de Menil Victoria; Wood Sarah K; Raja Shoba; Mannarath Saju C
Abstract Background Limited evidence about mental health finances in low and middle-income countries is a key challenge to mental health care policy initiatives. This study aimed to map mental health finances in Ghana, Uganda, India (Kerala state), Sri Lanka and Lao PDR focusing on how much money is available for mental health, how it is spent, and how this impacts mental health services. Methods A researcher in each region reviewed public mental health-related budgets and interviewed key inf...
de Menil Victoria
Full Text Available Abstract Background Limited evidence about mental health finances in low and middle-income countries is a key challenge to mental health care policy initiatives. This study aimed to map mental health finances in Ghana, Uganda, India (Kerala state, Sri Lanka and Lao PDR focusing on how much money is available for mental health, how it is spent, and how this impacts mental health services. Methods A researcher in each region reviewed public mental health-related budgets and interviewed key informants on government mental health financing. A total of 43 key informant interviews were conducted. Quantitative data was analyzed in an excel matrix using descriptive statistics. Key informant interviews were coded a priori against research questions. Results National ring-fenced budgets for mental health as a percentage of national health spending for 2007-08 is 1.7% in Sri Lanka, 3.7% in Ghana, 2.0% in Kerala (India and 6.6% in Uganda. Budgets were not available in Lao PDR. The majority of ring-fenced budgets (76% to 100% is spent on psychiatric hospitals. Mental health spending could not be tracked beyond the psychiatric hospital level due to limited information at the health centre and community levels. Conclusions Mental health budget information should be tracked and made publically accessible. Governments can adapt WHO AIMS indicators for reviewing national mental health finances. Funding allocations work more effectively through decentralization. Mental health financing should reflect new ideas emerging from community based practice in LMICs.
Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel and act as ... stress, relate to others, and make choices. Mental health is important at every stage of life, from ...
... Myths and Facts Recovery is Possible What Is Mental Health? Mental health includes our emotional, psychological, and ... mental health problems and where to find help . Mental Health and Wellness Positive mental health allows people ...
Shors, Tracey J; Olson, Ryan L; Bates, Marsha E; Selby, Edward A; Alderman, Brandon L
New neurons are generated in the hippocampus each day and their survival is greatly enhanced through effortful learning (Shors, 2014). The numbers of cells produced can be increased by physical exercise (van Praag, Kempermann, & Gage, 1999). These findings inspired us to develop a clinical intervention for humans known as Mental and Physical Training, or MAP Training. Each session consists of 30min of mental training with focused attention meditation (20min sitting and 10min walking). Meditation is an effortful training practice that involves learning about the transient nature of thoughts and thought patterns, and acquiring skills to recognize them without necessarily attaching meaning and/or emotions to them. The mental training component is followed by physical training with 30min of aerobic exercise performed at moderate intensity. During this component, participants learn choreographed dance routines while engaging in aerobic exercise. In a pilot "proof-of-concept" study, we provided supervised MAP Training (2 sessions per week for 8weeks) to a group of young mothers in the local community who were recently homeless, most of them having previously suffered from physical and sexual abuse, addiction, and depression. Preliminary data suggest that MAP Training improves dependent measures of aerobic fitness (as assessed by maximal rate of oxygen consumed) while decreasing symptoms of depression and anxiety. Similar changes were not observed in a group of recently homeless women who did not participate in MAP Training. It is not currently possible to determine whether new neurons in the human brain increase in number as a result of MAP Training. Rather these preliminary results of MAP Training illustrate how neuroscientific research can be translated into novel clinical interventions that benefit human health and wellness. PMID:25219804
... Home > Health & Education > Mental Health Information Women and Mental Health Mental illnesses affect women and men differently ... mail.nih.gov Share Science News About Womens Mental Health Soldiers at High Suicide Risk after Hospitalization ...
... to Other Websites Information For... Media Policy Makers Children's Mental Health Language: English Español (Spanish) Recommend on ... What is the impact of mental disorders in children? Mental health is important to overall health. Mental ...
Childrens Mental Health Surveillance What are childhood mental disorders? The term childhood mental disorder means all mental disorders that can be diagnosed and begin in childhood. Mental disorders among children are ...
... Men's Health This information in Spanish ( en español ) Mental health for men More information on mental health ... extremely effective. Return to top More information on Mental health for men Explore other publications and websites ...
... worthless could be warning signs of a mental health problem. Mental health problems are real, painful, and sometimes severe. You ... things that could harm you or others Mental health problems can be treated. To find help, talk ...
Vagner Dos Santos
Full Text Available In the last decades Brazil started to transform its mental health service system. This reform includes the implementation of new services. Objective: To map and characterize the performance of government institutions and non-governmental organizations involved in mental health care in a metropolitan area of southern Brazil. Method: This quantitative research was dived in three phases, 1th previous survey, 2nd mapping and 3rd detailing. In the first phase Internet search was made to collect data on mental health services, in the second phase the municipality mental health system was mapped through snowball methodology, in which any institution visited indicated others and finally, detailing included specifics questions on financial resources and routines. Results: A total of 113 institutions were found in different areas of the municipality (being 56 governmental and 57 nongovernmental. In the third phase of our research we lost much of our data, as many institution directors declined our invitation to participate. However, those that answered revealed that institution establish intersectorial articulations. Additionally, the institutions counted with a team of 11 professionals, in average, and a director that usually hold undergraduate degree.
Clarissa de Rosalmeida, Dantas; Ana Maria Galdini Raimundo, Oda.
Full Text Available Este trabalho tem como objetivo mapear as pesquisas avaliativas de serviços de saúde mental, produzidas no Brasil nos últimos dez anos, a partir de levantamento em bases de dados de dissertações e teses acadêmicas e de artigos científicos. Foram analisadas 68 dissertações e teses e 103 artigos. A pr [...] odução das dissertações e teses se concentra em instituições nos estados de São Paulo e do Rio de Janeiro, e estas se originam principalmente de programas de pós-graduação em Saúde Coletiva e em Enfermagem. Os artigos se referem a serviços localizados em número restrito de municípios das regiões Sul e Sudeste do país, principalmente do Rio Grande do Sul e de São Paulo, havendo poucos estudos de abrangência nacional. No conjunto da produção, os serviços mais avaliados são os Centros de Atenção Psicossocial, seguidos pela Atenção Básica em Saúde. Os sujeitos de pesquisa mais frequentes são os trabalhadores de saúde mental, e em segundo lugar, os usuários. A maioria dos trabalhos usa metodologia qualitativa. Conclui-se que as pesquisas avaliativas vêm se concentrando em abordagens pouco diversificadas do processo da reforma da saúde mental, e que estas não têm abrangência suficiente para fornecer, proximamente, elementos para prover indicadores básicos nacionais de saúde mental. Abstract in english This work aims to map the research on public mental health services evaluation carried out in Brazil in the last 10 years. We searched electronic databases for dissertations, theses and academic papers. We selected 68 dissertations and theses, and 103 articles. Most of dissertations and theses were [...] produced by Public Health and Nursing graduate programs in the states of São Paulo and Rio de Janeiro. The articles refer to services located in a restricted number of municipalities in the South and Southeast regions of the country, mainly in Rio Grande do Sul and São Paulo, with few nationwide studies. Throughout the production, the Psychosocial Community Centers, followed by Primary Health Care, are the most frequently evaluated services. Mental health workers, followed by service-users were the main source of information in the studies. Most work uses qualitative methodology. We conclude that, taken as a whole, evaluative researches in Brazil have focused on a few approaches to the process of mental health care reform, and that they are not comprehensive enough to provide information on national mental health indicators.
SHOBHA PRAMOD SHINDE
Mental Health is a concept that refers to the psychological and emotional well being of a person. Being mentally healthy generally means that you are able to use your emotional capabilities to function well in society and go through everyday life with little or no difficulty. Some factors that can affect your mental health are your family life, social life, and life at work. Mental Health disorders are on the rise throughout the world. This result is anxieties, fears, depression, inferiority ...
SHOBHA PRAMOD SHINDE
Full Text Available Mental Health is a concept that refers to the psychological and emotional well being of a person. Being mentally healthy generally means that you are able to use your emotional capabilities to function well in society and go through everyday life with little or no difficulty. Some factors that can affect your mental health are your family life, social life, and life at work. Mental Health disorders are on the rise throughout the world. This result is anxieties, fears, depression, inferiority and similar emotions. Therefore, leaving the management of negative mental health is a most for all of us.
... young people with mental disorders should be considered. Psychotherapy, family therapy, educational courses, and behavior management techniques can help everyone involved cope with the disorder. Read more about child and adolescent mental health research . Older adults Because ...
... Minority Population Profiles > Black/African American > Mental Health Mental Health and African Americans Poverty level affects mental ... compared to 120% of Non-Hispanic Whites. 1 MENTAL HEALTH STATUS Serious psychological distress among adults 18 ...
Full Text Available Introduction:Â Mental health care is a critical area to better understand integrated care and to pilot the different components of the integrated care model. However, there is an urgent need for better tools to compare and understand the context of integrated mental health care in Europe.Method:Â The REMAST tool (REFINEMENT MApping Services Tool combines a series of standardised health service research instruments and geographical information systems (GIS to develop local atlases of mental health care from the perspective of horizontal and vertical integrated care. It contains five main sections: (a Population Data; (b the Verona Socio-economic Status (SES Index; (c the Mental Health System Checklist; (d the Mental Health Services Inventory using the DESDE-LTC instrument; and (e Geographical Data.Expected results:Â The REMAST tool facilitates context analysis in mental health by providing the comparative rates of mental health service provision according to the availability of main types of care; care placement capacity; workforce capacity; and geographical accessibility to services in the local areas in eight study areas in Austria, England, Finland, France, Italy, Norway, Romania and Spain.Discussion:Â The outcomes of this project will facilitate cooperative work and knowledge transfer on mental health care to the different agencies involved in mental health planning and provision. This project would improve the information to users and society on the available resources for mental health care and system thinking at the local level by the different stakeholders. The techniques used in this project and the knowledge generated could eventually be transferred to the mapping of other fields of integrated care.
Henderson, Silja; Berliner, Peter; Elsass, Peter
In this chapter we focus on disaster mental health, particularly theoretical and research-based implications for intervention. The field of disaster mental health research is vast and impossible to cover in a single chapter, but we will visit central research, concepts, and understandings within...... disaster mental health and intervention, and refer to further literature where meaningful. We conclude the chapter with recommendations for further research....
Clark, Peggy A.
The following overview discusses and compares the findings and implications of the articles in this issue of the Health Care Financing Review that deal with mental health topicsparticularly children's mental health in the Medicaid context. It also briefly describes articles concerning prospective payments for psychiatric patients under Medicare.
Balaji Deekshitulu P.V
The review article explains Ayurveda has its own identity as most ancient and traditional System of Medicine in India. Ayurveda is perfect balance of mind, body and soul as complete health in human beings. Ayurveda aims at preservation and promotion of heath, and prevention and cure of diseases through the concepts of positive physical and mental health. Ayurveda is good Management of mental health.
... asleep often during the day Return to top Stress and mental health Stress can happen for many reasons. Stress can be ... and signs of stress. It also lists the health effects and gives tips to help you handle your ... © National Alliance on Mental Illness) - The foods you eat can play a ...
... Data > Minority Population Profiles > Asian American > Mental Health Mental Health and Asian Americans Suicide was the 10th ... Americans is half that of the White population. MENTAL HEALTH STATUS Serious psychological distress among adults 18 ...
... and mental health Mental Health Women veterans and mental health Post-traumatic stress disorder (PTSD) and women veterans Military sexual trauma ... also common, and can include marital and caregiver stress, elder abuse or ... existing mental health problems or lead to them. Are you thinking ...
Shubhangi R Parkar
This paper highlights the mental health needs of the elderly. It tackles the issues of their institutionalisation and community care. Rapid urbanisation in Indian society throws up special problems in elderly care. There is great evidence of a raise in morbidity, mortality, hospitalisation and loss of functional status related to common mental disorders in the elderly patients. Overlap of depression and anxiety is very common with up to almost half of the elderly patients reporting significan...
U.S. Department of Health & Human Services â An online resource for locating mental health treatment facilities and programs supported by the Substance Abuse and Mental Health Services Administration (SAMHSA)....
Song, Insu; Yellowlees, Peter; Diederich, Joachim
This book introduces approaches that have the potential to transform the daily practice of psychiatrists and psychologists. This includes the asynchronous communication between mental health care providers and clients as well as the automation of assessment and therapy. Speech and language are particularly interesting from the viewpoint of psychological assessment. For instance, depression may change the characteristics of voice in individuals and these changes can be detected by a special form of speech analysis. Computational screening methods that utilise speech and language can detect subtle changes and alert clinicians as well as individuals and caregivers. The use of online technologies in mental health, however, poses ethical problems that will occupy concerned individuals, governments and the wider public for some time. Assuming that these ethical problems can be solved, it should be possible to diagnose and treat mental health disorders online (excluding the use of medication).
Parkar, Shubhangi R
This paper highlights the mental health needs of the elderly. It tackles the issues of their institutionalisation and community care. Rapid urbanisation in Indian society throws up special problems in elderly care. There is great evidence of a raise in morbidity, mortality, hospitalisation and loss of functional status related to common mental disorders in the elderly patients. Overlap of depression and anxiety is very common with up to almost half of the elderly patients reporting significant depressive and anxiety symptoms. Also, depression is the most common psychiatric disorder in late life. Growth in the elderly population means a direct increase in age related diseases such as dementia and poor mental health outcomes such as depression, anxiety, suicide and serious constraints on the quality of life among elderly individuals. The need to identify new and unmet problem areas and develop efficient therapeutic outcomes for this special population is stressed. PMID:25838727
SmithBattle, Lee; Freed, Patricia
Psychological distress is common in teen mothers. High rates of distress are attributed to teen mothers' childhood adversities and the challenges of parenting in the context of chronic stress, cumulative disadvantage, and limited social support. We describe the prevalence of psychological distress in teen mothers; what is known about its origins and impact on mothers and children; factors that promote teen mothers' mental health and resilience; and the many barriers that make it difficult to obtain traditional mental healthcare. We also briefly review the few studies that test interventions to improve teen mothers' mental health. Because barriers to traditional mental health treatment are ubiquitous and difficult to remedy, the second article in this two-part series calls for nurses in healthcare settings, schools, and home visiting programs to screen pregnant and parenting teens for adverse childhood experiences and psychological distress, and to integrate strength-based and trauma-based principles into their practice. Creating a supportive setting where past traumas and psychological distress are addressed with skill and sensitivity builds upon teen mothers' strengths and their aspirations to be the best parents they can be. These approaches facilitate the long-term health and development of mother and child. PMID:26474475
Vera, Elizabeth M.; Conner, Wendy
Latina mothers' perceptions of mental health and factors that promote/restore mental health were explored in this qualitative study. Participants discussed the importance of community, safety, and financial stability in addition to conventional factors that are related to mental health. Implications for working with urban Latinas and their
... County or Zip By Name Other Links State Mental Health Agencies Frequently Asked Questions Links Comments or ... a Facility in Your State To locate the mental health treatment programs nearest you, find your State ...
... Support Frequently Asked Questions Faces of Dystonia Emotional & Mental Health Although dystonia is a movement disorder that ... emotion as well as muscle movement. For years, mental health professionals have recognized that coping with a ...
... includes suicide prevention and/or mental health Peer mentoring School-based mental health services Crisis response Postvention ... please refer to the University of South Floridas Youth Suicide Prevention School-Based Guide . Also, for tips ...
Gastel, W. van
Cannabis use has been implicated as a risk factor for mental health problems, (subclinical) psychotic symptoms in particular. If cannabis use was a cause of these problems, cessation would lead to improved public mental health. If cannabis use was a mere consequence of a predisposition for mental health problems, cessation would not result in less problems. Prevention and intervention strategies aimed at a better public mental health would then do better to incorporate cannabis use in screeni...
Segal, Julius, Ed.
The volume is reported to reflect the broad range of National Institute of Mental Health activities in areas of research, development of mental health manpower, and delivery of mental health services. Twenty papers examine, respectively, relationship of life histories and biochemistry of siblings and twins to schizophrenia, training of Navaho
Green, Jennifer Greif; McLaughlin, Katie A.; Alegria, Margarita; Costello, E. Jane; Gruber, Michael J.; Hoagwood, Kimberly; Leaf, Philip J.; Olin, Serene; Sampson, Nancy A.; Kessler, Ronald C.
Objective: Although schools are identified as critical for detecting youth mental disorders, little is known about whether the number of mental health providers and types of resources that they offer influence student mental health service use. Such information could inform the development and allocation of appropriate school-based resources to
Spivacow, Miguel Alejo
After acknowledging that the diversity of cultural, historical and theoretical perspectives has given place to multiple definitions of mental health, the author circumscribes the goal of this article to reflecting on mental health from the viewpoint of human relationships in intersubjective milieux. The basic assumption that guides this paper is that the subject's psychic structure is constituted and developed in a relational matrix. Conceptualized in a relational context, the individual's mental health needs to take into account each member's developmental stage and asymmetrical position in a relationship. In the theoretical and therapeutic approach proposed here, drive renunciation, negative pacts, and intersubjective work are described as basic concepts in the analysis of relational links. Drive renunciation is defined as the operation that excludes certain drives derivatives from explicit relational interchange in order to maintain the structure and stability of the relationship. Negative pacts are defined as the configurations of reciprocal libidinal investments that give form to drive renunciation. The concept of intersubjective work places the emphasis on the interaction of the poles of the relationship, on how what one does influences the other's response. Thus, in the therapeutic context, intersubjective work accounts for each member's processes of symbolization and working through in the interchange and reciprocal impact of each member on the transformation of the relationship. Finally, the complexities around the formulation of therapeutic goals are emphasized and the occasional need of an interdisciplinary therapeutic plan is highlighted. PMID:22880195
Osofsky, Joy D.; Thomas, Kandace
Unfortunately, the term "infant mental health" can be confusing for some people because it may be understood as translating into "mental illness." Others may not appreciate that babies and toddlers have the capacity to experience complex emotions. The Guest Editors of this issue of the Journal explore the meaning of infant mental health.
Funk, Michelle; Drew, Natalie; KNAPP, MARTIN
Purpose This paper, which builds on the findings of WHO's Report on Mental Health and Development, aims to highlight the health, social, economic, and human rights effects of unaddressed mental disorders in low and middle income countries (LMICs) and to propose effective strategies to address mental disorders and their impacts as part of an overall development strategy. Design/methodology/approach The paper first reviews the findings of relevant research on mental disorders and povert...
Newell, Karen; Taylor, John; Sayal, Kapil; Swift, Katie D.; Hollis, Chris
Background: Once considered to be a disorder restricted to childhood, Attention Deficit/Hyperactivity Disorder (ADHD) is now recognised to persist into adult life. However, service provision for adults with ADHD is limited. Additionally, there is little guidance or research on how best to transition young people with ADHD from child to adult services. Method: We report the findings of a survey of 96 healthcare professionals working in childrens (Child and Adolescent Mental Health Servic...
VanderVoort, Debra J
The following article addresses the nature of and problems with the public mental health system in Hawaii. It includes a brief history of Hawaii's public mental health system, a description and analysis of this system, economic factors affecting mental health, as well as a needs assessment of the elderly, individuals with severe mental illness, children and adolescents, and ethnically diverse individuals. In addition to having the potential to increase suicide rates and unnecessarily prolong personal suffering, problems in the public mental health system such as inadequate services contribute to an increase in social problems including, but not limited to, an increase in crime rates (e.g., domestic violence, child abuse), divorce rates, school failure, and behavioral problems in children. The population in need of mental health services in Hawaii is under served, with this inadequacy of services due to economic limitations and a variety of other factors. PMID:15892263
Jiang, Shu-Qiang; Zhang, Jian-Ling
Objective: To observe the influences of mental health promotion and mental intervention on mental health status of professionals. Method: 2878 professionals for physical examination were selected and randomly divided into treatment group and control group, with 1443 professionals and 1435 professionals, respectively. Then, the difference of mental health status before and after mental intervention between two groups was compared. Results: In treatment group, the proportion of people with healthy mental and modest pressure after mental intervention was higher than that before mental intervention and that in control group after mental intervention (Pmental intervention was significantly lower than that before mental intervention and that in control group after mental intervention (Pdifference in mental health status in control group before and after mental intervention (P>0.05). Mental health consciousness, health status, self pressure-relief capability, job satisfaction, and happiness index of professionals were up to 63.3%~78.8%. Conclusions: Mental health promotion and mental intervention may significantly improve mental health status of professionals. PMID:26221385
Hill, Elisabeth L; Dockery, Lisa; Perkins, David; McIntosh, Barbara
Factsheet for HR Departments (and employers more generally). This leaflet is designed to help Human Resources departments understand Autism Spectrum Disorder (ASD) and the impact of mental health on individuals with ASD in the workplace. It provides information on how HR can help, and 'Top Tips' to support employees with ASD & mental health difficulties.
... Youth Health & Wellness Mental Health Productive Aging Rehabilitation & Disability Work & Industry Manage Your Practice Evidence-Based Practice & Research Ethics Occupational Therapy Assistants Advocacy & Policy ICD-10 Resources Need help with the new ...
Vaughn, Lisa M; Jacquez, Farrah; McLinden, Daniel
Research that partners with youth and community stakeholders increases contextual relevance and community buy-in and therefore maximizes the chance for intervention success. Concept mapping is a mixed-method participatory research process that accesses the input of the community in a collaborative manner. After a school-wide health needs assessment at a low-income, minority/immigrant K-8 school identified bullying and obesity as the most important health issues, concept mapping was used to identify and prioritize specific strategies to address these two areas. Stakeholders including 160 K-8 students, 33 college students working in the school, 35 parents, 20 academic partners, and 22 teachers/staff brainstormed strategies to reduce and prevent obesity and bullying. A smaller group of stakeholders worked individually to complete an unstructured sorting of these strategies into groups of similar ideas, once for obesity and again for bullying. Multidimensional scaling and cluster analysis was applied to the sorting data to produce a series of maps that illustrated the stakeholders' conceptual thinking about obesity and bullying prevention strategies. The maps for both obesity and bullying organized specific strategies into themes that included education, parental role, teacher/school supervision, youth role, expert/professional role, and school structure/support. PMID:23099661
Suresh Bada Math
Full Text Available Disaster mental health is based on the principles of ?preventive medicine? This principle has necessitated a paradigm shift from relief centered post-disaster management to a holistic, multi-dimensional integrated community approach of health promotion, disaster prevention, preparedness and mitigation. This has ignited the paradigm shift from curative to preventive aspects of disaster management. This can be understood on the basis of six ?R?s such as Readiness (Preparedness, Response (Immediate action, Relief (Sustained rescue work, Rehabilitation (Long term remedial measures using community resources, Recovery (Returning to normalcy and Resilience (Fostering. Prevalence of mental health problems in disaster affected population is found to be higher by two to three times than that of the general population. Along with the diagnosable mental disorders, affected community also harbours large number of sub-syndromal symptoms. Majority of the acute phase reactions and disorders are self-limiting, whereas long-term phase disorders require assistance from mental health professionals. Role of psychotropic medication is very limited in preventing mental health morbidity. The role of cognitive behaviour therapy (CBT in mitigating the mental health morbidity appears to be promising. Role of Psychological First Aid (PFA and debriefing is not well-established. Disaster management is a continuous and integrated cyclical process of planning, organising, coordinating and implementing measures to prevent and to manage disaster effectively. Thus, now it is time to integrate public health principles into disaster mental health.
Global health has been defined as an area of study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. This article provides an overview of some central issues in global mental health in three parts. The first part demonstrates why mental health is relevant to global health by examining three key principles of global health: priority setting based on the burden of health problems, health inequalities and its global scope in particular in relation to the determinants and solutions for health problems. The second part considers and addresses the key critiques of global mental health: (a) that the "diagnoses" of mental disorders are not valid because there are no biological markers for these conditions; (b) that the strong association of social determinants undermines the use of biomedical interventions; (c) that the field is a proxy for the expansion of the pharmaceutical industry; and (d) that the actions of global mental health are equivalent to "medical imperialism" and it is a "psychiatric export." The final part discusses the opportunities for the field, piggybacking on the surge of interest in global health more broadly and on the growing acknowledgment of mental disorders as a key target for global health action. PMID:24595266
Cornaglia, Francesca; Crivellaro, Elena; McNally, Sandra
Mental health problems - and depression in particular - have been rising internationally. The link between poor mental health and poor educational outcomes is particularly interesting in the case of the UK which has a low international ranking both on measures of child wellbeing and the probability of early drop-out from the labour market and education. We study this issue using a large longitudinal study of a recent cohort of teenagers in England. We use the General Health Questionnaire to d...
This thesis focuses on refugees and mental health interventions. A literature review and 24 months of participant observation among Tamil refugee parents in Norway form the basis of the findings presented here. The first study is concerned with refugees and public mental health services in Norway. Many refugees may have difficulties trusting professional helpers within the bureaucratically organized public health care system, replacing these services with relationships to other refugees from ...
Kisely, Steve; Lesage, Alain
Canada is 1.5 times the size of Australia. Australia's population of 20 million is located principally on the east coast. Like Canada, the Australia has a federal system of Government with 5 States and two territories. Each State and territory has its own legislation on mental health. The federal (Commonwealth) Government is responsible for health care planning. In addition, the federal Government subsidizes an insurance program (Medicare) that covers visits to specialists and family physicians, while provincial governments are involved in the provision of hospital care and community mental health services. The Commonwealth government also subsidises the cost of medication through the Pharmaceutical Benefits Scheme. These funds are supplemented by private health insurance. Mental health costs account for 6.5 per cent of all health care costs. Primary care treats the majority of common psychological disorders such as anxiety or depression, while specialist mental health services concentrate on those with severe mental illness. There have been 4 national mental health plans since 1992 with the long term aims of promoting mental health, increasing the quality and responsiveness of services, and creating a consistent approach to mental health service system reform among Australian states and territories. These systematic cycles of planning have first allowed a shift from psychiatric hospitals to community services, from reliance on psychiatric hospitals as pivotal to psychiatric care system. Community care budgets have increased, but overall have decreased with money not following patients; but recent deployment of federally funded through Medicare access to psychotherapy by psychologists for common mental disorders in primary care have increased overall budget. Concerns remain that shift to youth first onset psychosis clinics may come from older long-term psychotic patients, a form of discrimination whilst evidence amount of excess mortality by cardio-vascular diseases and cancers, and due to poverty, poor health prevention and primary health care for these patients. From a system perspective, Australia has been inspired by Canada and created in 2012 its own mental health commission with a similar leading role for patients and families, aboriginal people representatives, but also a surveillance of the system with its own yearly report, like the Quebec Health Commissioner 2012 mental health system performance report. PMID:25120122
David, H P
It is known that unwanted pregnancies have damaging consequences. Despite the fact that 97% of fecund U.S. women have used or expect to use contraception, more than 1/2 of the births were reported by married couples in 1965 as unplanned. The circular relationship between excess fertility and conditions of poverty and their relevance for mental health has been studied; results have shown that in large families there is a great likelihood that the last-born child is unwanted. It is also true that in families with 4 or more children, those in the last half of the birth order are more likely to develop mental illness than their older siblings. One way to reduce unwanted pregnancies is to enable couples to have children only with their own informed consent. Induced abortion must be among the available alternatives for the women desiring it. The role of unregulated fertility in the etiology of mental disorder is seldon explored. Systematic observations of the mental health consequences of unwanted pregnancies are rare. Similarly, the appropriateness of applying family planning concepts in preventive mental health programs has received little attention. Sex education and contraceptive information should be introduced when a girl reaches menarche. Closer work between mental health association, medical schools, general practitioners, etc., is needed urgently. The author maintains that the prevalence of unwanted pregnancies and the appalling numbers of unwanted births in the U.S today represent a mental health problem of undefined but clearly immense proportions. PMID:5098783
Shih-Syun Lin; Chao-Hung Lin; Yan-Jhang Hu; Tong-Yee Lee
Tourist and destination maps are thematic maps designed to represent specific themes in maps. The road network topologies in these maps are generally more important than the geometric accuracy of roads. A road network warping method is proposed to facilitate map generation and improve theme representation in maps. The basic idea is deforming a road network to meet a user-specified mental map while an optimization process is performed to propagate distortions originating from road network warping. To generate a map, the proposed method includes algorithms for estimating road significance and for deforming a road network according to various geometric and aesthetic constraints. The proposed method can produce an iconic mark of a theme from a road network and meet a user-specified mental map. Therefore, the resulting map can serve as a tourist or destination map that not only provides visual aids for route planning and navigation tasks, but also visually emphasizes the presentation of a theme in a map for the purpose of advertising. In the experiments, the demonstrations of map generations show that our method enables map generation systems to generate deformed tourist and destination maps efficiently. PMID:26357374
... a major mental health concern during their life span. Children and adults with multiple medical problems experience an ... present with a very remarkable difficulty in sustaining attention on tasks. In children with greater cognitive and receptive-expressive language deficits, ...
Lluch Canut, Ma. Teresa
The document is a decalogue that includes recommendations to enhance mental health from the positive side or promotion. Includes basic bibliography that the author has generated on this topic. It is written in three languages: English, Spanish and Catalan.
Kawachi, Ichiro; Berkman, Lisa F.
It is generally agreed that social ties play a beneficial role in the maintenance of psychological well-being. In this targeted review, we highlight four sets of insights that emerge from the literature on social ties and mental health outcomes (defined as stress reactions, psychological well-being, and psychological distress, including depressive symptoms and anxiety). First, the pathways by which social networks and social supports influence mental health can be described by two alternative...
Full Text Available La Organización Mundial de la Salud ha establecido un programa especial denominado "Naciones unidas para la salud mental" con el fin de fomentar la salud mental en poblaciones subatendidas, con particular énfasis en las mujeres, los niños, los adolescentes, los refugiados y los pueblos indígenas. Uno de los objetivos del programa es crear una mayor conciencia entre el público y los gobiernos acerca del costo social y económico de los trastornos mentales y del abuso de sustancias. Un segundo objetivo es identificar y promover estrategias de colaboración para mejorar la salud mental que se puedan poner en práctica por medio de proyectos de cooperación técnica de nivel nacional dirigidos por las organizaciones del sistema de las Naciones Unidas, en colaboración con otras organizaciones internacionales gubernamentales y no gubernamentales. Ya están en marcha varios proyectos de demostración y otros se están planificando.
The government white paper Health of the nation has highlighted mental health as a key issue for the next decade. Primary care is being encouraged to take a leading role in developing effective services for people with mental health problems. This paper reviews current research on key aspects of mental health in adults: the prevalence of mental health problems, improving detection and management of mental health problems, the role of counselling, and communication between primary and secondar...
