Mental health block grant application: State of Wyoming fiscal year 2003.

2003 ◽  
Author(s):  
Keyword(s):  
Mental Health ◽  
Fiscal Year ◽  
Block Grant ◽  
Grant Application

scholarly journals Implementation of NAVIGATE Coordinated Specialty Care for First Episode Psychosis: the Michigan Experience

CNS Spectrums ◽  
2021 ◽  
Vol 26 (2) ◽  
pp. 177-178
Author(s):  
Eric D. Achtyes ◽  
Kari Kempema ◽  
Zhehui Luo ◽  
Katharine N. Thakkar ◽  
Catherine Adams ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Symptoms ◽  
The United States ◽  
First Episode Psychosis ◽  
Specialty Care ◽  
First Episode ◽  
Control Group ◽  
Evidence Based ◽  
Block Grant ◽  
Episode Psychosis

AbstractStudy ObjectivesCoordinated specialty care (CSC) is widely accepted as an evidence-based treatment for first episode psychosis (FEP). The NAVIGATE intervention from the Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE-ETP) study is a CSC intervention which offers a suite of evidence-based treatments shown to improve engagement and clinical outcomes, especially in those with shorter duration of untreated psychosis (DUP). Coincident with the publication of this study, legislation was passed by the United States Congress in 2014–15 to fund CSC for FEP via a Substance Abuse and Mental Health Services Administration (SAMHSA) block grant set-aside for each state. In Michigan (MI) the management of this grant was delegated to Network180, the community mental health authority in Kent County, with the goal of making CSC more widely available to the 10 million people in MI. Limited research describes the outcomes of implementation of CSC into community practices with no published accounts evaluating the use of the NAVIGATE intervention in a naturalistic setting. We describe the outcomes of NAVIGATE implementation in the state of MI.MethodsIn 2014, 3 centers in MI were selected and trained to provide NAVIGATE CSC for FEP. In 2016 a 4th center was added, and 2 existing centers were expanded to provide additional access to NAVIGATE. Inclusion: age 18–31, served in 1 of 4 FEP centers in MI. Data collection began in 2015 for basic demographics, global illness (CGI q3 mo), hospital/ED use and work/school (SURF q3 mo) and was expanded in 2016 to include further demographics, diagnosis, DUP, vital signs; and in 2018 for clinical symptoms with the modified Colorado Symptom Inventory (mCSI q6 mo), reported via an online portal. This analysis used data until 12/31/19. Mixed effects models adjusted by age, sex and race were used to account for correlated data within patients.ResultsN=283 had useable demographic information and were included in the analysis. Age at enrollment was 21.6 ± 3.0 yrs; 74.2% male; 53.4% Caucasian, 34.6% African American; 12.9 ± 1.7 yrs of education (N=195). 18 mo retention was 67% with no difference by sex or race. CGI scores decreased 20% from baseline (BL) to 18 mo (BL=3.5, N=134; 15–18 mo=2.8, N=60). Service utilization via the SURF was measured at BL (N=172) and 18 mo (N=72): psychiatric hospitalizations occurred in 37% at BL and 6% at 18 mo (p<0.01); ER visits occurred in 40% at BL and 13% at 18 mo (p<0.01). 44% were working or in school at BL and 68% at 18 mo (p<0.01). 21% were on antipsychotics (AP) at BL (N=178) and 85% at 18 mo (N=13) with 8% and 54% on long acting injectable-AP at BL and 18 mo, respectively. Limitations include missing data and lack of a control group.ConclusionThe implementation of the NAVIGATE CSC program for FEP in MI resulted in meaningful clinical improvement for enrollees. Further support could make this evidence-based intervention available to more people with FEP.FundingSupported by funds from the SAMHSA Medicaid State Block Grant set-aside awarded to Network180 (Achtyes, Kempema). The funders had no role in the design of the study, the analysis or the decision to publish the results.

scholarly journals Public Expenditures for Mental Health Services in Canadian Provinces

2017 ◽  
Vol 63 (4) ◽  
pp. 250-256 ◽  
Author(s):  
Jian Wang ◽  
Philip Jacobs ◽  
Arto Ohinmaa ◽  
Anne Dezetter ◽  
Alain Lesage
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Public Spending ◽  
Health Spending ◽  
Health Care Expenditures ◽  
Fiscal Year ◽  
Public Expenditures ◽  
Hospital Inpatient ◽  
Publicly Funded

Objective: The purpose of this study is to measure provincial spending for mental health services in fiscal year (FY) 2013 and to compare these cost estimates to those of FY 2003. Methods: This study estimated the costs of publicly funded provincial mental health services in FY 2013 and compared them to the estimates for FY 2003 from a previously published report. Our data were obtained from publicly accessible databases. The cross-year cost comparisons for provincial mental health services were restricted to general and psychiatric hospital inpatients, clinical payments to physicians and psychologists, and prescribed psychotropic medications. Total public expenditures were inflation adjusted and expressed per capita and as a percentage of the total provincial health spending. Results: Total public spending for mental health and addiction programs/services was estimated to be $6.75 billion for FY 2013. The largest component of the expenditures was hospital inpatient services ($4.02 billion, 59.6%), followed by clinical payments to physicians or psychologists ($1.69 billion, 25%), and then publicly funded prescribed psychotherapeutic medications ($1.04 billion, 15.4%). Nationally, the portion of total public spending on health that was spent on mental health decreased from FY 2003 to FY 2013 from 5.4% to 4.9%. Conclusion: Our results reveal that mental health spending, as a proportion of public health care expenditures, decreased in the decade from FY 2003 to FY 2013. Due to large differences in how the provinces report community mental health services, we still lack a comprehensive picture of the mental health system.

