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Readings of Interest:
Butler M, Kane RL, McAlpine D, Kathol, RG, Fu SS,
Hagedorn H, Wilt TJ.
Integration of Mental Health/Substance Abuse and Primary Care
No. 173 (Prepared by the Minnesota Evidence-based Practice
Center under Contract No. 290-02-0009.) AHRQ Publication No. 09-
E003. Rockville, MD. Agency for Healthcare Research and Quality.
October 2008.
"Conclusions: In general, integrated care
achieved positive outcomes. However, it is not possible to
distinguish the effects of increased attention to mental health
problems from the effects of specific strategies, evidenced by
the lack of correlation between measures of integration or a
systematic approach to care processes and the various outcomes.
Efforts to implement integrated care will have to address
financial barriers. There is a reasonably strong body of
evidence to encourage integrated care, at least for depression.
Encouragement can include removing obstacles, creating
incentives, or mandating integrated care. Encouragement will
likely differ between fee-for-service care and managed care.
However, without evidence for a clearly superior model, there is
legitimate reason to worry about premature orthodoxy." (p. iv)
Cooper, J.L., Aratani, Y.,
Knitzer, J., Douglas-Hall, A., Masi, R., Banghart, P. & Dababnah, S.
(2008, November)
Unclaimed
children revisited: The status of children’s mental health policy in
the United States. NY: National Center for
Children in Poverty. Retrieved September 21, 2009, from
http://www.nccp.org/publications/pdf/text_853.pdf
"The needs of children and youth
who experience mental health difficulties, as well as the needs
of their families, cannot be addressed adequately without solid
policy foundations at both state and federal levels.
Unclaimed Children Revisited: The Status of
Children’s Mental Health Policy in the United States
aims to document and assess how well child mental
health policies across the 50 states and three territories
respond to the needs of children and youth with mental health
problems, those at risk, and their families. Comprising a
national study and four sub-studies, this report presents a
range of data collected from service users, providers, family
members, youth advocates, and state and county system leaders
across the child serving spectrum. The report then uses these
data to identify state- and federal-level policy implications
and recommendations with the goal of promoting improved mental
health service delivery through policy reform."p. 2.
Language
of Mental Health: The Parent Perspective
Prepared by the Voinovich School of Leadership and Public
Affairs in August 2009, this report summarizes the results of IPAC's CBPR focus group research investigating the language surrounding
mental health in our region.
Although rates
of mental illness do not differ from rural to urban areas, rural
mental health utilization rates have been shown to be lower than
urban rates, with rural populations being “less likely to access
services with frequency and less likely to receive quality
services when they did access them” (Heflinger & Christens,
2006, p. 383). Focus groups conducted with parents in the rural
Appalachian region of Southeastern Ohio, the majority of whom
indicated they or an immediate family member had accessed
services for a mental health concern, revealed some themes
consistent with what is known about mental health in rural
areas, but some differences emerged as well. Our overall aim was
to explore how parents in the region talk about mental health in
order to improve mental health service utilization. Through the
words and phrases used during our focus group discussions, the
participants offered a window into how the language surrounding
mental health affects attitudes, behaviors and opinions
regarding mental health service utilization.
Nave, G., Nishioka, V., and Burke, A. (2009).
Analysis of the
developmental functioning of early intervention and early childhood
special education populations in Oregon (Issues &
Answers Report, REL 2009—No. 078). Washington, DC: U.S. Department
of Education, Institute of Education Sciences, National Center for
Education Evaluation and Regional Assistance, Regional Educational
Laboratory Northwest. Retrieved from www.ies.ed.gov/ncee/edlabs.
This study reports on the developmental
functioning levels of children from birth through age 2 in early
intervention services and children ages 3–5 in early childhood
special education services at the time of entry into services,
using data from the Oregon Early Childhood Assessment System.
New England Journal of
Medicine article,
Personally Controlled Online Health Data - The Next Big Thing in
Health Care? A Perspective's commentary by Robert Steinbrook, MD, April 17, 2008.
Submitted by Lynn Harter
who wrote, the article "... highlights various forms and uses of
electronic medical records. I found this article accessibly
written, informative, and even-handed in terms of benefits and
potential unintended consequences of electronic and online
storage and retrieval of medical information. It may help spur
ideas among us about making coordinated care more efficient,
empowering patients/families to be more involved in management
of information, etc.
Parrott, R.,
Hopfer S., Ghetian C. & Lengerich E. (2007)
Mapping as a Visual Health
Communication Tool: Promises and Dilemmas. Health
Communication, 22(1), 13–24.
Lynn Harter highlights this article on the use of mapping
technologies on publicly accessible online sites. The article
focuses on disease maps that are part of state comprehensive
cancer control plans (CCC), and explores how maps are used to
visually illustrate patterns of diagnosis and risk factors
across geographic areas. Importantly, sisual maps also can be
used to illustrate service availability in given regions
(something which may be of interest to
IPAC and its constituents).
Johnson, K. & Rosenthal, J. (April 2009)
Improving
Care Coordination, Case Management, and Linkages to Service for
Young Children: Opportunities for States. Report issued by National
Academy for State Health Policy in partnership with the Commonwealth
Foundation.
This report outlines the ABCD III calling for
better linkages to support optimal child development. Five
barriers highlighted include: "(1) Constraints on primary care
provider capacity to refer to and link to other community
resources; (2) Inadequate service capacity for early childhood
developmental and mental health services; (3) Gaps between
programs and service delivery systems, including eligibility
criteria; (4) Insufficient payment/financing for time spent in
referral and coordination efforts; and (5) Different practice
cultures and customs." (p. 2)
IPAC Resources:
Time Tracking Sheet |
