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Lack of mental health treatment in the United States
Lack of mental health treatment in the United States
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According to the World Health Organization (WHO) in 2011, mental health is a state of well-being in which every person recognizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully and is able to make a contribution to her or his own community. Moreover, there is no health without mental health. On the other hand, mental illness has become a significant worldwide health issue in recent years; more than 450 million people suffer from mental disorders (WHO, 2010).
Today the availability of specialists is limited for psychiatric patients in remote areas, especially during psychiatric emergencies. Furthermore, there is an extreme shortage of mental health professionals in low-income countries (approximately one psychiatrist per two million people and one psychiatric nurse per 200,000 people), which make the mental health interventions and care not implemented simply by specialists (Ventevogel, Jordan, Reis, & Jong, 2013).
In Jordan, exact numbers of human resources for mental health are unknown for both the public and private sectors. However, WHO estimates that in 2010 there were 1.09 psychiatrists, 0.54 other medical doctors (not specialized in psychiatry), 3.95 nurses (both associated and registered nurses, not specialized in mental health), 0.27 psychologists, 0.3 social workers, and 0.09 occupational therapists per 100,000 population.
Today telepsychiatry is the most popular applications for telemedicine through videoconferencing (Cash, 2011). It is the providing of health care and the exchange of information to provide psychiatric services across distances through any form of electronic media (Wootton, Yellowlees, & McLaren, 2003). Mental health services via videoconfere...
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...d periodically as treatment progresses. Health care providers should be aware of the importance of the location of the patient, both for legal and clinical considerations (Cash, 2011).
In emergency situations, the first step in developing a telepsychiatry service is to assess availability of resources to deal with psychiatric emergencies at the patient sites, including health services (outpatient, inpatient, police, other), and the parties’ expertise in handling such emergency psychiatric situation (Shore, Hilty, & Yellowlees, 2007).
Legal issues, requiring clinicians to conduct a site assessment to obtain information on local regulations and emergency resources requiring clinicians to be familiar with local civil commitment regulations and have arrangements in place with local staff to initiate and assist in this regard (Sharp, Kobak, & Osman, 2011).
States obtain many services that fall under mental health care, and that treat the mentally ill population. These range from acute and long-term hospital treatment, to supportive housing. Other effective services utilized include crisis intervention teams, case management, Assertive Community Treatment programs, clinic services, and access to psychiatric medications (Honberg at al. 6). These services support the growing population of people living in the...
Telemedicine is a tool that enables providers to deliver health care services to patients at distant location, and it is often promoted as a means of addressing the imbalances in the distribution of health care resources (Wager, Lee, & Glaser, 2013, p. 156.)
Shore, J. H., Brooks, E., Savin, D. M., Manson, S. M., & Libby, A. M. (2007, June). An economic evaluation of telehealth data collection with rural populations. Psychiatic Services, 58(6), 830-835.
Prinz, L., Cramer, M. & Englund, A. (2008). Telehealth: A policy analysis for quality, impact on
Telepsychiatry has been used for many years and is highly regarded as an area where the use of telemedicine has been successful. It has been defined as “The delivery of healthcare and the exchange of healthcare information for purposes of providing psychiatric services across distances” (Woo...
It has a vital role to play in enhancing and promoting good mental health by direct provision and referrals to other more specialized sectors (Barry, 2007). Due to shortage of mental health resources, primary healthcare should be the foundation of healthcare delivery and it may also be the only source of healthcare available for low income earners (Kakuma et al., 2011). The Mental Health and Poverty Projects in Mayuge, Uganda, and KwaZulu-Natal, South Africa, through community collaborations, development and support of self-help groups were effective in addressing the treatment gap in low income stings (Petersen et al., 2011). For proper effectiveness, secondary-level mental health specialists must support primary health
Saraceno, B.; Ommeren, M.V.; Batniji, R.; Cohen, A.; Gureje, O.; Mahoney, J.; Sridhar, D.; and Underhill, C. (2007). Barriers to improvement of mental health services in low-income and middle-income countries. Global Mental Health Series 5, 370: 1164–74.
The tone a person takes on the phone can either make or break a relationship. In some conditions telenursing is not always appropriate, for instance a patient who is suffering from a deadly condition. Telephone and computers cannot provide compassion like a real person. In the end telenursing is a valuable service to patients but it is not
One new way in which technology has been used to extend the services of the counseling field is through online counseling. According to Corey (2011), online counseling can be beneficial because some consumers want brief and anonymous therapy, some clients who are unwilling to participate in traditional therapy may be willing to accept help online, it’s easier for persons with physical disabilities, may be easier for clients who experience anxiety, allows for access to clients in rural places, enhances record keeping, expands pool of referrals, increases flexibility in scheduling, increases options for supervision, and enhances collection of research data. Despite that, Corey (2011), also discusses the disadvantages of online counseling which are as follows: high possibility of inaccurate diagnosis/treatment, confidentiality and privacy cannot be guaranteed, therapists’ duty to warn and protect others is hampered, suicidal clients cannot receive immediate help, enables minors to pretend to be adult to access treatment, and it can be difficult to build and maintain a therapeutic alliance.
National Health Insurance provides universal access to the country’s healthcare. Private facilities are able to run hospitals and clinics, and patients receive the same services for the same cost in both private and public institutions. The following services are offered: emergency health, perinatal health, pediatric health, rural health care, and post-disaster healthcare. There are 1,069 psychiatric facilities that provide nursing care and health resources. Primary Care allows doctors to prescribe psychotherapeutic medicines, but nurses are not permitted to independently diagnose mental
Mental health can be described as not having any mental illness. World health organization describes the state of mental health as the condition in which an individual understands his or her own capacities, he or she can withstand the normal stresses of life, can work beneficially and productively, and can make a commitment to his or her group. Mental disorders can affect anyone regardless of their age, their background or ethnic group. Examples of mental disorders include anxiety, stress and mood disorder.
According to the C.D.C ( Centers for Disease Control) the term mental health is commonly used in reference to mental illness. However, knowledge in the field has advanced to a level that completely separates the two terminologies. But even so mental health and mental illness are indeed in fact related, they represent different psychological state of mind with in a person. Mental health refers to our physical and emotional well being. Mental health is mainly all about how we behave, interact, and think. It c...
Approaching the tele-practice roleplay, I was hesitant, with limited knowledge of tele-practice and not being a qualified practitioner, I had little faith this would be an effective form of therapy. There was no scaffold to approach the task so my partner and I used facetime as our medium. I quickly realised the lack of physical contact was a challenging barrier, especially with the roleplay patient requiring physio for their progressive condition. This lack of intimacy made it difficult to interpret the clients’ discomfort, as I couldn’t physically manipulate the body. I found it to be a very rigid experience. Reserves I had towards tele-practice are shared among practitioners spanning out into the world of telehealth. At first sight telehealth
It has been shown that diagnostic assessments conducted by interactive video is comparable to face-to-face assessments (Fortney et. al, 2015). One way to offer telepsychiatry is the referral model. In this model, the primary care provider refers the patient to the mental health provider who assumes primary responsibility for the patient’s mental health care (Fortney et. al, 2015).
Telehealth nurses use the nursing process to provide care for individual patients or defined patient populations over a telecommunication device” (Stokowski, 2008).