Cost Effectiveness Analysis Of Rural Telemedicine Intervention For Depression

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Cost Effectiveness Analysis of Rural Telemedicine Intervention for Depression

Author : Jeff Pyne
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Cost Effectiveness Analysis of Rural Telemedicine Intervention for Depression by : Jeff Pyne

Download or read book Cost Effectiveness Analysis of Rural Telemedicine Intervention for Depression written by Jeff Pyne and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rationale: Existing methods for detecting and treating depression are effective and relatively inexpensive. Collaborative care for depression has been shown to be cost-effective in urban primary care settings. Implementing collaborative care for depression in small rural primary care practices without on-site psychiatrists presents unique challenges. We adapted the collaborative care model using telemedicine (e.g., telephone, interactive video, electronic medical records) to support antidepressant therapy initiated by PC providers in small rural practices. The Telemedicine Enhanced Antidepressant Management (TEAM) collaborative care intervention was implemented by offsite personnel and all intervention components were implemented using telemedicine technologies. Objective: One of the objectives of this study was to determine the cost-effectiveness of the TEAM intervention relative to usual care. Methodology: This study was conducted in seven community-based outpatient clinics in the Veterans Health Administration (VHA) located across four US south-central states. Eligible clinics treated 1,000 to 5,000 unique veterans, had no on-site psychiatrists, and had interactive video equipment. Matched clinics were randomized to receive the intervention or usual care. Of the 24,882 clinic patients, 73.6% (n=18,306) were successfully screened and 6.9% screened positive for depression (PHQ9 ≥12). Of those eligible for the study, 91.3% agreed to participate, and 91.9% of those attended their appointment and were consented. Over an 18-month period, 395 patients were enrolled, 91.1% (n=360) completed six-month follow-up interviews, and 85.1% (n=336) completed twelve-month follow-up interviews. Effectiveness was tested using an intent-to-treat analysis. Main analysis costs included intervention, outpatient encounter, emergency room, and medication costs. Quality adjusted life years (QALYs) were calculated using the Quality of Well Being scale. Sensitivity analyses included main cost plus depression-related inpatient cost and main cost plus all inpatient cost. Backward elimination regression methods were used to select covariates. Multiple imputation methods were used to adddress missing data. Boostrap sampling with replacement methods were used to generate acceptability curves. Results: In the main analysis, intervention patients had significantly higher total costs than usual care patients ($1,060, p=0.001) and significantly higher QALYs (0.017, p=0.046). The mean incremental cost effectiveness ratio for the intervention was $62,353 per QALY. Intervention costs averaged $794 per patient. Sensitivity analyses resulted in incremental cost effectiveness ratios from $37,353 per QALY (all cost) to $96,941 per QALY (depression-related cost). Conclusions: Using the commonly cited cost-effectiveness threshold of $50,000 per QALY, the TEAM intervention is less cost-effective than this threshold. Adjusting the common threshold for inflation, the cost effectiveness ratio remains near the upper limit. Our findings suggest that collaborative care for depression using telemedicine technologies is less cost-effective for rural VHA patients than patients in other sectors. Future research should focus on improving the effectiveness of rural telemedicine interventions and/or lowering the cost. The cost of the TEAM intervention could potentially be lowered by streamlining the off-site depression care team or improving the efficiency of the informatics support to the nurse care manager. The effectiveness of the TEAM intervention could potentially be improved by targeting common comorbidities such as pain, anxiety, and substance abuse and providing access to telephone-based psychotherapy.

Telemedicine

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309175399
Total Pages : 287 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Telemedicine by : Institute of Medicine

Download or read book Telemedicine written by Institute of Medicine and published by National Academies Press. This book was released on 1996-10-08 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.

The Role of Telehealth in an Evolving Health Care Environment

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309262011
Total Pages : 159 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Role of Telehealth in an Evolving Health Care Environment by : Institute of Medicine

Download or read book The Role of Telehealth in an Evolving Health Care Environment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-12-20 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Invisible Wounds of War

Author : Terri L. Tanielian
Publisher : Rand Corporation
ISBN 13 : 0833044540
Total Pages : 499 pages
Book Rating : 4.8/5 (33 download)

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Book Synopsis Invisible Wounds of War by : Terri L. Tanielian

Download or read book Invisible Wounds of War written by Terri L. Tanielian and published by Rand Corporation. This book was released on 2008 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of service members and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well asutilization of and barriers to care; a review of existing programs to treat service members and veterans with the three conditions; focus groups withmilitary service members and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions overtime. Among our recommendations is that effective treatments documented in the scientific literature -- evidence-based care -- are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or majordepression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system.

