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Navigating the mental health and addictions maze: a community-based pilot project of a new role in primary mental health care


, : Navigating the mental health and addictions maze: a community-based pilot project of a new role in primary mental health care. Mental Health in Family Medicine 6(1): 15-19

Problem being addressed In a medically under-served rural Canadian community where overburdened family physicians provide most of the cae for patients with mental illness and substance use problems, providing access to timely and effective help for all citizens is a challenge. The care burden of unmet mental health needs is experienced throughout the larger community by diverse community service providers.Supporting a shared understanding of the needs and challenges, and ensuring effective connection and clear communication between diverse disciplines in primary care, community services and the formal mental health system requires models of service organisation and delivery that go beyond traditional clinical roles.In cancer care a navigator model has previously been used to address information and service gaps and improve patient experience. We wished to evaluate whether a community-supported navigator model could help solve some of the challenges for clients and service providers in our community, while at the same time allowing data collection that offers a clearer understanding of actual service needs.Pre-programme activities Community members formed an interdisciplinary community steering committee which met monthly for two years to develop and adapt a service and collaborative research model, generate support, secure ethical approval and raise funds.Programme description The navigator service was embedded in a local family service organisation, the steering committee met monthly, and along with the researchers met regularly with programme staff and provided support, oversight and development of ethical data collection.Navigators provided low barrier access, comprehensive assessment, collaborative service planning, and linkage and referral facilitation for any individual or family who requested assistance with a mental health or substance use concern. Navigators also serve as an information resource for any community service provider or family physician needing to assist a client, and collected data on local service needs.Conclusions Analysis of quantitative administrative data, consented research data, and qualitative interview and survey data demonstrated that this community supported navigator service model was effective in improving service access, assessment and linkage for citizens with mental health and addictions concerns, and connecting a range of community services into a more effective network of care. Connecting unattached clients with a primary care provider and supporting needs assessment and service planning for patients of local family physicians were key navigator functions.

US$29.90

PMID: 22477883


Other references

Graham, A.C.; Hilmer, K.M.; Zickovich, J.M.; Obar, J.J., 2013: Inflammatory response of mast cells during influenza A virus infection is mediated by active infection and RIG-I signaling. Influenza A virus (IAV) is a major respiratory pathogen of both humans and animals. The lung is protected from pathogens by alveolar epithelial cells, tissue-resident alveolar macrophages, dendritic cells, and mast cells. The role of alveolar epit...

Wenzel, M.; Aral, Hüsseyin., 2003: Indirect traumatic rupture of the globe without conjunctival injury. Blunt injuries are frequent causes of ocular trauma. Rupture of the globe without conjunctival injury following ocular contusions may be as dangerous as ruptures with opened conjunctiva, but is much more difficult to diagnose. Retrospective analys...

D.P.olo, N.; Bocci, V.; Salvo, D.P.; Palasciano, G.; Biagioli, M.; Meini, S.; Galli, F.; Ciari, I.; Maccari, F.; Cappelletti, F.; D.P.olo, M.; Gaggiotti, E., 2005: Extracorporeal blood oxygenation and ozonation (EBOO): a controlled trial in patients with peripheral artery disease. Background: Since 1990 our group has been using extracorporeal circulation to ozonate blood by an original method, known as extracorporeal blood oxygenation and ozonation (EBOO), with the aim of amplifying the results observed with ozone autohemot...

Borra, R.Jh.; Cho, H-Sung.; Bowen, S.L.; Attenberger, U.; Arabasz, G.; Catana, C.; Josephson, L.; Rosen, B.R.; Guimaraes, A.R.; Hooker, J.M., 2015: Effects of ferumoxytol on quantitative PET measurements in simultaneous PET/MR whole-body imaging: a pilot study in a baboon model. Simultaneous PET/MR imaging depends on MR-derived attenuation maps (mu-maps) for accurate attenuation correction of PET data. Currently, these maps are derived from gradient-echo-based MR sequences, which are sensitive to susceptibility changes. I...

Wong, D.T.; Ajl, S.J., 1955: Isocitritase in Escherichia coli. Nature 176(4490): 970-971

Boué, L.; Khomenko, D.; L'vov, V.S.; Procaccia, I., 2013: Analytic solution of the approach of quantum vortices towards reconnection. Experimental and simulational studies of the dynamics of vortex reconnections in quantum fluids showed that the distance d between the reconnecting vortices is close to a universal time dependence d=D[κ|t(0)-t|](α) with α fluctuating around 1/2...

Machado-Silva, A.; Guimarães, P.Pires.Goulart.; Tavares, C.Alberto.Pereira.; Sinisterra, Rén.Dario., 2015: New perspectives for leishmaniasis chemotherapy over current anti-leishmanial drugs: a patent landscape. Although leishmaniasis is estimated to cause the ninth largest disease burden among individual infectious diseases, it is still one of the most neglected diseases in terms of drug development. Current drugs are highly toxic, resistance is common a...

Gillebert, T.C.; Lew, W.Y., 1989: Nonuniformity and volume loading independently influence isovolumic relaxation rates. We examined the influence of loading conditions and nonuniformity of left ventricular (LV) function on the rate of LV pressure fall in seven anesthetized dogs. Loading conditions were altered with vena cavae occlusions and/or intravenous infusions...

Hori, I., 1986: Surface specializations of planarian gastrodermal cells as revealed by staining with ruthenium red. Regional differences of the surface of planarian gastrodermal cells are emphasized by staining with ruthenium red (RR). It is proposed that such differences reflect functional diversity of the luminal, lateral, and basal surfaces of the cells. The...

Somayaji, V.; Brown, R.S., 1987: Hydrolysis of a distorted amide facilitated by diacids a phenomenological model for the aspartate proteinases. Journal of the American Chemical Society 109(15): 4738-4739