Community-based services for patients in mental health crisis in Rapides Parish, Louisiana, are virtually non-existent. Consequently, persons who suffer from chronic mental illness frequently seek non-emergency services in the Emergency Department (ED) of Rapides Regional Medical Center (RRMC), the largest hospital in central Louisiana. This study is a community needs assessment that focuses for the first time on the needs of the patient population in mental health crisis in central Louisiana and evaluates community-based services that could be successfully implemented to serve those needs.
Table of Contents
TABLE OF CONTENTS Chapter 1: Overview 1 A. Problem Statement 1 B.Purpose 2 C. Significance of the project 3 D. Mental Health in Louisiana 4 F. Mental Health in Rapides Parish 8 Chapter 2: Literature Review 17 Chapter 3: Data Collection, Analysis and Results 30 A. Theoretical Framework 30 B. Data Collection and Results 34 Chapter 4: Discussion 37 A. Quantitative Data 37 B. Qualitative Data 43 C. Limitations 48 D. Recommendations 49 E. Questions That Remain After Data Collection 68 Chapter 5: Front Page of Journal Article (Appendix 2) 71 REFERENCES 71 List of Figures Figure 1: Map of Rapides Parish, Louisiana (PRC, 2013) 9 Figure 2: Map of Designated Medically Underserved Populations in Louisiana (PRC, 2013) 11 Figure 3: Primary Care HPSA Map of Louisiana (PRC, 2013) 14 Figure 4: Optimal Mix of Mental Health Community Services (WHO, 2015) 25 Figure 5: Schematic overview of risks to mental health over the life course (Adapted from: Foresight Project, 2008; Kieling et al, 2011; Fisher et al, 2011) (WHO, 2012) 32 Figure 6: Diagram of the Socio-Ecological Model(CDC, 2015) 33 List of Tables Table 1: Target Population Breakdown by Gender 38 Table 2: Target Population by City 39 Table 3: Target Population History of Mental Illness 40 Table 4: Target Population History of Mental Illness by Gender 41 Table 5: Target Population and In-Patient Facility 43 List of Appendices Appendix 1: Key Stakeholder Interview Questions 77 Appendix 2: First Page of Journal Article 78
About this Master's Thesis
|Committee Chair / Thesis Advisor|
|Thesis Title: A Needs Assessment and Program Intervention for Patients in Mental Health Crisis in Lieu of Admission to the Emergency Department of Rapides Regional Medical Center, Rapides Parish, Louisiana ()||2018-08-28||