Parameshvara Deva, M
Malaysia is a tropical country in the heart of south east Asia with a population of 24 million people of diverse ethnic, cultural and religious backgrounds living in harmony in 330,000 km(2) of land on the Asian mainland and Borneo. Malaysia, which lies on the crossroads of trade between east and west Asia, has an ancient history as a centre of trading attracting commerce between Europe, west Asia, India and China. It has had influences from major powers that dominated the region throughout its history. Today the country, after independence in 1957, has embarked on an ambitious development project to make it a developed country by 2020. In this effort the economy has changed from one producing raw material to one manufacturing consumer goods and services and the colonial health system has been overhauled and social systems strengthened to provide better services for its people. The per capita income, which was under 1,000 US dollars at independence, has now passed 4,000 US dollars and continues to grow, with the economy largely based on strong exports that amount to over 100 billion US dollars. The mental health system that was based on institutional care in four mental hospitals at independence from British colonial rule in 1957 with no Malaysian psychiatrists is today largely based on over 30 general hospital psychiatric units spread throughout the country. With three local postgraduate training programmes in psychiatry and 12 undergraduate departments of psychiatry in the country--all started after independence--there is now a healthy development of mental health services. This is being supplemented by a newly established primary care mental health service that covers community mental health by integrating mental health into primary health care. Mental health care at the level of psychiatrists rests with about 140 psychiatrists most of whom had undertaken a four-year masters course in postgraduate psychiatry in Malaysia since 1973. However, there continues to be severe shortages of other professionals such as clinical psychologists and social workers in mental health services. There are a few specialists, and specialized services in child, adolescent, forensic, rehabilitative, liaison or research fields of mental health. In the area of services for women and children, as well as the disabled in the community, there are strong efforts to improve the care and provide services that are in keeping with a caring society. New legislation on these are being passed every year and the setting up of a Ministry for Women's Affairs is one such move in recent years. Mental health in Malaysia has been slow in developing but has in the past decade seen important strides to bring it on par with other branches of medicine. PMID:15276949
Elsie J. Freeman, MD, MPH; Lisa J. Colpe, PhD, MPH; Tara W. Strine, MPH; Satvinder Dhingra; Lisa C. McGuire, PhD; Laurie D. Elam-Evans, PhD, MPH; Geraldine S. Perry, DrPH, RDN
Public health systems have relied on public health surveillance to plan health programs, and extensive surveillance systems exist for health behaviors and chronic disease. Mental health has used a separate data collection system that emphasizes measurement of disease prevalence and health care use. In recent years, efforts to integrate these systems have included adding chronic disease measures to the Collaborative Psychiatric Epidemiology Surveys and depression measures to the Behavioral Ris...
Colpe, Lisa J.; Freeman, Elsie J.; Strine, Tara W.; Dhingra, Satvinder; Lisa C. McGuire; Elam-Evans, Laurie D; Geraldine S. Perry
Public health systems have relied on public health surveillance to plan health programs, and extensive surveillance systems exist for health behaviors and chronic disease. Mental health has used a separate data collection system that emphasizes measurement of disease prevalence and health care use. In recent years, efforts to integrate these systems have included adding chronic disease measures to the Collaborative Psychiatric Epidemiology Surveys and depression measures to the Behavioral Ris...
Chen, Martin K.
One of the major problems in measuring community mental health status is the lack of consensus among mental health workers in psychiatry, psychology, sociology, and epidemiology as to what constitutes mental illness. Additionally, changing social mores preclude a definition of mental illness in behavioral terms. An operational definition of mental
Full Text Available Introduction: For the vast majority of nurses and doctors, the choice of their profession, represents a successful career, even though this isnt a fact for everyone. For some of them reflects a journey into despair. A significant number of doctors and nurses, suffers from serious mental illness.Materials and Methods: It is conducted literature review of published journals from scientific databases such as Medline, Pub Med, Scholar Google, for the period 1985-2010, using keywords and combination of them: "health professionals", "psychiatric morbidity", "effects of stress on mental health "," mental disorders " Literature Review: There are researches in population health professionals, more often to doctors and nurses / only three, referred to mental illnesses mainly burnout, depression, anxiety disorders, alcoholism, and suicide and the effect thereof on the quality of life. Total of 215 studies were found and 48 of the were reviewed for this study.Conclusions: It is obvious from the literature, that mental health problems of the health professionals are not treated promptly or with the appropriate efficiency. The reasons associated with the stigma of mental illness by illness, the subsequent denial, the misconceived professional solidarity, culture of " medical omnipotence " for physicians. ?he timeless trend of occupational health and diagnoses to self treated their health problems , even if the knowledge on specific issues are almost non-existent.
Han, Hyeree; Ahn, Dong Hyun; Song, Jinhee; Hwang, Tae Yeon; Roh, Sungwon
Objective: Promoting mental health and preventing mental health problems are important tasks for international organizations and nations. Such goals entail the establishment of active information networks and effective systems and indicators to assess the mental health of populations. This being said, there is a need in Korea develop ways to measure the state of mental health in Korea. Methods: This paper reviews the mental health indicator development policies and practices of seven organiza...
Hartz, F R
Two U.S. Supreme Court decisions, O'Connor v. Donaldson and Bounds v. Smith, hold important implications for health sciences librarians serving in mental health facilities. The first, O'Connor, with its many ancillary holdings, puts mental health personnel on notice that patients have certain basic rights, which courts all over the country will now be required to enforce. In Bounds the court has ruled that prison authorities must assist prison inmates in preparing and filing legal papers. The ruling will most likely benefit all mentally disabled prisoners, and future litigation may expand this category to include: (1) persons committed under the criminal code, (2) persons under involuntary commitment not related to the criminal code, and (3) persons voluntarily committed. A selective annotated bibliography, consisting of background readings in mental health and the law, basic rights, law library materials, and mental health legal services, has been compiled to help librarians establish and develop legal collections in anticipation of court decisions that will expand the conditions of Bounds to include all mentally disabled patients. PMID:361117
Mayeya, John; Chazulwa, Roy; Mayeya, Petronella Ntambo; Mbewe, Edward; Magolo, Lonia Mwape; Kasisi, Friday; Bowa, Annel Chishimba
This country profile for Zambia was compiled between 1998 and 2002. The objectives of the exercise were to first of all avail policymakers, other key decision makers and leaders in Zambia, information about mental health in Zambia in order to assist policy and services development. Secondly, to facilitate comparative analyses of mental health services between countries. The work involved formation of a core group of experts who coordinated the collection of information from the various organizations in Zambia. The information was later shared to a broad spectrum of stakeholders for consensus. A series of focus group discussions (FGDs) supplemented the information collected. There are various factors that contribute to mental health in Zambia. It is clear from the Zambian perspective that social, demographic, economic, political, environmental, cultural and religious influences affect the mental health of the people. With a population of 10.3 million and annual growth rate of 2.9%, Zambia is one of the most urbanized countries in sub-Saharan Africa. Poverty levels stood at 72.9% in 1998. In terms of unemployment, the most urbanized provinces, Lusaka (the capital city), and the copper-belt are the most affected. The gross domestic product (GDP) is US$3.09 billion dollars while per capita income is US$300. The total budget allocation for health in the year 2002 was 15% while the proportion of the GDP per capita expenditure for health was 5.6%. The HIV/AIDS prevalence rates stand at 20% among the reproductive age group 15-49 years. Political instability and wars in neighbouring states has resulted in an influx of refugees. Environmental factors affecting the country include natural and man-made disasters such as floods and drought, mine accidents, and deforestation. To a large extent in Zambia, people who are mentally ill are stigmatized, feared, scorned at, humiliated and condemned. However, caring for mental ill health in old age is positively perceived. It is traditionally the duty and responsibility of the extended family to look after the aged. Gender based violence (GBV) is another issue. Women, who are totally dependent on their spouses economically, are forced by circumstances to continue living in abusive relationships to the detriment of their mental well-being. In Zambia, the family is considered sacrosanct and the affairs of the family members, private. It is within this context that GBV is regarded as a family affair and therefore a private affair, yet spouse beating has led to depression and in some cases death. In terms of psychiatric services, there are close to 560 beds for psychiatric patients across the country. Common mental disorders found in Zambia are acute psychotic episodes, schizophrenia, affective disorders, alcohol related problems and organic brain syndromes. About 70-80% of people with mental health problems consult traditional health practitioners before they seek help from conventional health practitioners. Over time the number of frontline mental health workers and professional staff has been declining. This is due to the 'brain drain', retirement, death and low output from training institutions. For practicing psychiatrists, only one is available for the whole country. Other key mental health workers such as psychologists, social workers and occupational therapists are also in short supply. All in all, the mental health services situation in Zambia could be described as critical, requiring urgent attention. PMID:15276939
Full Text Available Naseem Akhtar Qureshi,1 Abdulhameed Abdullah Al-Habeeb,2 Harold G Koenig3 1General Administration for Research and Studies, 2Mental Health and Social Services, Ministry of Health, Riyadh, Saudi Arabia; 3Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA Background: There is evidence that mapping mental health systems (MHSs helps in planning and developing mental health care services for users, families, and other caregivers. The General Administration of Mental Health and Social Services of the Ministry of Health over the past 4 years has sought to streamline the delivery of mental health care services to health consumers in Saudi Arabia. Objective: We overview here the outcome of a survey that assessed the Saudi MHS and suggest strategic steps for its further improvement. Method: The World Health Organization Assessment Instrument for Mental Health Systems was used systematically to collect information on the Saudi MHS in 20092010, 4 years after a baseline assessment. Results: Several mental health care milestones, especially provision of inpatient mental health services supported by a ratified Mental Health Act, were achieved during this period. However, community mental health care services are needed to match international trends evident in developed countries. Similarly, a larger well-trained mental health workforce is needed at all levels to meet the ever-increasing demand of Saudi society. Conclusion: This updated MHS information, discussed in light of international data, will help guide further development of the MHS in Saudi Arabia in the future, and other countries in the Eastern Mediterranean region may also benefit from Saudi experience. Keywords: Saudi Arabia, mental health system, organization, legal issues, research, training
Cleary, Michelle; Horsfall, Jan; Deacon, Maureen; Jackson, Debra
This discussion paper argues for the critical importance of successful leadership for effective mental health nursing, observing that nursing leadership has long been regarded problematically by the profession. Using empirical and theoretical evidence we debate what leadership styles and strategies are most likely to result in effective, recovery-orientated mental health nursing. Models of transformational and distributed leadership are found to be highly congruent with mental health nursing values, yet the literature suggests it is a type of leadership more often desired than experienced. We note how the scholarly literature tends to ignore the "elephant in the room" that is organizational power, and we question whether transformational leadership pursued within a specific clinical context can influence beyond those confines. Nevertheless it is within these contexts that consumers experience nursing, effective or otherwise, thus we should advocate what is known about effective leadership wherever it is required. PMID:21932925
McGuinness, Teena M; Durand, Simone C
Children and adolescents exposed to violence and upheaval of war and relocation are at high risk of developing posttraumatic stress disorder (PTSD) and depression. Rates of PTSD among refugee children may exceed 50%. Additional stressors encountered while adjusting to host cultures add another layer of difficulty. Most refugee children struggling with symptoms of PTSD or depression are never linked with appropriate mental health care resources. Psychiatric nurses can serve a critical function in the identification and treatment of refugee children experiencing PTSD and depression. [Journal of Psychosocial Nursing and Mental Health Services, 53(12), 16-18.]. PMID:26653091
Gulsum Ozge Doganavsargil Baysal
Full Text Available Stigmatizasyon represent a chronic negative interaction with the environment that most of people with a of diagnosis mental disorders. Different types of stigma may have harmful effects. Poor psychological well being, poor quality of life and poor self esteem are related stigmatization. In this article, definition and mechanism of stigmatization, influenced factors and consequences of stigmatization are reviewed. Stigmatization is a modifiable environmental risk factor. Integrating approaches against stigma in treatment may represent cost-effective way to reduce the risk of relapse and poor outcome occasioned by chronic exposure to stigma. [Archives Medical Review Journal 2013; 22(2.000: 239-251
Mental health professionals are important actors in implementing public mental health policies and in shaping lay representations of mental illness. The research reported in this paper focuses on the social representations of mental illness held by these professionals in Britain and France. In interviews conducted with sixty mental health workers from a range of professional backgrounds the definition of mental illness emerged as a key concern. Evidence for two social representations of menta...
Full Text Available Abstract Background The Mental Health Country Profile is a tool that was generated by the International Mental Health Policy and Services Project to inform policy makers, professionals and other key stakeholders about important issues which need to be considered in mental health policy development. The Mental Health Country Profile contains four domains, which include the mental health context, resources, provision and outcomes. We have aimed to generate a Mental Health Country Profile for Vietnam, in order to highlight the strengths and weaknesses of the Vietnamese mental health situation, in order to inform future reform efforts and decision-making. Methods This study used snowball sampling to identify informants for generating a Mental Health Country Profile for Vietnam, and the data gathering was done through semi-structured interviews and collection of relevant reports and documents. The material from the interviews and documents was analysed according to qualitative content analysis. Results Marked strengths of the Vietnam mental health system are the aims to move toward community management and detection of mental illness, and the active involvement of several multilateral organizations and NGOs. However, there are a number of shortages still found, including the lack of treatment interventions apart from medications, the high proportion of treatments to be paid out-of-pocket, prominence of large tertiary psychiatric hospitals, and a lack of preventative measures or mental health information to the public. Conclusions At the end of this decade, mental health care in Vietnam is still characterised by unclear policy and poor critical mass especially within the governmental sector. This initial attempt to map the mental health situation of Vietnam suffers from a number of limitations and should be seen as a first step towards a comprehensive profile.
Sh Arghami; J Nasl Seraji; K MOHAMMAD; Gh Zamani; Farhangi, A.; Vuuren, W (Wim) van
Stress and mental health at the place of work have received great attention by researchers. In spite of technology improvement in high-tech systems, the operators face new problems, which can affect mental health. There is hardly any published research about stress or mental health in such workplaces in developing countries. This paper presents the application of the self-rating scale General Health Questionnaire (GHQ-28) to study mental health of 160 controllers working in a part of Air Traf...
Participación y redes de cuidado entre usuarios de servicios de salud mental en el nordeste brasileño: mapeando dispositivos de reinserción social / Participation and networks of care among users of mental health services in northeast Brazil: mapping arrangements social reintegration
Magda, Dimenstein; Ana Karenina, Arraes Amorim; Allana, de Carvalho Araújo; André Luis, Leite de Figueiredo Sales; Clarisse, Vieira de Almeida; Kamila, Siqueira de Almeida.
Full Text Available Esta investigación tiene como objetivo mapear estrategias de soporte social y de organización político-social involucrando a usuarios, familiares y profesionales de servicios de salud mental en la región nordeste del Brasil. Realizamos una búsqueda activa de líderes y profesionales, además de una in [...] vestigación bibliográfica y consulta de documentos. Identificamos 8 asociaciones, las cuales fueron caracterizadas en cuanto a su composición, tiempo de fundación, fuentes de financiación, actividades desarrolladas, nivel de formalización y relación con las propuestas de la reforma. El estudio deja en evidencia que estas iniciativas son una estrategia importante de participación política, que han contribuido para ampliar el debate sobre la reforma psiquiátrica y que enfrentan dificultades financieras y de organización, como también de la adhesión de nuevos participantes. Abstract in english This research aimed to map out strategies to support social and political-social organization involving users, families and professionals of mental health services in the region northeast Brazil. We conducted an active search for leaders and professionals as well as bibliographic research, consultat [...] ion documents and publicity material. We identified 08 associations located in cities large and medium-sized, which were characterized as to its composition, time of foundation, sources of financial support, activities, level of formalization and relationship with the proposals for reform. The study shows that these initiatives are an important strategy of political participation and have contributed to widening the debate on the reform of psychiatry, but face financial, organizational and accession of new participants.
Full Text Available Background. Unlike the widely used self rated health, the self rated mental health was found unsuitable as a proxy for mental illness. This paper analyses the relationships between the self ratings of physical health, mental health and overall health, and their association of with the objective indicators for physical and mental health. Design and methods. The study is a secondary analysis of data from a nationwide representative sample of the non-institutionalized adult residents of Israel in 2003 that was collected via computer-assisted personal interview methods [n=4859].Results. The self rated physical health and the self rated mental health were strongly related to each other yet the self rated mental health was not related to chronic physical conditions and the self rated physical health was not related to mental disorders. In a multiple logistic regression analysis, those with positive self rated mental health had 93 times the odds of reporting positive overall health whereas those with positive self rated physical health had 40 times the odds of reporting positive overall health. Conclusions. The self rating of mental health presents a qualitatively different dimension from mental illness. The self rated mental health is two times more important than the self rated physical health in predicting the self rated overall health
... this site from a secured browser on the server. Please enable scripts and reload this page. Turn ... Around Family Life Family Life Family Life Health Management - Medical Home Family Dynamics Media Work & Play Getting ...
Generating page for printing... Print Smaller Text Larger Text Less Ink Images Add Note Reset Page Close Skip to content Home Health & Education ... These risk factors include a personal or family history of depression or loss of family members to ...
East, Marlene Lynette; Havard, Byron C
The roles of mental health educators and professionals in the diffusion of mental health mobile apps are addressed in this viewpoint article. Mental health mobile apps are emerging technologies that fit under the broad heading of mobile health (mHealth). mHealth, encompassed within electronic health (eHealth), reflects the use of mobile devices for the practice of public health. Well-designed mental health mobile apps that present content in interactive, engaging, and stimulating ways can pro...
... FOR MEDICARE & MEDICAID SERVICES Medicare & Your Mental Health Benefits This official government booklet has information about mental health benefits for people with Original Medicare, including: Whos eligible ...
Black, Gordon C.; Saveanu, Traian I.
This paper is a summary of our initial efforts to identify mental health output measures: (1) for estimating change in mental health status (incidence and prevalence) in a given population, (2) for use in monitoring, planning, evaluating and/or assessing quality of programs; and (3) possibly for use in controlling mental health costs. This preliminary work is centered on the concept that routinely generated operational data can be used to develop output measures of mental health service progr...
Ours, J.C.; WILLIAMS, J
This paper investigates whether cannabis use leads to worse mental health. To do so, we account for common unobserved factors affecting mental health and cannabis consumption by modeling mental health jointly with the dynamics of cannabis use. Our main finding is that using cannabis increases the likelihood of mental health problems, with current use having a larger effect than past use. The estimates suggest a dose response relationship between the frequency of recent cannabis use and the pr...
Although mental disorders are a major public health problem, the development of mental health services has been a low priority everywhere, particularly in low- and middle-income countries. Recent years have seen a growing understanding of the importance of population mental health and increased attention to the need to developmental health systems for responding to population mental health service needs. In countries and regions where mental health services are all but nonexistent, and in pos...
Padilla, Amado, M.; Aranda, Paul
An extensive list of literature sources on the psychological and mental health literature of the Latino community in the United States is presented in this annotated bibliography. The intent of this work is to provide the mental health practitioner, researcher and student with a bibliography of literature related to the mental health, directly or
Whelley, Pete; Cash, Gene; Bryson, Dixie
The U.S. Surgeon General's 2000 Report on Children's Mental Health estimates that one in five children and adolescents will experience a significant mental-health problem during their school years. While the family is the primary source of support for a child's mental health, the increased stress and fracturing of today's life make it imperative
Alem, Atalay; Jacobsson, Lars; HANLON, CHARLOTTE
The World Health Organization (WHO) has for long proposed the development of community-based mental health services worldwide. However, the progress toward community mental health care in most African countries is still hampered by a lack of resources, with specialist psychiatric care essentially based in large, centrally located mental hospitals. It is again time to reconsider the direction of mental health care in Africa. Based on a small inquiry to a number of experienced mental health pro...
Visanuyothin, Taweesin; Somchai Chakrabhand, M L; Bhugra, Dinesh
Over 5000 people lost their lives when the Asian tsunami hit the Andaman coast of southern Thailand. The delivery of services was complicated because a large number of tourists were in the area. The setting up of the Mental Health Centre for the Thai Tsunami disaster within the Department of Mental Health produced prompt mental health response. Regular contact using a variety of means provided supervision and mentoring. The Thai response built on the existing volunteer network. A Mobile Mental Health Team provided on the spot needs assessment and help. Thai experience provides a culturally acceptable way of delivering mental health services and normalization was the most appropriate response. PMID:16753665
Wainer, J; Chesters, J
This paper explores the relationship between rural places and mental health. It begins with a definition of mental health and an outline of the data that have led to the current concern with promoting positive mental health. We then consider aspects of rural life and place that contribute to positive mental health or increase the likelihood of mental health problems. Issues identified include environment, place, gender identity, violence and dispossession and the influence of the effects of structural changes in rural communities. The paper concludes with a discussion of some of the determinants of resilience in rural places, including social connectedness, valuing diversity and economic participation. PMID:11249401
Sharma Pulkit; Charak Ruby; Sharma Vibha
The paper strives to elucidate the complex yet intimate relation between spirituality and mental health from contemporary perspectives. The diverse and constantly evolving views that spiritualists and mental health professionals have held toward each other over last century are discussed with special accent on the transpersonal spiritual framework within psychology. The role of spirituality in promoting mental health and alleviating mental illness is highlighted. The paper is concluded with a...
Wang, Jingyi; He, YanLing; Jiang, Qing; CAI, Jun; Wang, Weiling; Zeng, Qingzhi; Miao, Juming; Qi, Xuejun; Chen, Jianxin; Bian, Qian; Cai, Chun; Ma, Ning; Zhu, Ziqing; Zhang, Mingyuan
Background The recent adoption of China's new national mental health law provides a good opportunity to obtain baseline information about community mental health literacy in the country. Aim Assess knowledge and attitudes about mental disorders among residents in Shanghai. Methods A total of 1953 residents aged 15 or above selected from all 19 districts in Shanghai completed two self-report questionnaires â the Mental Health Knowledge Questionnaire (MHKQ) and the Case Assessment Questionnaire...
Angier, J J
Consumer health information as applied to mental health includes areas such as the diagnosis, management, and treatment of mental illness, as well as self-help, emotional wellness, and the relationship between life events, stress, and disease. This paper presents issues specific to the provision of mental health information to the layperson, e.g., confidentiality, literacy, competence, the social stigma of mental illness, the state of the art in psychiatry, popular psychology, and treatment f...
KNAPP, MARTIN; McDaid, David; Parsonage, Michael
Mental ill health is the largest single cause of disability in the UK, contributing almost 23% of the overall burden of disease compared to about 16% each for cancer and cardiovascular disease. The economic and social costs of mental health problems in England are estimated at around £105 billion each year.
Abstract Violent conflict for political ends, including war and civil war, is a major cause of mental ill health and although there are different approaches and ways to understand this relationship some consensus is emerging on the psychological, social and cross sector responses to post conflict situations. Globalization has changed the relationships of nation states, corporations and international organizations creating different patterns of political violence and different ways ...
Thornicroft, G.; Ward, P.; James, S
The community care reforms will produce a new kind of key worker who will organise and budget for packages of care: the care manager. Care management goes live in April 1993 but is still poorly rehearsed and its performance may yet disappoint. This overview sets out the origins of case management, its transformation into care management, and the principles guiding its practice. To spell out how the concept works, plans for care management in Southwark's mental health services are described.
U.S. Department of Health & Human Services â TOXMAPÂ® is a Geographic Information System (GIS) that uses maps of the United States and Canada to help users visually explore data primarily from the EPA's Toxics...
Elsie J. Freeman, MD, MPH
Full Text Available Public health systems have relied on public health surveillance to plan health programs, and extensive surveillance systems exist for health behaviors and chronic disease. Mental health has used a separate data collection system that emphasizes measurement of disease prevalence and health care use. In recent years, efforts to integrate these systems have included adding chronic disease measures to the Collaborative Psychiatric Epidemiology Surveys and depression measures to the Behavioral Risk Factor Surveillance System; other data collection systems have been similarly enhanced. Ongoing challenges to integration include variations in interview protocols, use of different measures of behavior and disease, different interval reference periods, inclusion of substance abuse disorders, dichotomous vs continuous variables, and approaches to data collection. Future directions can address linking surveillance efforts more closely to the needs of state programs, increasing child health measurements in surveys, and improving knowledge dissemination from survey analyses.
Full Text Available Current media campaigns, realized within national campaigns and actions on mental health prevention and promotion, are considered in this paper, in the context of expert public relation, as well as the whole society, towards mental health. Mental health promotion is determined as a range of activities by which individuals, community and society are being enabled to take control over mental health determinants and to improve it, but also as an action for improvement of mental health position on individual and social value scale. Characteristics and approach to mental health protection of citizens in Serbia are introduced in the paper, with reference to high incidence and prevalence of mental health disorders, as well as actual challenges to mental health of individuals, but also to modern society. Outcomes of the Survey: Radio and television and prevention of addictive diseases, realized by the Radio-television of Serbia for the purpose of establishing informative-educational role of electronic media in the field of health, are also considered. Project Mental Capital and Wellbeing and TV campaign for mental health promotion, realized in England, are quoted as an illustration of necessary strategic and multidisciplinary approach to mental health promotion, in which media represent an important complementary strategy.
Reviews two articles contained in December 1987 issue of "Sante Mentale au Quebec" on the subject of mental health and unemployment. Articles reviewed present results of a qualitative study of the problems experienced and the mental health practices used by unemployed people. Claims articles reveal complexity of the issue while organizing it. (ABL)
East, Marlene Lynette; Havard, Byron C
The roles of mental health educators and professionals in the diffusion of mental health mobile apps are addressed in this viewpoint article. Mental health mobile apps are emerging technologies that fit under the broad heading of mobile health (mHealth). mHealth, encompassed within electronic health (eHealth), reflects the use of mobile devices for the practice of public health. Well-designed mental health mobile apps that present content in interactive, engaging, and stimulating ways can promote cognitive learning, personal growth, and mental health enhancement. As key influencers in the mental health social system, counselor educators and professional associations may either help or hinder diffusion of beneficial mHealth technologies. As mental health mobile apps move towards ubiquity, research will continue to be conducted. The studies published thus far, combined with the potential of mental health mobile apps for learning and personal growth, offer enough evidence to compel mental health professionals to infuse these technologies into education and practice. Counselor educators and professional associations must use their influential leadership roles to train students and practitioners in how to research, evaluate, and integrate mental health mobile apps into practice. The objectives of this article are to (1) increase awareness of mHealth and mental health mobile apps, (2) demonstrate the potential for continued growth in mental health mobile apps based on technology use and acceptance theory, mHealth organizational initiatives, and evidence about how humans learn, (3) discuss evidence-based benefits of mental health mobile apps, (4) examine the current state of mHealth diffusion in the mental health profession, and (5) offer solutions for impelling innovation diffusion by infusing mental health mobile apps into education, training, and clinical settings. This discussion has implications for counselor educators, mental health practitioners, associations, continuing education providers, and app developers. PMID:26543907
Christensen, Anne Illemann; Davidsen, Michael; Kjøller, Mette; Juel, Knud
CHARACTERIZE MEN AND WOMEN WITH POOR MENTAL HEALTH THE PRESENT FINDINGS SUPPORT THE NOTION THAT BOTH SOCIO-DEMOGRAPHICS AND LIFESTYLE FACTORS ARE INDEPENDENTLY RELATED WITH POOR MENTAL HEALTH WE SUGGEST TAKING INTO ACCOUNT ALL THESE AREAS OF LIFE WHEN PLANNING ACTIVITIES TO PREVENT POOR MENTAL HEALTH AND WHEN......Background: The aim of the study was to identify and characterize groups with poor mental health defined by the SF-12 Mental Component Summary (MCS-12) scale. Methods: The study is based on the Danish Health and Morbidity Survey 2005 and includes 10,082 participants (16 years or older). Data were...... analysed by means of logistic regression models. Results: Men and women with poor mental health are characterized by being single, having a long-term illness, not being able to rely on help from others in case of illness and by feeling that family and friends demand too much of them. Men with poor mental...
Zhou, Wei; Xiao, Shuiyuan
Mental health is a challenging public health issue worldwide and surveillance is crucial for it. However, mental health surveillance has not been developed until recently in certain developed countries; many other countries, especially developing countries, have poor or even no health information systems. This paper presents surveillance related to mental health in China, a developing country with a large population of patients with mental disorders. Detailed information of seven relevant sur...
Full Text Available The Czech Republics plan to pilot community-based mental health services is a welcome development for people with both mild and severe forms of mental illness. Petr T?e?ák reports.
Full Text Available The Czech Republics plan to pilot community-based mental health services is a welcome development for people with both mild and severe forms of mental illness. Petr T?e?ák reports. [...
Ryan, Sarah; Whelan, Darius
At present, if people with mental disorders appear before the criminal courts in Ireland, unless they are unfit for trial or not guilty by reason of insanity, the system governing their case will be the general one which applies to all criminal cases. In recent decades, a number of other common law jurisdictions have begun to set up mental health courts as a means of diverting some people with mental disorders from the criminal justice system and into more appropriate treatment. This article ...
sunmi cho; yunmi shin
Improving mental health and reducing the burden of mental illness are complementary strategies which, along with the treatment and rehabilitation of people with mental disorders, significantly improve population health and well-being. A Institute of Medicine report describes a range of interventions for mental disorders that included treatment and maintenance, reserving the term prevention for efforts that occur before onset of a diagnosable disorder. Mental health problems affect 10&am...
Christensen, Anne Illemann; Davidsen, Michael; KjÃ¸ller, Mette; Juel, Knud
Background: The aim of the study was to identify and characterize groups with poor mental health defined by the SF-12 Mental Component Summary (MCS-12) scale. Methods: The study is based on the Danish Health and Morbidity Survey 2005 and includes 10,082 participants (16 years or older). Data were...... analysed by means of logistic regression models. Results: Men and women with poor mental health are characterized by being single, having a long-term illness, not being able to rely on help from others in case of illness and by feeling that family and friends demand too much of them. Men with poor mental...... health were further characterized by being a heavy smoker, and having a BMI below 25. Women with poor mental health were further characterized by being 16-44 years old and sedentary in leisure time. CONCLUSIONS THE PREVALENCE OF POOR MENTAL HEALTH IS HIGHER AMONG WOMEN THAN MEN, AND DIFFERENT FACTORS...
Sabella D.; Fay-Hillier T
Donna Sabella, Theresa Fay-Hillier College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA Abstract: The current mental health care system in the US continues to struggle with providing adequate care and services to all that require it due to limited resources, biases from both other professions and the public, and the complexities of treatment of many of those individuals or populations that suffer from mental illness. Mental health nurses, also referred to as ps...
Alarcón, R. D.; Aguilar-Gaxiola, S. A.
New assessment guidelines for measuring the overall impact of mental health problems in Latin America have served as a catalyst for countries to review their mental health policies. Latin American countries have taken various steps to address long-standing problems such as structural difficulties, scarce financial and human resources, and social, political, and cultural obstacles in the implementation of mental health policies and legislation. These policy developments, however, have had unev...