Economic Evaluation of Mental Health Interventions

Author : Huajie Jin
Publisher : Frontiers Media SA
ISBN 13 : 2832536921
Total Pages : 136 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis Economic Evaluation of Mental Health Interventions by : Huajie Jin

Download or read book Economic Evaluation of Mental Health Interventions written by Huajie Jin and published by Frontiers Media SA. This book was released on 2023-10-25 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Reducing Risks for Mental Disorders

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309049393
Total Pages : 636 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Reducing Risks for Mental Disorders by : Institute of Medicine

Download or read book Reducing Risks for Mental Disorders written by Institute of Medicine and published by National Academies Press. This book was released on 1994-01-01 with total page 636 pages. Available in PDF, EPUB and Kindle. Book excerpt: The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.

Telehealth in Rural Hospitals

Author : CJ Rhoads
Publisher : CRC Press
ISBN 13 : 1040084192
Total Pages : 236 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Telehealth in Rural Hospitals by : CJ Rhoads

Download or read book Telehealth in Rural Hospitals written by CJ Rhoads and published by CRC Press. This book was released on 2017-07-27 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving the quality of healthcare, while increasing accessibility and lowering costs, is a complex dilemma facing rural communities around the world. The Center for Rural Pennsylvania believed that telehealth, the use of electronic information and telecommunications technologies to support long-distance clinical healthcare was a viable solution so it recently provided grants to conduct a thorough investigation into the factors involved. Telehealth in Rural Hospitals: Lessons Learned from Pennsylvania reports the outcome of this year-long investigation. Illustrating telehealth implementations in rural settings, it supplies an overview of telehealth as well as an assessment of its economic impact. The book skillfully intertwines the research and academic aspects of telehealth with helpful insights from the author. One of the most important discoveries made by the author and her team of researchers is that all too often money is wasted by implementing telehealth for services that don't impact many people. This book shares valuable insights on using telehealth for integrative health practices that could improve the health of a greater portion of the population. This book illustrates how telehealth can, indeed, be the healthcare savior that some people believe it will be, but only under the right circumstances. It details exactly what those circumstances are so that everyone, including clinicians, patients, government entities, and vendors, can steer toward the best future path. The author identifies the obstacles preventing wider implementation of telehealth and explains how recent federal legislation will affect telehealth implementation in rural communities. She also points out the folly of developing electronic health records before federal data standards are put into place.

Clinical Manual of Prevention in Mental Health

Author : Michael T. Compton
Publisher : American Psychiatric Pub
ISBN 13 : 1585629235
Total Pages : 440 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Clinical Manual of Prevention in Mental Health by : Michael T. Compton

Download or read book Clinical Manual of Prevention in Mental Health written by Michael T. Compton and published by American Psychiatric Pub. This book was released on 2009-10-13 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to David Satcher, M.D., Ph.D., the 16th U.S. Surgeon General, we know a great deal more about treating mental illnesses than about preventing them and promoting mental health. In his foreword to Clinical Manual of Prevention in Mental Health, Dr. Satcher applauds this guide as timely and vital, as it provides new and emerging research on the importance of prevention in mental health. Clinical Manual of Prevention in Mental Health was conceived through discussions within the Prevention Committee of the Group for the Advancement of Psychiatry (GAP), and features contributions from 30 highly regarded clinicians and researchers who are experienced in the treatment and prevention of specific types of mental illnesses. Clinical Manual of Prevention in Mental Health will help you move toward widespread adoption of mental illness prevention in your own practice setting. This important new reference provides practical suggestions to help you work toward preventing, or implementing preventive measures in the treatment of Mood disorders Anxiety disorders Schizophrenia Substance use disorders Suicidality Family violence Conduct disorder and other adolescent disorders Late-life depression, dementia, and mild cognitive impairment Physical illnesses in psychiatric settings Cigarette smoking Compared with other areas of medicine, such as the prevention of infectious disease, our understanding of the prevention of mental illnesses remains in a relatively nascent state, especially in terms of how prevention can be incorporated into routine clinical practice. The authors of the various chapters have endeavored to balance reviewing the available research knowledge with providing guidance for practicing clinicians on how such knowledge can be incorporated into everyday practice. Clinical Manual of Prevention in Mental Health urges clinicians everywhere to inquire about risk factors and protective factors in patients' lives in addition to focusing on the presenting problem. It is the authors' intent to provide mental health professionals with the knowledge and practical applications necessary to be prevention-minded in all of their interactions with patients, families, and the community.

