ORION: A novel solution for tracking service members exposed to trauma and providing targeted outreach.
Jagruti P. BhaktaJennifer Webb-MurphyCleo Mae BurceVasudha RamEileen DelaneyBonnie J. NebekerRobert LippyJeffrey Millegan
2
Citation
0
Reference
10
Related Paper
Citation Trend
Abstract:
In response to the USS Fitzgerald (FTZ) and USS John S. McCain (JSM) collisions in 2017, Navy Medicine developed the Organizational Incident Operational Nexus (ORION) to track Service members and conduct targeted outreach (Caring Contacts) to those at elevated risk for psychological injury after unit-level, non-combat trauma exposure. A 1-year pilot was conducted to test the feasibility of implementing ORION. During the pilot, crews from the FTZ and JSM received Caring Contacts twice, once in winter/spring of 2018 and once in the summer/fall of 2018. Caring Contacts included reaching out to Service members over email, checking in with Service members over the phone, and connecting them to mental health resources, if desired. Sixty-two percent of the crews of the FTZ and JSM completed Caring Contacts. The Caring Contacts were well received and one in five Service members requested assistance connecting to mental healthcare through ORION. Additionally, all paygrades from enlisted to officers and 66% of Service members who separated from Service requested assistance connecting to mental healthcare through ORION. Findings from the Caring Contacts also demonstrated that 50% of the crews needed mental health support after the collision, with 30% of Sailors reporting accessing care since the collision and an additional 20% requesting care during the Caring Contacts. Overall, results suggest Service members greatly benefited from ORION's proactive approach to confidential outreach. Navy Medicine is now working toward implementing ORION throughout the enterprise and collecting more data to refine the program. (PsycInfo Database Record (c) 2022 APA, all rights reserved).Keywords:
Outreach
PsycINFO
Before 1963, most organizations providing mental health service had to decide only whether to accept or to reject a prospective patient into their programs (except, of course, hospitals with psychiatric outpatient departments, which had to make more complex intake decisions). The growing availability of treatment options provided by implementation of the Community Mental Health Centers Act has complicated the intake decision. A comprehensive community mental health center (CMHC) must now assess both the kind (among several modalities) and the quantity (within a range of intensity) of service to provide to each patient. Tailoring a therapeutic program to meet the needs of a particular patient is widely acknowledged to be a difficult task, one that might be eased by the results of research. Unfortunately, the research most likely to be undertaken is unlikely to contribute substantially to intake practice. Enough is already known (though perhaps not acknowledged) about the nature of the intake decision to warrant reevaluation of present intake policies. It is the purpose of this paper to integrate several pieces of clinically derived data about the organizational forces that actually affect intake policies into a systematic framework and
Warrant
Disposition
Affect
Modalities
Mental health service
Cite
Citations (5)
Most emergency service organisations have some form of staff support program that share general aims of promoting and maintaining the mental health of their workforce. Yet few of these services have been subject to evaluation and fewer still have commissioned external professional researchers to scrutinise their programs. The Queensland Ambulance (QAS) Service provides a comprehensive and multifaceted program that is both proactive and reactive in design and with the support of the Commissioner, was the subject of a rigorous evaluation throughout 2013. In this paper the program services are briefly outlined and the considered approach to the evaluation is presented within the context of existing scientific literature. Using focus groups, information regarding the uptake of the program’s various ‘arms’, and survey data, results suggest the program is widely used and that staff are very satisfied with the services provided. Further, analysis of established psychometric measures demonstrated organisational and interpersonal factors that are important in the promotion of mental health and in warding off the deleterious impacts that frontline emergency service staff can endure. Data presented in this paper indicate how best to ensure a professional quality of life for ambulance personnel, how to promote resilience to the sometimes extremely challenging aspects of the work role, and ways in which difficulties such as depression may be minimised.
Promotion (chess)
Resilience
Cite
Citations (1)
Health departments and community-based organizations across the United States are funded by the Centers for Disease Control and Prevention to conduct street outreach to facilitate risk reduction among a variety of hard-to-reach populations who are at risk for human immunodeficiency virus infection and other sexually transmitted diseases. The interaction between the client and outreach worker is the fundamental element of any street outreach activity. However, little has been written about the relationships that develop on the street between workers and clients to promote, support, and sustain behavior change. This paper describes two types of interactions that occur in street outreach intervention activities: the contact and the encounter. As part of a comprehensive evaluation of street outreach, interactions between workers and clients were described and analyzed during the formative phase of the AIDS Evaluation of Street Outreach Projects. For purposes of the evaluation, a contact was defined as a face-to-face interaction during which materials and/or information are exchanged between an outreach worker and a client (or small group of clients). An encounter was defined as a face-to-face interaction between a worker and client going beyond the contact to include individual assessment, specific service delivery in response to the client's identified need(s), and a planned follow-up. The contact provides a means to initiate interaction with potential clients in the community. It is the encounter that provides more significant opportunity for helping the client initiate and sustain behavior change. The discussion suggests techniques for enhancing the encounter between outreach workers and clients using the conceptual framework of the social work helping relationship. Five elements of the encounter are defined and developed: screening, engagement, assessment, service delivery, and follow-up. The encounter represents an enhancement of the traditional street outreach interaction and a more systematic approach to promoting the behavioral change goals of the AIDS Evaluation of Street Outreach Projects. Recommendations are suggested for implementing the encounter in street outreach programs serving hard-to-reach populations.