Bhavsar, Vishal; Bhugra, Dinesh
Abstract Several factors associated with globalization have mental health consequences. This article reviews the literature on mental health and inequality, occupational patterns and identity shifts before considering the role of globalization as an acculturative stressor. We argue that a re-evaluation of mental health policy in light of globalization must look further than current studies of migrants to consider indigenous communities where models of social experience and behaviou...
Riek, Laurel D.
This chapter discusses the existing and future use of robotics and intelligent sensing technology in mental health care. While the use of this technology is nascent in mental health care, it represents a potentially useful tool in the practitioner's toolbox. The goal of this chapter is to provide a brief overview of the field, discuss the recent use of robotics technology in mental health care practice, explore some of the design issues and ethical issues of using robots in this space, and fi...
The main aim of this thesis was to explore the effectiveness and acceptability of alternative interventions for facilitating help-seeking and improving the mental health of young adult males. Based on recommendations for innovative ways to develop interventions that facilitate mental health help-seeking specific to men (Addis & Mahalik, 2003), the interventions employed in this thesis integrate exercise and psychotherapeutic strategies, and make use of sport as a vehicle for mental health pr...
Grandjean Bamberger, Simon; Vinding, Anker Lund; Larsen, Anelia; Nielsen, Peter; Fonager, Kirsten; Nielsen, René Nesgaard; Ryom, Pia Køhler; Omland, Øyvind
Although limited evidence is available, organisational change is often cited as the cause of mental health problems. This paper provides an overview of the current literature regarding the impact of organisational change on mental health. A systematic search in PUBMED, PsychInfo and Web of Knowledge combining MeSH search terms for exposure and outcome. The criterion for inclusion was original data on exposure to organisational change with mental health problems as outcome. Both cross-sectional a...
Barker, Janet H.
There is a need to develop a clear understanding of the knowledge used by mental health nurses in day to day practice. Knowledge relating to holistic/therapeutic activities form the basis of mental health nurse education, however various studies have consistently shown the majority of mental health nurses activity relates to administrative and routine tasks and containment. This disparity between the knowledge bases prescribed, those described and the inability of education reforms to resolve...
The World Federation for Mental Health was founded as an international apolitical organization concerned with quality of life rather than merely the absence or prevention of mental illness. An examination of the manner and extent to which mental problems arise in different cultural settings can provide data needed to understand the relationship
Wasserman, Gail A; McReynolds, Larkin S; Whited, Andria L; Keating, Joseph M; Musabegovic, Hana; Huo, Yanling
We reviewed case records for 583 juvenile delinquency intakes in four county juvenile probation offices; 14.4% were receiving mental health or substance use services at case opening, and 24.9% were newly identified during probation contact. Youths were significantly more likely to be newly identified if they were repeat offenders, if their probation officer knew more about mental health and if they resided in a county without a shortage of available mental health professionals. Probation officers were especially likely to underidentify internalizing disorders. Policy implications for promoting identification of mental health needs and improving linkage to community service providers are discussed. PMID:18642071
Neeta N. G
Full Text Available In the present study is an attempt is made to study the Anxiety and Mental Health ofEmployees of different Professions selected from Gulbarga District. The sample consists of 200 (of different professions, and gender employees. The sample was administered with Anxiety and Mental Health Inventory. And the data were subjected the t-test. The results revealed that anxiety produces differences in mental health of employees and there is a significant difference in Mental Health between the male and female sample.
Jagger, C; Ritchie, K; BrÃ¸nnum-Hansen, Henrik; Deeg, D; Gispert, R; Grimley Evans, J; Hibbett, M; Lawlor, B; Perenboom, R; Polge, C; Van Oyen, H
The increase in life expectancy observed over the last decade has particular relevance for mental health conditions of old age, such as dementia. Although mental disorders have been estimated to be responsible for 60% of all disabilities, until recently population health indicators such as health...... expectancies have concentrated on calculating disability-free life expectancy based on physical functioning. In 1994, a European Network for the Calculation of Health Expectancies (Euro-REVES) was established, one of its aims being the development and promotion of mental health expectancies. Such indicators...... may have an important role in monitoring future changes in the mental health of populations and predicting service needs. This article summarizes the proceedings and recommendations of the first European Conference on Mental Health Expectancy....
Full Text Available Donna Sabella, Theresa Fay-Hillier College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA Abstract: The current mental health care system in the US continues to struggle with providing adequate care and services to all that require it due to limited resources, biases from both other professions and the public, and the complexities of treatment of many of those individuals or populations that suffer from mental illness. Mental health nurses, also referred to as psychiatric nurses, are impacted by those same biases, limited resources, and complexities in their role. This paper provides a brief history of mental health nursing and a discussion of the current challenges faced within the profession. It will also include how the public's perception of both those who have mental illness and those who treat it is based on the sensationalism of those who are violent, and misunderstanding of current treatments. It is imperative that mental health nurses continue to define and educate other health care professionals as well as the general public of the role of the mental health nurse and those who suffer from mental illness. Unfortunately, some of the same bias that was present in the 1930s remains today, but perhaps with perseverance and education it will not continue into the future. Keywords: mental health, psychiatric nursing, pre- licensure, post-licensure challenges, professional obstacles, public perception
Wilson, Rhonda L; Wilson, G Glenn; Usher, Kim
The mental health of people in rural communities is influenced by the robustness of the mental health ecosystem within each community. Theoretical approaches such as social ecology and social capital are useful when applied to the practical context of promoting environmental conditions which maximise mental health helping capital to enhance resilience and reduce vulnerably as a buffer for mental illness. This paper explores the ecological conditions that affect the mental health and illness of people in rural communities. It proposes a new mental health social ecology framework that makes full use of the locally available unique social capital that is sufficiently flexible to facilitate mental health helping capital best suited to mental health service delivery for rural people in an Australian context. PMID:26163020
Fernanda Barreto Mielke; Agnes Olschowsky
The changes current from the process of Psychiatric Reform value the territorial attention. Thus the basic care, from the Health Family Strategy, becomes a privileged space in mental health attention. In this study, we have an objective to evaluate the actions of mental health in the Health Family Strategy, from of the professionals in the evaluate process. We want to strengthen the relationship between mental health and basic care, considering the posit...
Fernanda Barreto Mielke
Full Text Available The changes current from the process of Psychiatric Reform value the territorial attention. Thus the basic care, from the Health Family Strategy, becomes a privileged space in mental health attention. In this study, we have an objective to evaluate the actions of mental health in the Health Family Strategy, from of the professionals in the evaluate process. We want to strengthen the relationship between mental health and basic care, considering the positive experiences in that direction.
Jha, A; Kitchener, B A; Pradhan, P K; Shyangwa, P; Nakarmi, B
Mental Health First Aid is a relatively new concept conceived in Australia about 10 years ago and by 2010 it has spread to 15 other countries including Nepal. It is designed to deal with mental health emergencies as well as to help people with developing mental health problems to get to appropriate help before a crisis occurs. This programme was launched in Kathmandu by SAF-Nepal in November 2010 when the Australian experts ran a workshop for over 22 delegates from various mental health organisations. The MHFA Nepal course is being evaluated and adapted to suit Nepalese context. New conditions including hysteria and epilepsy have been added in the Nepalese version. The programme is expected to raise mental health awareness and reduce stigmatising attitudes amongst the selected members of the general public and health professionals. PMID:23281463
Pacione, Laura; Measham, Toby; Rousseau, Cécile
The mental health consequences of war and other forms of organized violence for children represent a serious global public health issue. Much of the research on the mental health of war-affected civilians has focused on refugees who have sought asylum in high-income countries and face the dual stress of a traumatic past and resettlement. This review will focus on the mental health of refugee children who have fled war as well as interventions to both prevent and treat adverse mental health outcomes. While war can have devastating mental health consequences, children raised in the midst of armed conflict also display resilience. Effective interventions for refugee children will be discussed both in terms of prevention and treatment of psychopathology, with a focus on recent developments in the field. PMID:23307563
Wissow, Lawrence S; van Ginneken, Nadja; Chandna, Jaya; Rahman, Atif
Children's mental health problems are among global health advocates' highest priorities. Nearly three-quarters of adult disorders have their onset or origins during childhood, becoming progressively harder to treat over time. Integrating mental health with primary care and other more widely available health services has the potential to increase treatment access during childhood, but requires re-design of currently-available evidence-based practices to fit the context of primary care and place a greater emphasis on promoting positive mental health. While some of this re-design has yet to be accomplished, several components are currently well-defined and show promise of effectiveness and practicality. PMID:26613691
This Annual Report provides the first comprehensive survey carried out on community CAMHS teams and includes preliminary data collected by The Health Research Board on the admission of young people under the age of 18 years to inpatient mental health facilities. As many measures in this report do not have historic comparators it provides a baseline foundation that will be built upon in subsequent years providing an indication of trends that cannot yet be drawn on the basis of this report. The next report will include day hospital, liaison and inpatient services. Subsequent reports will further extend the mapping of mental health services for young people.
Hodge, David R.; Moser, Stephanie E.; Shafer, Michael S.
Mothers are one of the fastest growing segments of the homeless population in the United States. Although mental health problems often contribute to homelessness, little is known about the factors that affect mothers' mental health. To help identify protective factors, this longitudinal study examined the relationship between spirituality and
Trussell, Robert P.
Although schools are not traditionally designed to provide intensive mental health services to children, they are in a position to create systems that foster mental health. By creating school-wide systems in which students are academically, behaviorally and socially successful, schools can integrate those essential protective factors shown to
DeSocio, Janiece; Hootman, Janis
An integrative review of literature was undertaken to examine the impact of children's mental health on their school success. The literature confirmed a confluence of problems associated with school performance and child and adolescent mental health. Poor academic functioning and inconsistent school attendance were identified as early signs of
Full Text Available Abstract Recent developments, including experience related to the development of WHO's World Health Report 2001, the WHO Atlas and the DCP Project related to Mental, Neurological, Developmental and Substance Abuse Disorders, indicate why advancing the interests of mental health is now so compelling. In order to deliver a high standard of mental health treatment and care WHO emphasizes the adoption of an integrated system of service delivery to address comprehensively the psychosocial needs of people with mental disorders. Even though the burden is large and increasing, the capacity to reach those in need is poor. This gap cannot be filled just by seeking more funding for mental health, more human resources, or more training. Of course, these aspects are key ingredients but what is often neglected is the need to conceive service delivery rationally. Mental health professionals' attention should be channeled towards mental health systems and service organization which obviously has consequences in their training which should include more public health knowledge. We need to know how to plan and organize services and improve the use of scarce financial and human resources in order to reach out to the mental health needs of the general population and to provide effective and humane services to those who need care.
Iqbal, Naved; Singh, Archana; Aleem, Sheema
Although traditional meditation has been found to be effective in improving physical and mental health of subjects, there was a paucity of research of the effect of active or dynamic meditation on these variables. Therefore, the present study was aimed at studying the effect of dynamic meditation on mental health of the subjects. Total sample of the present study comprised 60 subjects, 30 each in experimental and control group. Subjects in experimental group were given 21-day training in dynamic meditation. Mental health of the experimental and control group subjects was measured in pre- and post-condition with the help of Mental Health Inventory developed by Jagadish and Srivastava (Mental Health inventory, Manovaigyanik Parikshan Sansthan, Varanasi, 1983). Obtained data were analyzed with the help of ANCOVA. In post-condition, experimental group scored better than control group on integration of personality, autonomy and environmental mastery. Effect sizes of dynamic meditation on these dimensions of mental health were large. However, experimental group and control group did not differ significantly on positive self-evaluation, perception of reality and group-oriented attitude dimensions of mental health in post-condition. Overall, dynamic meditation training was effective in improving mental health of the subjects. PMID:26179581
Hiott, Ann E.; Grzywacz, Joseph G.; Davis, Stephen W.; Quandt, Sara A.; Arcury, Thomas A.
Context: The number of Latinos in rural regions of the United States is increasing. Little is known about factors that undermine the mental health of this segment of the rural population. Purpose: The goal of this study is to determine which stressors inherent in farmwork and the farmworker lifestyle contribute to poor mental health. Methods: An
Paul, Karsten I.; Moser, Klaus
The effect of unemployment on mental health was examined with meta-analytic methods across 237 cross-sectional and 87 longitudinal studies. The average overall effect size was d = 0.51 with unemployed persons showing more distress than employed persons. A significant difference was found for several indicator variables of mental health (mixed
U.S. Department of Health & Human Services â Healthcare Cost Report Information System (HCRIS) Dataset - Community Mental Health Center (CMHC). This data was reported on form CMS-2088-92. The data in this...
U.S. Department of Health & Human Services Healthcare Cost Report Information System (HCRIS) Dataset - Community Mental Health Center (CMHC). This data was reported on form CMS-2088-92. The data in this...
Madsen, Ida E H; Tripathi, Manisha; Borritz, Marianne; Rugulies, Reiner
with increased self-reported stress, cortisol, and counterproductive work behavior. In this article, we examine the prospective association between unnecessary work tasks, one type of illegitimate work tasks, and mental health among Danish human service workers. Further, we explore whether this...... association is modified by sex, age, occupational position, and baseline mental health status. METHODS: The data were obtained from self-administered questionnaires from 1351 Danish human service workers in three waves of data-collection during 1999-2005. We measured unnecessary work tasks by a single item......, and assessed mental health using the 5-item mental health inventory from the Short form 36 questionnaire. We analyzed data using multi-level modeling, adjusting for potential confounding by sex, age, cohabitation, occupational position, and baseline mental health. RESULTS: Unnecessary work tasks were...
Achieving adequate support for mental health in any country requires a unified approach. Strong links between psychiatrists, community leaders and patients and families that are based on negotiation and respect, are vital for progress. When strong partnerships exist, they can contribute to community understanding and advancement of psychiatry. This is the first step towards scaling up good quality care for those living with mental illnesses, preventing illnesses in those at risk, and promoting mental health through work with other community sectors. Partnerships are needed to support education and research in psychiatry, and improvements in quality of care wherever psychiatry is practiced, including primary health and community mental health services, hospitals and private practice. There are important roles for psychiatry in building the strength of organisations that champion the advocacy and support roles of service users and family carers, and encouraging partnerships for mental health promotion in the community.
Stein, Catherine H; Leith, Jaclyn E; Osborn, Lawrence A; Greenberg, Sarah; Petrowski, Catherine E; Jesse, Samantha; Kraus, Shane W; May, Michael C
This qualitative study examined changes in community mental health care as described by adults diagnosed with schizophrenia with long-term involvement in the mental health system to situate their experiences within the context of mental health reform movements in the United States. A sample of 14 adults with schizophrenia who had been consumers of mental health services from 12 to 40 years completed interviews about their hospital and outpatient experiences over time and factors that contributed most to their mental health. Overall, adults noted gradual changes in mental health care over time that included higher quality of care, more humane treatment, increased partnership with providers, shorter hospital stays, and better conditions in inpatient settings. Regardless of the mental health reform era in which they were hospitalized, participants described negative hospitalization experiences resulting in considerable personal distress, powerlessness, and trauma. Adults with less than 27 years involvement in the system reported relationships with friends and family as most important to their mental health, while adults with more than 27 years involvement reported mental health services and relationships with professionals as the most important factors in their mental health. The sample did not differ in self-reported use of services during their initial and most recent hospitalization experiences, but differences were found in participants' reported use of outpatient services over time. Findings underscore the importance of the lived experience of adults with schizophrenia in grounding current discourse on mental health care reform. PMID:25274147
... Stages Listen Español Text Size Email Print Share Mental Health and Teens: Watch for Danger Signs Page ... be strong indicators of serious mental health issues. Mental Health Red Flags Parents Should Be Alert For: ...
To assist in improving team working in Community Mental Health Teams (CMHTs), the Mental Health Commission formulated a user-friendly but yet-to-be validated 25-item Mental Health Team Development Audit Tool (MHDAT).
...CHAMPUS-authorized, qualified mental health provider practicing within...her license. Qualified mental health providers are: psychiatrists...social workers, certified marriage and family therapists, certified mental health counselors, pastoral...
Potvin-Boucher, Jacqueline; Szumilas, Magdalena; Sheikh, Tabinda; Kutcher, Stan
Enhancement of mental health literacy is a mental health promotion strategy that may be effective at destigmatizing mental illness and increasing self-seeking behavior. Transitions is a mental health literacy program intended to heighten students' awareness and discussion of mental health problems and promote help-seeking behaviors. Transitionsâ¦
Potvin-Boucher, Jacqueline; Szumilas, Magdalena; Sheikh, Tabinda; Kutcher, Stan
Enhancement of mental health literacy is a mental health promotion strategy that may be effective at destigmatizing mental illness and increasing self-seeking behavior. Transitions is a mental health literacy program intended to heighten students' awareness and discussion of mental health problems and promote help-seeking behaviors. Transitions
Immigrants represent a very heterogeneous population, with various stress factors for mental disorders. These individuals are confronted with numerous access barriers within the health care system, which are reflected in limited utilization of the mental health system and psychotherapy services. A particularly large gap in health service provision exists among refugees and asylum-seekers. There is an urgent need for action in terms of opening up of the mental health system, improving and simplifying routes of access, and facilitating treatment options. PMID:26385118
Jair de Jesus Mari; Bressan, Rodrigo A.; Naomar Almeida-Filho; Jerônimo Gerolin; Pratap Sharan; Shekhar Saxena
The objective of this descriptive study was to map mental health research in Brazil, providing an overview of infrastructure, financing and policies mental health research. As part of the Atlas-Research Project, a WHO initiative to map mental health research in selected low and middle-income countries, this study was carried out between 1998 and 2002. Data collection strategies included evaluation of governmental documents and sites and questionnaires sent to key professionals for providing i...
Full Text Available Objective: Teaching profession is characterised by an above-average rate of psychosomatic and mental health impairment due to work-related stress. The aim of the study was to identify predictors of mental health in female teachers. Material and Methods: A sample of 630 female teachers (average age 47±7 years participated in a screening diagnostic inventory. Mental health was surveyed with the General Health Questionnaire GHQ-12. The following parameters were measured: specific work conditions (teacher-specific occupational history, scales of the Effort-Reward-Imbalance (ERI Questionnaire as well as cardiovascular risk factors, physical complaints (BFB and personal factors such as inability to recover (FABA, sense of coherence (SOC and health behaviour. Results: First, mentally fit (MH+ and mentally impaired teachers (MH- were differentiated based on the GHQ-12 sum score (MH+: < 5; MH-: ? 5; 18% of the teachers showed evidence of mental impairment. There were no differences concerning work-related and cardiovascular risk factors as well as health behaviour between MH+ and MH-. Binary logistic regressions identified 4 predictors that showed a significant effect on mental health. The effort-reward-ratio proved to be the most relevant predictor, while physical complaints as well as inability to recover and sense of coherence were identified as advanced predictors (explanation of variance: 23%. Conclusion: Contrary to the expectations, classic work-related factors can hardly contribute to the explanation of mental health. Additionally, cardiovascular risk factors and health behaviour have no relevant influence. However, effort-reward-ratio, physical complaints and personal factors are of considerable influence on mental health in teachers. These relevant predictors should become a part of preventive arrangements for the conservation of teachers' health in the future.
Gater, R; Chisholm, D; Dowrick, C
Routine information systems for mental health in many Eastern Mediterranean Region countries are rudimentary or absent, making it difficult to understand the needs of local populations and to plan accordingly. Key components for mental health surveillance and information systems are: national commitment and leadership to ensure that relevant high quality information is collected and reported; a minimum data set of key mental health indicators; intersectoral collaboration with appropriate data sharing; routine data collection supplemented with periodic surveys; quality control and confidentiality; and technology and skills to support data collection, sharing and dissemination. Priority strategic interventions include: (1) periodically assessing and reporting the mental health resources and capacities available using standardized methodologies; (2) routine collection of information and reporting on service availability, coverage and continuity, for priority mental disorders disaggregated by age, sex and diagnosis; and (3) mandatory recording and reporting of suicides at the national level (using relevant ICD codes). PMID:26442892
Niemi Maria; Thanh Huong T; Tuan Tran; Falkenberg Torkel
Abstract Background The Mental Health Country Profile is a tool that was generated by the International Mental Health Policy and Services Project to inform policy makers, professionals and other key stakeholders about important issues which need to be considered in mental health policy development. The Mental Health Country Profile contains four domains, which include the mental health context, resources, provision and outcomes. We have aimed to generate a Mental Health Country Profile for Vi...
Although mental disorders are a major public health problem, the development of mental health services has been a low priority everywhere, particularly in low- and middle-income countries. Recent years have seen a growing understanding of the importance of population mental health and increased attention to the need to develop mental health systems for responding to population mental health service needs. In countries and regions where mental health services are all but nonexistent, and in postconflict and postdisaster settings, there are many impediments to establishing or scaling up mental health services. It is frequently necessary to act simultaneously on multiple fronts: generating local evidence that will inform decision makers; developing a policy framework; securing investment; determining the most appropriate service model for the context; training and supporting mental health workers; establishing or expanding existing services; putting in place systems for monitoring and evaluation; and strengthening leadership and governance capabilities. This article presents the approach of the Centre for International Mental Health in the Melbourne School of Population Health to mental health system development, and illustrates the way in which the elements of the program are integrated by giving a brief case example from Sri Lanka. PMID:22335181
Coyle, David; Matthews, Mark; Doherty, Gavin.; Sharry, John
Using the metrics of the World Health Organisation, the Global Burden of Disease Study has found that mental health difficulties are currently the leading cause of disability in developed countries . Projections also indicate that the global burden of mental health difficulties will continue to rise in the coming decades. The human and economic costs of this trend will be substantial. In this paper we discuss how effectively designed interactive systems, developed through...
Full Text Available Background: Marital satisfaction is an important component of the marriage. Mental health as a component of the personal characteristic also related with marital satisfaction. The aim of this study was to investigate the association between mental health and marital satisfaction of couples.Methods: Three hundred couples from high-risk area of Gorgan North of Iran were selected. Association between men's and womens mental health level was measured using General Health Questionnaire-28 (GHQ-28. Marital satisfaction measured by Enrich Marital Satisfaction Questionnaire among married couples. Data was analyzed using multiple regression and analysis of variance modelling.Results: Results indicated that marital satisfaction was predicted by the persons mental health level. Findings also showed that depression and anxiety were significantly associated with marital satisfaction. 52.5% of studied individuals had mental disorders at the clinical level (p?0/05. Marital satisfaction in this population was 51.7%. Conclusions: The study confirmed that mental health is an important predictor of marital satisfaction. Improving mental health may lead to improve marital satisfaction.
Nicaise, Pablo; Lindert, Jutta; 4th European Public Health Conference 2011
As a result of the deinstitutionalisation of psychiatric services in Europe, fragmentation in mental health care delivery systems has become a public mental health issue in many countries. Fragmentation contributes to inefficiency and ineffectiveness in healthcare delivery, and to health inequalities. There might be a lack of continuity and coordination in (mental) health and social care delivery, due to structural divisions, separate administrative and policy sectors, complex and diverse fun...
Workplace health is a serious issue. Illness and injury take a significant toll on employers, employees and the bottom line. Research has focused primarily on the physical health and injury side of the workplace health equation, with much less attention being paid to the mental health factors that affect employers, employees, families, productivity, efficiency, quality, creativity and innovation. PMID:15829767
Full Text Available The aim of this paper is to give a short description of the most important developments of mental health services in Finland during the 1990s, examine their influences on the organisation and provision of services, and describe shortly some national efforts to handle the new situation. The Finnish mental health service system experienced profound changes in the beginning of the 1990s. These included the integration of mental health services, being earlier under own separate administration, with other specialised health services, decentralisation of the financing of health services, and de-institutionalisation of the services. The same time Finland underwent the deepest economic recession in Western Europe, which resulted in cut-offs especially in the mental health budgets. Conducting extensive national research and development programmes in the field of mental health has been one typically Finnish way of supporting the mental health service development. The first of these national programmes was the Schizophrenia Project 1981â97, whose main aims were to decrease the incidence of new long-term patients and the prevalence of old long-stay patients by developing an integrated treatment model. The Suicide Prevention Project 1986â96 aimed at raising awareness of this special problem and decreasing by 20% the proportionally high suicide rate in Finland. The National Depression Programme 1994â98 focused at this clearly increasing public health concern by several research and development project targeted both to the general population and specifically to children, primary care and specialised services. The latest, still on-going Meaningful Life Programme 1998â2003 which main aim is, by multi-sectoral co-operation, to improve the quality of life for people suffering from or living with the threat of mental disorders. Furthermore, the government launched in 1999 a new Goal and Action Programme for Social Welfare and Health Care 2000â2003, in which mental health has been chosen as one of the eight priority areas.
Amanda Gonçalves Simões Soares
Full Text Available OBJECTIVE To examine public school teachers perceptions about general health and mental health, and the way in which they obtained this information. METHODS Qualitative research was conducted with 31 primary and secondary school teachers at a state school in the municipality of Sao Paulo, SP, Southeastern Brazil, in 2010. The teachers responded to a questionnaire containing open-ended questions about mental health and general health. The following aspects were evaluated: Teachers understanding of the terms health and mental health, the relevance of the need for information on the subject, the method preferred for obtaining information, their experience with different media regarding such matters, and perceptions about the extent to which this available information is sufficient to support their practice. The data were processed using the Qualiquantisoft software and analyzed according to the Discourse of the Collective Subject technique. RESULTS From the teachers perspective, general health is defined as the proper physiological functioning of the body and mental health is related to the balance between mind and body, as a requirement for happiness. Most of the teachers (80.6% showed great interest in acquiring knowledge about mental health and receiving educational materials on the subject. For these teachers, the lack of information creates insecurity and complicates the management of everyday situations involving mental disorders. For 61.3% of the teachers, television is the medium that provides the most information on the topic. CONCLUSIONS The data indicate that there is little information available on mental health for teachers, showing that strategies need to be developed to promote mental health in schools.
Soares, Amanda Gonçalves Simões; Estanislau, Gustavo; Brietzke, Elisa; Lefèvre, Fernando; Bressan, Rodrigo Affonseca
OBJECTIVE To examine public school teachers perceptions about general health and mental health, and the way in which they obtained this information. METHODS Qualitative research was conducted with 31 primary and secondary school teachers at a state school in the municipality of Sao Paulo, SP, Southeastern Brazil, in 2010. The teachers responded to a questionnaire containing open-ended questions about mental health and general health. The following aspects were evaluated: Teachers understanding of the terms health and mental health, the relevance of the need for information on the subject, the method preferred for obtaining information, their experience with different media regarding such matters, and perceptions about the extent to which this available information is sufficient to support their practice. The data were processed using the Qualiquantisoft software and analyzed according to the Discourse of the Collective Subject technique. RESULTS From the teachers perspective, general health is defined as the proper physiological functioning of the body and mental health is related to the balance between mind and body, as a requirement for happiness. Most of the teachers (80.6%) showed great interest in acquiring knowledge about mental health and receiving educational materials on the subject. For these teachers, the lack of information creates insecurity and complicates the management of everyday situations involving mental disorders. For 61.3% of the teachers, television is the medium that provides the most information on the topic. CONCLUSIONS The data indicate that there is little information available on mental health for teachers, showing that strategies need to be developed to promote mental health in schools. PMID:26039397
With approximately 1 in 6 adults likely to experience a significant mental health problem at any one time (Office for National Statistics), research into effective interventions has never been more important. During the past decade there has been an increasing interest in the role that sport and physical activity can play in the treatment of mental health problems, and in mental health promotion. The benefits resulting from physiological changes during exercise are well documented, including improvement in mood and control of anxiety and depression. Research also suggests that socio-cultural a
Berring, Lene L; Pedersen, Liselotte; Buus, Niels
aggression is communicated in forensic mental health nursing records. The aim of the study was to gain insight into the discursive practices used by forensic mental health nursing staff when they record observed aggressive incidents. Textual accounts were extracted from the Staff Observation Aggression Scale......Managing aggression in mental health hospitals is an important and challenging task for clinical nursing staff. A majority of studies focus on the perspective of clinicians, and research mainly depicts aggression by referring to patient-related factors. This qualitative study investigates how...
Full Text Available Abstract Background People who suffer from mental illness, the professionals who treat them, and indeed the actual concept of mental illness are all stigmatised in public perception and often receive very negative publicity. This paper looks at Iraq, which has a population of 30 million who are mainly Moslem. Mental health services and professionals have historically been sparse in Iraq with 1 psychiatrist per 300,000 before 2003 falling to 1 per million until recently and 1 primary care centre (40 Healthcare Workers including 4 General Practitioners to 35,000 population, compared with 1 GP per 1700 population in the UK. Methods We aimed to assess public attitudes and perceptions to mental illness. Participants were asked to complete a questionnaire (additional file 1, which was designed specifically for Iraqi contexts and was made available in 2 languages. The survey was carried out in 500 participants' homes across 2 districts of Baghdad. Additional file 1 Public Perception of Mental Illness Questionnaire. Click here for file Results The response rate of the survey was 86.4%. The paper shows respondents views on the aetiology of mental illness, perceptions of people with mental illness and attitudes towards care and treatment of people with mental illness. Conclusions This survey of public attitudes towards mental illness in Iraq has shown that community opinion about the aetiology of mental illness is broadly compatible with scientific evidence, but understanding of the nature of mental illness, its implications for social participation and management remains negative in general.
Abstract Introduction Sustained cooperative action is required to improve the mental health of populations, particularly in low and middle-income countries where meagre mental health investment and insufficient human and other resources result in poorly performing mental health systems. The Observatory The International Observatory on Mental Health Systems is a mental health systems research, education and development network that will contribute to the development of high quality mental heal...
Childhood mental disorders affect between 13%-20% of children in the United States (US) annually and impact the child, family, and community. Literature suggests associations exist between environmental and childrens mental health such as air pollution with autism and ADHD...
Hatice Yildirim Sari
Full Text Available Mentally disabled individuals are at risk of health problems. In fact, health problems are more frequent in mentally disabled individuals than in the general population and mentally disabled individuals less frequently use health care facilities. It has been shown that mentally disabled individuals frequently have nutritional problems. They may suffer from low weight, malnutrition, high weight, pica, iron and zinc deficiencies and absorption and eating disorders. Activities can be limited due to motor disability and restricted movements. Depending on insufficient liquid intake and dietary fiber, constipation can be frequent. Another problem is sleep disorders such as irregular sleep hours, short sleep, waking up at night and daytime sleepiness. Visual-hearing losses, epilepsy, motor disability, hepatitis A infection and poor oral hygiene are more frequent in mentally disabled children than in the general population. The mentally disabled have limited health care facilities, poorer health status than the general population and difficulties in demanding for health care and expressing health problems. Therefore, they should be provided with more health promotion services. [TAF Prev Med Bull 2010; 9(2.000: 145-150
Bjerregaard, Peter; Curtis, Tine; Greenland, Population Study
In Greenland, the rapid sociocultural change of the last 50 years has been paralleled by an epidemiological transition characterized by a reduction in infectious diseases, an increase in cancer and cardiovascular diseases, and an increased prevalence of mental health problems. During 1993-94 and ...... is in itself a cause of poor mental health: as a result of successful integration into the modern Greenlandic society, some population groups have better mental health compared to other groups.......In Greenland, the rapid sociocultural change of the last 50 years has been paralleled by an epidemiological transition characterized by a reduction in infectious diseases, an increase in cancer and cardiovascular diseases, and an increased prevalence of mental health problems. During 1993-94 and...... 1997-98, two health interview surveys were conducted among Inuit in Greenland and Inuit migrants in Denmark. The response rates were 71 and 55%. Information on mental health was obtained from 1388 and 1769 adults. As indicators of mental health, the prevalence of potential psychiatric cases according...
