Role of supervision in assuring quality mental health services in university counseling centers.

Conducted a survey to explore the relation between the role of supervision and practitioners' experience, training, and certification and to determine how these factors affect quality assurance in university counseling centers. Ss were 185 counselors. Findings indicate that time spent in supervision was not significantly related to the dependent variables of educational level, experience, or licensure, and that unlicensed practitioners were less likely to seek supervision. The lack of supervision and licensed practitioners may be inconsistent with the value placed on supervision as a quality control procedure. (13 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Poverty and women's mental health.

The positive association between poverty and mental health problems is one of the most well established in all of psychiatric epidemiology. Research has documented consistently that low income and low socioeconomic status are associated with high rates of mental disorder. With the prevalence of poverty itself now on the rise in our country, particularly among women, children and those from minority groups, increased attention must be paid to the mental health risks that accompany poverty. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Capitating mental health services

Many employers are contracting mental or behavioral health services separately from other types of health care. Capitation rates are paid for a defined set of benefits. Mental health services are capitated in two ways; both approaches are discussed.     

Family roles and women's mental health.

Discontinuities between conventional expectations about women's roles and current definitions of marriage are seen to be stressful factors for women—as are the burdens of divorce. The isolation/purposelessness experienced by home- and children-oriented women and the feelings of overload or guilt experienced by employed mothers are also discussed. It is concluded that therapists must be sensitive to the negative aspects of wife and mother roles in order to promote clients' growth and satisfaction. (38 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Employment and women's health: Effects of paid employment on women's mental and physical health.

This article reviews empirical evidence concerning the effects of paid employment on women's mental and physical health, with special attention to variations in the effects of employment depending on the characteristics of women and their jobs. We highlight methodological issues and focus primarily on studies with longitudinal data for representative samples of women. We conclude that women's employment does not have a negative effect on their health, on the average. Indeed, employment appears to improve the health of unmarried women and married women who have positive attitudes toward employment. Possible mediators linking employment to health outcomes are discussed. Current evidence suggests that increased social support from co-workers and supervisors may be one important mediator of the beneficial health effects of employment. Given the paucity of available longitudinal studies, we encourage additional prospective research examining the mental and physical health consequences of employment according to job characteristics, personal characteristics, and disease outcome. We also recommend research on several promising mediators of employment–health relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bilingual professionals in community mental health services

OBJECTIVE: This paper presents results from research that explored the roles of bilingual professionals in community mental health services in the Sydney metropolitan area of New South Wales. There were two main objectives to the research: (i) to identify and describe the roles of bilingual professionals that are important in improving the quality of community mental health services for clients from non-English-speaking backgrounds (NESB); and (ii) to identify and describe the factors that facilitate and inhibit the conduct of these roles. METHOD: Data collection involved indepth interviews with bilingual professionals and team leaders in community mental health services and various other community health services; and various staff responsible for policy and service development with regard to cultural diversity. RESULTS: Bilingual mental health workers were found to have at least four critical roles. These were (i) direct clinical service provision to NESB clients; (ii) mental health promotion and community development; (iii) cultural consultancy; and (iv) service development. Respondents reported that the latter three roles were seriously underdeveloped compared to the clinical service provision role. CONCLUSIONS: It is critical that service managers implement strategies to make better use of the linguistic and cultural skills of bilingual professionals. In addition to their role in clinical service provision ways must be found to facilitate the community-focused, cultural consultancy and service development roles of bilingual professionals employed in mental health services.     

Economics and mental health services.

J. A. Buck and R. Hirschman (see record 1980-26240-001) may have applied the tools of supply and demand analysis somewhat casually. The existence of sizable externalities, poor consumer information, and a maldistribution of services across the nation must be incorporated into the economic models that are applied to the mental health services system. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Services for the aged in community mental health centers

The author studied the services provided for the elderly at eight community mental health centers. He describes discrimination against the elderly, the reasons why relatively few elderly persons seek care, and innovations in treatment. He discovered that high-quality care depends more on staff awareness of the unique problems of the elderly than on specialized services. The author recommends a more public-health-oriented approach that would set priorities on the basis of community needs.     

Psychologists can direct community mental health centers.

