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Mental Health Services in a Physical Rehabilitation Centre - Coggle Diagram
Mental Health Services in a Physical Rehabilitation Centre
Main Actors/Structures/Processes
Patient becomes acutely ill with life-threatening physical health issue (Guillan-Barre Syndrome) and is admitted to ICU followed by neurology ward and then a physical rehabilitation centre (4.5 months hospitalization)
Patient no longer seen by therapist, taken off mental health medications to quickly address treatment for physical health issue. No mental health services or medications trialed over duration of hospitalization.
Family physician addressing patient's chronic mental health issues (severe depression and anxiety), trialing medications and therapy
Inpatient neurology and rehabilitation services separate from inpatient mental health services/social services
Multi-Way Interdependencies
Family physician relying on inpatient services to address mental health issues while patient was hospitalized
Patients with better mental health could more easily focus on physical rehabilitation
Increased mental health symptoms in patients with new onset of physical health decline/ need to undergo physical rehabilitation
Barriers to Integration of Healthcare
Triaging health entities as being more important than others at a specific time
Lack of re-triaging patient needs with changes to health status
No overlap in mental and physical health services specifically at Nova Scotia Rehabilitation Centre
Patient interacting with physical health specialists with limited clinical mental health knowledge
Severe physical health issues taking initial priority over mental health issues due to life-threatening nature
Potential Enablers of Integrated Healthcare
Social work/psychology services on site at Nova Scotia Rehabilitation Centre
Research on mental health effects on patients' ability to more quickly achieve physical rehabilitation goals
Mandatory mental health and wellbeing assessments during treatment journey