scholarly journals Overtime working patterns and adverse events in work-related suicide cases: hierarchical cluster analysis of national compensation data in Japan (fiscal year 2015–2016)

2021 ◽  
Author(s):  
Yuki Nishimura ◽  
Takashi Yamauchi ◽  
Takeshi Sasaki ◽  
Toru Yoshikawa ◽  
Masaya Takahashi
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Adverse Events ◽  
Mental Disorder ◽  
Working Hours ◽  
Hierarchical Cluster ◽  
Fiscal Year ◽  
Long Working Hours ◽  
Interpersonal Conflicts ◽  
Work Related

Abstract Background Although various work-related adverse events affect workers’ mental health, the association between long working hours and mental disorders remains unclear. We investigated the characteristics of overtime work and work-related adverse events among all cases of compensated work-related suicide in Japan to empirically reveal the context of the serious consequences. Methods We analysed all 167 cases of mental disorders resulting in suicide that were compensated in fiscal year 2015–2016. Hierarchical clustering was applied to the overtime working history. Work-related adverse events were also evaluated as the qualitative aspects of their jobs. Results More than half of the cases committed suicide within a month of developing a mental disorder. The Administrative and professional or engineering workers had a higher suicide rate. The clustering analysis revealed chronic long working hours (19%), gradual increase (27%), or rapid increase (25%) in working hours before the onset of a mental disorder. A group of cases with less overwork experienced more interpersonal conflicts. Conclusion This is the first study to employ a clustering technique to objectively reveal the actual working patterns behind suicide. The patterns of working overtime before the onset of mental disorders varied considerably among the cases. Taking the transition of working overtime into account may provide clearer insight into the relationship between long working hours and workers’ mental health. These results highlight the need for countermeasures especially for causes of chronic overworking, drastic increases in working hours, and interpersonal conflicts to prevent work-related suicide.

scholarly journals P.3.14 Occupational hazards among migrant workers: impact on their fertility and mental health

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A99.3-A100
Author(s):  
Mandeep Joshi
Keyword(s):  
Mental Health ◽  
Migrant Workers ◽  
Mental Stress ◽  
Sperm Concentration ◽  
Fiscal Year ◽  
Health Examination ◽  
Occupational Hazards ◽  
Return Migrant ◽  
Normal Sperm

BackgroundMore than 1,750 Nepalis leave the country daily for foreign employment. A total of 6 39 167 aspirant migrant workers left for various countries in last fiscal year 2016/17, up from418,713 in previous FY 2015/16. Most the migrant worker destination is hot humid climate countries for occupational work especially chemical, biological hazards.MethodsIt is the retrospective study among return migrant male 100 case reports with non-migrant control reports in (2016 Jan–2018 Nov.) years. Data of Semen analysis reports(questionnaire for duration of infertility, sperm count, percentage of normal sperm morphology,percentages of sperm ), BMI, mini mental health examination and family details data was collected. Descriptive statistics, analysis of variance, and correlations were conducted using SPSS 21.0 and Epi infoResultsMost of the return migrant workers who had long term (>1 years) exposed with solvents, biological or chemical occupation have less than the normal sperm counts than non-migrant cases. BMI was normal but the mental stress on return migrant workers having more than others. Clinical findings of less than 20 million/mL sperm concentration, progressive motility 32%, Odds ratios (ORs), after allowing for confounding, were 2.07 (95% confidence interval (95% CI) 1.24 to 3.44) for 1–3 years exposure to solvents and 3.83 (95% CI 1.37 to 10.65) for more than 3 years exposure. Chances of fertilization was at least 1–2 year among long term migrant return workers.ConclusionOccupational hazards in reproductive life is more seen among the mental stress workers. It may be due to improper use occupational safety clothes, equipment etc. Proper counselling, Workplace safety rules and regulation policy should be clearly documentation for all migrant workers. Occupation physician screen all workers health every 3 months. Education, awareness and changing attitude of work style is essential in this globalization era.

scholarly journals Patterns of use of the Mental Health Act 1983, from 2007–2008 to 2016–2017, in two major London secondary mental healthcare providers

BJPsych Open ◽  
2019 ◽  
Vol 5 (6) ◽  
Author(s):  
Sian Oram ◽  
Craig Colling ◽  
Megan Pritchard ◽  
Mizanur Khondoker ◽  
Daniela Fonseca de Freitas ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Fiscal Year ◽  
Historical Cohort ◽  
Patient Level ◽  
Mental Health Act ◽  
Patterns Of Use ◽  
Level Data ◽  
Active Patients

Summary Trends in detention under the Mental Health Act 1983 in two major London secondary mental healthcare providers were explored using patient-level data in a historical cohort study between 2007–2008 and 2016–2017. An increase in the number of detention episodes initiated per fiscal year was observed at both sites. The rise was accompanied by an increase in the number of active patients; the proportion of active patients detained per year remained relatively stable. Findings suggest that the rise in the number of detentions reflects the rise of the number of people receiving secondary mental healthcare.

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