... Other Resources Funding Opportunities Letters Regulations and Guidance Stakeholder Engagement Training Resources The Mental Health Parity and ... plan is one that has 100 or fewer employees. However, until 2016, States may elect to retain ...
Full Text Available Many LGBT forced migrants have significant and sometimesincapacitating psychological scars. Mental health providers can assistin documenting the psychological impact of anti-LGBT persecutionand its impact on the ability to secure refugee status.
Globalisation is resulting in inappropriate domination of the Western view of mental health as well as of economic approaches. Western child psychiatrists have much to learn from child rearing practices in other countries
Fuller Jeffrey D
Full Text Available Abstract Background Farmers represent a subgroup of rural and remote communities at higher risk of suicide attributed to insecure economic futures, self-reliant cultures and poor access to health services. Early intervention models are required that tap into existing farming networks. This study describes service networks in rural shires that relate to the mental health needs of farming families. This serves as a baseline to inform service network improvements. Methods A network survey of mental health related links between agricultural support, health and other human services in four drought declared shires in comparable districts in rural New South Wales, Australia. Mental health links covered information exchange, referral recommendations and program development. Results 87 agencies from 111 (78% completed a survey. 79% indicated that two thirds of their clients needed assistance for mental health related problems. The highest mean number of interagency links concerned information exchange and the frequency of these links between sectors was monthly to three monthly. The effectiveness of agricultural support and health sector links were rated as less effective by the agricultural support sector than by the health sector (p Conclusion Aligning with agricultural agencies is important to build effective mental health service pathways to address the needs of farming populations. Work is required to ensure that these agricultural support agencies have operational and effective links to primary mental health care services. Network analysis provides a baseline to inform this work. With interventions such as local mental health training and joint service planning to promote network development we would expect to see over time an increase in the mean number of links, the frequency in which these links are used and the rated effectiveness of these links.
Mitchell, Martin D.
The understanding of maps drawn or significantly influenced by American Indians fosters critical thinking, cultural diversity, and awareness of a much-neglected topic in cartography. Line styles, scale depiction, and the sizing of individual entities are discussed in the context of applying principles from mental maps to American Indian maps and
Royal College of Psychiatrists
About this leaflet This is one in a series of leaflets for parents, teachers and young people entitled Mental Health and Growing Up. These leaflets aim to provide practical, up-to-date information about mental health problems (emotional, behavioural and psychiatric disorders) that can affect children and young people. This leaflet gives you some basic facts about cannabis and also how it might affect your mental health. Introduction Lots of young people want to know about drugs. Often, people...
Bohnenkamp, Jill H.; Stephan, Sharon H.; Bobo, Nichole
School nurses play a critical role in the provision of mental health services in the school environment and are valuable members of the coordinated student mental health team. They possess expertise to navigate in today's complicated educational and health care systems, and it is estimated that school nurses spend 33% of their time addressing
Evans, Gary W.
The built environment has direct and indirect effects on mental health. Highrise housing is inimical to the psychological well-being of women with young children. Poor-quality housing appears to increase psychological distress, but methodological issues make it difficult, to draw clear conclusions. Mental health of psychiatric patients has been linked to design elements that affect their ability to regulate social interaction (e.g., furniture configuration, privacy). Alzheimers patients adju...
GAIKWAD SANTOSH BHIKAJI
The objective of present research was to study the various aspects of mental health and personality of widows [women]. Sample consists of 100 widows in rural areas at Satara district of Maharashtra state. The duration of widowhood was above 1 month. Thesample selection methodwas used as purposive sampling technique. Result shows that duration of widowhood of widows' had significant effect on mental health and personality.The duration of 1 to 12 months of widowhood women was more alienation, e...
Carlson, Daniel; Williams, Kristi
Although past research indicates that early and premarital childbearing negatively affect mental health, little is known about the role of individual expectations in shaping these associations. Using data from the National Longitudinal Survey of Youth 1979, we consider how individual expectations, measured prior to the entry into parenthood, shape mental health outcomes associated with premarital childbearing and birth timing, and consider gender and race/ethnic variations. Results indicate t...
Carmen Bravo de Rueda Ortega
Full Text Available Este artículo enfoca el desarrollo de tres importantes conceptos, propios de nuestra era, cuya definición y alcance inicial han cambiado en los últimos años: bioética, salud mental y género. Analiza su interrelación, utilizando datos del estudio epidemiológico hecho en Lima, Perú, por el Instituto Nacional de Salud Mental en "mujeres unidas"Este artigo enfoca o desenvolvimento de três importantes conceitos, próprios de nosso tempo, cuja definição e alcance inicial mudaram nos últimos anos: bioética, saúde mental e gênero. Analisa sua inter-relação, utilizando dados do estudo epidemiológico feito em Lima, Perú, pelo Instituto Ncional de Saúde MentalThis paper focuses on the development of three main concepts, representing our time, whose definition and initial impact has changed in the last years: bioethics, mental health care and gender. It analyzes their interrelationship using data from the epidemiological research carried out in Lima, Peru, by the National Institute of Mental Health Care of Woman in "united women"
Full Text Available OBJECTIVE: The relationship between religiosity and mental health has been a perennial source of controversy. This paper reviews the scientific evidence available for the relationship between religion and mental health. METHOD: The authors present the main studies and conclusions of a larger systematic review of 850 studies on the religion-mental health relationship published during the 20th Century identified through several databases. The present paper also includes an update on the papers published since 2000, including researches performed in Brazil and a brief historical and methodological background. DISCUSSION: The majority of well-conducted studies found that higher levels of religious involvement are positively associated with indicators of psychological well-being (life satisfaction, happiness, positive affect, and higher morale and with less depression, suicidal thoughts and behavior, drug/alcohol use/abuse. Usually the positive impact of religious involvement on mental health is more robust among people under stressful circumstances (the elderly, and those with disability and medical illness. Theoretical pathways of the religiousness-mental health connection and clinical implications of these findings are also discussed. CONCLUSIONS: There is evidence that religious involvement is usually associated with better mental health. We need to improve our understanding of the mediating factors of this association and its use in clinical practice.
Full Text Available Stress and mental health at the place of work have received great attention by researchers. In spite of technology improvement in high-tech systems, the operators face new problems, which can affect mental health. There is hardly any published research about stress or mental health in such workplaces in developing countries. This paper presents the application of the self-rating scale General Health Questionnaire (GHQ-28 to study mental health of 160 controllers working in a part of Air Traffic Control (ATC as a high-tech system in Iran. Logistic regression analysis showed that demographic variables did not exhibit a statistically significant effect on scores of the test. In order to compare mental health of these operators with general population, an exposure / non-exposure study was designed. Three age groups (less than 29 years, 30 through 39 y, and more than 40 y were compared in exposed and non-exposed groups. The results of Fishers exact test showed that mental distress symptoms were significantly higher in the exposed group. There were significant job effects on somatization, anxiety and depression as well as on the total score of GHQ-28 for the two first age groups (P<.05. No significant effects of the job were found on social dysfunction symptoms in any age groups. The risk ratio of expressing depression and anxiety symptoms were more than three times greater in these operators than general population.
Tampubolon, Gindo; Hanandita, Wulung
Community and facility studies in developing countries have generally demonstrated an inverse relationship between poverty and mental health. However, recent population-based studies contradict this. In India and Indonesia the poor and non-poor show no difference in mental health. We revisit the relationship between poverty and mental health using a validated measure of depressive symptoms (CES-D) and a new national sample from Indonesia - a country where widespread poverty and deep inequality meet with a neglected mental health service sector. Results from three-level overdispersed Poisson models show that a 1% decrease in per capita household expenditure was associated with a 0.05% increase in CES-D score (depressive symptoms), while using a different indicator (living on less than $2 a day) it was estimated that the poor had a 5% higher CES-D score than the better off. Individual social capital and religiosity were found to be positively associated with mental health while adverse events were negatively associated. These findings provide support for the established view regarding the deleterious association between poverty and mental health in developed and developing countries. PMID:24524962
Min, Jung-Ah; Lee, Chang-Uk; Lee, Chul
Mental health is essential for individual and public health. To improve mental health, promotion, prevention, and the treatment of disease are required. These three kinds of interventions are interrelated but independent from one another. Although separate efforts for mental health promotion and prevention are needed as well as the public need of mental health promotion and well-being, psychiatrists usually are not accustomed to mental health promotion and prevention. This review introduces a...
Fernanda Barreto Mielke
Full Text Available
The changes current from the process of Psychiatric Reform value the territorial attention. Thus the basic care, from the Health Family Strategy, becomes a privileged space in mental health attention. In this study, we have an objective to evaluate the actions of mental health in the Health Family Strategy, from of the professionals in the evaluate process. We want to strengthen the relationship between mental health and basic care, considering the positive experiences in that direction.
Jepson, Lisa; Juszczak, Linda; Fisher, Martin
Describes the mental-health and medical services provided at a high-school-based service center. Five years after the center's inception mental health visits had quadrupled. One third of students utilizing the center reported substance abuse within their family. Other reasons for center use included pregnancy, suicidal ideation, obesity,
Chun, Thomas H.; Katz, Emily R.; Duffy, Susan J.
Children with mental health problems are increasingly being evaluated and treated by both pediatric primary care and pediatric emergency physicians. This article focuses on the epidemiology, evaluation, and management of the two most common pediatric mental health emergencies, suicidal and homicidal/aggressive patients, as well as the equally challenging population of children with autism or other developmental disabilities.
Aoun, Samar; Johnson, Lyn
A distance education program in mental health was delivered to 31 rural health professionals in Western Australia who dealt with mentally ill patients at the primary level. Evaluation on completion and 4 months postprogram indicated that participants learned mental health management regimes, developed mental health assessment skills, improved
Full Text Available This longitudinal case series study explores how studentsâ conceptions of âmental health nursingâ changed whilst on a three-year pre-registration Mental Health Nursing programme. The study was carried out in two university nursing schools in the South East of England and this paper reports a detailed analysis of 6 individual case studies. The researchers utilised Novakâs approach to concept mapping to elicit studentsâ personal knowledge structures, which were explored further using semi-structured individual qualitative interviews. The maps were analysed by looking at their gross morphology to interpret changes over time into types of learning achieved and the associated interview data were analysed using thematic content analysis. Results from analysis of the map structures suggest that whilst four of the selected students learned deeply, one participant learned superficially and one appeared not to learn at all. The associated interview data provides an interesting insight into the studentsâ reflective narratives on the process of learning. The findings also demonstrate further evidence of the practicability of using Novakian concept maps to self-prompt qualitative research interviews. Implications for the professional education of Mental Health Nurses are discussed.
This paper presents some aspects of the ongoing project about the persons in cross border intimate partnerships and their children. Researchers, health-care professionals and policy-makers are increasingly recognising the challenge presented by the increasing ethnic diversity in the Nordic countries, among others the increased challenges and risks involved in the increasing partnerships formation across the ethnic borders to health systems. To help meet this challenge, this project has two objectives. The objective in the first is to gain insights about the dynamics of intermarriage in relation to mental health of the couples in the Denmark and Norway. Mental health is conceptualised as the self understandings as well as the salient relationships at various levels. The second objective is to improve the accessibility of and further develop psychosocial services available for intermarried couples experiencing mental health problems. The theoretical framework of the project is interdisciplinary, combining transnationalism, narrative approach and life-course perspectives. Some statistical data pertaining to phenomenon of intermarriage in Denmark will also be presented. The investigation through qualitative research interviews will involve a number of couples, primarily Asians including those from the South Asian diaspora, currently / earlier married to native Danes. The focus is on their experiences and concerns related to mental health, in which their children will have a central place. To the extent feasible, for intermarried couples with mental health problems, the experiences and suggestions regarding psychosocial services for professional intervention will also be delineated.
Abdallah S. Daar
Full Text Available Urgent action is needed to address mental health issues globally. In Africa, where mental health disorders account for a huge burden of disease and disability, and where in general less than 1% of the already small health budgets are spent on these disorders, the need for action is acute and urgent. Members of the World Health Organization, including African countries, have adopted a Comprehensive Mental Health Action Plan. Africa now has an historic opportunity to improve the mental health and wellbeing of its citizens, beginning with provision of basic mental health services and development of national mental health strategic plans (roadmaps. There is need to integrate mental health into primary health care and address stigma and violations of human rights. We advocate for inclusion of mental health into the post-2015 Sustainable Development Goals, and for the convening of a special UN General Assembly High Level Meeting on Mental Health within three years.
Dorn, Tobie A.; Prout, H. Thompson
Results of a national survey on mental health services for adults with mild mental retardation, completed by 156 directors of psychological services at community health centers, indicated that adults with mild mental retardation were not frequent consumers of community mental health services and received differential treatment when provided with
Srinivasa SRR Yerramilli; Rajshekhar Bipeta
Background: Mental health is not a priority area for policy makers even today.Objective: The objective of the present review is to sensitize policy makers regarding the importance of investing in mental health. Appraising the policy makers about the costs of mental illness and the negative economic consequences of poor investment in mental health on the society are the aims.Methodology: A review of various studies on the above subject was done using Google Scholar and PubMed.Results: Most of ...
This paper introduces, describes and analyses the emerging concept of Global Mental Health (GMH). The birth of GMH can be traced to London, 2007, with the publication of a series of high-profile papers in The Lancet. Since then, GMH has developed into a movement with proponents, adherents, opponents, an ideology and core activities. The stated aims of the Movement for GMH are 'to improve services for people living with mental health problems and psychosocial disabilities worldwide, especially in low- and middle-income countries where effective services are often scarce'. GMH could be considered an attempt to right a historic wrong. During the colonial and post-colonial eras, the mental health of subject populations was accorded a very low priority. This was fuelled by scientific racism, which alleged that mental illness was uncommon in places such as Africa. As developing nations have made the epidemiological transition, the burden of mental illness has proportionately increased, with research suggesting a massive 'treatment gap' between those in need and those actually receiving formal mental health care. As such, much GMH research and action has been devoted to: (i) the identification and scale-up of cost-effective evidence-supported interventions that could be made more widely available; (ii) task-shifting of such intervention delivery to mental-health trained non-specialist Lay Health Workers. GMH has come under sustained critique. Critics suggest that GMH is colonial medicine come full circle, involving the top-down imposition of Western psychiatric models and solutions by Western-educated elites. These critiques suggest that GMH ignores the various indigenous modalities of healing present in non-Western cultures, which may be psychologically adaptive and curative. Relatedly, critics argue that GMH could be an unwitting Trojan horse for the mass medicalisation of people in developing countries, paving the way for exploitation by Big Pharma, while ignoring social determinants of health. PMID:26027857
Full Text Available OBJECTIVE: To set investment priorities in global mental health research and to propose a more rational use of funds in this under-resourced and under-investigated area. METHODS: Members of the Lancet Mental Health Group systematically listed and scored research investment options on four broad classes of disorders: schizophrenia and other major psychotic disorders, major depressive disorder and other common mental disorders, alcohol abuse and other substance abuse disorders, and the broad class of child and adolescent mental disorders. Using the priority-setting approach of the Child Health and Nutrition Research Initiative, the group listed various research questions and evaluated them using the criteria of answerability, effectiveness, deliverability, equity and potential impact on persisting burden of mental health disorders. Scores were then weighted according to the system of values expressed by a larger group of stakeholders. FINDINGS: The research questions that scored highest were related to health policy and systems research, where and how to deliver existing cost-effective interventions in a low-resource context, and epidemiological research on the broad categories of child and adolescent mental disorders or those pertaining to alcohol and drug abuse questions. The questions that scored lowest related to the development of new interventions and new drugs or pharmacological agents, vaccines or other technologies. CONCLUSION: In the context of global mental health and with a time frame of the next 10 years, it would be best to fill critical knowledge gaps by investing in research into health policy and systems, epidemiology and improved delivery of cost-effective interventions.
The field of mobile health (m-Health) is evolving rapidly and there is an explosive growth of psychological tools on the market. Exciting high-tech developments may identify symptoms, help individuals manage their own mental health, encourage help seeking, and provide both preventive and therapeutic interventions. This development has the potential to be an efficient cost-effective approach reducing waiting lists and serving a considerable portion of people globally (g-Health). However, f...
Jaruseviciene, L.; Valius, L.; Lazarus, J.V.; Zemaitiene, N.; Jarusevicius, G.
Background. General practitioners (GPs) often become the first point of care for mental health issues. Improved collaboration between GPs and mental health teams can make a GP's mental health services more efficient. Objective. The aim of this study was to assess the collaboration between GPs and...... mental health care for patients as well as GPs' collaboration with metal health teams. Results. The response rate was 52.2%. GPs collaborated closest with psychiatrists: 30.7% of them reported that they discuss the mental health care of their patients with psychiatrists. Predictors of greater...... collaboration with mental health teams were a lack of GPs'confidence in their communication skills and ability to diagnose the most frequent mental disorders, prompt referral to mental health team specialists, low estimation of the prevalence of non-managed mental disorders, and location of mental health team...
Gould, Sara R.; Roberts, Michael C.; Beals, Sarah E.
The latest initiative to address mental health needs of the nation, including those of children and youth, is the President's New Freedom Commission on Mental Health (NFC). The NFC formulated a benchmark of six goals and related recommendations toward which the U.S. should strive, including the recommendation that each state develop a
Wechsler, Nick D.; Woodlock, Kelly K.
Many professionals who work with very young children and their families have not received training in infant mental health (IMH). The Ounce of Prevention Fund recognized this unmet need and formed a multidisciplinary support network for teams of home visitors, parent group facilitators, community program supervisors, and mental health clinicians.
Uecker, Jeremy E.
Marriage is widely thought to confer mental health benefits, but little is known about how this relationship may vary across the life course. Early marriagewhich is non-normativecould have no, or even negative, mental health consequences for young adults. Using survey data from Waves 1 and 3 of the National Longitudinal Study of Adolescent Health (N = 11,743), I find that married young adults exhibit similar levels of psychological distress as young adults who are in any kind of romantic re...
Siekkonen Inkeri; Loza Nasser; Heshmat Ahmed; Jenkins Rachel; Sorour Eman
Abstract Background Following a situation appraisal in 2001, a six year mental health reform programme (Egymen) 2002-7 was initiated by an Egyptian-Finnish bilateral aid project at the request of a former Egyptian minister of health, and the work was incorporated directly into the Ministry of Health and Population from 2007 onwards. This paper describes the aims, methodology and implementation of the mental health reforms and mental health policy in Egypt 2002-2009. Methods A multi-faceted an...
Kraft, David P.
Although the first student health service is credited to Amherst College in 1861, almost 50 years passed before Princeton University established the first mental health service in 1910. At that time, a psychiatrist was hired to help with student personality development. Although other schools subsequently established such services, the first 50
Full Text Available Health agencies in refugee camps face the dual challenge of, firstly,convincing both camp populations and the international communitythat mental health disorders deserve treatment as much as any otherillness and, secondly, building enough trust to encourage people toseek that treatment.
Kutcher, Stan; Bagnell, Alexa; Wei, Yifeng
"Mental health literacy is an integral component of health literacy and has been gaining increasing attention as an important focus globally for mental health interventions. In Canada, youth mental health is increasingly recognized as a key national health concern and has received more focused attention than ever before within our health system. This article outlines 2 unique homegrown initiatives to address youth mental health literacy within Canadian secondary schools." PMID:25773321
Fiona Carver; Fiona Jones
Common mental health problems particularly depression and anxiety are frequently found in primary care settings. Depression can range from mild to severe but even in less severe cases can cause problems with normal functioning. Anxiety regularly manifests itself with depression but anxiety disorders, of which there are several, are also likely to disrupt normal life. There are several treatments for these conditions both pharmacological and psychological. Severe mental illness (SMI), generall...
Narayan, Choudhary Laxmi; Shikha, Deep
Although there was a rich tradition of legal system in Ancient India, the present judicial system of the country derives largely from the British system and is based on English Common Law, a system of law based on recorded judicial precedents. Earlier legislations in respect of mental health were primarily concerned with custodial aspects of persons with mental illness and protection of the society. Indian laws are also concerned with determination of competency, diminished responsibility and...
Full Text Available Background : "Crime" is increasing day by day in our society not only in India but also all over the world. In turn, the number of prisoners is also increasing at the same rate. They remain imprisoned for a long duration or in some cases for the whole life. Living in a prison for long time becomes difficult for all inmates. So they often face adjustment and mental health problems. Recent findings suggest that mental illness rate in prison is three times higher than in the general population. Objective: The aim of the present study was to investigate the adjustment and the mental health problem and its relation in the prisoners. Materials and Methods : In the present study, 37 male prisoners of district jail of Dhanbad District of Jharkhand were selected on purposive sampling basis. Each prisoner was given specially designed Performa - Personal Data Sheet, General Health Questionnaire-12 and Bell Adjustment Inventory. Appropriate statistical tools were used to analyze the data. Results: The results obtained showed poor adjustment in social and emotional areas on the adjustment scale. The study also revealed a significant association between adjustment and mental health problem in the prisoners. Conclusion: The prisoners were found to have poor social and emotional adjustment which has strong association with their mental health.
Houle, Jason N
Current evidence suggests that the rise in home foreclosures that began in 2007 created feelings of stress, vulnerability, and sapped communities of social and economic resources. Minority and low SES communities were more likely to be exposed to predatory lending and hold subprime mortgages, and were the hardest hit by the foreclosure crisis. Little research has examined whether and how the foreclosure crisis has undermined population mental health. I use data from 2245 counties in 50 U.S. states to examine whether living in high foreclosure areas is associated with residents' mental health and whether the foreclosure crisis has the potential to exacerbate existing disparities in mental health during the recessionary period. I use county-level data from RealtyTrac and other data sources, and individual-level data from the Behavioral Risk Factor Surveillance Survey from 2006 to 2011. I find that - net of time invariant unobserved between-county differences, national time trends, and observed confounders - a rise in a county's foreclosure rate is associated with a decline in residents' mental health. This association is especially pronounced in counties with a high concentration of low SES and minority residents, which supports the perspective that the foreclosure crisis has the potential to exacerbate existing social disparities in mental health. PMID:25084488
Sladen-Dew, N; Bigelow, D A; Buckley, R; Bornemann, S
Caring for people in the community with persistent and disabling mental illnesses presents a major challenge to government, planners and mental health professionals. The success with which mentally disabled people are integrated into community life says much about the society in which we live. This article describes the experience of the Greater Vancouver Mental Health Service Society in offering community-based mental health services to persons with schizophrenia and other major mental disorders over the past 20 years. The key to its success lies in a decentralized, relatively non hierarchical organizational structure which allows committed and skilled multidisciplinary teams to work with patients and their families in their community. The resulting services are fully integrated within the fabric of the community and are responsive to local needs. Partnerships among professionals, patients, families and community agencies result in work that is creative, productive and effective. PMID:8348468
Shobe, Hunter; Banis, David
Music informs understandings of place and is an excellent vehicle for teaching cultural geography. A study was developed of geography students' perception of where music genres predominate in the United States. Its approach, involving mental map exercises, reveals the usefulness and importance of maps as an iterative process in teaching cultural
L.P. Mkize; Uys, L R
The understanding of popular beliefs about mental health care and the pathways clients take prior to admission to a mental health institution is vital in planning to reduce delays in seeking treatment. The objectives of this exploratory survey were to determine pathways of care the clients with mental illness take, which ultimately lead to the mental health institution, the effects of socio-cultural and economic factor on the pathways to mental health care and the satisfaction with different ...
India, with a population of a billion, has very limited numbers of mental health facilities and professionals in providing mental health care to all the people. The disability associated with mental or brain disorders stops people from working and engaging in other creative activities. Gradual implementation of district mental health programme in a phased manner with support of adequate managerial and financial inputs is the need of the day. Trained mental health care personnel, treatment, ca...
... nlm.nih.gov/medlineplus/news/fullstory_156653.html Obesity Surgery Patients May Often Have Mental Health Disorders ... HealthDay News) -- Many people having surgery for severe obesity also have mental health conditions, particularly depression and ...
U.S. Department of Health & Human Services â The National Mental Health Services Survey (N-MHSS) is designed to collect information from all specialty mental health facilities in the United States, both public...
Bromet, Evelyn J
The psychosocial consequences of disasters have been studied for more than 100 years. The most common mental health consequences are depression, anxiety, post-traumatic stress disorder, medically unexplained somatic symptoms, and stigma. The excess morbidity rate of psychiatric disorders in the first year after a disaster is in the order of 20%. Disasters involving radiation are particularly pernicious because the exposure is invisible and universally dreaded, and can pose a long-term threat to health. After the Chernobyl disaster, studies of clean-up workers (liquidators) and adults from contaminated areas found a two-fold increase in post-traumatic stress and other mood and anxiety disorders and significantly poorer subjective ratings of health. Among liquidators, the most important risk factor was severity of exposure. In general population samples, the major risk factor was perceived exposure to harmful levels of radiation. These findings are consistent with results from A-bomb survivors and populations studied after the Three Mile Island nuclear power plant accident. With regard to children, apart from findings from ecological studies that lack direct data on radiation or other teratologic exposures and local studies in Kiev, the epidemiologic evidence suggests that neither radiation exposure nor the stress of growing up in the shadow of the accident was associated with emotional disorders, cognitive dysfunction, or impaired academic performance. Thus, based on the studies of adults, the Chernobyl Forum concluded that mental health was the largest public health problem unleashed by the accident. Since mental health is a leading cause of disability, physical morbidity, and mortality, health monitoring after radiation accidents like Fukushima should include standard measures of well-being. Moreover, given the comorbidity of mental and physical health, the findings support the value of training non-psychiatrist physicians in recognizing and treating common mental health problems like depression in Fukushima patients. PMID:22394694
The psychosocial consequences of disasters have been studied for more than 100 years. The most common mental health consequences are depression, anxiety, post-traumatic stress disorder, medically unexplained somatic symptoms, and stigma. The excess morbidity rate of psychiatric disorders in the first year after a disaster is in the order of 20%. Disasters involving radiation are particularly pernicious because the exposure is invisible and universally dreaded, and can pose a long-term threat to health. After the Chernobyl disaster, studies of clean-up workers (liquidators) and adults from contaminated areas found a two-fold increase in post-traumatic stress and other mood and anxiety disorders and significantly poorer subjective ratings of health. Among liquidators, the most important risk factor was severity of exposure. In general population samples, the major risk factor was perceived exposure to harmful levels of radiation. These findings are consistent with results from A-bomb survivors and populations studied after the Three Mile Island nuclear power plant accident. With regard to children, apart from findings from ecological studies that lack direct data on radiation or other teratologic exposures and local studies in Kiev, the epidemiologic evidence suggests that neither radiation exposure nor the stress of growing up in the shadow of the accident was associated with emotional disorders, cognitive dysfunction, or impaired academic performance. Thus, based on the studies of adults, the Chernobyl Forum concluded that mental health was the largest public health problem unleashed by the accident. Since mental health is a leading cause of disability, physical morbidity, and mortality, health monitoring after radiation accidents like Fukushima should include standard measures of well-being. Moreover, given the comorbidity of mental and physical health, the findings support the value of training non-psychiatrist physicians in recognizing and treating common mental health problems like depression in Fukushima patients. (note)
Berring, Lene L; Pedersen, Liselotte; Buus, Niels
Managing aggression in mental health hospitals is an important and challenging task for clinical nursing staff. A majority of studies focus on the perspective of clinicians, and research mainly depicts aggression by referring to patient-related factors. This qualitative study investigates how...... aggression is communicated in forensic mental health nursing records. The aim of the study was to gain insight into the discursive practices used by forensic mental health nursing staff when they record observed aggressive incidents. Textual accounts were extracted from the Staff Observation Aggression Scale....... These antecedents, combined with the aggression incident itself, created stereotyping representations of forensic psychiatric patients as deviant, unpredictable and dangerous. Patient and staff identities were continually (re)produced by an automatic response from the staff that was solely focused on...
Full Text Available Abstract Background The community's knowledge and beliefs about mental health problems, their risk factors, treatments and sources of help may vary as a function of age. Methods Data were taken from an epidemiological survey conducted during 2003â2004 with a national clustered sample of Australian adults aged 18 years and over. Following the presentation of a vignette describing depression (n = 1001 or schizophrenia (n = 997, respondents were asked a series of questions relating to their knowledge and recognition of the disorder, beliefs about the helpfulness of treating professionals and medical, psychological and lifestyle treatments, and likely causes. Results Participant age was coded into five categories and cross-tabulated with mental health literacy variables. Comparisons between age groups revealed that although older adults (70+ years were poorer than younger age groups at correctly recognising depression and schizophrenia, young adults (18â24 years were more likely to misidentify schizophrenia as depression. Differences were also observed between younger and older age groups in terms of beliefs about the helpfulness of certain treating professionals and medical and lifestyle treatments for depression and schizophrenia, and older respondents were more likely to believe that schizophrenia could be caused by character weakness. Conclusion Differences in mental health literacy across the adult lifespan suggest that more specific, age appropriate messages about mental health are required for younger and older age groups. The tendency for young adults to 'over-identify' depression signals the need for awareness campaigns to focus on differentiation between mental disorders.
Murphey, David; Barry, Megan; Vaughn, Brigitte
Mental disorders are diagnosable conditions characterized by changes in thinking, mood, or behavior (or some combination of these) that can cause a person to feel stressed out and impair his or her ability to function. These disorders are common in adolescence. This "Adolescent Health Highlight" presents the warning signs of mental disorders;
Kutcher, S.; Wei, Y.; McLuckie, A.; Bullock, L.
Mental disorders make up close to one-third of the global burden of disease experienced during adolescence. Schools can play an important role in the promotion of positive mental health as well as an integral role in the pathways into mental health care for adolescents. In order for schools to effectively address the mental health problems ofâ¦
... Cough or Pertussis Family Life Adoption Marriage and Divorce Health Care and Insurance Access to Health Care ... Treatments Racial and Gender Disparities in Suicide Among Young Adults Aged 18â24: United States, 2009â2013 ...
