Scott A. Davis, Daniel Frayne, Jessica McSurdy, Annabel O. Franz and David Mark McCord
In the USA, integrated care remains largely aspirational; a majority of Americans receive mental health care entirely within the primary medical care outpatient setting. A new…
Abstract
Purpose
In the USA, integrated care remains largely aspirational; a majority of Americans receive mental health care entirely within the primary medical care outpatient setting. A new instrument, the Multidimensional Behavioral Health Screen (MBHS) ( McCord, 2020) was developed specifically to address this gap by systematically screening for a broad array of mental health issues in every patient, every visit. The goal of this current feasibility study was to evaluate the perceptions of the primary medical care providers regarding the usefulness and practicality of the MBHS, a necessary step toward broad-based implementation.
Design/methodology/approach
The MBHS was given to 101 consenting patients in a primary medical outpatient setting, each of whom was then seen by one of six participating primary care providers (PCPs). Providers completed a brief survey rating the ease of use, understandability, helpfulness and perceived accuracy of the MBHS after each patient visit and a final summary survey at the conclusion of the study.
Findings
Ratings were very positive overall, and the MBHS was clearly preferred to the traditional screening measures (Patient Health Questionnaire-9 [PHQ-9] and Generalized Anxiety Disorder-7 [GAD-7]). Providers offered suggestions for improvement and particularly for implementation.
Research limitations/implications
The small sample size (101 patients and 6 PCPs) and limited geographical reach may limit generalizability. Surveying providers using similar methodology should be done with larger numbers of providers and more diverse primary medical care settings.
Practical implications
This study provides evidence that the MBHS may be significantly effective in operationalizing the integrated care model in United States (US) healthcare systems.
Social implications
The MBHS, a new behavioral health screening tool, was perceived by providers as useful in identifying mental health issues and guiding treatment decisions in the primary care setting.
Originality/value
This paper identifies a novel screening instrument that implements new and emerging models of psychological dysfunction in a practical way in primary medical care, making integrated care a reality rather than an aspiration.
Details
Keywords
Annabell Franz, Ingke Deimel and Achim Spiller
The Federal Government of Germany, as well as the European Commission, are discussing the enhancement of animal welfare requirements. This study aims to explore different groups…
Abstract
Purpose
The Federal Government of Germany, as well as the European Commission, are discussing the enhancement of animal welfare requirements. This study aims to explore different groups of conventional German pig farmers with respect to their understanding of animal welfare. Based on the results, a target group is determined that is willing to take part in an animal welfare programme in accordance with the current state of research, i.e. considering the four “Welfare Quality” principles: good housing, good feeding, good health and especially appropriate behaviour.
Design/methodology/approach
Data were collected from 160 German pig farmers between March and May 2010 using an online questionnaire. Data analysis combines two quantitative methods. To reduce complexity and to identify the animal welfare perceptions of the farmers first an explorative factor analysis was conducted. Subsequently, based on the determined factors, the sample was divided into different groups by means of a cluster analysis.
Findings
Three groups of pig farmers were defined with regard to the establishment of an animal welfare programme according to the current state of research. While a broad acceptance of the principles good housing, good feeding and good health exists among the farmers, the appropriate animal behaviour is only important for a small group of pig farmers. Therefore, the three groups should be addressed by the developers of an animal welfare programme, using different strategies to gain the support of all farmers.
Originality/value
To successfully introduce new animal welfare requirements, farmers are important actors to take into account. This paper is the first analysis of the animal welfare perceptions of conventionally producing German pig farmers and determines different groups for a comprehensive animal welfare husbandry system as currently discussed by scientists and politics.
Details
Keywords
The librarian and researcher have to be able to uncover specific articles in their areas of interest. This Bibliography is designed to help. Volume IV, like Volume III, contains…
Abstract
The librarian and researcher have to be able to uncover specific articles in their areas of interest. This Bibliography is designed to help. Volume IV, like Volume III, contains features to help the reader to retrieve relevant literature from MCB University Press' considerable output. Each entry within has been indexed according to author(s) and the Fifth Edition of the SCIMP/SCAMP Thesaurus. The latter thus provides a full subject index to facilitate rapid retrieval. Each article or book is assigned its own unique number and this is used in both the subject and author index. This Volume indexes 29 journals indicating the depth, coverage and expansion of MCB's portfolio.