- 1. Your Nomination - Please briefly describe in your own words the question about a health care test or treatment that interests or concerns you:
As a practicing community psychiatrist working in public service, one of the primary concerns i have, and which i hear from others is the utility of the 15 minute med check. this is now the primary element of practice. But i am unaware of any research on it or alternative ways of structuring practice. An examination of the practice, of other possibilities and a delineation of how to decide how to practice seems warranted.
- 2. Why do you think your question is important? (you may select more than one category if appropriate)
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My question relates to a very common disease or problem
People with this disease or problem have considerable health or financial hardships
There is uncertainty about how well the test, treatment, or intervention works
There is significant potential for side effects/harms using this test, treatment, or intervention
Funding of this test, treatment, or intervention is uncertain or variable
There is unequal access or application of this health care intervention across providers
There is potential for cost savings from better information on this subject
This is a new technology/development
There is new evidence of clinical and/or cost effectiveness for this test, treatment, or intervention
Other
- 3. What illness or health condition is related to your question? (You can also specify a particular health-promoting activity, such as breast-feeding)
- All psychiatric conditions
- 4. What group(s) or patients does your question apply to?
- psychiatric patients seen in community mental health settings
- 5. What is the specific purpose of the health care test or treatment you have a question about? (mark all that you think apply)
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Identification of a disease or condition:
Screening or diagnosis/identification for a particular disease, or risk assessment for a disease
Risks or harms that can come from a disease identification tool or test
Diagnostic tests and tools
Diagnosis of co-occurring diseases
Intervention (such as a drug treatment, therapy, device)
Management of a condition or particular system of care
Delivery of a health service
Referral
Risks or harms associated with treatment of a disease or condition
Prevention or health promotion
Specific population health concerns, such as ethnic group or gender
Other
Dont know
- 6. Does your question include a comparison of different health care approaches?
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Yes
If yes, please list what you would like to see compared:
How might psychiatric time be more appropriately be used?
- 7. Desired Health Improvements: If you question focuses on:
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Identification of a particular disease or condition, what improvements in identification or diagnosis would you like to see?
Treatment of a particular disease or condition, what improvements in patient symptoms or problems would you like to see? I would like to see a clear sense by psychiatrists of how to appropriately use their clinical time with patients and with members of the team taking care of patients
- 8. Harms: Are there risks, side effects, or harms you are concerned about? If yes, please specify what those are:
- psychiatric time is being used rigidly without clear guidelines to determine content of service, length of service or timing of service, especially in context of team based care now common in mental health
- 9. Based on your answers to the previous questions, what research question(s) would you like to have answered?
- what is the best way to organize psychiatric time in community health settings? how should psychiatrists determine how often and for how long to see patients? what should they attempt to do during those interventions? how should they work with the consumer and members of the mental health care team? what are the best ways (most effective/efficient ways) for community psychiatrists to organize their clinical encounters?
- 10. Are there health-care focused, disease-focused, or patient-focused organizations that you see as being relevant to this issue? Who do you think we should contact as we consider your nomination?
- Mental Health America National Alliance on Mental Illness American Psychiatric Association American Association of Community Psychiatrists
- 11. Other Information About You (OPTIONAL) In order to help us understand the context of your health care question, it would be helpful to know more about you. The answers you give will not influence the progress of your suggestion. Thank you.
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a. Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
Physician
b. Is there any other information about you that is relevant to your question?
I am working at the Center for Mental Health Services in SAMHSA
c. Are you making a suggestion as an individual or on behalf of an organization?
Individual
Organization