Hsiao, Chiu-Yueh; Lu, Huei-Lan; Tsai, Yun-Fang
This study aimed to investigate the factors influencing mental health nurses' attitudes towards people with mental illness. A descriptive correlation design was used. A sample of 180 Taiwanese mental health nurses was recruited from mental health-care settings. Data were analyzed with descriptive statistics, Pearson's product-moment correlation, Student's t-test, one-way anova, and a hierarchical multiple regression analysis. Negative attitudes were found among mental health nurses, especially with respect to individuals with substance abuse compared with those with schizophrenia and major depression. Mental health nurses who were older, had more clinical experiences in mental health care, and demonstrated greater empathy expressed more positive attitudes towards people with mental illness. Mental health nurses working at acute psychiatric units demonstrated more negative attitudes towards mental illness compared with those working in psychiatric rehabilitation units and outpatient clinics or community psychiatric rehabilitation centres. Particularly, length of mental health nursing practice and empathy significantly accounted for mental health nurses' attitudes towards mental illness. Understanding nurses' attitudes and their correlates towards people with mental illness is critical to deliver effective mental health nursing care. PMID:25963120
Backovi? Duan V.
Full Text Available Introduction. Medical studies bring many stressful activities to students. Prolonged stress can make adverse effects to mental health and lead to further professional burnout. Objective. The aim of this study was to assess the association of stress impact and adverse effects of medical studies with psychological distress among medical students. Methods. The cross sectional study was conducted on 367 fourthyear medical students of the Faculty of Medicine in Belgrade, by means of the anonymous questionnaire, containing: sociodemographic data, selfreported health status and stressful influences of studying activities. Mental health status was estimated by General Health Questionnaire (GHQ12. Results. More than 50% of students perceive frequent feeling of psychic tension, and one third has problems with insomnia. Nearly onehalf of students assessed their general stress level as moderate or high. Exams were estimated as high stressor in 63.1% of all students. Stressful effects of communication with teaching staff were reported by one quarter of the examinees. The scores of GHQ12 were above the threshold in 55.6 % of all students. Mental health problems among students were most significantly associated with stressful experience during exams and contacts with teaching staff. Conclusion. Academic stress makes great influence on mental health of medical students. Reduction of stress effects should be directed to optimization of the examination process and improvement of communication skills. [Projekat Ministarstva nauke Republike Srbije, br. OI 175078
Cooke, Cheryl L; Bowie, Bonnie H; Carrère, Sybil
Perceived discrimination has been shown to be strongly associated with mental health outcomes, such as depression, anxiety, chronic stress, post traumatic stress disorder, and low self-esteem. This study (N = 88) examined the effects of perceived discrimination and its association with child mental health symptoms. African American children had a significantly stronger association between social stress and a sense of exclusion/rejection than Multiracial or European American children. Nurses need to assess and counsel families of color about their experiences with perceived discriminatory acts. PMID:25365283
There is an urgent need for development of methods of assessment and management of sex offenders (rapists, child sex offenders, other sexual offenders, and murderers) to mount a society-wide battle against the scourge of sexual offences in India. This paper provides an overview of theories, models, and assessment methods of rapists. It draws upon literature from psychiatry, psychology, criminology, probation, and ethics to provide a framework for understanding reasons behind rape, how mental health issues are implicated, what mental health professionals can do to contribute to crime management, and why this is ethically right and proper. PMID:24082243
There is an urgent need for development of methods of assessment and management of sex offenders (rapists, child sex offenders, other sexual offenders, and murderers) to mount a society-wide battle against the scourge of sexual offences in India. This paper provides an overview of theories, models, and assessment methods of rapists. It draws upon literature from psychiatry, psychology, criminology, probation, and ethics to provide a framework for understanding reasons behind rape, how mental health issues are implicated, what mental health professionals can do to contribute to crime management, and why this is ethically right and proper. PMID:24082243
Full Text Available Polygamy is a form of marriage in which more than one gender involved in its institution. It's seen all around the world, being especially common in the Middle East, South Asia and Africa. Polygamy is a multidisciplinary subject with social, cultural, economic, political and religious aspects. Polygamy mainly has various effects on mental health of women and children. The objective of this article is to accomplish a review on the prevalence and causes of polygamy, studies conducted by various disciplines about the features of polygamic marriage institution and its effect on mental health. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2015; 7(2: 221-228
Elsie Freeman, MD, MPH; Letitia Presley-Cantrell, PhD, MEd; Valerie J. Edwards, PhD; Sharrice White-Cooper, MPH; Kenneth S. Thompson, MD; Stephanie Sturgis, MPH; Janet B. Croft, PhD
Integrating mental health and public health chronic disease programs requires partnerships at all government levels. Four examples illustrate this approach: 1) a federal partnership to implement mental health and mental illness modules in the Behavioral Risk Factor Surveillance System; 2) a state partnership to improve diabetes health outcomes for people with mental illness; 3) a community-level example of a partnership with local aging and disability agencies to modify a home health service ...
Full Text Available Enlightened Travelers and Their Mental MapsThe issue of mental mapping of Eastern Europe (Wolff, posed during the Enlightenment, and the similar problem of the image of the Balkans (Todorova, are both multifaceted. This paper deals with three aspects of these processes and seeks to analyse them through the prism of the Orientalism-Occidentalism opposition.The article opens with a very general description of the Oriental mental maps on the part of 19th-century Bulgarian revolutionaries and modernisers. Most characteristic in this respect are the diaries of those convicted to exile in the Diarbekir fortress. I then turn my attention to texts by influential foreigners who arrived in Bulgaria immediately after 1878, including especially the publications by the Czech historian and Slavonic scholar Constantine JireÄek and some of the reactions they provoked.The article reveals common elements in both the foreign perspective on the inhabitants of the Orient/the Balkans/Bulgaria and the Bulgarian perspective on the Occident/Western Europe. A hypothesis is proposed that what the analysed texts portray is not a general clash between traditionalism (patriarchal culture and modernity but rather a very particular conflict over which group should perform the role of the âciviliserâ of Bulgarian society. Both sides of the conflict made instrumental use of existing discourses, be it modernist or patriarchal, Orientalist or Occidentalist.OÅwieceni podrÃ³Å¼nicy i ich mapy mentalneProblem mentalnego kartografowania Europy Wschodniej (L. Wolff, jak teÅ¼ BaÅkanÃ³w (M. Todorowa, od czasÃ³w oÅwiecenia jest wieloaspektowy. ArtykuÅ charakteryzuje trzy spoÅrÃ³d tych aspektÃ³w i poszukuje zwiÄ zkÃ³w pomiÄdzy nimi, poprzez analizÄ opozycji orientalizm â okcydentalizm.Na poczÄ tku prezentujÄ najogÃ³lniej mapy mentalne buÅgarskich rewolucjonistÃ³w i przedstawicieli nowoczesnoÅci z XIX wieku na BaÅkanach (Orient. Najbardziej charakterystyczne pod tym wzglÄdem sÄ dzienniki skazaÅcÃ³w z twierdzy tureckiej w Diar-Bekir. NastÄpnie moja uwaga skupia siÄ na tekstach wpÅywowych cudzoziemcÃ³w, ktÃ³rzy znaleÅºli siÄ w BuÅgarii bezpoÅrednio po 1878 roku, a wÅrÃ³d nich w centrum mojego zainteresowania znajdujÄ siÄ niektÃ³re publikacje Czecha Konstantina IreÄka i reakcje na nie.ArtykuÅ jest prÃ³bÄ zarysu punktu widzenia cudzoziemca w stosunku do przedstawicieli Orientu /BaÅkanÃ³w/BuÅgarii i buÅgarskiego dystansu w odniesieniu do Okcydentu /Zachodu/ Europy. MateriaÅ analizowany skÅania ku hipotezie, Å¼e nie o zderzenie miÄdzy tradycjonalizmem (patriarchalnÄ kulturÄ i nowoczesnoÅciÄ idzie, ale o konkretnÄ walkÄ o odegranie roli "cywilizatora" buÅgarskiego spoÅeczeÅstwa. W tej walce oponenci wykorzystujÄ instrumentalnie dostÄpne dyskursy, modernistyczne, czy teÅ¼ patriarchalne, orientalne, czy okcydentalne.Â ÐÑÐ¾ÑÐ²ÐµÑÐµÐ½Ð¸ Ð¿ÑÑÐµÑÐµÑÑÐ²ÐµÐ½Ð¸ÑÐ¸ Ð¸ ÑÐµÑ Ð½Ð¸ÑÐµ Ð¼ÐµÐ½ÑÐ°Ð»Ð½Ð¸ ÐºÐ°ÑÑÐ¸ÐÑÐ¾Ð±Ð»ÐµÐ¼ÑÑ Ð·Ð° Ð¼ÐµÐ½ÑÐ°Ð»Ð½Ð¾ÑÐ¾ ÐºÐ°ÑÑÐ¾Ð³ÑÐ°ÑÐ¸ÑÐ°Ð½Ðµ Ð½Ð° ÐÐ·ÑÐ¾ÑÐ½Ð° ÐÐ²ÑÐ¾Ð¿Ð° (Ð. Ð£Ð»Ñ Ð¾Ñ ÐÑÐ¾ÑÐ²ÐµÑÐµÐ½Ð¸ÐµÑÐ¾, ÐºÐ°ÐºÑÐ¾ Ð¸ ÑÑÐ¾Ð´Ð½Ð¸Ñ Ð¼Ñ Ð¿ÑÐ¾Ð±Ð»ÐµÐ¼ Ð·Ð° Ð¾ÑÐ½Ð¾ÑÐµÐ½Ð¸ÐµÑÐ¾ ÐºÑÐ¼ ÐÐ°Ð»ÐºÐ°Ð½Ð¸ÑÐµ (Ð. Ð¢Ð¾Ð´Ð¾ÑÐ¾Ð²Ð° Ð¸Ð¼Ð°Ñ Ð¼Ð½Ð¾Ð³Ð¾Ð±ÑÐ¾Ð¹Ð½Ð¸ Ð°ÑÐ¿ÐµÐºÑÐ¸. Ð¡ÑÐ°ÑÐ¸ÑÑÐ° Ð¾ÑÐµÑÑÐ°Ð²Ð° ÑÑÐ¸ Ð¾Ñ ÑÑÑ Ð¸ ÑÑÑÑÐ¸ Ð²ÑÑÐ·ÐºÐ¸ÑÐµ Ð¸Ð¼, Ð²Ð¸Ð´ÐµÐ½Ð¸ Ð¿ÑÐµÐ· Ð¾Ð¿Ð¾Ð·Ð¸ÑÐ¸ÑÑÐ° Ð¾ÑÐ¸ÐµÐ½ÑÐ°Ð»Ð¸Ð·ÑÐ¼ â Ð¾ÐºÑÐ¸Ð´ÐµÐ½ÑÐ°Ð»Ð¸Ð·ÑÐ¼. Ð Ð½Ð°ÑÐ°Ð»Ð¾ÑÐ¾ ÑÐ° Ð¿ÑÐµÐ´ÑÑÐ°Ð²ÐµÐ½Ð¸ Ð½Ð°Ð¹-Ð¾Ð±ÑÐ¾ Ð¼ÐµÐ½ÑÐ°Ð»Ð½Ð¸ÑÐµ ÐºÐ°ÑÑÐ¸ Ð½Ð° Ð±ÑÐ»Ð³Ð°ÑÐ¸ÑÐµ ÑÐµÐ²Ð¾Ð»ÑÑÐ¸Ð¾Ð½ÐµÑÐ¸ Ð¸ Ð¼Ð¾Ð´ÐµÑÐ½Ð¸Ð·Ð°ÑÐ¾ÑÐ¸ Ð¾Ñ Ð¥ÐÐ¥ Ð². Ð½Ð° ÐÑÐ¸ÐµÐ½ÑÐ°. Ð¢Ðµ ÑÐ° Ð¾ÑÐ¾Ð±ÐµÐ½Ð¾ Ñ Ð°ÑÐ°ÐºÑÐµÑÐ½Ð¸ Ð·Ð° Ð¼ÐµÐ¼Ð¾Ð°ÑÐ¸ÑÐµ Ð½Ð° Ð·Ð°ÑÐ¾ÑÐµÐ½Ð¸ÑÐ¸ÑÐµ Ð² ÐÐ¸Ð°ÑÐ±ÐµÐºÐ¸Ñ. Ð¡Ð»ÐµÐ´ ÑÐ¾Ð²Ð° Ð²Ð½Ð¸Ð¼Ð°Ð½Ð¸ÐµÑÐ¾ ÑÐµ Ð½Ð°ÑÐ¾ÑÐ²Ð° ÐºÑÐ¼ ÑÐµÐºÑÑÐ¾Ð²ÐµÑÐµ Ð½Ð° Ð²Ð»Ð¸ÑÑÐµÐ»Ð½Ð¸ ÑÑÐ¶Ð´ÐµÐ½ÑÐ¸, Ð¿Ð¾Ð¿Ð°Ð´Ð½Ð°Ð»Ð¸ Ð² ÐÑÐ»Ð³Ð°ÑÐ¸Ñ Ð½ÐµÐ¿Ð¾ÑÑÐµÐ´ÑÑÐ²ÐµÐ½Ð¾ ÑÐ»ÐµÐ´ 1878 Ð³., Ð½Ð° Ð¿ÑÑÐ²Ð¾ Ð¼ÑÑÑÐ¾ Ð½ÑÐºÐ¾Ð¸ Ð¿ÑÐ±Ð»Ð¸ÐºÐ°ÑÐ¸Ð¸ Ð½Ð° ÑÐµÑ Ð° ÐÐ¾Ð½ÑÑÐ°Ð½ÑÐ¸Ð½ ÐÑÐµÑÐµÐº Ð¸ Ð½ÑÐºÐ¾Ð¸ ÑÐµÐ°ÐºÑÐ¸Ð¸ ÐºÑÐ¼ ÑÑÑ . Ð Ð°Ð·ÐºÑÐ¸ÑÐ¸ ÑÐ° Ð¾Ð±ÑÐ¸ÑÐµ ÐµÐ»ÐµÐ¼ÐµÐ½ÑÐ¸ Ð² Ð¾ÑÐ¸ÐµÐ½ÑÐ°Ð»Ð¸ÑÑÐºÐ°ÑÐ° Ð³Ð»ÐµÐ´Ð½Ð° ÑÐ¾ÑÐºÐ° Ð½Ð° ÑÑÐ¶Ð´ÐµÐ½ÐµÑÐ° Ð¸ Ð¾ÐºÑÐ¸Ð´ÐµÐ½ÑÐ°Ð»Ð¸ÑÑÐºÐ¸ÑÐµ Ð²ÑÐ·ÑÐ°Ð¶ÐµÐ½Ð¸Ñ Ð½Ð° Ð±ÑÐ»Ð³Ð°ÑÐ¸Ð½Ð°. ÐÐ·ÐºÐ°Ð·Ð²Ð° ÑÐµ Ñ Ð¸Ð¿Ð¾ÑÐµÐ·Ð°ÑÐ°, ÑÐµ Ð² ÑÐ»ÑÑÐ°Ñ Ð½Ðµ ÑÐµ Ð½Ð°Ð±Ð»ÑÐ´Ð°Ð²Ð° ÑÐ±Ð»ÑÑÑÐº Ð¼ÐµÐ¶Ð´Ñ ÑÑÐ°Ð´Ð¸ÑÐ¸Ð¾Ð½Ð½Ð¾ (Ð¿Ð°ÑÑÐ¸Ð°ÑÑ Ð°Ð»Ð½Ð¾ Ð¸ Ð¼Ð¾Ð´ÐµÑÐ½Ð¾, Ð° ÐºÐ¾Ð½ÐºÑÑÐµÐ½ÑÐ½Ð° Ð±Ð¾ÑÐ±Ð° Ð·Ð° ÑÐ¾Ð»ÑÑÐ° Ð½Ð° "ÑÐ¸Ð²Ð¸Ð»Ð¸Ð·Ð°ÑÐ¾ÑÐ°" Ð½Ð° Ð±ÑÐ»Ð³Ð°ÑÑÐºÐ¾ÑÐ¾ Ð¾Ð±ÑÐµÑÑÐ²Ð¾. Ð ÑÐ°Ð·Ð¸ Ð±Ð¾ÑÐ±Ð° Ð¾Ð¿Ð¾Ð½ÐµÐ½ÑÐ¸ÑÐµ Ð¸Ð·Ð¿Ð¾Ð»Ð·Ð²Ð°Ñ Ð¸Ð½ÑÑÑÑÐ¼ÐµÐ½ÑÐ°Ð»Ð½Ð¾ Ð½Ð°Ð»Ð¸ÑÐ½Ð¸ÑÐµ Ð´Ð¸ÑÐºÑÑÑÐ¸, Ð±Ð¸Ð»Ð¸ ÑÐµ Ð¼Ð¾Ð´ÐµÑÐ½Ð¸ÑÑÐºÐ¸ Ð¸Ð»Ð¸ Ð¿Ð°ÑÑÐ¸Ð°ÑÑ Ð°Ð»Ð½Ð¸, Ð¾ÑÐ¸ÐµÐ½ÑÐ°Ð»Ð¸ÑÑÐºÐ¸ Ð¸Ð»Ð¸ Ð¾ÐºÑÐ¸Ð´ÐµÐ½ÑÐ°Ð»Ð¸ÑÑÐºÐ¸.
Full Text Available Protecting and promoting of mental health is one of the major application areas of public health. In particular, Toxoplasma gondii, which is a protozoal zoonosis common in Turkey, it is closely related to veterinary public health. In recent years, T.gondii can induce behavioral changes, may play a role in schizophrenia as an etiologic factor. Results of the recently performed studies shows that T.gondii may be a potential factor for some neuropathological changes in brain and suicide attemption. The purpose of this review is to present the data on recent epidemiology of T.gondii, mental health effects (changes in behavior, suicide, etc., the relationship between T.gondii and schizophrenia and offer some recommendations for protecting of public health. [TAF Prev Med Bull 2013; 12(2.000: 199-208
Stewart-Brown, Sarah L
The Chief Medical Officer's report for 2013 was the first of its kind to highlight the public's mental rather than physical health and thus represents a very important landmark for public health in the UK. Written primarily from the perspective of psychiatrists, the report has created confusion in public health circles by failing to adequately address the public health perspective. David Foreman's editorial in this issue, calling as it does for more training in public health for psychiatrists, is therefore very welcome and timely. PMID:26329560
McKenna, Brian; Furness, Trentham; Oakes, Jane; Brown, Steve
Police officers as first responders to acute mental health crisis in the community, commonly transport people in mental health crisis to a hospital emergency department. However, emergency departments are not the optimal environments to provide assessment and care to those experiencing mental health crises. In 2012, the Northern Police and Clinician Emergency Response (NPACER) team combining police and mental health clinicians was created to reduce behavioural escalation and provide better outcomes for people with mental health needs through diversion to appropriate mental health and community services. The aim of this study was to describe the perceptions of major stakeholders on the ability of the team to reduce behavioural escalation and improve the service utilization of people in mental health crisis. Responses of a purposive sample of 17 people (carer or consumer advisors, mental health or emergency department staff, and police or ambulance officers) who had knowledge of, or had interfaced with, the NPACER were thematically analyzed after one-to-one semistructured interviews. Themes emerged about the challenge created by a stand-alone police response, with the collaborative strengths of the NPACER (communication, information sharing, and knowledge/skill development) seen as the solution. Themes on improvements in service utilization were revealed at the point of community contact, in police stations, transition through the emergency department, and admission to acute inpatient units. The NPACER enabled emergency department diversion, direct access to inpatient mental health services, reduced police officer 'down-time', improved interagency collaboration and knowledge transfer, and improvements in service utilization and transition. PMID:26040444
Furnham, A; Trezise, L
Because of the psychological stress associated with university life and the physical and mental stress associated with migration, researchers have become interested in psychological problems of foreign students. In this study four groups of foreign students from different parts of the world were compared with two British groups on a self-report measure of mental health. No sex differences were found yet the overseas students, as a whole, showed significantly more disturbance than either British control or first-year subjects. However, despite many differences between their countries of origin there were no significant differences between any of the overseas groups on the total scale score or any sub-scores. Further, with the exception of Malaysian students, the British subjects were significantly more satisfied with their social lives than the other groups. These findings are discussed in terms of the literature on life events and illness, culture shock and migration and mental health. PMID:6857295
Towns, Ashley M.; Schwartz, Karen
Objective: Using Canadian survey data this research provides social workers in Canada with a better understanding of their role in the Canadian mental health care system. Methods: By analyzing data from the Canadian Community Health Survey, Cycle 1.2 Mental Health and Well-being, the role of social workers in the Canadian mental health system was
This lecture argues that mental health is a major factor of production. It is the biggest single influence on life satisfaction, with mental health eight years earlier a more powerful explanatory factor than current income. Mental health also affects earnings and educational success. But, most strikingly, it affects employment and physical health. In advanced countries mental health problems are the main illness of working age - amounting to 40% of all illness under 65. They account for over ...
Ann M DiGirolamo; Ramirez-Zea, Manuel
Mental health problems in women, children, and adolescents are a significant public health issue. Given current barriers to the effective treatment of these problems, researchers are looking to the field of nutrition for potential alternatives to better understand and address mental health issues. The purpose of this article was to review current evidence on the relation between zinc and mental health disorders with a focus on 2 mental health problems that commonly affect women and children: ...
Graciela Rojas C
Full Text Available Smoking continues to be one of the most important health burdens worldwide. Aim: To describe smoking habits and associated risk factors in the population of Santiago, Chile. Material and methods: A cross sectional study of a representative sample of the population, from 16 to 64 years old, residents of Santiago, Chile (total population: 3,237,286. A structured interview that included questions about use of tobacco, the CIS-R interviews, used for common mental disorders, were applied. Results: From the sample of 4,693 households, 3,870 people were interviewed (52.2% women, 47.8% men and 10% refused. Forty percent of the population currently smoked (52.5% men, 47.8% women. «Being a current smoker» was associated with being younger than 55, male sex, and having a common mental disorder. Discussion: Smoking is highly prevalent in Chile, as compared with developed countries and with some developing countries. Gender differences in use of tobacco have decreased. A higher risk of smoking for people with mental disorders is confirmed (Rev Méd Chile 2003; 131: 873-80
Jorm, Anthony F.
For major physical diseases, it is widely accepted that members of the public will benefit by knowing what actions they can take for prevention, early intervention, and treatment. However, this type of public knowledge about mental disorders ("mental health literacy") has received much less attention. There is evidence from surveys in severalâ¦
Jorm, Anthony F.
For major physical diseases, it is widely accepted that members of the public will benefit by knowing what actions they can take for prevention, early intervention, and treatment. However, this type of public knowledge about mental disorders ("mental health literacy") has received much less attention. There is evidence from surveys in several
Williams, Carolyn L.
Refugee movements impose tremendous psychological and physical trauma on survivors, making refugees a high risk group for psychopathology and psychosocial adjustment problems. This paper explores the traditional impediments to developing prevention programs for refugees and describes public mental health strategies that could be used for different
Setiawan, G Pandu; Viora, Eka
The tsunami brought into focus many issues related to mental health and psychosocial distress. A prompt response to the disaster relies on existing disaster management plans so that appropriate interventions can be put in place in order to meet the needs of the affected populations. The response must involve both physical and psychological aspects of care. The Indonesian experience was unique in a number of ways and it allowed us to explore the lessons in order to develop strategies to maximize the resources in order to ensure that the whole affected population was cared for. Massive destruction of the physical structures and the work force made the task particularly difficult. Existing policies did not include psychosocial efforts in the plan. However, mental health and psychosocial relief efforts are now being integrated into the disaster preparedness plan of Indonesia. To further implement the plan, a strong community mental health system is being developed. This system will be able to deliver mental health and psychosocial interventions on a routine basis and could be scaled up in times of disasters. PMID:17162698
Brooks, Deems M.
The connections between human communication and mental health were first noted 50 to 60 years ago by such early psychiatrists as Alfred Adler, Harry Stack Sullivan, and Karen Horney. They were concerned with understanding those communication processes and skills that make for effective, fully functioning human beings. Adler emphasized faulty
Flach, Frederic, Ed.
A collection of 12 lessons, this volume covers a wide range of concerns in mental health counseling. The lessons, which may be applied toward continuing education credits, are: (1) "Perspectives on the Essentials of Clinical Supervision" (Stephen A. Anderson); (2) "Adlerian Group Psychotherapy: A Brief Therapy Approach" (Manford A. Sonstegard,
Purpose: The purpose of this paper is to highlight new and existing research on school characteristics that are essential elements in building the capacity of school communities to implement whole school approaches to mental health promotion. Design/methodology/approach: Through an overview of recent research and writing the need for aâ¦
Major, Brenda; Appelbaum, Mark; Beckman, Linda; Dutton, Mary Ann; Russo, Nancy Felipe; West, Carolyn
The authors evaluated empirical research addressing the relationship between induced abortion and women's mental health. Two issues were addressed: (a) the relative risks associated with abortion compared with the risks associated with its alternatives and (b) sources of variability in women's responses following abortion. This article reflects
Lambert, Martin; Härter, Martin; Arnold, Detlef; Dirmaier, Jörg; Tlach, Lisa; Liebherz, Sarah; Sänger, Sylvia; Karow, Anne; Brandes, Andreas; Sielaff, Gyöngyver; Bock, Thomas
Evidence shows that poor mental health literacy and stigmatization have negative consequences on mental health. However, studies on interventions to improve both are often heterogenic in methodology and results. The psychenet-campaign in Hamburg was developed and implemented in collaboration with patients and relatives and comprised multidimensional interventions focusing on education and contact to patients. The main goals were the improvement of mental health literacy and destigmatization and the long-term implementation within Hamburg's mental health care system. PMID:26135289
This paper presents some aspects of the ongoing project about the persons in cross border intimate partnerships and their children. Researchers, health-care professionals and policy-makers are increasingly recognising the challenge presented by the increasing ethnic diversity in the Nordic...... countries, among others the increased challenges and risks involved in the increasing partnerships formation across the ethnic borders to health systems. To help meet this challenge, this project has two objectives. The objective in the first is to gain insights about the dynamics of intermarriage in...... relation to mental health of the couples in the Denmark and Norway. Mental health is conceptualised as the self understandings as well as the salient relationships at various levels. The second objective is to improve the accessibility of and further develop psychosocial services available for intermarried...
Westphal, Richard J
Mental disorders are a significant source of medical and occupational morbidity for sailors. Stigma, fear of negative career impact, and subordinates concern about leaders' attitudes are significant barriers to the use of mental health services. Semistructured interviews and military policies were data sources used to analyze the language, knowledge, and attitudes of Navy surface fleet leaders about mental illness and mental health treatment using Foucault's concept of discourse analysis. A discourse is a system of knowledge that influences language, perceptions, values, and social practices. The results showed that leaders' concerns about sailors' mental combat readiness, not mental illness stigma, was the dominant discourse about mental illness and mental health services use. In particular, organizational differences between the surface warfare and the mental health communities may influence leaders' attitudes more than stigma. This study provides an elaborated view of mental health knowledge and power within a Navy community. PMID:18062385
The aim of the study was to present the problem area of psychological health from the point of view of the rational-emotive theory and therapy, which in our cultural context is still one of the less known and not broadly accepted theoretical and applicable cognitive-behavioral approaches to disorders of psychological health. This theory emphasizes primarily the cognitive cause of emotional problems but also the personal responsibility of an individual for maintaining health-damaging thought habits, schemas and empirically unverifiable irrational beliefs, if one is uncritically and rigidly holding on to them. Substituting them more rational personal life philosophies and attitudes, based on objective and correctly perceived reality mediates adequate, functional behaviors and leads to healthy emotional consequences. This is a reason why the basic criteria of rational thinking and behaving (discussed in the study) can be thought in terms of a support psychological health and also in terms of prevention of psychological disturbances. PMID:8925455
Fuller Jeffrey D; Kelly Brian; Law Susan; Pollard Georgia; Fragar Lyn
Abstract Background Farmers represent a subgroup of rural and remote communities at higher risk of suicide attributed to insecure economic futures, self-reliant cultures and poor access to health services. Early intervention models are required that tap into existing farming networks. This study describes service networks in rural shires that relate to the mental health needs of farming families. This serves as a baseline to inform service network improvements. Methods A network survey of men...
Fava, Giovanni A; PARK, SEUGN K.; DUBOVSKY, STEVEN
The role of psychiatrists into public mental health clinics has been hampered by a perceived restriction of the psychiatrist's role to prescribing and sign-ing forms, limiting opportunities to engage in the kind of integrated care that attracted many physicians to this specialty. We propose a revision of the current model in a direction that maximizes the expertise of this specialist as well as other clinicians in the health care team. The basic unit would consist of a psychiatrist (with adeq...
Difficulties in using basic epidemiologic survey techniques in estimating the prevalence of disease in the community have led health services researchers to develop alternative methods using routinely collected health care data. The purpose of this paper is to illustrate the application of a model that estimates the prevalence of diagnosable mental disorder in a community, including the proportion of untreated cases. A mathematical model is developed based on a well-known probability distribu...
Misund, Aud R.; Nerdrum, Per; Diseth, Trond H.
Background: The aim of the study was to explore the degree of psychological distress, anxiety, and trauma related stress reactions in mothers who experience preterm birth. Secondarily, we wanted to identify possible predictors of maternal mental health problems. Methods: Twenty-nine mothers of 35 premature children born before 33rd week of pregnancy were assessed within two weeks after given birth. The standardized psychometric methods; Impact of Event Scale (IES), General Health Questionna...
Sara Mota Borges Bottino; Bottino, Cássio M. C.; Caroline Gomez Regina; Aline Villa Lobo Correia; Wagner Silva Ribeiro
Cyberbullying is a new form of violence that is expressed through electronic media and has given rise to concern for parents, educators and researchers. In this paper, an association between cyberbullying and adolescent mental health will be assessed through a systematic review of two databases: PubMed and Virtual Health Library (BVS). The prevalence of cyberbullying ranged from 6.5% to 35.4%. Previous or current experiences of traditional bullying were associated with victims and perpetrator...
Full Text Available India, with a population of a billion, has very limited numbers of mental health facilities and professionals in providing mental health care to all the people. The disability associated with mental or brain disorders stops people from working and engaging in other creative activities. Gradual implementation of district mental health programme in a phased manner with support of adequate managerial and financial inputs is the need of the day. Trained mental health care personnel, treatment, care, and rehabilitation facilities should be made available and accessible to the masses. The voluntary organizations should be encouraged to participate in mental health care programme.
... 1902(a)(20) (B) and (C).) (b) Definition. For purposes of this section, an âinstitution for mental... 42 Public Health 4 2010-10-01 2010-10-01 false Agreement with State mental health authority or mental institutions. 431.620 Section 431.620 Public Health CENTERS FOR MEDICARE & MEDICAID...
