Mental Health Consultation Services Research Articles

Analyzing Communication and Satisfaction in Mental Health Online Consults for Students

Online mental health consultation applications have become increasingly prevalent in Indonesia. Teenagers, including college students use these applications to communicate their problems and seek solutions. This study aims to describe final year students' experiences in using these applications. This study evaluates the effectiveness of an online mental health consultation service through the perceptions of 118 users, utilizing a Likert scale across three key dimensions: usefulness, usability, also integration and infrastructure. The findings indicate a generally positive reception of the service. In the usefulness dimension, the service scored well in terms of meeting advertised expectations, maintaining consistent quality, fostering optimism, providing clarity on mental health issues, and making users feel at ease. The usability dimension highlighted the enjoyable nature of the application and its benefits, though it revealed a need for improvement in accessibility for users with disabilities. The integration and infrastructure dimension reflected positively on the service's intuitive design and user-friendliness, with high scores in data confidentiality, responsiveness of counsellors, clarity of communication, and effectiveness in addressing user issues. Users also expressed a willingness to reuse the service for future mental health needs, indicating its perceived value and reliability.

Sistem Informasi Layanan Konsultasi Kesehatan Mental Berbasis Website

Providing adequate accessibility to mental health services is a significant challenge in improving community well-being. The lack of accessibility to existing mental health services is a major problem that needs to be addressed. To overcome these problems, this research focuses on developing a web-based system using the waterfall method and utilizing Node.js and Express.js technologies. The developed system aims to increase the accessibility of mental health consultation services, allowing users to consult with professional doctors flexibly, wherever and whenever they need it. In the development of this system, special attention was paid to the scheduling and payment process. The system successfully implements features that allow users to easily schedule consultations with notifications sent after successful scheduling. In addition, the system also provides integrated payment facilities, so that users can easily pay consultation fees online. The system evaluation results show that the implementation of the waterfall method in the development of this web system provides satisfactory results, with key functions such as scheduling and payment running well. System users reported a positive experience in using this system, with accessibility and ease of use.

Analyzing Communication and Satisfaction in Mental Health Online Consults for Students

Online mental health consultation applications have become increasingly prevalent in Indonesia. Teenagers, including college students use these applications to communicate their problems and seek solutions. This study aims to describe final year students' experiences in using these applications. This study evaluates the effectiveness of an online mental health consultation service through the perceptions of 118 users, utilizing a Likert scale across three key dimensions: usefulness, usability, also integration and infrastructure. The findings indicate a generally positive reception of the service. In the usefulness dimension, the service scored well in terms of meeting advertised expectations, maintaining consistent quality, fostering optimism, providing clarity on mental health issues, and making users feel at ease. The usability dimension highlighted the enjoyable nature of the application and its benefits, though it revealed a need for improvement in accessibility for users with disabilities. The integration and infrastructure dimension reflected positively on the service's intuitive design and user-friendliness, with high scores in data confidentiality, responsiveness of counsellors, clarity of communication, and effectiveness in addressing user issues. Users also expressed a willingness to reuse the service for future mental health needs, indicating its perceived value and reliability.

Using human-centered design to develop and implement a pediatric mental health care access program.

In 2019, the University of California at San Francisco (UCSF) launched the Child and Adolescent Psychiatry Portal (CAPP), a pediatric mental health care access (PMHCA) program providing remote mental health consultation services to pediatric primary care providers (PCPs) throughout Northern and Central California. The development and implementation of CAPP was guided by Human-Centered Design (HCD), an iterative, rapid-paced innovation process focusing on stakeholders' needs and experiences, which shaped the development of CAPP's programs. The resulting key programmatic elements are designed for pediatric workforce development: (1) PCP consultation with a child and adolescent psychiatrist via a telephone warmline; and (2) training and education for providers. CAPP has grown rapidly since its launch, having enrolled 1,714 providers from 257 practices spread across 36 counties and provided 3,288 consults on 2,703 unique lives as of August 2023. Preliminary evaluation findings indicate high PCP satisfaction with CAPP's services, despite continued challenges of integrating behavioral health into primary care. Throughout the HCD and implementation process, multidisciplinary partnerships have proven critical in providing end-user input to inform and improve program design. This growing network of partnerships, developed through the cultivation of personal relationships and trust over time, has also proven essential for CAPP's rapid growth and sustainability. Overall, this Community Case Study highlights the critical role of partnerships and the importance of taking a people-centered approach, as captured in CAPP's motto, "Connecting for Care."