Handbook of Rural and Remote Mental Health

Author : Timothy A. Carey
Publisher :
ISBN 13 : 9789811050121
Total Pages : pages
Book Rating : 4.0/5 (51 download)

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Book Synopsis Handbook of Rural and Remote Mental Health by : Timothy A. Carey

Download or read book Handbook of Rural and Remote Mental Health written by Timothy A. Carey and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This Handbook outlines in detail the features and challenges of rural and remote mental health service delivery and pragmatic considerations to address these, to ensure people in less populated areas receive an equivalent quality of service to their city-dwelling counterparts. The scope of the book includes general descriptions of the rural and remote context as well as the professional and ethical considerations involved in working in these areas. The book includes information specific to the professions that contribute to effective and efficient mental health services, as well as addressing specific areas of practice that warrant focused attention because of their importance. In order to cover the field comprehensively, the Handbook has four sections. The first section deals with the general context of rural and remote practice including a description of the general features of the setting and the importance of attention to ethical and professional standards. The second section of the Handbook describes different ways of working in rural and remote contexts. Rural and remote contexts provide many opportunities for innovation and creativity but it is imperative that novel approaches do not compromise the quality and integrity of the service. The third section covers individual professions in detail and the fourth section focuses specifically on particular areas of practice that present challenges for rural and remote areas. Academics will find this Handbook a valuable evidence-based resource to enhance their teaching of undergraduate and postgraduate mental health students. Practitioners will find this book an important reference guide to enrich and broaden their rural and remote experiences. They will be informed of the latest research evidence and will be provided with practical advice and strategies to promote advanced clinical practice in this challenging context. .

Tasman’s Psychiatry

Author : Allan Tasman
Publisher : Springer Nature
ISBN 13 : 3030513661
Total Pages : 5496 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Tasman’s Psychiatry by : Allan Tasman

Download or read book Tasman’s Psychiatry written by Allan Tasman and published by Springer Nature. This book was released on 2024-09-30 with total page 5496 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by over 500 internationally acclaimed expert editors and chapter authors from around the world. Completely updated and expanded with almost 40 new chapters. Significantly increased attention to the role of culture in all aspects of evaluation and care. New sections on Digital Mental Health Services and Technologies, Treatment Issues in Specific Populations and Settings, and on Prevention, Systems of Care, and Psychosocial Aspects of Treatment address key advances. This edition is the first comprehensive reference work to cover the entire field of psychiatry in an updateable format, ensuring access to state of the art information. Earlier editions were called “the best current textbook of psychiatry” by the New England Journal of Medicine, and “the gold standard” by the American Journal of Psychiatry. Tasman’s Psychiatry, 5th Edition, builds on the initial vision in prior editions of approaching psychiatric evaluation and care from an integrative bio-psycho-social-cultural perspective. It is designed to be an essential and accessible reference for readers at any level of experience. This editorial approach encompasses the importance of the first encounter between patient and clinician, followed by the complex task of beginning to develop a therapeutic relationship and to develop and implement a treatment plan in collaboration with the patient. The importance of increasing attention to the role of culture and social determinants of mental health is reflected both in specific chapters and in components of many chapters throughout the book, especially in those pertaining to clinical evaluation, the therapeutic alliance, and treatment. The global scope of this edition is reflected throughout the book, including the section on psychiatric disorders where evaluation using both ICD 11 and DSM 5-TR is discussed. Most chapters are authored by experts from at least two different countries or continents, adding a critically important dimension which often is missing in major psychiatric textbooks. Tasman’s Psychiatry, 5th Edition, is an essential reference for all medical professionals and students who need a trusted reference or learning tool for psychiatry, psychology, clinical research, social work, counseling, therapy, and all others.

Issues in Clinical Psychology, Psychiatry, and Counseling: 2011 Edition

Author :
Publisher : ScholarlyEditions
ISBN 13 : 1464963665
Total Pages : 4647 pages
Book Rating : 4.4/5 (649 download)

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Book Synopsis Issues in Clinical Psychology, Psychiatry, and Counseling: 2011 Edition by :

Download or read book Issues in Clinical Psychology, Psychiatry, and Counseling: 2011 Edition written by and published by ScholarlyEditions. This book was released on 2012-01-09 with total page 4647 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues in Clinical Psychology, Psychiatry, and Counseling: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Clinical Psychology, Psychiatry, and Counseling. The editors have built Issues in Clinical Psychology, Psychiatry, and Counseling: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Clinical Psychology, Psychiatry, and Counseling in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Clinical Psychology, Psychiatry, and Counseling: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Doing Realist Research

Author : Nick Emmel
Publisher : SAGE
ISBN 13 : 1526451697
Total Pages : 293 pages
Book Rating : 4.5/5 (264 download)

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Book Synopsis Doing Realist Research by : Nick Emmel

Download or read book Doing Realist Research written by Nick Emmel and published by SAGE. This book was released on 2018-06-18 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together leading theorists, researchers and policy makers with expertise in using realist methods, this book is a definitive guide to putting realist methodologies into practice. Not just an overview of the field, this book looks to extend current debates and apply realist methods to new and practical challenges in social research. Featuring practical, worked examples of how to turn theory into evidence, it empowers readers not just to understand realist methods, but to use them. It will help readers: - Negotiate the complexity of relational systems - Understand the importance and relevance of cumulative theory - Address concerns over data sources and quality - Be flexible and creative in realist approaches - Produce useful evidence for policy. Sophisticated and globally minded, this book is the perfect addition to the ongoing development and application of realist methods across evaluation, synthesis, and social research.

