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Biomedical subjects

Sarah P Farrell

Publications and source records attributed to Sarah P Farrell.

7 recordsLinked to original sources

The effectiveness of advanced practice registered nurses as psychotherapists.

This article explores the effectiveness of advanced practice registered nurses as psychotherapists. Psychiatric/mental health (PMH) clinical nurse specialists (CNSs) possess the training, skills, and abilities necessary to provide effective psychotherapy. A case study is examined involving a client with obsessive-compulsive disorder who underwent psychotherapy by a PMH CNS graduate student. Evidence is presented that CNSs follow evidence-based procedures with effective outcomes.

Adult↗

Web technology for persons with serious mental illness.

Based on preliminary studies using staff focus groups and consumer interviews, a web-based homepage portal was developed for use by staff and consumers in community mental health clinics. Standard user-testing methods were used to interview and observe participants who were discharge-ready from a state psychiatric facility. As the participants navigated the portal, they "talked aloud" and were presented scenarios to gain their opinions about design and content. The final result was a web portal with communication, education and support features that was ready for further development to deal with issues of privacy, confidentiality, and security, with the ultimate goal of improving patient outcomes.

Community Mental Health Centers↗

Early childhood mental health: services that can save a life.

The Give a Kid a Chance Omnibus Mental Health Services Act of 2003 (H.R.81) is a worthwhile proposal that endorses mental health services for children, adolescents, and their families. House Representative Sheila Jackson-Lee of Texas, who is the author of H.R. 81, provides a convincing argument about the need for mental health specialty services for children, adolescents, and their families (Thomas.loc.gov, 2003). Currently, a substantial portion of the pre-adult population has some sort of mental/emotional problem and would benefit by having access to mental health services. She proposes that early intervention for childhood mental disorders will result in optimal psychosocial outcomes during the teenage years and into adulthood. H.R. 81 will be examined using a policy analysis approach. The analysis will explore the description of the problem, significance of the problem situation, assessment and outcomes of prior efforts, need for analysis, major stakeholders, goals and objectives, measures of effectiveness, potential solutions, alternatives, future consequences, spillovers and externalities, constraints and political feasibility, and policy recommendations.

Adolescent↗

Technology and rural mental health.

In addition to the specific and pervasive rural issues of isolation and suitability of services, the rural mental health system faces many of the same problems as the health system in general: access and increasing costs. The introduction of technology adds the unknown dimensions of acceptability and feasibility. Technology has the potential to decrease the gap in services and improve education, support, and connectedness between the client and the provider. As an alternative to traditional face-to-face contact for those in rural and geographically dispersed areas, the Internet potentially can bridge the disparities in health care access for rural mental health services. With an improved understanding based on research, demonstration studies of model applications, and evidence of outcomes, the emerging technologies can serve as tools to achieve the major goals of preventing, assessment, and treating serious mental illnesses in the rural communities with less barriers and stigma.

Diffusion of Innovation↗

Using an interview guide to assess suicidal ideation.

More than 50% of Americans who commit suicide have seen their primary care provider in the weeks before their suicide. As primary care providers, we may miss opportunities to assess for suicidal ideation. Here, we present an interview guide that helps assess suicidal ideation in primary care patients.

Major Depressive Disorder↗