Exploring Students' Financial Willingness for Online Mental Health Counseling Services

Mental Health Consultation Services are widely available in Indonesia, comprising both professional consultations led by psychologists and peer counseling services. While professional services have set fees, peer counseling is offered free of charge. However, all services involve operational costs, such as website and application maintenance, internet and mobile credit for peer counselors, and training expenses. This research aims to explore students' willingness to incur costs for seeking consultation. The research employed a survey with 101 respondents and interviews with selected samples. The findings indicate eight aspects influencing students' readiness to pay for online mental health consultations. These aspects include client awareness of application operational costs, willingness to donate, response, expertise, determination of donation amounts, payment timing, and payment methods.

Analysis of Start-Up Digital Mental Health Platforms for Enterprise: Opportunities for Enhancing Communication between Managers and Employees

The COVID-19 pandemic has resulted in employees being exposed to transformational stressors from within and outside the organization. This has created an opportunity for employee mental health solutions. Indeed, there has been a rapid growth in start-ups offering clinical mental health services via a digital health platform. These platforms servicing enterprise employee mental health needs have not been evaluated with respect to their ability to enhance management communication. Hence, the aims of the present study are to explore communication and service attributes across a sample of five operational leading commercial start-up platforms for mental service delivery to employees. We have observed that all platform models focused on providing on-demand mental health consultation services. Existing platforms fail to adequately support management communication for mental health solutions across 80% of platforms reviewed. We recommend that industry start-ups should understand the need for management engagement with digital mental health platforms. Digital mental health platform solutions in the workplace are ideally supported by valuing leadership communication. A culture around mental health will create sustainability in digital mental health solutions for an organization.

Community Mental Health Services and Research Clinic (KP2KJM) Muhammadiyah University of East Kalimantan

Mental health disorders will interfere the overall health of a person, so families and communities needs to increase the knowledge of families and community members in determining the condition of mental disorders, as well as how to intervene and implement mental disorder management. There are some services for it, namely the mental health consultation service program, modality therapy, client home visits, health education for the community, and mental health cadres. The results in the change of percentage level of family knowledge after given the actions are as follows: moderate category increases from 35.7% to 46.03%, the good category increases from 23.02% to 33.86%, while the poor category decreases from 41.27% to only 20.11%. It is currently preparing to collaborate with doctors and Healthcare and Social Security Agency (Badan Penyelenggara Jaminan Sosial or BPJS) as the first-level health facilities and pharmacy services that are open to the public. Based on the results of research conducted, it shows that the program implemented can increase knowledge of mental health services in the community.

Research on the Characteristics and Usefulness of User Reviews of Online Mental Health Consultation Services: A Content Analysis.

Online consultation based on Internet technology is gradually becoming the main way to seek health information and professional assistance. Online user reviews, such as content reviews and star ratings, are an important basis for reflecting users’ views on the effectiveness of health services. Here, we used user reviews related to online psychological consultation services for content feature mining and usefulness analyses. We used a professional online psychological counseling service platform in China to collect user reviews that were liked by users as a data sample for a content analysis. An LDA topic model, dictionary-based sentiment analysis, and the NRC Word-Emotion Association Lexicon were used to extract the topic, sentiment, and context features of the content of 4254 useful reviews, and the influence of these features on the usefulness of the reviews was verified by a multiple linear regression analysis. Our results show that the content of online reviews by psychological counseling users presented a positive emotional attitude as a whole and expressed more views on the process, effects, and future expectations of counseling than on other topics. There was a significant correlation between the topic, sentiment, and context features of a user review and its usefulness: reviews giving high scores and containing topics such as “ease emotions” and “consulting expectations” received more user likes. However, the usefulness of a review was significantly reduced if it was in existence for too long. This research provides valuable suggestions for understanding the needs and emotional attitudes of users with mental health problems in terms of online psychological consultation; identifying the factors that affect the number of likes a review receives can help platform users write better consultation evaluations and thereby provide greater usefulness. In addition, the use of online reviews generated by users for content analysis effectively supplements the current research on online psychological counseling in terms of data and methods.