Initial National Priorities for Comparative Effectiveness Research

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309138361
Total Pages : 252 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Initial National Priorities for Comparative Effectiveness Research by : Institute of Medicine

Download or read book Initial National Priorities for Comparative Effectiveness Research written by Institute of Medicine and published by National Academies Press. This book was released on 2009-11-14 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions. In this 2009 report, the Institute of Medicine's Committee on Comparative Effectiveness Research Prioritization establishes a working definition of CER, develops a priority list of research topics, and identifies the necessary requirements to support a robust and sustainable CER enterprise. As part of the 2009 American Recovery and Reinvestment Act, Congress appropriated $1.1 billion in federal support of CER, reflecting legislators' belief that better decisions about the use of health care could improve the public's health and reduce the cost of care. The Committee on Comparative Effectiveness Research Prioritization was successful in preparing a list 100 top priority CER topics and 10 recommendations for best practices in the field.

Cultural Consultation

Author : Laurence J. Kirmayer
Publisher : Springer Science & Business Media
ISBN 13 : 1461476151
Total Pages : 365 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Cultural Consultation by : Laurence J. Kirmayer

Download or read book Cultural Consultation written by Laurence J. Kirmayer and published by Springer Science & Business Media. This book was released on 2013-08-15 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

Handbook of EHealth Evaluation

Author : Francis Yin Yee Lau
Publisher :
ISBN 13 : 9781550586015
Total Pages : 487 pages
Book Rating : 4.5/5 (86 download)

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Book Synopsis Handbook of EHealth Evaluation by : Francis Yin Yee Lau

Download or read book Handbook of EHealth Evaluation written by Francis Yin Yee Lau and published by . This book was released on 2016-11 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: To order please visit https://onlineacademiccommunity.uvic.ca/press/books/ordering/

Understanding Uniqueness and Diversity in Child and Adolescent Mental Health

Author : Matthew Hodes
Publisher : Academic Press
ISBN 13 : 0128153113
Total Pages : 390 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Understanding Uniqueness and Diversity in Child and Adolescent Mental Health by : Matthew Hodes

Download or read book Understanding Uniqueness and Diversity in Child and Adolescent Mental Health written by Matthew Hodes and published by Academic Press. This book was released on 2018-06-08 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding Uniqueness and Diversity in Child and Adolescent Mental Health examines the determinates of individual differences in children and young people, along with the origins of maladjustment and psychiatric disorders. It addresses the ways in which interventions and mental health services can be developed and shaped to address individual differences amongst children. Topics cover the influence of economic adversities and gender differences on child development and life course, as well as the range of risk and protective factors associated with the onset and persistence of problems, including sections on anxiety disorders in infants, bipolar disorder, and tics and Tourette's. Additional sections focus on the potential for individualizing treatments as illustrated by pharmacogenomics, with another highlighting ways in which services can be adapted for specific environments, such as the needs of refugee children and systems of service delivery that can be enhanced by the use of telemedicine. - Emphasizes the social and environmental influences on child and adolescent mental health - Focuses on early developmental and infancy processes - Addresses the training of child and adolescent psychiatrists across Europe - Covers a range of illustrative psychiatric disorders and problems - Forwards a goal of producing a mental health workforce with internationally recognized competencies

Clinical Psychology and Psychotherapy as a Science

Author : Luciano L'Abate
Publisher : Springer Science & Business Media
ISBN 13 : 1461444519
Total Pages : 378 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Clinical Psychology and Psychotherapy as a Science by : Luciano L'Abate

Download or read book Clinical Psychology and Psychotherapy as a Science written by Luciano L'Abate and published by Springer Science & Business Media. This book was released on 2012-08-28 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book demonstrates how clinical psychology and psychotherapy practices may reach a scientific level provided they change the three basic paradigms that have controlled those practices in the last century. These three, now outdated, paradigms, are: (1) one-on-one (2) personal contacts (3) through talk. These paradigms have served well in the past but they are no less helpful in the current digitally focused world.