Heslop, Karen Ruth; Wynaden, Dianne Gaye
Sustaining a fall during hospitalization reduces a patient's ability to return home following discharge. It is well accepted that factors, such as alteration in balance, functional mobility, muscle strength, and fear of falling, are all factors that impact on the quality of life of elderly people following a fall. However, the impact that falls have on mental health outcomes in older adult mental health patients remains unexplored. The present study reports Health of the Nation Outcome Scale scores for people over the age of 65 (HoNOS65+), which were examined in a cohort of 65 patients who sustained a fall and 73 non-fallers admitted to an older adult mental health service (OAMHS). Results were compared with state and national HoNOS65+ data recorded in Australian National Outcome Casemix Collection data to explore the effect that sustaining a fall while hospitalized has on mental health outcomes. Australian state and national HoNOS65+ data indicate that older adults generally experience improved HoNOS65+ scores from admission to discharge. Mental health outcomes for patients who sustained a fall while admitted to an OAMHS did not follow this trend. Sustaining a fall while admitted to an OAMHS negatively affects discharge mental health outcomes. PMID:26603350
Public mental health deals with mental health promotion, prevention of mental disorders and suicide, reducing mental health inequalities, and governance and organization of mental health service provision. The full impact of mental health is largely unrecognized within the public health sphere, despite the increasing burden of disease attributable to mental and behavioral disorders. Modern public mental health policies aim at improving psychosocial health by addressing determinants of mental ...
The recruitment and retention of mental health nurses within acute inpatient mental health facilities continues to be an ongoing issue. Literature and current research highlight an environment fraught with pressure and stress, identifying several key factors contributing to job dissatisfaction. These factors include greater patient acuity, unpredictable and challenging workspaces, violence, increased paperwork, and reduced managerial support. This qualitative, critical, feminist exploration investigated the lived experiences of 13 female mental health nurses working in inpatient services. They were asked about their practice and perceptions of workplace culture, and they shared their thoughts on stress management and professional well-being. Positive workplace practice was highlighted, and the participants revealed an environment they were proud to be a part of. Individual interviews, focus groups, and reflective practice were all used to collect data. The findings from the investigation unanimously support current literature that clearly confirms mental health nursing to be stressful. Interestingly, however, the findings also clearly identified that the way in which the nurse participants managed their stress was intrinsically linked to their job satisfaction. The major theme identified throughout the present study revealed that the female participants' ability to manage an at times complex workspace through the notions of teamwork, diversity, and creativity. All of the participants considered these elements as significant to providing a high standard in patient care. This research might provide an opportunity for others to view mental health nursing from a different perspective, and through the lived experiences of the participants, embrace the positive and rewarding aspects of the role. PMID:21371222
Carmen, Bravo de Rueda Ortega.
Full Text Available Este artigo enfoca o desenvolvimento de três importantes conceitos, próprios de nosso tempo, cuja definição e alcance inicial mudaram nos últimos anos: bioética, saúde mental e gênero. Analisa sua inter-relação, utilizando dados do estudo epidemiológico feito em Lima, Perú, pelo Instituto Ncional de [...] Saúde Mental Abstract in spanish Este artículo enfoca el desarrollo de tres importantes conceptos, propios de nuestra era, cuya definición y alcance inicial han cambiado en los últimos años: bioética, salud mental y género. Analiza su interrelación, utilizando datos del estudio epidemiológico hecho en Lima, Perú, por el Instituto N [...] acional de Salud Mental en "mujeres unidas" Abstract in english This paper focuses on the development of three main concepts, representing our time, whose definition and initial impact has changed in the last years: bioethics, mental health care and gender. It analyzes their interrelationship using data from the epidemiological research carried out in Lima, Peru [...] , by the National Institute of Mental Health Care of Woman in "united women"
Grace, Sherry L; Tan, Yongyao; Cribbie, Robert A.; Nguyen, Han; Ritvo, Paul; Irvine, Jane
Background Mental disorders are a leading cause of disability and early mortality. The objective of this study was to describe and compare psychosocial indicators and mental health service use among ethnoculturally-diverse Ontarians. Methods This is a cross-sectional analysis of the Ontario Health Study pilot investigation. Residents were mailed an invitation to one of 3 assessment centres (urban, rural and northern sites) from March 2009 to July 2010. Participants had an interview with a nur...
Monir Baradaran Eftekhari; Ameneh Setareh Forouzan; Arash Mirabzadeh; Homeira Sajadi; Masoumeh Dejman; Hasan Rafiee; Mohammad Mahdi Golmakan
Mental health is an essential component for positive adaptation that enables people to cope with adversity to achieve their full potential and humanity. In this study, using a community based approach, the social determinants of mental health in Iranian women were extracted; and in addition, priority setting for interventional programs according to analytical framework of WHO was implemented.This study was a community based participatory research (CBPR) in district 22 of Tehran (Iran). The ta...
Ramanathan, G.; P. VENKATAMMAL
Students mental health is a public issues, public health policy makes at the international level, are very well concerned about this issue become of the increasing rate of suicide, among students their amenity, depression and involvement in high risk behavior .The aim of the study was to understand the influences of demographic variables on mental health of college students. The mental health scale (MHS) constructed and standardized by Kamlesh Sharma (2002) was used to measure the mental heal...
Forsman, Anna K; Wahlbeck, Kristian; Aarø, Leif Edvard; Alonso, Jordi; Barry, Margaret M; Brunn, Matthias; Cardoso, Graça; Cattan, Mima; de Girolamo, Giovanni; Eberhard-Gran, Malin; Evans-Lacko, Sara; Fiorillo, Andrea; Hansson, Lars; Haro, Josep Maria; Hazo, Jean-Baptiste; Hegerl, Ulrich; Katschnig, Heinz; Knappe, Susanne; Luciano, Mario; Miret, Marta; Nordentoft, Merete; Obradors-Tarragó, Carla; Pilgrim, David; Ruud, Torleif; Salize, Hans Joachim; Stewart-Brown, Sarah L; Tómasson, Kristinn; van der Feltz-Cornelis, Christina M; Ventus, Daniel B J; Vuori, Jukka; Värnik, Airi
BACKGROUND: The ROAdmap for MEntal health Research in Europe project aimed to create an integrated European roadmap for mental health research. Leading mental health research experts across Europe have formulated consensus-based recommendations for future research within the public mental health field. METHODS: Experts were invited to compile and discuss research priorities in a series of topic-based scientific workshops. In addition, a Delphi process was carried out to reach consensus on the li...
Silver, L B; Silver, B J; Silverman, M M; Prescott, W; del Pollard, L
The 124,769 Cubans who entered the United States from Cuba in a boatlift in 1980 included a small minority of people who needed mental health care. Some had been taken involuntarily from psychiatric hospitals, mental retardation facilities, jails, and prisons. The National Institute of Mental Health, Public Health Service (PHS), was responsible for mental health screening, evaluation, and treatment of the Cuban Entrants. Bilingual psychiatrists and psychologists found that many Entrants given...
Graham Annette L
Full Text Available Abstract Background Australian General Practitioners have been beneficiaries of extensive training in mental health care delivery over the last few years but less so other workers who support those with mental illness. Training is needed as it is widely recognised that the most effective interventions to prevent and treat mental disorders are often not readily available. The Mental Health Aptitudes into Practice (MAP training package is a broad, innovative, interdisciplinary, general mental health training aimed at improving responses to individuals with depression and related disorders. The modular structure of this training program meant that such training could be targeted at those with varied backgrounds. Two hundred and seventy one days of free MAP training was delivered across Victoria in 2004/2005. The evaluation reported here assessed whether changes occurred in the trainees' confidence, mental health literacy, attitudes towards effective treatments, mental health knowledge and skills and community mental health ideology following training. Methods These elements were assessed using pen and paper tests prior, immediately following, 6 months after and then 12 months after the training. Trainees' confidence, mental health literacy and social distance were measured using scales that have been used in evaluations of Mental Health First Aid Training. Community mental health ideology was measured using a sub-scale of the Community Attitudes to the Mentally Ill (CAMI scale. The trainees' knowledge and skills were accessed using instrumentation specifically designed for this evaluation. Results Following training, participants had more confidence in their ability to work with those who have mental health issues and less desire for social distance from them. Participants' knowledge and skills in relation to the treatment of mental disorders increased. These changes were observed immediately after training. The limited existing evidence suggests these changes were sustained six and twelve months later. Conclusions MAP training can be used to develop the capacity and capabilities of mental health workers.
James Lando, MD, MPH; Sheree Marshall Williams, PhD, MSc; Branalyn Williams, MPH; Stephanie Sturgis
Mental illnesses such as depression or anxiety affect an individuals ability to undertake health-promoting behaviors. Chronic diseases can have a profound impact on an individuals mental health; in turn, mental health status affects an individuals ability to participate in treatment and recovery. A group of mental health and public health professionals convened to develop a logic model for addressing mental health as it relates to chronic disease prevention and health promotion. The model ...
DeLoach, Kendra P.; Dvorsky, Melissa; Miller, Elaine; Paget, Michael
Students with emotional and behavioral challenges are significantly impacted by mental health issues. Teachers and other school staff need mental health knowledge to work more effectively with these students. Collaboration with mental health professionals and sharing of information is essential. [For complete volume, see ED539318.
Banks, David; Ashmore, Russell
Sample of nursing students in mental health (n=173) completed a self-disclosure questionnaire; results were compared with earlier samples (n=50, 25). The mental health group would disclose significantly fewer items to patients than to parents or friends. Results have implications for the care of mental health patients. (Contains 53 references.)
Albritton, Tashuna; Angley, Meghan; Gibson, Crystal; Sipsma, Heather; Kershaw, Trace
Mental health issues often become apparent as adolescents emerge into young adulthood. The use of mental health services is low among adolescents and young adults, and use is particularly low among minorities. In this study, we examine mental health utilization among diverse young parenting couples. The sample consisted of 296 couples. We used the social-personal framework to examine personal, family, partner relationship, and environmental predictors for using mental health services. We used the Actor-Partner Interdependence Model to assess actor and partner effects on mental health utilization. We also examined moderator effects for gender and internalizing and externalizing behaviors. We found that being female, being White, higher income, more conduct problems, and less anxious romantic attachment predicted mental health utilization. Significant moderator effects included depression × gender, depression × medical insurance, and stress × Latino. Implications for community mental health practice include conducting mental health assessments during medical visits and systematic mental health follow-up for individuals and couples with identified mental health and support needs. Future research should include married couples and the spouse's influence on mental health use and examine relevant parenting factors that may also predict mental health utilization among couples. PMID:26163272
Pullmann, Michael D.; Kerbs, Jodi; Koroloff, Nancy; Veach-White, Ernie; Gaylor, Rita; Sieler, Dede
The rate of youth with mental health needs is disproportionately high in juvenile justice. Wraparound planning involves families and providers in coordinating juvenile justice, mental health, and other services and supports. This study compares data from two groups of juvenile offenders with mental health problems: 106 youth in a juvenile justice
Wilson, F. Robert; Tang, Mei; Schiller, Kelly; Sebera, Kerry
Mental health problems among children in schools are on the increase. To exercise due diligence in their responsibility to monitor and promote mental health among our nation's children, school counselors may learn from triage systems employed in hospitals, clinics, and mental health centers. The School Counselor's Triage Model provides schoolâ¦
Congress of the U.S., Washington, DC. Office of Technology Assessment.
This background paper on children's mental health indicates that less than one-third of the children who have mental health problems receive treatment. Types of mental health problems are discussed, including intellectual, developmental, behavior, emotional, psychophysiological, and adjustment disorders. Enviromental risk factors of poverty and
Tomaras Vlassis D
Full Text Available Abstract Background Although the promotion of mental health (MHP through education and training is widely accepted, there is scarce evidence for its effectiveness in the literature from outcome studies worldwide. The present study aimed to assess the effect of a three-semester MHP educational program on the recipients' opinions towards mental illness and on their own self-assessed health. Methods Respondents were 78 attendees who completed the assessment battery at the first (baseline and the last session (end of the training course. They were primary care physicians or other professionals, or key community agents, working in the greater Athens area. The course consisted of 44 sessions (4 h each, over a 3-semester period, focusing on the principles and methods of mental health promotion, the main aspects of major psychiatric disorders, and on relevant to health skills. Assessment instruments included the Opinion about Mental Illness (OMI scale and the General Health Questionnaire (GHQ-28. Results The mean scores of three OMI factors, that is, social discrimination, social restriction and social integration, and the two GHQ-28 subscales, that is, anxiety/insomnia and social dysfunction, were significantly improved by the end of the training course. Conclusions The results of this study provide evidence, with limitations, for the short-term effectiveness of the implemented educational MHP program on an adult group of recipients-key agents in their community. Because interventions for strengthening positive opinions about mental illness and enhancing self-assessed health constitute priority aims of mental health promotion, it would be beneficial to further investigate the sustainability of the observed positive changes. In addition it would be useful to examine (a the possible interplay between the two outcome measures, that is, the effect of opinions of recipients about mental health on their perceived health, and (b the applicability of this intervention in individuals with different sociodemographic profiles.
Wittchen, Hans-Ulrich; Knappe, Susanne; Andersson, Gerhard; Araya, Ricardo; Banos Rivera, Rosa M; Barkham, Michael; Bech, Per; Beckers, Tom; Berger, Thomas; Berking, Matthias; Berrocal, Carmen; Botella, Christina; Carlbring, Per; Chouinard, Guy; Colom, Francesc; Csillag, Claudio; Cujipers, Pim; David, Daniel; Emmelkamp, Paul M G; Essau, Cecilia A; Fava, Giovanni A; Goschke, Thomas; Hermans, Dirk; Hofmann, Stefan G; Lutz, Wolfgang; Muris, Peter; Ollendick, Thomas H; Raes, Filip; Rief, Winfried; Riper, Heleen; Tossani, Eliana; van der Oord, Saskia; Vervliet, Bram; Haro, Josep M; Schumann, Gunter
Psychology as a science offers an enormous diversity of theories, principles, and methodological approaches to understand mental health, abnormal functions and behaviours and mental disorders. A selected overview of the scope, current topics as well as strength and gaps in Psychological Science may help to depict the advances needed to inform future research agendas specifically on mental health and mental disorders. From an integrative psychological perspective, most maladaptive health behaviou...
Charlene King; Michelle Cianfrone; Kimberley Korf-Uzan; Aazadeh Madani
There is growing recognition of the important role that eHealth Literacy strategies play in promoting mental health among youth populations. At the same time, youth engagement in mental health literacy initiatives is increasingly seen as a promising practice for improving health literacy and reducing stigma. The Health Literacy Team at BC Childrenâs Hospital uses a variety of strategies to engage youth in the development, implementation and dissemination of eMental Health Literacy resources. ...
Holttum, S.; Richards, Jenna; Springham, N.
Mental health professionals are increasingly speaking out about their own experiences of using mental health services. However, research suggests that they face identity-related dilemmas because social conventions tend to assume two distinct identities: professionals as relatively socially powerful and patients as comparatively powerless. The aim of this study was, through discourse analysis, to explore how mental health professionals with mental health service user experience cons...
Effects of the current global economic downturn on population mental health will emerge in the years ahead. Judging from earlier experience of financial crises in various parts of the world, stresses associated with rising unemployment, poverty and social insecurity will lead to upward trends in many national suicide rates, as well as to less readily charted increase in the prevalence of psychiatric illness, alcohol-related disorders and illicit drug use. At the same time, mental health services are being cut back as part of government austerity programs. Budget cuts will thus affect psychiatric services adversely just when economic stressors are raising the levels of need and demand in affected populations. Proactive fiscal and social policies could, however, help to mitigate the health consequences of recession. Evidence- based preventive measures include active labor market and family support programs, regulation of alcohol prices and availability, community care for known high-risk groups, and debt relief projects. Economic mental health care could best be achieved, not by decimating services but by planning and deploying these to meet the needs of defined area populations. PMID:21968374
Aghababaei, Naser; Tabik, Mohammad Taghi
Background: While the role of some personality traits has been comprehensively explored, scientific study of others, such as patience has been neglected. Psychologists have paid scant attention to patience as a personality trait, character strength or virtue. Objectives: The current study examined the relationship between patience and life satisfaction, mental health, and personality. Materials and Methods: A sample of 252 Iranian college students (129 females and 123 males) completed the 3-factor patience scale, satisfaction with life scale, general health questionnaire, anxiety and depression scales and mini international personality item pool-big five. Results: The three types of patience (interpersonal, life hardship, and daily hassles) were associated with higher levels of life satisfaction and lower levels of depression, anxiety and psychological dysfunction. Patience also showed moderate relationship with the Big-Five factors of personality. After controlling the personality factors, patience managed to explain additional unique variance in life satisfaction and mental health indicators. Conclusions: Patience is a unique predictor of mental well-being. It is suggested that long-term patience is more important for depression and general health, whereas short-term patience is more beneficial for hedonic well-being.
Full Text Available Participation of citizens in political, economic or social decisions is increasingly recognized as a precondition to foster sustainable development processes. Since spatial information is often important during planning and decisionmaking, participatory mapping gains in popularity. However, little attention has been paid to the fact that information must be presented in a useful way to reach city planners and policy makers. Above all, the importance of visualisation tools to support collaboration, analytical reasoning, problem solving and decision-making in analysing and planning processes has been underestimated. In this paper, we describe how an interactive mental map tool has been developed in a highly interdisciplinary disaster management project in Chennai, India. We moved from a hand drawn mental maps approach to an interactive mental map tool. This was achieved by merging socio-economic and geospatial data on infrastructure, local perceptions, coping and adaptation strategies with remote sensing data and modern technology of map making. This newly developed interactive mapping tool allowed for insights into different locally-constructed realities and facilitated the communication of results to the wider public and respective policy makers. It proved to be useful in visualising information and promoting participatory decision-making processes. We argue that the tool bears potential also for health research projects. The interactive mental map can be used to spatially and temporally assess key health themes such as availability of, and accessibility to, existing health care services, breeding sites of disease vectors, collection and storage of water, waste disposal, location of public toilets or defecation sites.
Westerhof, Gerben J; Keyes, Corey L M
Mental health has long been defined as the absence of psychopathologies, such as depression and anxiety. The absence of mental illness, however, is a minimal outcome from a psychological perspective on lifespan development. This article therefore focuses on mental illness as well as on three core components of positive mental health: feelings of happiness and satisfaction with life (emotional well-being), positive individual functioning in terms of self-realization (psychological well-being), and positive societal functioning in terms of being of social value (social well-being). The two continua model holds that mental illness and mental health are related but distinct dimensions. This model was studied on the basis of a cross-sectional representative internet survey of Dutch adults (N = 1,340; 18-87 years). Mental illness was measured with the Brief Symptom Inventory and mental health with the Mental Health Continuum Short Form. It was found that older adults, except for the oldest-old, scored lower on psychopathological symptoms and were less likely to be mentally ill than younger adults. Although there were fewer age differences for mental health, older adults experienced more emotional, similar social and slightly lower psychological well-being. In sum, today's older adults have fewer mental illness problems, but they are not in a better positive mental health than today's younger adults. These findings support the validity of the two continua model in adult development. PMID:20502508
Soet, Johanna; Sevig, Todd
Over the past 5 years there has been increased attention given to mental health issues on college and university campuses across the country. However, few research efforts have been conducted to systematically investigate the mental health of college students. The College Student Mental Health Survey was undertaken as a first step towards gaining
Consuelo Helena Aires de Freitas
Full Text Available Objective: To discuss the practice of mental health care performed by healthcare professionals from the Family Health Strategy in Fortaleza-CE, Brazil. Methods: This is a critical and reflective study conducted in six Basic Health Units in Fortaleza-Ce. The study subjects were 12 health workers of the following professions: doctor, nurse, community health agents and technical and/or nursing assistant. Semi-structured interviews, systematic observationand questionnaire were used for data collection. The empirical analysis was based on an understanding of the discourses through critical hermeneutics. Results: It was evident that the mental health services are developed by some health workers in the ESF, such as, matrix support, relational technologies, home visits and community group therapy. However, there is still deficiency in training/coaching by most professionals in primary care, due to anenduring model of pathological or curative health care. Conclusion: Mental health care is still occasionally held by some workers in primary care. However, some progresses are already present as matrix support, relational technologies in health care, home visits andcommunity therapy.
Corrigan, Patrick W; Diwan, Sarah; Campion, John; Rashid, Fadwa
Bass's (1990) multifactor model contrasts transformational and transactional styles of leadership with an essentially ineffective style: laissez-faire leadership. This study examines the relationship between these leadership styles and measures of organizational culture and staff burnout in mental health services teams. There were 236 leaders and 620 subordinates from 54 mental health teams who provided their perceptions of leadership style, organizational culture, and burnout in their program. Results show transformational leadership to be positively associated with a cohesive organizational culture and negatively associated with burnout. Moreover, leaders and subordinates differ in their ratings of transformational leadership-leaders viewed themselves more positively. These findings are helpful for understanding the central role of leaders in the organizational structure of teams. PMID:12680615
Xin-yang, Sun; Lin, Zhao; Chun-xia, Chen; Xue-lian, Cui; Jian, Guo; Li-yi, Zhang.
Full Text Available Background and Objectives: As part of UN peacekeeping operations in Liberia, China has sent a dozen of batches of peacekeeping force to Liberia for medical, engineering and transporting purposes from 2003 to 2012. This study aimed to explore the mental health of Chinese peacekeepers under the influe [...] nce of stressful and traumatic events in Liberia. Methods: A total of 440 Chinese peacekeepers were selected by cluster sampling and surveyed by Chinese Military Mental Health Scale (CMMHS) before, during and after peacekeeping deployment. Results: The total CMMHS score (48.90 ± 21.15), depression factor (7.25 ± 3.43), interpersonal sensitivity (4.20 ± 2.15) of Chinese peacekeepers were significantly higher than the Chinese military norm (23.04 ± 14.70, 2.47 ± 2.46, 3.95 ± 2.97 respectively) (p
Regan, M; Gater, R; Rahman, A; Patel, V
Investment in research on the prevention and treatment of mental health disorders is disproportionately low in the WHO Eastern Mediterranean Region (EMR) relative to the disease burden. Scaling-up mental health research in the EMR could generate enormous returns in terms of reducing disability, improving outcomes and preventing premature death, through early diagnosis, better management and community-based rehabilitation. EMR countries must therefore work to identify research priorities, mobilize resources, develop human and infrastructure capacities and institutionalize use of research findings to guide development of policies and service delivery models. Several key strategic interventions for EMR Member States are recommended: adopt a prioritized national mental health research agenda; systematically map national and international research funding to identify and secure resources to support the implementation of the agenda; strengthen national capacity to undertake prioritized research; periodically map research output in mental health; and foster dialogue between researchers and policy-makers/programme managers. PMID:26442893
Liegeois, Axel; Van Audenhove, Chantal
Ethical dilemmas in community mental health care is the focus of this article. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. The different stakeholders are confronted with the following dilemmas: community care versus hospital care (clients); a life with care versus a life without care (informal carers); stimulation of the client toward greater responsibility versus protection against such r...
Huemer Julia; Karnik Niranjan S; Voelkl-Kernstock Sabine; Granditsch Elisabeth; Dervic Kanita; Friedrich Max H; Steiner Hans
Abstract Previous studies about unaccompanied refugee minors (URMs) showed that they are a highly vulnerable group who have greater psychiatric morbidity than the general population. This review focuses on mental health issues among URMs. Articles in databases PsycINFO, Medline and PubMed from 1998 to 2008 addressing this topic were reviewed. The literature had a considerable emphasis on the assessment of PTSD symptoms. Results revealed higher levels of PTSD symptoms in comparison to the norm...
Muzik, Maria; Borovska, Stefana
Perinatal depression is common and primary care holds a crucial role for detecting, treating or, if necessary, providing referrals to mental health care for affected women. Family doctors should be aware of risk factors for peripartum depression, including previous history of depression, life events and interpersonal conflict. Perinatal depression has been associated with many poor outcomes, including maternal, child and family unit challenges. Infants and young children of perinatally depres...
This study investigated time trends in Dutch children's and adolescent's mental health problems by comparing population samples from different time periods. From 1983 to 2003, 6-16-year-olds parent-reported internalizing problems increased. No increases were seen regarding the emotional and behavioral problems of 2- and 3-year-olds between 1989 to 2003. Self-reported alcohol use and suicidal behavior increased. These trends mostly affected girls' functionin...
The primary source for this annotation on disaster mental health research is the Indian Journal of Psychiatry. Key words like disasters, earthquake, cyclone, tsunami and flood were searched from its electronic database and relevant articles are discussed. The cross-referenced articles and relevant researches conducted on disasters in India which are published elsewhere were the secondary sources of information. There have been many epidemiological studies and only a few interventional studies...
This paper talks of support systems for mental health professionals wherein the Bombay Psychiatric Society (BPS) should devote some meetings exclusively to problems pertaining to the profession, e.g., long and odd working hours leading to potentially hazardous practice schedules, unhealthy competitive attitudes and culture. A crash course in self-defence against potentially psychotic patients and drug addicts is advocated as also awareness of the potential hazards in dealing with the litigiou...
Christensen Helen; Griffiths Kathleen M; Leach Liana; Farrer Louise; Jorm Anthony F
Abstract Background The community's knowledge and beliefs about mental health problems, their risk factors, treatments and sources of help may vary as a function of age. Methods Data were taken from an epidemiological survey conducted during 20032004 with a national clustered sample of Australian adults aged 18 years and over. Following the presentation of a vignette describing depression (n = 1001) or schizophrenia (n = 997), respondents were asked a series of questions relating to their kn...
Lakeman, R; Bradbury, J
The Mental Health Nurse Incentive Program (MHNIP) is a funding scheme in Australia that enables mental health nurses to work in primary care settings with people with complex mental health problems for as long as necessary. This study examined the outcomes of the programme as reported by nurses. Nurses provided profiles of 64 people with whom they worked, including measures of symptoms and problems on admission to the programme and at a second point in time. The findings showed that people had high levels of symptom severity and distress on admission, and they experienced significant improvements in all problem areas except physical health over their time working with the nurse. The MHNIP appears to be addressing the needs of people with highly complex needs, but more sensitive measures of outcome ought to be routinely collected. The Mental Health Nurse Incentive Program (MHNIP) provides a funding mechanism for credentialed mental health nurses to work in primary care settings in Australia with people with complex and serious psychosocial and mental health problems. This project explored the extent to which the programme contributed to positive outcomes. Sixty-four service user profiles were provided by nurses working within the programme, including the Health of the Nation Outcome Scales (HoNOS), on admission and at the last review point. Mean total HoNOS scores on admission were higher than those typically seen on admission to inpatient care in Australia. Significant reductions in all problem areas except physical health problems were found at the last review point for this sample. These findings support the viewpoint that MHNIP is addressing the needs of people with the most complex needs in primary care and is achieving clinically significant outcomes. PMID:23701440
Panyayong, B; Pengjuntr, W
After the Asian tsunami, the Department of Mental Health, Thailand developed a national guideline for mental health interventions in disasters based on the lessons learnt from the mental health and psychosocial relief efforts launched. We advocate the integration of social interventions for the affected community into the general mental healthcare, which in turn should be available in the general healthcare setting. This set-up of the mental healthcare delivery system, can provide the daily needs of the community and can be rapidly scaled up in times of a disaster. The organization of the delivery of mental healthcare is discussed in the paper. PMID:17162705
Shanley, Eamon; Jubb-Shanley, Maureen
The aim of this paper was to describe a newly-developed system of mental health nurse counselling (coping focus counselling (CFC)) for people with serious and complex mental health needs. The system is based on the recovery alliance theory (RAT) of mental health nursing. The paper identifies shortcomings in current practices in psychotherapy and counselling in the exclusive use of techniques from a single approach, for example, cognitive behaviour therapy, client-centred therapy, attachment theory, or Gestalt theory. It also discusses the opposite dangers of the use of many techniques from different approaches, without a clear rationale for their selection. CFC was developed to avoid these practices. It accommodates the selective use of techniques from different approaches. Techniques selected are viewed as deriving their meanings from the theoretical framework into which they are assimilated, namely RAT, and no longer take the same meaning from the theory from which they originated. Central to this integrative process is the use of the concept of coping. Other distinguishing features of CFC are the use of everyday language in using the system and the reaffirmation of the nurse-client relationship within a working alliance as the basis in which the CFC operates. PMID:22640173
Luís Henrique da Costa Leão
Full Text Available This paper addresses the issue of mental health in the Occupational Health Surveillance (VISAT context. It seeks to present theoretical aspects and institutional policies contributing to the incorporation of mental health dimensions into the VISAT process, in view of the pressing need to attend to this demand that is becoming increasingly important in the occupational health area, especially within the scope of the National Comprehensive Occupational Healthcare Network (RENAST. Some theoretical approaches and practical experiences in mental health and work are systematically presented and discussed in this essay. A survey is also conducted of potential strategies to integrate mental health into VISAT actions. It is our view that the origins of illnesses and ensuing harm are closely linked to the elements involved in work organization and management. Consequently, surveillance practices should include and identify generating components of these negative aspects. The diversity of illnesses caused by work processes and conditions calls for major investment to ascertain and change the situations that give rise to such illnesses.
Wahlbeck, Kristian; Westman, Jeanette
People with mental disorders evince excess mortality due to natural and unnatural deaths. The relative life expectancy of people with mental disorders is a proxy measure of effectiveness of social policy and health service provision.
Taina Ala-Nikkola; Sami Pirkola; Raija Kontio; Grigori Joffe; Maiju Pankakoski; Maili Malin; Minna Sadeniemi; Minna Kaila; Kristian Wahlbeck
Governances, structures and contents of mental health services are being reformed across countries. There is a need for data to support those changes. The aim of this study was to explore the quality, i.e., diversity and community orientation, and quantity, i.e., personnel resources, of mental health and substance abuse services (MHS) and evaluate correlation between population needs and quality and quantity of MHS. The European Service Mapping ScheduleRevised (ESMS-R) was used to classify m...
Crain, R.; Grzywacz, J.G.; Swantes, Melody; Isom, S.; Quandt, S.A.; Arcury, T.A.
Purpose: Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine primary and context-specific stressors of poor mental health among Latino farmworkers....... also indicated that each mental health outcome had different predictors. Conclusion: Addressing the mental health issues of farmworkers requires a comprehensive, multifaceted approach.......Purpose: Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine primary and context-specific stressors of poor mental health among Latino farmworkers....... Methods: Structured interview data were obtained from farmworkers (N = 69) in 6 counties in eastern and western North Carolina. Findings: Results indicated that a substantial number of farmworkers have poor mental health, as indicated by elevated depressive symptoms (52.2%) and anxiety (16.4%). Results...