The Interplay among Early Childhood Teachers’ Social and Emotional Well-Being, Mental Health Consultation, and Preschool Expulsion

ABSTRACT Research Findings: The present study examines the associations between various elements of a teacher’s social-emotional well-being and context and her requests for the permanent removal of a child from her classroom. Specifically, the current study explores teachers’ perceptions of their emotional intelligence, levels of depression, classroom-level externalizing behaviors, and center climate. Using self-report survey data from teachers at community-based preschools in a large Midwestern city (N = 124), logistic regressions predicting teachers’ expulsion requests shed light on associated factors. Findings indicate that teachers with greater levels of depression are more likely to request that a child be expelled from their care but that this association is attenuated by their centers’ utilization of infant/early childhood mental health consultation services. Teacher-reported emotional intelligence, perceptions of their students’ externalizing behaviors, and center climate were not significantly associated with expulsion requests. Practice or Policy: This study contributes to our growing understanding of two pressing issues in early childhood education: teacher well-being and exclusionary discipline. Findings suggest that attending to teacher mental health and early childhood mental health consultants may be important in reducing rates of exclusionary discipline in early education settings.

Association between social participation and mental health consultation in individuals with suicidal ideation: a cross-sectional study

BackgroundSuicidal ideation is a significant public health concern worldwide. Although suicides might be preventable through the provision of adequate treatment, mental health consultation is still mostly underutilized. This study thus aimed to examine the association between social participation and utilization of mental health consultations in individuals with suicidal ideation.MethodsData were collected from the nationwide Community Health Survey (conducted by the Korea Centers for Disease Control and Prevention, 2017). A total of 17,067 individuals (men: 32.9%, women: 67.1%) who reported experiencing suicidal ideation were included in the analysis. The mean age of the study population was 60.1 (±17.8) years old. This study examined social participation; the number of social activities participated in among leisure, volunteer, social, and religion related activities. Multivariate logistic regression was then used to assess the significance of these associations.ResultsAmong those experienced suicidal ideation, 1860 (10.9%) reported receiving mental health consultation services (men: 8.8%, women: 11.9%). Overall, an increased social participation was significantly associated with increased odds of using forms of mental health consultation (OR = 1.65, 95% CI: 1.31–2.09).ConclusionsIn this study, significant evidence of the links between social participation and utilization of mental health consultation was discovered among at risk individuals with suicidal ideation. Suicide prevention policies and programs designed to enhance social participation could potentially encourage people at suicide risk to seek the help they need. Further research focusing on social approaches can produce useful information to plan and implement comprehensive and effective strategies.

Clinician Perspectives on the Circle of Security‐Parenting (COS‐P) Program: A Qualitative Study

This study examined the perspectives of clinicians who facilitate Circle of Security‐Parenting (COS‐P) groups in community health settings. The therapists were from two services: a specialist perinatal and infant mental health consultation service and a child at risk health service. In particular, we were interested in their perceptions of the strengths, weaknesses, challenges, and possible improvements to the model as applied to their clinical settings. Two focus group interviews, involving eight clinicians and clinical supervisors from a diverse range of professional backgrounds, were conducted by an independent interviewer. A discussion guide consisted of a series of open‐ended questions related to the participants’ experiences of delivering COS‐P. Therapists found COS‐P to be effective, feasible to deliver, user‐friendly, flexible, and generalisable to diverse client subgroups. The compassionate and non‐judgmental therapeutic stance was considered a strength of the model. Clinicians highlighted their adoption of the model across their professional and personal lives and the critical importance of supervision. In conclusion, COS‐P is a popular and promising intervention which targets the parent–child relationship that can be successfully delivered to mothers affected by moderate to severe mental health problems.