Outreach
Cite
Citations (31)
North Carolina has developed coordinated care systems for people dually diagnosed with both a mental retardation and a different major mental illness. In response to a class action lawsuit, the state has become a leader in treatment of this form of dual diagnosis. Systems of care for this "Thomas S class" operate in each of 41 area programs for mental health, developmental disabilities, and substance abuse. Networks of care among leaders in mental health and developmental disability promote the coordination of health, housing, social, and vocational services. A survey of 100 area program leaders finds extensive cooperation and a variety of services provided and contracted for, both within and beyond each area program, particularly among developmental disability specialists. Cooperation among leaders is associated with service variety and inter-organizational linkages. The extent of relationships among provider organizations is associated with better access to care. Best practice includes a single portal of entry and inter-agency councils.
Cite
Citations (2)
Outreach
Warrant
Legal psychology
Health psychology
Cite
Citations (19)
Self-help delivered through online websites has been found to be beneficial for people with mental health problems, and consumers find internet support groups helpful. The Australian National University e-hub group delivers automated web interventions (BluePages, MoodGYM, e-couch) and an online bulletin board (BlueBoard) to the public for mental health self-help. The evidence-based web interventions require no direct therapist or other human involvement, while the bulletin board is moderated by trained consumers under the supervision of a clinical psychologist. Users may contact the e-hub service by email. These web services are used by a large number of users, with and without clinical mental disorders, often over a long period of time. These services provide programs for prevention and early intervention and are particularly suited to people who prefer anonymous services, live in rural and remote areas, or have a preference for self-help methods, as well as for use in school and workplace settings. A range of best-practice measures have been developed and put in place to ensure high-quality service delivery. Evaluation and quality control are enabled by a database and associated software.
Cite
Citations (35)
Deliberate self-harm
Emergency nursing
Cite
Citations (0)
The growth of a large population of people without permanent housing in the United States has brought with it the necessity to address the unmet health needs of this group. As homelessness spreads, its demographic pattern has become more heterogeneous, with young vulnerable families now the major subgroup. This paper explores issues of homelessness in Westchester County, N.Y., which, despite being the 10th richest county in the United States, has the highest per capita homeless rate in the state. Children younger than age 18 represent the majority of this group. Barriers to the delivery of health care services are described, including fragmented life-styles, lack of insurance, insensitivity of care givers, distance from services, and inflexibility of traditional sources of health care. A model that has been developed for delivery of services is discussed. This model, the Outreach Health Care Unit, is run by nurse practitioners in collaboration with family physicians and is centered at the site of social service activities for homeless families and single men in Yonkers, N.Y. It is a collaborative endeavor of a nursing school, community hospital family practice residency program, and a network of social service agencies. The use of this model for education and research is also discussed since the goal is to provide both health services and training for health care providers.
Outreach
Cite
Citations (9)
The assessment of clients’ satisfaction adds an important ‘consumer’ perspective to evaluations of mental health services. Client satisfaction evaluations can be viewed as an opportunity to ‘consult’ with patients about their experiences with the services (WHO, 2000). As part of the effort to enhance treatment outcomes, user satisfaction with services has become one of the most frequently used criteria for evaluating programs or treatment outcomes (Siponen et al 2003). In service evaluation, satisfaction may be viewed both as a measure of outcome and quality and as a factor in the process of care (Ruggeri, 2000). Patients’ satisfaction with mental health treatment has been studied empirically for several decades. Satisfaction has achieved greater prominence for mental health professionals with growing view of patients as consumers. This viewpoint is particularly pertinent in the case of patients who remained in treatment for long periods of time as they are the highest users of services. Additionally, satisfaction warrants consideration as an important indicator of the quality of the health care, as satisfied patients tend to adhere more conscientiously to therapeutic and rehabilitative regimens (Fontana et al 2003). Satisfaction ratings capture personal evaluation of medical care, providers and services. These ratings can be distinguished from consumers’ reports about their providers and care. Ratings are intentionally more subjective and reflect – both experiences and personal evaluations that cannot be known to an outside observer - while reports are intentionally more factual and more easily confirmed. In the mental health field few validated instruments for the measurement of satisfaction are currently available. The most commonly used scale for the measurement of satisfaction with community based psychiatric services in Europe, is the Verona Service Satisfaction Scale (VSSS-54), a validated, multi-dimensional scale, comprising seven dimensions (Ruggeri, 1995, 2000, 2006). The Italian version of VSSS-54 was adapted and validated in five European countries (Denmark, Holland, Spain, England, Italy) in the VSSS- EU version for the Epsilon Study of Schizophrenia (Ruggeri, 2000). Despite the international scientific interest in users’ satisfaction with mental health services, there are no validated instruments for measuring satisfaction in Greece. Therefore, there is a need to establish an appropriate instrument assessing satisfaction of the community –based mental health services. The aim of this study is to develop a valid and reliable version of the VSSS-54 in Greece. %%%%Τις τeλeυταίeς δeκαeτίeς, διeθνώς, η ικανοποίηση των χρηστών από τις υπηρeσίeς ψυχικής υγeίας, αποτέλeσe κeντρική μέτρηση στην έρeυνα για την αξιολόγηση της ποιότητας των υπηρeσιών υγeίας και της αποτeλeσματικότητας της θeραπeίας. Οι πeρισσότeρeς σύγχρονeς μeτρήσeις έκβασης (outcome measures), πeριλαμβάνουν την μέτρηση δeικτών, που eκτός από την eκτίμηση παραγόντων όπως η ψυχοπαθολογία, η λeιτουργικότητα κτλ, eκτιμούν…
Customer Satisfaction
Mental health service
Mental Health Care
Cite
Citations (0)