Full Text Available Abstract Background Despite high prevalence of mental health problems, only a minority of elderly people seek treatment. Although need-for-care factors are primary determinants of mental health service use, personal predisposing or enabling factors including health beliefs are important but are not well studied. Method In the National Mental Health Survey of Elderly in Singapore, 2003, 1092 older adults aged 60 and above were interviewed for diagnosis of mental disorders (using Geriatric Mental State and treatment, and their health beliefs about the curability of mental illness, embarrassment and stigma, easiness discussing mental problems, effectiveness and safety of treatment and trust in professionals. Results The prevalence of mental disorders was 13%, but only a third of mentally ill respondents had sought treatment. Increased likelihood of seeking treatment was significantly associated with the presence of a mental disorder (OR = 5.27, disability from mental illness (OR = 79.9, and poor or fair self-rated mental health (OR = 2.63, female gender (OR = 2.25, and formal education (OR = 2.40. The likelihood of treatment seeking was lower in those reporting financial limitations for medical care (OR = 0.38, but also higher household income (OR = 0.31. Negative beliefs showed no meaningful associations, but the positive belief that 'to a great extent mental illness can be cured' was associated with increased mental health service use (OR = 6.89. The availability of family caregiver showed a negative association (OR = 0.20. Conclusion The determinants of mental health service use in the elderly included primary need factors, and female gender and socioeconomic factors. There was little evidence of influences by negative health beliefs, but a positive health belief that 'mental illness can be cured' is a strongly positive determinant The influence of family members and care-givers on senior's use of mental health service should be further explored.
Powell, J.; Clarke, A.
BACKGROUND: A major use of the of the internet is for health information-seeking. There has been little research into its use in relation to mental health. AIMS: To investigate the prevalence of internet use for mental health information-seeking and its relative importance as a mental health information source. METHOD: General population survey. Questions covered internet use, past psychiatric history and the 12-item General Health Questionnaire. RESULTS: Eighteen per cent of all internet use...
Desai, Nimesh G; Tiwari, S.C.; Nambi, S; Shah, Bela; R. A. SINGH; Kumar, Deepak; Trivedi, J.K.; Palaniappan, V.; Tripathi, Animesh; Pali, Chitra; Pal, Neeraj; Maurya, Amit; Mathew, Miriam
The information about Urban Mental Health Services has been nearly nonexistent in India, although the developed countries have been focusing on programmes for Healthy Cities. The initiative taken as part of the WHO-ICMR Pilot Project on Urban Mental Health Services, with a public health perspective is being shared. The objectives of the Health Services Research (HSR) Arm of the project were to study the distribution and the availability of tertiary Mental Health Services, availability of hu...
Srinivasa SRR Yerramilli; Rajshekhar Bipeta
Background : The economic costs and proportion of disease burden attributable to mental, emotional and behavioural disorders (MEBs) is enormous. This emphasizes on the need for treating the MEBs. Choosing the most cost effective intervention is the key aspect in planning mental health services.Objective: The aim of the present article is to review the studies on cost-effective interventions for MEBs.Methodology: A review of various studies on the above subject was done using Google Scholar an...
James Lando, MD, MPH
Full Text Available Mental illnesses such as depression or anxiety affect an individualâs ability to undertake health-promoting behaviors. Chronic diseases can have a profound impact on an individualâs mental health; in turn, mental health status affects an individualâs ability to participate in treatment and recovery. A group of mental health and public health professionals convened to develop a logic model for addressing mental health as it relates to chronic disease prevention and health promotion. The model provides details on inputs, activities, and desired outcomes, and the designers of the model welcome input from other mental health and public health practitioners.
Eack, Shaun M; Newhill, Christina E.
Racial disparities in mental health outcomes have been widely documented in non-institutionalized community psychiatric samples, but few studies have specifically examined the effects of race among individuals with the most severe mental illnesses. A sample of 925 individuals hospitalized for severe mental illness were followed for a year after hospital discharge to examine the presence of disparities in mental health outcomes between African American and White individuals diagnosed with a se...
Wahlbeck, Kristian; Westman, Jeanette; Nordentoft, Merete; Gissler, Mika; Laursen, Thomas Munk
People with mental disorders evince excess mortality due to natural and unnatural deaths. The relative life expectancy of people with mental disorders is a proxy measure of effectiveness of social policy and health service provision.......People with mental disorders evince excess mortality due to natural and unnatural deaths. The relative life expectancy of people with mental disorders is a proxy measure of effectiveness of social policy and health service provision....
Ngui, Emmanuel M; Khasakhala, Lincoln; Ndetei, David; Roberts, Laura Weiss
The global burden of neuropsychiatry diseases and related mental health conditions is enormous, underappreciated and under resourced, particularly in the developing nations. The absence of adequate and quality mental health infrastructure and workforce is increasingly recognized. The ethical implications of inequalities in mental health for people and nations are profound and must be addressed in efforts to fulfil key bioethics principles of medicine and public health: respect for individuals, justice, beneficence, and non-malfeasance. Stigma and discrimination against people living with mental disorders affects their education, employment, access to care and hampers their capacity to contribute to society. Mental health well-being is closely associated to several Millennium Development Goals and economic development sectors including education, labour force participation, and productivity. Limited access to mental health care increases patient and family suffering. Unmet mental health needs have a negative effect on poverty reduction initiatives and economic development. Untreated mental conditions contribute to economic loss because they increase school and work absenteeism and dropout rates, healthcare expenditure, and unemployment. Addressing unmet mental health needs will require development of better mental health infrastructure and workforce and overall integration of mental and physical health services with primary care, especially in the developing nations. PMID:20528652
Jair de Jesus Mari
Full Text Available The objective of this descriptive study was to map mental health research in Brazil, providing an overview of infrastructure, financing and policies mental health research. As part of the Atlas-Research Project, a WHO initiative to map mental health research in selected low and middle-income countries, this study was carried out between 1998 and 2002. Data collection strategies included evaluation of governmental documents and sites and questionnaires sent to key professionals for providing information about the Brazilian mental health research infrastructure. In the year 2002, the total budget for Health Research was US$101 million, of which US$3.4 million (3.4 was available for Mental Health Research. The main funding sources for mental health research were found to be the São Paulo State Funding Agency (Fapesp, 53.2% and the Ministry of Education (CAPES, 30.2%. The rate of doctors is 1.7 per 1,000 inhabitants, and the rate of psychiatrists is 2.7 per 100,000 inhabitants estimated 2000 census. In 2002, there were 53 postgraduate courses directed to mental health training in Brazil (43 in psychology, six in psychiatry, three in psychobiology and one in psychiatric nursing, with 1,775 students being trained in Brazil and 67 overseas. There were nine programs including psychiatry, neuropsychiatry, psychobiology and mental health, seven of them implemented in Southern states. During the five-year period, 186 students got a doctoral degree (37 per year and 637 articles were published in Institute for Scientic Information (ISI-indexed journals. The investment channeled towards postgraduate and human resource education programs, by means of grants and other forms of research support, has secured the country a modest but continuous insertion in the international knowledge production in the mental health area.
Newman, D; O'Reilly, P; Lee, S H; Kennedy, C
A number of studies have highlighted issues around the relationship between service users and providers. The recovery model is predominant in mental health as is the recognition of the importance of person-centred practice. The authors completed an in-depth search of the literature to answer the question: What are service users' experiences of the mental health service? Three key themes emerged: acknowledging a mental health problem and seeking help; building relationships through participation in care; and working towards continuity of care. The review adds to the current body of knowledge by providing greater detail into the importance of relationships between service users and providers and how these may impact on the delivery of care in the mental health service. The overarching theme that emerged was the importance of the relationship between the service user and provider as a basis for interaction and support. This review has specific implications for mental health nursing. Despite the recognition made in policy documents for change, issues with stigma, poor attitudes and communication persist. There is a need for a fundamental shift in the provider-service user relationship to facilitate true service-user engagement in their care. The aim of this integrative literature review was to identify mental health service users' experiences of services. The rationale for this review was based on the growing emphasis and requirements for health services to deliver care and support, which recognizes the preferences of individuals. Contemporary models of mental health care strive to promote inclusion and empowerment. This review seeks to add to our current understanding of how service users experience care and support in order to determine to what extent the principles of contemporary models of mental health care are embedded in practice. A robust search of Web of Science, the Cochrane Database, Science Direct, EBSCO host (Academic Search Complete, MEDLINE, CINAHL Plus Full-Text), PsycINFO, PsycARTICLES, Social Sciences Full Text and the United Kingdom and Ireland Reference Centre for data published between 1 January 2008 and 31 December 2012 was completed. The initial search retrieved 272?609 papers. The authors used a staged approach and the application of predetermined inclusion/exclusion criteria, thus the numbers of papers for inclusion were reduced to 34. Data extraction, quality assessment and thematic analysis were completed for the included studies. Satisfaction with the mental health service was moderately good. However, accessing services could be difficult because of a lack of knowledge and the stigma surrounding mental health. Large surveys document moderate satisfaction ratings; however, feelings of fear regarding how services function and the lack of treatment choice remain. The main finding from this review is while people may express satisfaction with mental health services, there are still issues around three main themes: acknowledging a mental health problem and seeking help; building relationship through participation and care; and working towards continuity of care. Elements of the recovery model appear to be lacking in relation to user involvement, empowerment and decision making. There is a need for a fundamental shift in the context of the provider-service user relationship to fully facilitate service users' engagement in their care. PMID:25707898
Hannes, Els; Kusumastuti, Diana; Espinosa, Maikel LeÃ³n; Janssens, Davy; Vanhoof, Koen; Wets, Geert
In this paper, the " mental map" concept is positioned with regard to individual travel behaviour to start with. Based on Ogden and Richards' triangle of meaning (The meaning of meaning: a study of the influence of language upon thought and of the science of symbolism. International library of psychology, philosophy and scientific method. Routledge and Kegan Paul, London, 1966) distinct thoughts, referents and symbols originating from different scientific disciplines are identified and explained in order to clear up the notion's fuzziness. Next, the use of this concept in two major areas of research relevant to travel demand modelling is indicated and discussed in detail: spatial cognition and decision-making. The relevance of these constructs to understand and model individual travel behaviour is explained and current research efforts to implement these concepts in travel demand models are addressed. Furthermore, these mental map notions are specified in two types of computational models, i.e. a Bayesian Inference Network (BIN) and a Fuzzy Cognitive Map (FCM). Both models are explained, and a numerical and a real-life example are provided. Both approaches yield a detailed quantitative representation of the mental map of decision-making problems in travel behaviour.
Oblitas, Luis Armando
Full Text Available Fear, sadness, anger and disgust are considered affective states, that when they become frequent and intense, adversely affect the quality of life. Consequently, negative emotions are regarded as one of the key risk factors in physical and mental illness. Firstly, this article aims to define precisely concepts and key features of each emotion. The second objective of this paper is to show a synthesis of scientific findings supporting the influence of emotional factors, especially classic negative emotions in the process of health and disease. These psychophysiological phenomena have been associated with mental and physical illness as influencing variables in its initiation, development and maintenance. Therefore, the paper reviews some of the links between these four negative emotions and mental disorders. It also reviews the evidence supporting the influence of negative emotions in the development of risk behaviors to physical health. Finally, we describe some data supporting the impact of psychophysiological activation of emotions in organic systems, such as, for instance, immunity, tumor processes and so on
Full Text Available Mental illness stigma has been the focus of increasing attention in the past few years, with an exponential increase in scientific publications on the subject. This phenomenon is a source of suffering for the patient undermining the achievement of personal goals and full social integration. In this article, the authors present a selective review of the literature on mental illness stigma, going through its definition, origins, repercussions, patients subjective experiences and strategies to challenge stigma. The literature presents stigma as being a complex phenomenon, whose definitions derive from different epis- temological roots (sociology, psychology and psychiatry. Its impact on the lives of people with a mental illness is well acknowledged and seems to translate into decreased opportunities, loss of self-esteem and self-concept, decreased quality of life, social support and empowerment, thus limiting the adoption or performance of regular social roles. Stigma has also been shown to compromise access to health care, not only psychiatric treatment but also general medical care, thus increasing the morbidity and mortality in this vulnerable population. A considerable amount of effort has been put into the comprehension of this phenomenon and to designing strategies for fighting stigma, which also include promoting health-care professionals awareness of the topic in order to improve clinical practice and global quality of care.
Full Text Available Background: Global mental health (GMH advocates for access to and the equitable provision of mental health care. Although the treatment gap is a useful construct to measure access and equitability of care, it fails to communicate the real-life consequences of the treatment gap and the urgent need to address care disparities. Objective: The aim of this article is to present a perspective on the practical application of the principles of GMH to understand the real-life impact of the treatment gap and the approaches taken to improve treatment coverage in Ethiopia. Design: A case study method is used. Results: Multiple international collaborations undertaken in Ethiopia and facilitated by GMH to improve care, capacity, and the evidence base for increased treatment coverage are described briefly. A series of steps taken at the local and national levels to address the treatment gap are highlighted. The stories of two patients are also presented to illustrate the real-life consequences of the treatment gap and the potential transformational impact of addressing the treatment gap on patients, families, and communities. Conclusions: GMH has a key role to play in addressing the treatment gap, which improves the life of people with mental disorders, their families, and their communities. However, national-level policy support and coordination are essential for any realistic improvement in treatment coverage. The reflections offered through the case examples may have utility in similar low-income settings.
Das, Jishnu; Do, Quy-Toan; Friedman, Jed; McKenzie, David; Scott, Kinnon
The relationship between poverty and mental health has received considerable attention in the recent literature. However, the associations presented in existing studies typically rely on limited samples of individuals and on proxy indicators for poverty such as education, the lack of tap water, or being unemployed. We revisit the relationship between poverty and mental health using data from nationally representative household surveys in Bosnia and Herzegovina, Indonesia and Mexico, along with special surveys from India and Tonga. As in previous studies, we find that individuals who are older, female, widowed, and in poor health are more likely to report worse mental health outcomes. Individuals living with others with poor mental health are significantly more likely to report worse mental health themselves. The size of the coefficients and their significance are comparable across the five countries. In contrast to previous studies, the relationship between higher education and better mental health is weak or non-existent. Furthermore, there is no consistent association between consumption poverty and mental health - in two countries mental health measures are marginally worse for the poor; in two countries there is no association; and in one country mental health measures are better for the poor compared to the non-poor. Moreover, the sizes of the coefficients for both education and consumption poverty are small compared to other factors considered here. While the lack of an association between consumption poverty and mental health implies that poor mental health is not a "disease of affluence", neither is it a disease of poverty. Changes in life circumstances brought on, for instance, by illness may have a greater impact on mental health than levels of poverty. Effective public health policy for mental health should focus on protecting individuals and households from adverse events and on targeted interventions following such adverse changes. PMID:17462803
During the past decade, online social networking has caused profound changes in the way people communicate and interact. It is unclear, however, whether some of these changes may affect certain normal aspects of human behavior and cause psychiatric disorders. Several studies have indicated that the prolonged use of social networking sites (SNS), such as Facebook, may be related to signs and symptoms of depression. In addition, some authors have indicated that certain SNS activities might be associated with low self-esteem, especially in children and adolescents. Other studies have presented opposite results in terms of positive impact of social networking on self-esteem. The relationship between SNS use and mental problems to this day remains controversial, and research on this issue is faced with numerous challenges. This concise review focuses on the recent findings regarding the suggested connection between SNS and mental health issues such as depressive symptoms, changes in self-esteem, and Internet addiction. PMID:25192305
Abstract During the past decade, online social networking has caused profound changes in the way people communicate and interact. It is unclear, however, whether some of these changes may affect certain normal aspects of human behavior and cause psychiatric disorders. Several studies have indicated that the prolonged use of social networking sites (SNS), such as Facebook, may be related to signs and symptoms of depression. In addition, some authors have indicated that certain SNS activities might be associated with low self-esteem, especially in children and adolescents. Other studies have presented opposite results in terms of positive impact of social networking on self-esteem. The relationship between SNS use and mental problems to this day remains controversial, and research on this issue is faced with numerous challenges. This concise review focuses on the recent findings regarding the suggested connection between SNS and mental health issues such as depressive symptoms, changes in self-esteem, and Internet addiction. PMID:25192305
Full Text Available Background: Despite of growing evidence of mental disorders in developing countries, research on mental health literacy is limited from India. Aim: To examine mental health literacy among caregivers of persons with mental illness Materials and Methods: A cross-sectional descriptive survey was carried out among 161 randomly selected caregivers of persons with mental illness at outpatient department of a tertiary care centre. Data was collected through face to face interview using a structured questionnaire. Results: Regarding the causes of mental illness, a majority agreed that genetic inheritance (69%, substance abuse (64% and brain disease (59.6% are main factors for developing mental illness. Although more than two-thirds agreed that anyone could suffer from mental illness, 61.5% also agreed that people with mental health problems are largely to blame for their condition. The majority of the participants also agreed that mentally ill are not able to maintain friendships (45.9%, are dangerous (54%, and not capable to work (59.1%. Just over half (55.9% of the participants would not want people to know if they had a mental illness and nearly half of them also expressed that they would feel ashamed if a family member had a mental illness. Conclusion: Based on the findings of the present study researchers suggest that there is an urgent need to educate and change the attitudes of caregivers through mental health literacy programs specifically designed for them.
Sara Mota Borges Bottino
Full Text Available Cyberbullying is a new form of violence that is expressed through electronic media and has given rise to concern for parents, educators and researchers. In this paper, an association between cyberbullying and adolescent mental health will be assessed through a systematic review of two databases: PubMed and Virtual Health Library (BVS. The prevalence of cyberbullying ranged from 6.5% to 35.4%. Previous or current experiences of traditional bullying were associated with victims and perpetrators of cyberbullying. Daily use of three or more hours of Internet, web camera, text messages, posting personal information and harassing others online were associated with cyberbullying. Cybervictims and cyberbullies had more emotional and psychosomatic problems, social difficulties and did not feel safe and cared for in school. Cyberbullying was associated with moderate to severe depressive symptoms, substance use, ideation and suicide attempts. Health professionals should be aware of the violent nature of interactions occurring in the virtual environment and its harm to the mental health of adolescents.
Bottino, Sara Mota Borges; Bottino, CÃ¡ssio M C; Regina, Caroline Gomez; Correia, Aline Villa Lobo; Ribeiro, Wagner Silva
Cyberbullying is a new form of violence that is expressed through electronic media and has given rise to concern for parents, educators and researchers. In this paper, an association between cyberbullying and adolescent mental health will be assessed through a systematic review of two databases: PubMed and Virtual Health Library (BVS). The prevalence of cyberbullying ranged from 6.5% to 35.4%. Previous or current experiences of traditional bullying were associated with victims and perpetrators of cyberbullying. Daily use of three or more hours of Internet, web camera, text messages, posting personal information and harassing others online were associated with cyberbullying. Cybervictims and cyberbullies had more emotional and psychosomatic problems, social difficulties and did not feel safe and cared for in school. Cyberbullying was associated with moderate to severe depressive symptoms, substance use, ideation and suicide attempts. Health professionals should be aware of the violent nature of interactions occurring in the virtual environment and its harm to the mental health of adolescents. PMID:25859714
Manton, Richard; Rau, Henrike; Fahy, Frances; Sheahan, Jerome; Clifford, Eoghan
Cycling is the most energy-efficient mode of transport and can bring extensive environmental, social and economic benefits. Research has highlighted negative perceptions of safety as a major barrier to the growth of cycling. Understanding these perceptions through the application of novel place-sensitive methodological tools such as mental mapping could inform measures to increase cyclist numbers and consequently improve cyclist safety. Key steps to achieving this include: (a) the design of infrastructure to reduce actual risks and (b) targeted work on improving safety perceptions among current and future cyclists. This study combines mental mapping, a stated-preference survey and a transport infrastructure inventory to unpack perceptions of cycling risk and to reveal both overlaps and discrepancies between perceived and actual characteristics of the physical environment. Participants translate mentally mapped cycle routes onto hard-copy base-maps, colour-coding road sections according to risk, while a transport infrastructure inventory captures the objective cycling environment. These qualitative and quantitative data are matched using Geographic Information Systems and exported to statistical analysis software to model the individual and (infra)structural determinants of perceived cycling risk. This method was applied to cycling conditions in Galway City (Ireland). Participants' (n=104) mental maps delivered data-rich perceived safety observations (n=484) and initial comparison with locations of cycling collisions suggests some alignment between perception and reality, particularly relating to danger at roundabouts. Attributing individual and (infra)structural characteristics to each observation, a Generalised Linear Mixed Model statistical analysis identified segregated infrastructure, road width, the number of vehicles as well as gender and cycling experience as significant, and interactions were found between individual and infrastructural variables. The paper concludes that mental mapping is a highly useful tool for assessing perceptions of cycling risk with a strong visual aspect and significant potential for public participation. This distinguishes it from more traditional cycling safety assessment tools that focus solely on the technical assessment of cycling infrastructure. Further development of online mapping tools is recommended as part of bicycle suitability measures to engage cyclists and the general public and to inform 'soft' and 'hard' cycling policy responses. PMID:26760689
Banta, Jim E.; Haskard, Kelly B.; Haviland, Mark G.; Williams, Summer L.; Werner, Leonard S.; Anderson, Donald L.; DiMatteo, M. Robin
Objectives: To evaluate the relationship between self-reported mental health and binge drinking, as well as health status, sociodemographic, social support, economic resource, and health care access indicators to antihypertension medication adherence. Method: Analysis of 2003 California Health Interview Survey data. Results: Having poor mental
Ferguson H Bruce
Full Text Available Abstract Background Children with emotional and behavioural disorders should be able to count on receiving care that meets their needs and is based on the best scientific evidence available, however, many do not receive these services. Implementation of evidence-based practice (EBP relies, in part, on the research utilization practices of mental health care providers. This study reports on a survey of research utilization practices among 80 children's mental health (CMH service provider organizations in Ontario, Canada. Methods A web-based survey was distributed to 80 CMH service provider organizations, to which 51 executive directors and 483 children's mental health practitioners responded. Research utilization was assessed using questions with Likert-type responses based on the Canadian Health Services Research Foundation's Four-A's approach: access, assess, adapt, apply. Results There was general agreement among executive directors and practitioners regarding the capacity of their organizations to use access, assess, adapt, and apply research evidence. Overall, both groups rated their organizations as using research information 'somewhat well.' The low response rate to the practitioner survey should be noted. Conclusion These findings provide a useful benchmark from which changes in reported research utilization in the Ontario CMH sector can be tracked over time, as a function of EBP training and implementation initiatives, for instance. The need to improve access to research evidence should be addressed because it relates to the eventual implementation and uptake of evidence-based practices. Communities of practice are recommended as a strategy that would enable practitioners to build capacity in their adaptation and application of research evidence.
A brief overview is given of what has been discussed during the international conference RISK97 in Amsterdam, Netherlands, the end of October 1997. The main subject was the use of risk maps to discuss and control environmental and health risks
NGUI, EMMANUEL M.; Khasakhala, Lincoln; NDETEI, DAVID; ROBERTS, LAURA WEISS
The global burden of neuropsychiatry diseases and related mental health conditions is enormous, underappreciated and under resourced, particularly in the developing nations. The absence of adequate and quality mental health infrastructure and workforce is increasingly recognized. The ethical implications of inequalities in mental health for people and nations are profound and must be addressed in efforts to fulfil key bioethics principles of medicine and public health: respect for individuals...
Jang, Yuri; Kim, Giyeon; Hansen, Lianne; Chiriboga, David A.
Given the increasing evidence that older ethnic minorities underuse mental health services, the present study assessed determinants of attitudes toward mental health services with a sample of older Korean Americans (N = 472). Adapting Andersens behavioral health model, predisposing factors (age, sex, marital status, education, length of residence in the United States), mental health needs (anxiety, suicidal ideation, depressive symptoms), and enabling factors (personal experiences and belief...
Ansara Donna; Glynn Keva; Maclean Heather
Abstract Health Issue Research on the relationship between women's social roles and mental health has been equivocal. Although a greater number of roles often protect mental health, certain combinations can lead to strain. Our study explored the moderating affects of different role combinations on women's mental health by examining associations with socioeconomic status and differences in women's distress (depressive symptoms, personal stress (role strain) and chronic stress (role strain plus...
Catty, J; Burns, T.
Aims and method: Mental health day centres have been little researched. We carried out a 1-week census at the four day centres run by a London borough. Results: The centres catered for a group with long-standing mental health problems, mostly under community mental health team care. A surprising number were suffering from physical ill health. They attended the centres primarily for social reasons or to participate in creative groups such as music and art. Very few were concurrently attending ...
Ramón Antonio Rodríguez Piña
Full Text Available Se exponen los fundamentos y resultados de la aplicación técnica de mapas mentales en ejercicios grupales para el diseño de servicios de inteligencia empresarial, ejecutados estos por profesionales de la consultoría. Se describen y fundamentan las ventajas del uso de los mapas para desarrollar el trabajo grupal como herramientas que estimulan la participación e interacción entre sus miembros. Se describe el universo cosmológico de los mapas mentales, enfoques neurológicos y físicos, ventajas, beneficios y algoritmos de ejecución. Se presentan ejemplos de casos específicos, siempre orientados a servicios de inteligencia empresarial.An exposition is made of the bases and results of the application of mental map techniques in group exercises for the design of business intelligence services, executed by professional consultants. The advantages of the use of maps to develop group work as tools that stimulate the participation and interaction among their members are described and supported. The cosmologic universe of mental maps is described from physical and neurological points of view, as well as its advantages, benefits and execution algorithms. Examples of specific cases are presented, always oriented to business intelligence services.
Ramón Antonio, Rodríguez Piña; Anays, Mas Basnuevo; Migdely, Ochoa Ávila; Yovanni, Quevedo Aballe.
Full Text Available Se exponen los fundamentos y resultados de la aplicación técnica de mapas mentales en ejercicios grupales para el diseño de servicios de inteligencia empresarial, ejecutados estos por profesionales de la consultoría. Se describen y fundamentan las ventajas del uso de los mapas para desarrollar el tr [...] abajo grupal como herramientas que estimulan la participación e interacción entre sus miembros. Se describe el universo cosmológico de los mapas mentales, enfoques neurológicos y físicos, ventajas, beneficios y algoritmos de ejecución. Se presentan ejemplos de casos específicos, siempre orientados a servicios de inteligencia empresarial. Abstract in english An exposition is made of the bases and results of the application of mental map techniques in group exercises for the design of business intelligence services, executed by professional consultants. The advantages of the use of maps to develop group work as tools that stimulate the participation and [...] interaction among their members are described and supported. The cosmologic universe of mental maps is described from physical and neurological points of view, as well as its advantages, benefits and execution algorithms. Examples of specific cases are presented, always oriented to business intelligence services.
Full Text Available In Iran, more than 25% of women suffer from mental disorders. Mental disorders and subclinical problems are associated with socioeconomic problem. At the community level, mental health promotion can reduce social damage. The aim of this study as a part of community based mental health promotion intervention was to explore how mental health in Iranian women is viewed.According to a qualitative method in 2012, participants were selected by purposeful sampling from married women 18 to 65 years who are residents in Tehran. Fifteen in depth individual interviews were conducted with regard to the concept of mental health, causal pathway and help-seeking behavior according to explanatory model.Mental health was perceived as the same of emotional well-being. It conceptualized not only lack of mental disorder but also sense of satisfaction and healthy functioning. According to participant's view, the causal pathway of mental health problems were classified to individual, familial and social factors. Physical and behavioral problems were related to individual factor, Lack of marital adjustment was one of the most important issues in familial item and in social factor, cultural context and socio-economic problems were extracted. In help seeking process, all of the participants believed that the religion has important effect in mental health.Marital adjustment is an important stage in process of mental health in women.
Full Text Available Background: : According to the last existing documents, the prevalence rate of mental disorders is about 20% which is considered to be 14% of all countrys burden of disease. In the fifth economical, social, and cultural development plan of the country in accordance with the 20 year vision, healthy human being and comprehensive health approaches and also improving of mental health indicators are emphasized. Aim of study was preparing national policy and interventions for promoting mental health.Methods: Using secondary data, analytical review of countrys mental health programs, recommendations of WHO, descriptive situation of mental health and its trend during the last decade were drafted and a group of experts and stakeholders was formed following a sound stakeholders analysis. After three Focus Group Discussions (FGDs, main points of the meetings, influencing factors of present situation, and oncoming strategies were agreed upon.Results: Based on different studies and the experts opinions, the prevalence of mental disorders in the last decade has increased. Coverage of mental health programs in two last decades in the best could be equal to rural population. Urban areas have been deprived of these services. Analysis of mental health system of the country shows that internal environment is weak and the external one is concede to be in threat. Eight principal challenges in countrys mental health are considered.Conclusion: Improving current situation requires increasing internal capacity of mental health system and developing inter-sectoral cooperation. During next five years, the Ministry of Health, Iran should mainly focus on improving mental health services particularly in urban and peri-urban areas, promoting mental health literacy of different groups and minimizing mental health risk factors.
Crosbie, David W
Over the past 15 years, governments have agreed to a series of National Mental Health Plans. These national strategies and plans have set goals and discussed the importance of monitoring and evaluation. Despite this ongoing national collaborative framework, Australia's mental health policy lacks real accountability and relies largely on limited mental health service systems data. The lack of outcome data represents a critical gap in knowledge for mental health policy, planning and practice. Resistance from current stakeholders and a lack of investment in research and monitoring capacity are preventing more rigorous ongoing monitoring of mental health policy. The new Rudd Government appears to be shifting the emphasis towards measuring the outcomes of national policy in health, housing and employment. Measuring such outcomes will guide government decision making and ultimately improve mental health services. PMID:19220174
Al-Darmaki, Fatima; Thomas, Justin; Yaaqeib, Saad
Recent epidemiological data from Arabian Gulf nations suggest that mental health problems such as depression and anxiety have a relatively high prevalence, particularly amongst women. However, despite the widespread morbidity, treatment seeking for mental health problems is low. Mental health beliefs amongst female Emirati college students were explored. A questionnaire exploring perceptions about the causes, consequences and best forms of intervention for mental health problems was administered to 70 participants. Data revealed that social and environmental factors were given the most weight in terms of etiology. Social stigma was the most frequently identified barrier to help seeking. Religious practices were commonly reported as an approach to cope with mental health problems and to maintain good psychological health. Most participants reported willingness to seek help from a healthcare professional. Results are discussed in terms of their implications for improving the quality and accessibility of mental health services in the gulf region. PMID:26286081
Antonio José Morales Hernández
Full Text Available INTRODUCTION: People build their world image in relation to stories they hear from family and friends, news that they observe in the mass media... School environment influence is relevant as well, especially from subjects such as Geography, which not only presents facts and data in the world but also a representation of the planet on a map.In this article we provide empirical evidence on the mental construction of the world map by Teacher Training students of Valencia. By this, we want to show the need to work this content on cartographic skills to prevent deformation of the explanation of the planet Earth and its problems.