ECCP Program in Connecticut of America and Its Enlightenment

Early Childhood Consultation Partnership program in Connecticut is an important part of American children mental health consultation project. This program provides children from birth to five years old with mental health consultation service, including Child-specific Services, Core Classroom Services, and Intensive Site Services. This paper mainly uses literature method to sort out content, operation and management in ECCP program, in order to inspire children's mental health services in China. Based on the experience of Connecticut, the authors suggest that China should pay more attention to children’s mental health and integrate all sources to establish a service for children’s mental health.

Factors associated with mental health consultation in South Korea

BackgroundThe aim of this study was to examine factors associated with the use of mental health consultation for depressive symptoms.MethodsWe used data from the 2013 Community Health Survey, which included responses from 13,269 individuals who reported that they had experienced depressive symptoms for more than 2 weeks in Korea. We investigated associations between mental health consultation rates for depressive symptoms and sociodemographic, socioeconomic, and health-related factors. Logistic regression analysis was used to examine the significance of associations.ResultsAmong participants who report depressive symptoms, 16.0% (n = 2120) undergo mental health consultation. Respondents with a college education or over are more likely to undergo mental health consultation (odds ratio (OR) = 1.49; 95% CI: 1.21–1.84) than respondents with less education. Individuals aged 70 years or above are less likely to receive mental health consultation than those aged between 19 and 29 years. Females exhibit higher mental health consultation rates than males. Respondents who are divorced show greater odds of receiving mental health consultation than respondents who are married and cohabitate with their spouse.ConclusionsThis study indicates that rates of use of mental health consultation services are lower among older adults and men and higher among divorced people. Educational level shows a significant positive association with mental health consultation among Koreans. The results could have implications for mental health policy in many ways in Korea.

Providing High-Quality Support Services to Home-Based Child Care: A Conceptual Model and Literature Review

ABSTRACTResearch Findings: Home-based child care accounts for a significant proportion of nonparental child care arrangements for young children in the United States. Yet the early care and education field lacks clear models or pathways for how to improve quality in these settings. The conceptual model presented here articulates the components of high-quality support to child care providers; related factors; and hypothesized provider, family, and child outcomes. The model is based on a literature review of research on home-based child care, home visiting, early childhood mental health consultation, coaching, and family services. We hypothesize that high-quality support to home-based child care that offers relationship-based services focused on quality caregiving (individual home visiting and group supports such as training and networking) and sustainability (materials, equipment, referrals) is most likely to positively impact quality caregiving for children and families. Practice or Policy: Current federal efforts and policy initiatives to increase the supply and quality of infant–toddler child care focus on the development of systems that support home-based providers. The conceptual model of high-quality support described here will inform future program development and research on how to improve quality in home-based child care for the millions of low-income children in these settings.

여대생의 도움추구 행위, 자기개방성 및 자기은폐 간의 관계

The college students were faced with not just technical challenges that require skill acquisition but adaptive challenges that require transforming one’s mindset to a more complex way of making meaning. The purpose of this study was confirmed the relations among the help-seeking behavior, self-disclosure and self-concealment of 343 female college students’. As a result of data analysis, positive help seeking attitude was higher when the level of self-concealment was lower and self-disclosure, but regarding help-seeking intention, consultation intention was shown to be higher in the case of lower self-disclosure and higher self-concealment. Therefore, female college students need to visit college consultation centers more often while attending college and it needs to provide those students with mediation so that they can use mental health consultation services easily.

Implementing a statewide early childhood mental health consultation approach to preventing childcare expulsion.

State- and local-level mental health administrators and practitioners can work collaboratively to provide effective early childhood mental health consultation (ECMHC) services that address the growing need in communities to promote healthy socioemotional functioning in infants and young children and prevent longer term mental health challenges. This article describes one state's model of ECMHC, the Child Care Expulsion Prevention Program (CCEP), as well as preliminary evaluation findings on consultants' fidelity to the developed approach to service within 31 counties in Michigan. The CCEP approach is flexible, yet adheres to six cornerstones which are essential to effectively and consistently carrying out services across local projects, including the provision of relationship-based programmatic and child/family-centered consultation, hiring and supporting high-quality consultants through professional development and reflective supervision, ongoing provision of state-level technical assistance, use of evidence-based practices, and collaboration with other early childhood service providers. In addition to the overview of CCEP's approach and effectiveness, lessons learned are provided to guide those engaged in policy development, practice, and applied research pertaining to ECMHC. Abstracts translated in Spanish, French, German, and Japanese can be found on the abstract page of each article on Wiley Online Library at http://wileyonlinelibrary.com/journal/imhj.

