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BARRIERS AND FACILITATORS TO ACCESSING AND UTILIZING MENTAL HEALTH SERVICES FOR HOMELESS YOUTH: A SYSTEMATIC REVIEW
Title
BARRIERS AND FACILITATORS TO ACCESSING AND UTILIZING MENTAL HEALTH SERVICES FOR HOMELESS YOUTH: A SYSTEMATIC REVIEW.
Creator
Lapinski, Abbygail P, Dever, Kimberly, University of Central Florida
Abstract / Description
Homelessness in the youth population is associated with elevated rates of mental illness, substance abuse, and suicidality compared to the housed population in the United States (Berdahl, Hoyt, and Whitbeck, 2005; Hodgson, Shelton, Van den Bree, 2014; Hughes et al., 2010). With a survival-focused perspective, exacerbating issues, stigmatization, and transience housing; homeless youth require special consideration to meet their diverse health needs. When barriers impede homeless youth's access...
Show moreHomelessness in the youth population is associated with elevated rates of mental illness, substance abuse, and suicidality compared to the housed population in the United States (Berdahl, Hoyt, and Whitbeck, 2005; Hodgson, Shelton, Van den Bree, 2014; Hughes et al., 2010). With a survival-focused perspective, exacerbating issues, stigmatization, and transience housing; homeless youth require special consideration to meet their diverse health needs. When barriers impede homeless youth's access to necessary health resources, their health concerns are left untreated and impound until emergency services are required. This review of literature is focused on identifying and synthesizing barriers and facilitators for homeless youth to access and utilize mental health care services. When untreated mental illness reaches a crisis point, it becomes more expensive to treat (Taylor, Stuttaford, and Vostanis, 2006). For youth experiencing homelessness, various factors influence their decisions to wait until a crisis to reach out to emergency services. Within the literature, barriers and facilitators were bracketed into personal, social, and structural factors. These factors ranged from financial concerns, communication with health care providers and between health care service locations, stigmatization, lack of awareness, and administrative requirements. While further research is required, evidence from the literature shows promise in developing and altering interventions and communication to meet homeless youth's mental health and substance abuse needs.
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Date Issued
2019
Identifier
CFH2000468, ucf:45860
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000468
FAMILY SUPPORT AND MENTAL HEALTH CARE QUALITY IN NURSING HOMES SERVING RESIDENTS WITH A MENTAL HEALTH HISTORY
Title
FAMILY SUPPORT AND MENTAL HEALTH CARE QUALITY IN NURSING HOMES SERVING RESIDENTS WITH A MENTAL HEALTH HISTORY.
Creator
Frahm, Kathryn, Gammonley, Denise, University of Central Florida
Abstract / Description
The prevalence of mental health disorders among the nursing home population is well recognized. However, providing adequate mental health services for nursing home residents who need them remains a challenging endeavor. The social support of family has long been recognized as a key resource for older adults with a mental health history and older adults residing in nursing homes. The purpose of this study is to examine the quality of mental health care provided for nursing home residents with...
Show moreThe prevalence of mental health disorders among the nursing home population is well recognized. However, providing adequate mental health services for nursing home residents who need them remains a challenging endeavor. The social support of family has long been recognized as a key resource for older adults with a mental health history and older adults residing in nursing homes. The purpose of this study is to examine the quality of mental health care provided for nursing home residents with a mental health history and to determine if family support influences the quality of their mental health care accounting for other facility resident and facility organizational characteristics. The study utilized a retrospective, cross-sectional design with 2003 national Online Survey Certification and Reporting (OSCAR) facility data merged with the resident-level Minimum Data Set (MDS) resulting in N=2,499 nursing homes. Guided by the convoy model of social support and socioemotional selectivity theory, descriptive statistics and exploratory factor analysis were used to create a profile of facility level data of nursing home residents with a mental health history, explore the role of family support, and determine if items within the OSCAR and MDS databases could respectively be used to measure mental health care quality and family support. Overall, it was found that families have a positive relationship with their relatives and are involved in their lives. Additionally, items within the OSCAR and MDS databases could be used to measure mental health care quality and family support. Finally, facility organizational characteristics explained more variation in the quality of mental health care than did facility resident, family support, or market characteristics. In sum, to enhance the quality of mental health care in nursing homes, partnering with families may be an important tool to meet resident needs.
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Date Issued
2009
Identifier
CFE0002529, ucf:47670
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002529
An Examination of the Florida Linking Individuals Needing Care Coordination Program for Racial and Ethnic Minority Females
Title
An Examination of the Florida Linking Individuals Needing Care Coordination Program for Racial and Ethnic Minority Females.
Creator
Vance, Michelle, Gryglewicz, Kimberley, Chapple, Reshawna, Lawrence, Shawn, Fisher, Kristina Childs, University of Central Florida
Abstract / Description
Suicide accounts for close to 800,000 deaths each year, making it one of the leading causes of death in the United States. In the state of Florida, suicide is the 10th leading cause of death. Currently, it is the 2nd leading cause of death among young people ages 15-29, claiming more lives than homicide. Among Black and Hispanic youth (10 to 24), it is the 2nd and 3rd leading causes of death. This study aimed to examine the extent to which depression and suicidality outcomes change among...
Show moreSuicide accounts for close to 800,000 deaths each year, making it one of the leading causes of death in the United States. In the state of Florida, suicide is the 10th leading cause of death. Currently, it is the 2nd leading cause of death among young people ages 15-29, claiming more lives than homicide. Among Black and Hispanic youth (10 to 24), it is the 2nd and 3rd leading causes of death. This study aimed to examine the extent to which depression and suicidality outcomes change among racial and ethnic minority females (i.e., Black and African American, Hispanic) who participated in a care coordination intervention. These subpopulations were chosen due to limited suicide prevention research on at-risk racial and ethnic minority females and to address health disparities. To examine these outcomes, the study employed a one-group pretest-posttest design utilizing secondary data from 76 youth participants enrolled in the care coordination program from three crisis stabilization units (CSU) in Florida. Key findings included significant decreases in depression symptomology (54%) and suicidality (82%). Among participants enrolled in the program, 84% did not have a readmission to the CSU. Length of stay was a predictor or readmission in that a one unit (one day) increase lead to a 3% increase in odds of readmission to the CSU. Results of this study can help guide social work and mental health practitioners in designing and implementing community-based suicide prevention programs for racial and ethnic minority females.
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Date Issued
2019
Identifier
CFE0007548, ucf:52594
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007548