Design and Implementation of Addressing Mental Health Epidemic among University Students via Web-based, Self-Screening and Referral System

linerdeliciousΑσφάλεια

5 Νοε 2013 (πριν από 3 χρόνια και 10 μήνες)

82 εμφανίσεις


Page
1


Design and Implementation
of Addressing

Mental

Health
Epidemic among University Students via Web
-
based,
Self
-
Screening and Referral System


Statement about the Problem
:

Their is urgent need to address the mental health problems among students was
identifi
ed, and some progress has been made, e.g., increasing mental health
services, actively informing students of these services, and setting up teams to
identify troubled students ahead of time.

Many college students are in poor mental
health, and common menta
l health issues from which they suffer include depression,
anxiety and other substance use disorders. The prevalence and severity of mental
disorders among the students have been continuously. The majority of students do
not seek professional help for thei
r mental health conditions. Up to 85% of students
with positive screens for mental disorders do not receive any treatment from
professionals, even though many universities provide counselling free of charge.

The prevalence and severity of mental health pro
blems in college and university
communities are alarming. However, the majority of students with mental disorders
do not seek help from professionals. To help students assess their mental conditions
and encourage them to take an active role in seeking care
. This project developed a
web
-
based self
-
screening, referral, and secure communication system The system
will be able to provide outreach to students with mental health concerns effectively,
allow them to self
-
screen their conditions, and encourage them
to receive
professional assistance. The system provided students with 24/7 web
-
based access
to the clinic, and more than 50% of the system use was made during off
-
hours. The
system was well received by patients, referral managers, and care providers, and i
t
was transferred to the clinic for daily clinical use.

Objectives of the Project
:

1. Requirements formation of the
Design and Implementation of Addressing

Mental Health Epidemic among University Students via Web
-
based, Self
-
Screening and Referral System
f
or different modules namely
Login Module for
Student and Administrator of the Clinic



Page
2


2. Design on
Model View Controller
based architecture for the implementation of
software distributed across multiple layers based on multi layer approach namely
Presentat
ion Layer, Service Layer and Data Access Layer
.

3. Design and Implementation of
Self Screening Module

for doing an estimate of
the Students Health using
Intelligent Self Screening Engine
.

4.
Design and Implementation
of
Referral Module

in which the student

has to
enter the personal information and then place a request for the Appointment.

5. Design and Implementation of
Patient Care Coordinator Module
which
receives the student requests and then can Reject the Appointment, Give an
Appointment or Send a req
uest to the Student to provide more information.

6.

Design and Implementation of
Login Module

for Student and Patient Care
Coordinator.

Methodologies

Complete Workflow

of the System.


Page
3



Fig1: Mental Health Screening Using Web Technology


Fig. 1

shows the

workflow

with the
system. A student

can start the mental health
self
-
assessment anonymously by using one or more (up to five) screening tools.
Once the screening session is completed, the system gives feedback on his/her
condition. If any of the screening

scores exceeds the preset threshold, the system

Page
4


encourages the student to start the referral process by providing a link to the
referral component. If the student decides

to self
-
refer to the MHC, the system
automatically links the current information in
the screening component to the
referral

component (i.e., PHIMS/FAMRS), and he/she is redirected to

the referral
component so that an appointment can be requested

online. The linked information
includes the details of his/her

screening test(s), e.g., test s
tarting time, test
completion time,

his/her answers to the test questions, and screening scores and

results (i.e., positive or negative). A student also has an option

to initiate a referral
without completing any screening session.

To schedule an appointme
nt in the
referral component, the

student must disclose his/her identity, and he/she is asked
to

provide additional information, such as contact information, medications, family
history, and intake forms. Once completed, the request is forwarded to patient

care
coordinators (PCCs) for processing. A PCC can exchange messages with the student
via secure messaging to request additional information or provide information about
the referral status. For effective triage, the system informs the PCC whether a
stude
nt is screened positive or not on a specific test, but does not provide any detail.
Once an appointment is scheduled with a care provider, the provider can access the
information and exchange messages with the student and if necessary ask him/her
to comple
te an additional screening test(s).

Self Screening Module

This module is used to provide self screening of the Student in which the questions
are pre fed into the database for symptoms of various health problems. The student
answers the problem faced by hi
m/her. Based on the

Threshold

the

student enters
into referral mode or the student does not enter into referral mode.

If the numbers
of questions answered are greater than threshold then the Student is directed to
referral Module otherwise he is advised to

follow certain steps in order to maintain
his health.


Page
5



Fig1: Mental Health Screening Using Web Technology








Referral Module

This Module is introduced only if the
number of question answered in the previous
module by the s
tudent is greater than a threshold value. The Student will enter the
personal information and then submits the request for an appointment to the
Patient
Care Coordinator
.


Start

The Student Clicks
Review My Health Hyperlink
, Engineer Team would collect
symptoms from doctors and feed it into the

database

a Priory

Student
answers the various questions which are obtained from
Intelligent Self
Screening Engine
which in turns obtains the Data from the Database

The total Score of the Answers is calculated for the Student

Total Marks >=Threshold

The Student is directed to
Referral Module

Stop

The Student is given Suggestions from
Intelligent Self Engine

to improve his
health

YES

NO


Page
6



Fig3: Referral Module for the Student



Patient Care Co
ordinator Module

The
Patient Care Coordinator

receives the student requests and then can Reject the
Appointment, Give an Appointment or Send a request to the Student to provide
more information.


Fig4: Implementation of Patient
Coordinator Module


Start

The Student enters Student Register No, Name and Appointment Time & Date
Required

The Data is send to the Referral Service and then Stored into the
Patient Care
Coordinator
Database

The
r
equests are then appeared in the Web Page of Patient Coordinator Module

Stop

Start

Patient Coordinator receives the List of Student Applications

The Patient Coordinator can perform any of three actions

Reject

t
he

Application

Agree

The

Applicant

Send the
Request Back to
Applicant to
give more
information

Send the Data to the Student Request Page with Appointment D
ate & Time

Stop


Page
7


Login Module

This module is used to authenticate the Student login and Administrative user.









Fig5: Implementation of Login Module

Hardware & Softwar
e to be used

Operating System


Windows
-
XP

RAM

500MB or 1GB

Database

MySQL

Programming Languages

Advanced JAVA(J2EE) & MATLAB

Framework

Spring
-
MVC Framework

Front End

HTML,JSP & JavaScripth

IEEE Paper

[1] “
Addressing Mental Health Epidemic Among Univ
ersity Students via Web
-
based,
Self
-
Screening and Referral System
”,

Eung
-
Hun Kim, Anil Coumar, William B. Lober,
Start

Enter the Login Id and Password. Select the Customer Type from the radio button

Get the Set of

List of
Login Ids from the database

into the service and verify with
entered login Id

Login Id exist

Get the Password from the database for the given Login Id

into the service

Verify the Login Id and password entered with the Login Id and Password obtained
from database into the Service

Stop

YES

NO


Page
8


and Yongmin Kim
,

IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN
BIOMEDICINE, VOL. 15, NO. 2, MARCH 2011