A multilevel analysis of consultant attributes that contribute to effective mental health consultation services.

A positive relationship between the mental health consultant (MHC) and early care and education staff is considered important for achieving positive early childhood mental health consultation outcomes, but little is known about the attributes of MHCs that contribute to relationships with staff and to staff-reported child outcomes. This study was a secondary analysis of 57 MHCs and 407 Head Start staff who responded to the Head Start Mental Health Services Survey. Hierarchical linear models examined the relationship between five attributes of MHCs and staff reports of improved child outcomes and a positive relationship with the MHC. The results suggest that MHC reports of positive relationships with staff, positive relationships with families, and high levels of supervision and support are positively associated with staff reports of positive relationships with the MHC (p < .05). None of the MHC-reported attributes were associated with staff-reported child outcomes.

An Intervention to Increase Early Childhood Staff Capacity for Promoting Children’s Social-Emotional Development in Preschool Settings

This article describes the development, implementation, and outcomes of a pilot intervention designed to enhance preschool programs’ ability to support children’s social-emotional development. Working with two Head Start programs, the intervention included (1) restructuring existing early childhood mental health consultation services; (2) engaging programs in a mental health-specific strategic planning; (3) providing training to program staff in early childhood mental health best practices; and (4) implementing staff wellness activities to promote a healthy organizational culture. Research Findings: Results from quantitative staff surveys found significant improvement over time in terms of reduced staff stress, increased levels of understanding of best practices in early childhood mental health, and more evidence of a shared understanding of how best to meet children’s mental health needs. Results were strongest for management and teaching staff, compared to other staff types. Practice Implications: Head Start and preschool programs may benefit from institutionalizing strategies to ensure that continued attention is paid to their program’s mental health services through ongoing strategic planning, supporting staff wellness, and by effective use of mental health consultants. Mental health consultants may be most valuable when they focus on capacity-building activities such as staff coaching and training, and working with management teams to ensure a collective “mental health perspective”.

A clinical study of those who utter threats to kill

The current study sought to examine the psychiatric characteristics and rate of subsequent violence among those who uttered explicit threats to kill. Data were drawn from 144 referrals of adults to a community-based forensic mental health consultation and treatment service. Each had explicitly threatened to kill a person other than themselves. Assaults were made by over 20%, including one homicide, within 12 months of assessment. Two participants committed suicide in the follow-up period. Factors found to contribute to violence risk were substance abuse, prior violence, limited education and untreated mental disorders. Threateners were often habitual in their threatening behaviour and typically targeted those they interacted with on a daily basis. Clinical characteristics showed a psychiatrically complex group who shared many features of other offender groups. The type of threat that led to referral for a mental health assessment was not uncommonly followed by violence. Factors enhancing risk resemble findings from other groups of offenders. Those referred for clinical evaluation typically have complex clinical presentations and marked deficits in effectively managing interpersonal conflict.

Dosage effects on school readiness: evidence from a randomized classroom-based intervention.

Variations in the dosage of social interventions and the effects of dosage on program outcomes remain understudied. This study examines the dosage effects of the Chicago School Readiness Project, a randomized, multifaceted classroom-based intervention conducted in Head Start settings. Using a principal score matching method to address the issue of selection bias, the study finds that high-dosage levels of teacher training and mental health consultant class visits have larger effects on children's school readiness than the effects estimated through intention-to-treat (ITT) analyses. Low-dosage levels of treatment are found to have effects that are smaller than those estimated in ITT analyses or to have no statistically significant program effects. Moreover, individual mental health consultation services provided to high-risk children are found to have statistically significant effects on their school readiness. The study discusses the implications of these findings for research and policy.