Psychologists in Divisions 12 and 13 of the American Psychological Association are concerned about the apparent downgrading of their profession in community mental health centers by the Federal Government. In 1963, The Community Mental Health Centers Act (Pub. L. No. 88-164, 88th Cong., 1st Sess., Oct. 31, 1963) authorized Federal grants for the construction of local sites and stated in Section 54.212, Subsection C,2 "a qualified psychiatrist will be responsible for the clinical program, and the medical responsibility for every patient will be vested in a physician." Some psychologists have interpreted this regulation as discriminating against their experience, training, and competence by assuming that the director of a community mental health center must be selected on the basis of identity with a particular profession--medical. After having conferred with his Congressman, the author notes there is no Federal discrimination against professions or competency in the selection of a director for a community mental health center. Instead, the qualifications of this official are a matter of individual state policy, as long as there is medical responsibility for each patient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Community mental health centers and the decreasing use of state mental hospitals

Tryptophan was measured in the cisternal CSF and brains of rats. In untreated rats there was a significant but not very close correlation between the tryptophan concentration in these two compartments. Factors that change the brain tryptophan concentration such as starvation, glucose feeding, and lithium treatment affected the CSF tryptophan in the same way as the brain tryptophan. Diurnal changes were parallel for brain and CSF. When we take into account our knowledge of the disposition of tryptophan in human CSF, these data suggest that measurement of lumbar CSF tryptophan in man may be a useful approach to the study of human brain tryptophan. However, because the correlation between brain and CSF is not very close, measurements on CSF tryptophan would be more meaningful in groups of patients than in individuals.     

Managed care strategy for mental health services

In the UK, managed care is beginning to be recognized as a cost effective, quality-driven system which can be used to structure patient care. This article examines the potential use of managed care pathways in mental health services, focusing on clients with schizophrenia. The strengths of managed care include the effective coordination of healthcare resources, the clear accountable audit of mental health practice and the re-engineering of mental health practice to improve patient outcomes. Problems in designing representative care pathways and encouraging healthcare providers to implement care pathways are some of the disadvantages of this system.     

Ecological constraints on mental health services.

Proposes 4 principles for community mental health programing that are consistent with an ecological thesis: (1) Assessment methods are focused on the total population rather than on those persons who presently receive a mental health service. (2) Mental health services are designed to reduce a high risk for community service. (3) Professional and research services are created as local community resources. "By initiating the informal coordination of current services, the community mental health program helps to create specific new community services as needed." (4) The program plans for change; this involves mobilizing anticipatory problem-solving resources not only for clients but for professionals as well. A "conception of community mental health work based upon the ecological thesis that adaptive programs change" is presented. (39 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Challenges of providing mental health services in Spanish.

The disparity in mental health services to Spanish-speaking clients is well documented. This study examines the service delivery experiences of Spanish-speaking mental health providers by exploring their perceptions and concerns regarding their competence and training to provide services in Spanish. It also identifies practitioner priorities for improving training experiences specific to bilingual mental health service delivery. Implications for graduate psychology programs are discussed in an effort to promote and enhance necessary competencies regarding bilingual training endeavors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health services in Louisiana school-based health centers post-Hurricanes Katrina and Rita.

Following Hurricanes Katrina and Rita, Louisiana school-based health centers (SBHCs) were called on to respond to a sharp increase in mental health needs, especially for displaced students coping with grief, loss, trauma, and uncertainty. To assess the impact of the hurricanes on the students and the needs of SBHC mental health providers (MHPs), we surveyed MHPs in each of the SBHCs under the auspices of the Louisiana Department of Health and Hospitals, Office of Public Health. SBHC practitioners from around the state reported that mental health service utilization rose during the 2005-2006 school year, but utilization of services increased most significantly in schools receiving the majority of displaced students. Anxiety and adjustment problems were noted as increasing the most following the hurricanes. A multitude of other conditions was also reported. By the time of this survey in April 2006, the reported prevalence of most symptoms had declined, but all remained above their pre-hurricane levels. Self-reported needs of SBHC MHPs are also discussed in light of the major natural disasters. (PsycINFO Database Record (c) 2010 APA, all rights reserved)