHT) Clinicians and patients experiencing severe Mental illness towards physical Healthcare and its provision. DESIGN AND SETTING Qualitative study in a CMHT setting. METHODS Interviews were carried out with CMHT Clinicians and patients with severe Mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. RESULTS There were 14 patients and 15 Clinicians recruited. Patients varied in their awareness of the association between physical and Mental Health, but were engaged in physical Health monitoring. Clinicians were aware of the importance of physical Healthcare but reported barriers to provision, including lack of training, resource constraints and uncertainty in their role. There was no consensus in either group regarding how physical Healthcare should be provided, with diverse attitudes expressed for why CMHTs should and shouldn't provide more physical Healthcare. CONCLUSIONS Increasing physical Healthcare provision from Mental Health teams requires Healthcare-related barriers be addressed, but it remains unclear whether CMHT Clinicians or patients believe this to be a solution.