James S. Brown
Full Text Available Medical geography or the use of geography to study disease traces back to ancient times (Meade and Earickson 2005. After the late 17th-century, medical geography became more formalized with developments in cartography and the introduction of maps of disease distribution (Koch 2005. By the 20th-century, medical geographers developed sophisticated statistical methods of geographical epidemiology to create maps allowing the spatial analysis of health-related issues (Elliott et al. 1997. For example, in mental health research, spatial analysis of geographic patterns of mental disorders led to the correlation of urban environments with increased risk for severe mental disorders (Freeman 1984. During recent years, technological innovation in computer mapping referred to as geographic information systems (GIS significantly enhanced the analysis of health questions in small local areas such as census blocks and neighborhoods. GIS analyses have shown superiority to classical geographic techniques in these small areas that eluded accurate investigation in the past.
Burns, J K
The relationship between poverty and mental health is indisputable. However, to have an influence on the next set of sustainable global development goals, we need to understand the causal relationships between social determinants such as poverty, inequality, lack of education and unemployment; thereby clarifying which aspects of poverty are the key drivers of mental illness. Some of the major challenges identified by Lund (2014) in understanding the poverty-mental health relationship are discussed including: the need for appropriate poverty indicators; extending this research agenda to a broader range of mental health outcomes; the need to engage with theoretical concepts such as Amartya Sen's capability framework; and the need to integrate the concept of income/economic inequality into studies of poverty and mental health. Although income inequality is a powerful driver of poor physical and mental health outcomes, it features rarely in research and discourse on social determinants of mental health. This paper interrogates in detail the relationships between poverty, income inequality and mental health, specifically: the role of income inequality as a mediator of the poverty-mental health relationship; the relative utility of commonly used income inequality metrics; and the likely mechanisms underlying the impact of inequality on mental health, including direct stress due to the setting up of social comparisons as well as the erosion of social capital leading to social fragmentation. Finally, we need to interrogate the upstream political, social and economic causes of inequality itself, since these should also become potential targets in efforts to promote sustainable development goals and improve population (mental) health. In particular, neoliberal (market-oriented) political doctrines lead to both increased income inequality and reduced social cohesion. In conclusion, understanding the relationships between politics, poverty, inequality and mental health outcomes requires us to develop a robust, evidence-based 'political economy of mental health.' PMID:25746820
Full Text Available This paper talks of support systems for mental health professionals wherein the Bombay Psychiatric Society (BPS should devote some meetings exclusively to problems pertaining to the profession, e.g., long and odd working hours leading to potentially hazardous practice schedules, unhealthy competitive attitudes and culture. A crash course in self-defence against potentially psychotic patients and drug addicts is advocated as also awareness of the potential hazards in dealing with the litigious paranoid patients, erotomaniacs and some of the difficult hysterical patients. Potential medicolegal problems arise in treating an uncooperative patient without his knowledge and consent on an outpatient department basis, admitting such an uncooperative patient to a nursing home or a hospital, administering electroconvulsive therapies, maintaining detailed clinical records of patients, and legal issues involving smaller psychiatric private nursing homes. This paper stresses on the use of Yoga as a recognised psycho-physiological therapy. Furthermore, it suggests on the need for BPS, as a professional body, to have a cell to guide and help aspiring young professionals in setting up private practice. It points out the need to evolve some concrete programmes that in the long run should help alleviate stresses and strains and promote positive comprehensive health amongst mental health professionals.
This paper talks of support systems for mental health professionals wherein the Bombay Psychiatric Society (BPS) should devote some meetings exclusively to problems pertaining to the profession, e.g., long and odd working hours leading to potentially hazardous practice schedules, unhealthy competitive attitudes and culture. A crash course in self-defence against potentially psychotic patients and drug addicts is advocated as also awareness of the potential hazards in dealing with the litigious paranoid patients, erotomaniacs and some of the difficult hysterical patients. Potential medicolegal problems arise in treating an uncooperative patient without his knowledge and consent on an outpatient department basis, admitting such an uncooperative patient to a nursing home or a hospital, administering electroconvulsive therapies, maintaining detailed clinical records of patients, and legal issues involving smaller psychiatric private nursing homes. This paper stresses on the use of Yoga as a recognised psycho-physiological therapy. Furthermore, it suggests on the need for BPS, as a professional body, to have a cell to guide and help aspiring young professionals in setting up private practice. It points out the need to evolve some concrete programmes that in the long run should help alleviate stresses and strains and promote positive comprehensive health amongst mental health professionals. PMID:25838730
Antony, J T
The Mental Health Act, 1987 came into force in 1993. Mental Health Authorities that were created by this Act are useful, but the present situation of not having Government Mental Hospitals under the scrutiny of these authorities is a shortcoming. The high capital needed for upgradation of Government mental hospitals; is likely to be found, only with the intervention of Mental Health Authorities Creation of a funding agency of Government of India is also needed Denying profoundly retarded persons access to a psychiatric hospital is a hard situation. Psychiatric patients in general hospitals' having to face the hassles of mental hospital admission is against the spirit of the act and needs to be remedied Courts' directly determining the presence of psychiatric illness in persons is not serving the end of justice. They should do this on the basis of evidence Several avoidable hardships that may be caused by having the act in the present form has to be corrected This could be done by amendment of the act in certain cases by approaching the High Court in certain others and by thoughtfully framing the State Mental Health Rules in a quite a few other situations. The success of Mental Health Act, 1987 is in its effectiveness to ensure basic human rights of mental patients. A set of Mental Health Rules, that incorporates adequate provisions to protect human rights of patients, in all respects, can go a long way to strengthen the Mental Health Act. PMID:21407970
Eack, Shaun M.; Newhill, Christina E.
Racial disparities in mental health outcomes have been widely documented in noninstitutionalized community psychiatric samples, but few studies have specifically examined the effects of race among individuals with the most severe mental illnesses. A sample of 925 individuals hospitalized for severe mental illness was followed for a year after
Dodds, Peter R; Anderson, Caitlyn O; Dodds, Jon H
While there is a public perception that gun violence is associated with mental illness we present evidence that it is a complex public health problem which defies simple characterizations and solutions. Only a small percentage of individuals with mental illness are at risk for extreme violence and they account for only a small percentage of gun-related homicides. Individuals who are at risk for gun violence are difficult to identify and successfully treat. The incidence, and perhaps the demographics, of gun violence vary substantially from state to state. We make a case for Connecticut physicians to study gun violence at the state level. We recommend that Connecticut physicians promote and expand upon the American Academy of Pediatrics' recommendation for creating a "safe home environment. "We suggest that guns be secured in all homes in which there are children. In addition we suggest that guns be voluntarily removed from homes in which there are individuals with a history of violence, threats of violence, depression, drug and/or alcohol abuse, and individuals with major mental illnesses who are not cooperating with therapy. PMID:25745735
Jiloha, R C
Rape of women by men has occurred throughout recorded history and across cultures and religions. It is a crime against basic human right and a most common crime against women in India. In this article, rape is discussed from legal and mental health perspective. In India 'rape laws' began with enactment of Indian Penal Code in 1860. There have been subsequent amendments and the main issue of focus remained the definition of 'rape and inclusion of 'marital rape' in the ambit of rape. Law Commission Reports related to rape and the psychological impacts of rape have been discussed. PMID:24082245
Rape of women by men has occurred throughout recorded history and across cultures and religions. It is a crime against basic human right and a most common crime against women in India. In this article, rape is discussed from legal and mental health perspective. In India ârape lawsâ began with enactment of Indian Penal Code in 1860. There have been subsequent amendments and the main issue of focus remained the definition of ârape and inclusion of âmarital rapeâ in the ambit of rape. Law Commis...
Giotakos, O; Karabelas, D; Kafkas, A
Several studies indicate an association between economic crises and psychological burden. To investigate the possible impact of the current economic crisis on mental health in Greece, the association between two economic indicators (unemployment and average income) and mental health variables (psychiatric clinic admittance, visits to outpatients' departments and emergency units, suicides, homicides, mortality rates and divorces) was studied. The data were gathered by the Greek Statistical Service and some others were provided by the following hospitals: Eginition Hospital, Psychiatric Hospital of Attica, Athens General Hospital and Evaggelismos Hospital. Simple and multiple regression analyses were performed on the data. There was no significant correlation between the level of unemployment, as well as the average income, and admittance to the psychiatric clinics. A significant correlation was isolated between unemployment and visits to outpatients' department (R2 = 0.40, p = 0.001) and emergency unit (R2 = 0.49, p = 0.0002) of Eginition Hospital. The unemployment rate during the period 1981-2008 was positively associated with the number of homicides (R2 = 0.16, beta = 0.000049, p = 0.03), as well as the number of divorces (R2 = 0.20, beta = 0.005, p = 0.02) during the same period. The average income showed positive association with the visits to both outpatients' department (R2 = 0.55, p rates (R2 = 0.37, p = 0.007), as well as a positive correlation between the average income and divorce rates (R2 = 0.73, p < 0.001) were found. The findings show several similarities with previous surveys in countries with analogous economic crises, such as the Former Eastern Bloc countries, Asian countries and the USA. Future studies, at a more late stage of the economic crisis, are expected to reveal more reliable associations with mental health. Finally, these findings are expected to inform intervention programmes dealing with prevention or mitigation of the impact of economic crisis on citizens' mental health. PMID:21888184
Jiloha, R. C.
Rape of women by men has occurred throughout recorded history and across cultures and religions. It is a crime against basic human right and a most common crime against women in India. In this article, rape is discussed from legal and mental health perspective. In India rape laws began with enactment of Indian Penal Code in 1860. There have been subsequent amendments and the main issue of focus remained the definition of rape and inclusion of marital rape in the ambit of rape. Law Commission Reports related to rape and the psychological impacts of rape have been discussed. PMID:24082245
Mental map is considered as an individuals mental representation of his/her spatial cognition. People learn from the environment and add information to their personal mental map. It becomes important when we try to understand the relationships between ones travel decision processes and their choice sets. The aim of this paper is to study the relationship between individuals activity travel patterns and their mental map by exploring peoples spatial cognition, their activity space and relat...
AndrÃ©s Cubillos Novella
Full Text Available In recent years it has become apparent emphasis promoted by the Pan American Health Organization-PAHO / WHO-mental health, trying to transcend disease and policy development in this line. This article discusses the progress made since the national level, in order to take responsibility of the State through the delivery of public policies for vulnerable groups or as life cycle, some with the intention of intersectoral, trying to make it possible to guarantee rights contribute directly or indirectly to mental health. Advances in policy, due to the weakness in the implementation of these at times, lack of assessment or other fragmentation and difficulty intersectoral linkages, unfortunately do not get the best results.Â
McCloughen, Andrea; Foster, Kim; Marabong, Nikka; Miu, David; Fethney, Judith
Comorbid physical health conditions, commonly associated with mental illness, contribute to increased morbidity and reduced life expectancy. The trajectory to poorer health begins with the onset of mental illness. For young people with mental illness, health risk behaviours and poor physical health can progress to adulthood with long-term detrimental impacts. Using a cross-sectional survey design, self-reported health risk behaviours were gathered from 56 young (16-25 years) Australians who had been hospitalised for mental illness and taking psychotropic medication. Smoking, alcohol use, minimal physical activity, and lack of primary health care were evident. While these behaviours are typical of many young people, those with mental illness have substantially increased vulnerability to poor health and reduced life expectancy. Priority needs to be given to targeted health promotion strategies for young people with mental illness to modify their risky long-term health behaviours and improve morbidity and mortality outcomes. Nurses in mental health settings play a vital role in promoting young peoples' well-being and preventing poorer physical health outcomes. Implementation of a cardiometabolic health nurse role in inpatient settings for young people with mental illness could facilitate prevention and early intervention for health risk behaviours. PMID:26514256
Hodgkinson, Stacy; Beers, Lee; Southammakosane, Cathy; Lewin, Amy
Adolescent parenthood is associated with a range of adverse outcomes for young mothers, including mental health problems such as depression, substance abuse, and posttraumatic stress disorder. Teen mothers are also more likely to be impoverished and reside in communities and families that are socially and economically disadvantaged. These circumstances can adversely affect maternal mental health, parenting, and behavior outcomes for their children. In this report, we provide an overview of the mental health challenges associated with teen parenthood, barriers that often prevent teen mothers from seeking mental health services, and interventions for this vulnerable population that can be integrated into primary care services. Pediatricians in the primary care setting are in a unique position to address the mental health needs of adolescent parents because teens often turn to them first for assistance with emotional and behavioral concerns. Consequently, pediatricians can play a pivotal role in facilitating and encouraging teen parents' engagement in mental health treatment. PMID:24298010
The field of mobile health (m-Health) is evolving rapidly and there is an explosive growth of psychological tools on the market. Exciting high-tech developments may identify symptoms, help individuals manage their own mental health, encourage help seeking, and provide both preventive and therapeutic interventions. This development has the potential to be an efficient cost-effective approach reducing waiting lists and serving a considerable portion of people globally (g-Health). However, few of the mobile applications (apps) have been rigorously evaluated. There is little information on how valid screening and assessment tools are, which of the mobile intervention apps are effective, or how well mobile apps compare to face-to-face treatments. But how feasible is rigorous scientific evaluation with the rising demands from policy makers, business partners, and users for their quick release? In this paper, developments in m-Health toolstargeting screening, assessment, prevention, and treatmentare reviewed with examples from the field of trauma and posttraumatic stress disorder. The academic challenges in developing and evaluating m-Health tools are being addressed. Evidence-based guidance is needed on appropriate research designs that may overcome some of the public and ethical challenges (e.g., equity, availability) and the market-driven wish to have mobile apps in the App Store yesterday rather than tomorrow. PMID:25994025
Full Text Available The field of mobile health (m-Health is evolving rapidly and there is an explosive growth of psychological tools on the market. Exciting high-tech developments may identify symptoms, help individuals manage their own mental health, encourage help seeking, and provide both preventive and therapeutic interventions. This development has the potential to be an efficient cost-effective approach reducing waiting lists and serving a considerable portion of people globally (g-Health. However, few of the mobile applications (apps have been rigorously evaluated. There is little information on how valid screening and assessment tools are, which of the mobile intervention apps are effective, or how well mobile apps compare to face-to-face treatments. But how feasible is rigorous scientific evaluation with the rising demands from policy makers, business partners, and users for their quick release? In this paper, developments in m-Health toolstargeting screening, assessment, prevention, and treatmentare reviewed with examples from the field of trauma and posttraumatic stress disorder. The academic challenges in developing and evaluating m-Health tools are being addressed. Evidence-based guidance is needed on appropriate research designs that may overcome some of the public and ethical challenges (e.g., equity, availability and the market-driven wish to have mobile apps in the App Store yesterday rather than tomorrow.
Luciana Assis Costa
Full Text Available The understanding of territory, made evident by a decentralized, local based, and non-institutionalized mental health model, is a fundamental element in building a renewed network. The objective of this essay is to understand how mental health policies gradually favor local actions, organized in terms of territories, to develop strategies of care that support the new model of mental health. From this perspective, the aim of this research is to reflect on the possibilities of establishing new social relations that can, in fact, widen the sense of community belonging in the daily living of those presenting mental health conditions. This study draws from theoretical concepts and frameworks of the social sciences, describing the diverse positions held by the main schools of urban sociology with regards to the understanding of territories. The multiple conceptions of territories and their relations to mental health are analyzed. Historical data about mental health in Brazil show a heterogeneous development of mental health policies in different areas of the country. Finally, social inclusion in the cities depends on an effective expansion of territory-based mental health services, as well as an amplification of the access to consumer goods and services not necessarily connected to health care, but to basic social and civil rights. Hopefully, new rules of social interaction will not be restricted to the mental health universe, but will promote new encounters in the urban space, with respect for differences and appreciation of diversity.
O'Connor, Matt; Casey, Leanne
Although Mental Health Literacy (MHL) has been a topic of substantial interest, measurement of this concept using a scale-based measure has been limited, including a lack of psychometric and methodologically robust scale-based measures of MHL. This study developed a new scale-based measure of MHL, the Mental Health Literacy Scale (MHLS), which assesses all attributes of MHL. Construction of the MHLS was done over three key stages, including measure development, pilot testing and assessment of psychometrics and methodological quality. The resulting measure is a 35 item, univariate scale that is easily administered and scored. Results showed significant differences in scores between mental health professionals and a community sample, as well as individuals with greater experience with mental health, and a significant positive relationship with help-seeking intentions. The MHLS also demonstrated good internal and test-retest reliability. Evaluation of the methodological quality of the MHLS indicated that it has substantial methodological advantages in comparison to existing scale-based measures of MHL. The MHLS can be used in assessing individual and population level differences in MHL and in determining the impact of programmes designed to improve MHL. PMID:26228163
Full Text Available Abstract Background Following a situation appraisal in 2001, a six year mental health reform programme (Egymen 2002-7 was initiated by an Egyptian-Finnish bilateral aid project at the request of a former Egyptian minister of health, and the work was incorporated directly into the Ministry of Health and Population from 2007 onwards. This paper describes the aims, methodology and implementation of the mental health reforms and mental health policy in Egypt 2002-2009. Methods A multi-faceted and comprehensive programme which combined situation appraisal to inform planning; establishment of a health sector system for coordination, supervision and training of each level (national, governorate, district and primary care; development workshops; production of toolkits, development of guidelines and standards; encouragement of intersectoral liaison at each level; integration of mental health into health management systems; and dedicated efforts to improve forensic services, rehabilitation services, and child psychiatry services. Results The project has achieved detailed situation appraisal, epidemiological needs assessment, inclusion of mental health into the health sector reform plans, and into the National Package of Essential Health Interventions, mental health masterplan (policy guidelines to accompany the general health policy, updated Egyptian mental health legislation, Code of Practice, adaptation of the WHO primary care guidelines, primary care training, construction of a quality system of roles and responsibilities, availability of medicines at primary care level, public education about mental health, and a research programme to inform future developments. Intersectoral liaison with education, social welfare, police and prisons at national level is underway, but has not yet been established for governorate and district levels, nor mental health training for police, prison staff and teachers. Conclusions The bilateral collaboration programme initiated a reform programme which has been sustained beyond the end of the funding. The project has demonstrated the importance of using a multi-faceted and comprehensive programme to promote sustainable system change, key elements of which include a focus on the use of rapid appropriate treatment at primary care level, strengthening the referral system, interministerial and intersectoral liaison, rehabilitation, and media work to mobilize community engagement.
Eklund, Marthe LyngÃ¥s; Ruud, Ireen; Grov, Ellen Karine
Background Positive effects of physical activity, health promotion and disease prevention, in treatment of mental illnesses are well documented. Mental health practice for nursing students highlights the important connection between physical activities and mental health. This study aims to examine the outcome from nursing studentsâ participation using The forest as a classroom. Studentsâ collaboration by problem solving, theoretical discussions and performance of activities in the forest serv...
LePlatte, Dayna; Rosenblum, Katherine Lisa; Stanton, Emily; Miller, Nicole; Muzik, Maria
Mental health care is important for everyone, especially teenagers. However, seeking mental health services may be challenging for teenagers, particularly when they are also parents. Offering mental health care in a safe, attractive and easily accessible manner, such as primary care, increases the chances that teenage parents will receive help. Comprehensive care models need to be established to address the many needs that at-risk young mothers and their children face. There are a number of p...
Grandjean Bamberger, Simon; Vinding, Anker Lund; Larsen, Anelia; Nielsen, Peter; Fonager, Kirsten; Nielsen, René Nesgaard; Ryom, Pia Køhler; Omland, Øyvind
Although limited evidence is available, organisational change is often cited as the cause of mental health problems. This paper provides an overview of the current literature regarding the impact of organisational change on mental health. A systematic search in PUBMED, PsychInfo and Web of Knowledge combining MeSH search terms for exposure and outcome. The criterion for inclusion was original data on exposure to organisational change with mental health problems as outcome. Both cross-sectiona...
Jayarajan, Nishanth; Chandra, Prabha S
HIV/AIDS has gained prominence in India as a growing public health issue. There is a complex but significant interaction between mental health and HIV/AIDS. HIV affects mental health by its direct neurobiological action, the impact of having the illness, by its treatment including that for opportunistic infections and by its impact on the family. In addition, substance use and mental illness as vulnerability factors add to the complexity of assessment, differential diagnosis and management. T...
Kahaerjiang Abula; Zhongkai He
The present study aims to investigate the relationship among college students` exercise motivation, exercise adherence and the level of their mental health. 217 undergraduate college students participated in this research. College Students` Mental Health Scale (CSMHS) and a scale created by authors were applied to investigate college students` mental health condition on six dimensions as well as exercise adherence, exercise motivation and exercise barriers .The results show that: (1) individu...
DINESH P. NAIK
The present study was conducted to test the hypothesis that music training causes improvements in several aspects of Mental Health. The researcher tested this hypothesis using a pre-post intervention study design, in which researcher measured adolescent's Mental Health. Initially 588 students from Senior College were selected for the present study. All were nineteen-to-twenty one year old. Pre testing sessions were conducted on several small groups. By using the Mithila Mental Health Statu...
THABET, ABDEL AZIZ; EL GAMMAL, HOSSAM; Vostanis, Panos
The aim of this study was to explore Palestinian mothers' perceptions of child mental health problems and their understanding of their causes; to determine Palestinian mothers' awareness of existing services and sources of help and support; to identify professionals in the community whom Palestinian mothers would consult if their child had mental health problems; and to establish their views on ways of increasing awareness of child mental health issues and services. Checklis...
Powell, J.; Clarke, A.
The internet is an increasingly important source of mental health-related information, and has the potential to be harnessed as a tool to support self-care and informed decision-making. Yet little is known about the motivations and attitudes of users. We therefore undertook a qualitative interview study with a purposive sample of mental health service users with internet experience, to explore issues with respect to mental health-related internet use. One of the prime motivations for online m...
Kathleen R. Delaney
Psychiatric nurses in the United States (US) stand at the edge of a changing mental health care landscape. Federal initiatives are moving into place; ones that aim to increase access to care, place a greater emphasis on prevention and wellness, and position recovery as the focus of mental health treatment. The Psychiatric Mental Health (PMH) specialty is at a pivotal moment of choice: it can organize around a future vision of PMH nursing or can silently acquiesce to a marginalized position. ...
This is a long awaited text within the field of mental health in South Africa, as there is very little written about culture and mental health within the specific context of South Africa. This book is very useful for students in any field of mental health like psychology, nursing, social work and medicine. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Yi-Chien Chiang; Jen-Wen Hung; Yee-Hwa Wu; Wen-Chi Wu; Chao-Hsing Yeh
Background: Parents of children with disabilities play an essential role in the successfulrehabilitation of their children. However, the high level of care required mayaffect the mental health of the parents and consequently contribute to anunfavorable rehabilitation outcome in their children. The aims of this studyare to investigate the mental health of parents of children with physical disabilitiesand to elucidate the factors affecting parental mental health.Method: This was a cross-section...
Crain, Rebecca; GRZYWACZ, JOSEPH G.; Schwantes, Melody; ISOM, SCOTT; QUANDT, SARA A.; Arcury, Thomas A.
Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine personal and situational correlates of poor mental health among Latino farmworkers. Structured interview data were obtained from farmworkers (N=69) in six counties in eastern and western North Carolina. Results indicated that a substantial number of farmworkers have poor mental health, as indic...
Lambert, Kelly G.
Although the field of neuroscience is booming, a challenge for researchers in mental health disciplines is the integration of basic research findings into applied clinical approaches leading to effective therapies. Recently the National Institute of Mental Health called for translational research grants to encourage collaboration between neuroscientists and mental health professionals. In order for this clinical neuroscience to emerge and thrive, an important first step is the provision of ...
Ferreira, Carla Adriana dos Santos
Mental health constitutes a significant share of the global burden of disease. It is shaped to a great extent by socioeconomic factors and is vulnerable to external shocks. The recent financial crisis brought about stressors prone to trigger and aggravate mental illnesses. This project presents a micro analysis of the effect of the economic crisis on mental health in eleven European countries, through the estimation of individual health production functions accounting for socioeconomic contro...
The Substance Abuse and Mental Health Data Archive (SAMHDA) is an initiative of the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA) of the United States Department of Health and Human Services. The goal of the archive is to provide re...
Ahmedani, Brian K.
Mental health stigma operates in society, is internalized by individuals, and is attributed by health professionals. This ethics-laden issue acts as a barrier to individuals who may seek or engage in treatment services. The dimensions, theory, and epistemology of mental health stigma have several implications for the social work profession.
Fergusson, David M.; Horwood, L. John; Ridder, Elizabeth M.
Background: The extent to which abortion has harmful consequences for mental health remains controversial. We aimed to examine the linkages between having an abortion and mental health outcomes over the interval from age 15-25 years. Methods: Data were gathered as part of the Christchurch Health and Development Study, a 25-year longitudinal studyâ¦
Jenkins, Rachel; Mendis, Jayan; Cooray, Sherva; Cooray, Marius
Introduction Sri Lanka has one of the highest suicide rates in the world, with recent protracted conflict and the tsunami aggravating mental health needs. This paper describes a project to establish a systematic train the trainers programme to integrate mental health into primary care in Sri Lanka's public health system and private sector.
Wyatt, Tammy; Oswalt, Sara B.
Background: Stress and other mental health issues can negatively impact the health and academic performance of college students. Purpose: Examine relationships among stress, mental health, and academic classification in a national sample of college students. Methods: Analyses utilized secondary data from 27 387 college students responding to the
Levinton, Paula H.; Dunning, Tessa F.E.
Information requirements of mental health providers are sufficiently different from those of other health care managers to warrant a different approach to the development of management information systems (MIS). Advances in computer technology and increased demands for fiscal accountability have led to developing integrated mental health information systems (MHIS) that support clinical and management requirements.
Fergusson, David M.; Horwood, L. John; Ridder, Elizabeth M.
Background: The extent to which abortion has harmful consequences for mental health remains controversial. We aimed to examine the linkages between having an abortion and mental health outcomes over the interval from age 15-25 years. Methods: Data were gathered as part of the Christchurch Health and Development Study, a 25-year longitudinal study
Vicki A Nejtek
Full Text Available Vicki A Nejtek, Sarah Hardy, Scott WinterUniversity of North Texas Health Science Center, Fort Worth, TX, USAAbstract: The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of childhood neglect and abuse are perpetrated most often by single mothers. Psychiatric disorders arising from maternalâchild dysfunction are well-documented. However, resources to prevent offspring victimization are lacking. Here, we report maternal neglect of a 15-year-old male brought to the psychiatric emergency room for suicidal ideation. An inpatient treatment plan including pharmacotherapy, family therapy and psychological testing was initiated. The patientâs mother failed to attend clinic appointments or family therapy sessions. Clinician attempts to engage the mother in the treatment plan was met with verbal assaults, aggression, and threatening behavior. The patient decompensated in relation to the motherâs actions. Child Protective Services were contacted and a follow-up assessment with the patient and mother is pending. Psychiatric treatment of the mother may be a necessary intervention and prevention regimen for both the adolescent and the mother. Without consistent Child Protective Services oversight, medical and psychosocial follow-up, the prognosis and quality of life for this adolescent is considered very poor. Stringent mental health law and institutional policies are needed to adequately intercede and protect adolescents with mental illness.Keywords: adolescent, suicide, maternal treatment noncompliance, maternal neglect
Full Text Available This study examines whether mental health scores of the university students differ based on gender, whether they study in their ideal majors, whether they are contended with their majors, economic condition perceived and perceptions on employment opportunity after graduation. The sample group of the study constituted 3492 students comprising 2037 female students and 1455 male students attending Faculty of Education (634, Engineering Faculty (1582, Economic and Administrative Sciences Faculty (1097, Faculty of Science and Letters (762, Medical Vocational College (540, Physical Training and Sports College (443 and Aksaray Vocational College (1452 of Aksaray University in 2010-2011 Academic Year. Symptom Checklist (SCL 90-R developed by Deragotis, (1983; eg Öner, 1997 has been used to collect data on mental health level of the students involved in the study. Statistical analysis of the data collected has been carried out using t Test, One-way Analysis of Variance (ANOVA. Significant differences have been found in students in terms of independent variants according to the general symptom average score and numerous sub-scale scores.
Verhaaff, Ashley; Scott, Hannah
Objective: This study examined which individual factors predict mental health court diversion outcome among a sample of persons with mental illness participating in a postcharge diversion program. Method: The study employed secondary analysis of existing program records for 419 persons with mental illness in a court diversion program. Results:
Full Text Available The aim of the present study is to examine the Influence of Social Support on Mental Health of Employees selected from Gulbarga District. The Sample consists of 200 (of different occupations and gender employees. The sample was administered with Social support questionnaire and Mental Health Inventory. And the data were subjected the t-test. The results revealed that social support produces differences in mental health of employees and there is a significant difference in Mental Health between the male and female sample.
Jhangiani, Surita Jassal; Vadeboncoeur, Jennifer A.
The recent shift to a "positive psychological" approach that emphasizes a "health model," rather than a "disease model," in mental health discourses is intended both to reduce the stigma around mental health issues and to enable people to play a role in monitoring their own mental health. As a component of a larger study on access to and
Bains, Ranbir Mangat; Diallo, Ana F.
Mental health issues affect 20-25% of children and adolescents, of which few receive services. School-based health centers (SBHCs) provide access to mental health services to children and adolescents within their schools. A systematic review of literature was undertaken to review evidence on the effectiveness of delivery of mental health services
Once an orphan field, global mental health now has wide acknowledgement and prominence on the global health agenda. Increased recognition draws needed attention to individual suffering and the population impacts, but medicalizing global mental health produces a narrow view of the problems and solutions. Early framing by advocates of the global mental health problem emphasised biological disease, linked psychiatry with neurology, and reinforced categories of mental health disorders. Universa...
Moore, Alan; Cross, Wendy
How might the unconscious part of the mind affect mental health patients' emotions or behaviour? How might the unconscious motivations of mental health nurses affect their patients? The discovery of "the unconscious" two centuries ago has allowed philosophers and scientists, such as C. G. Jung, to explore the field. Contemporary mental health care subscribes to a dominance of neurobiological approaches, neglecting the unconscious or relegating it to that of a merely biological process. Approaching this subject from the perspective of Jung, we make a case for the inclusion of theoretical concepts about the unconscious in the discourse of mental health nursing. Such awareness may help mental health nurses to better understand the mental disease, disorder, and distress found in patients. It also may help them understand their own conflicts and motivations that, in turn, can have an affect on their patients. PMID:24702216
Nadeem Ahmad; D.B.Phalke
The mental health of the child affects his physical health and the learning process. The present study was conducted to study the health status and etiological factors among 58 mentally challenged children in school for mentally challenged at Sangamner. Majority of mentally challenged children (68.0%) were in 5-9 years age group. Most of them had moderate retardation. (43.0%) In majority of children (70.68%)no clinical syndrome was present. Most common clinical syndrome was Downs syndrome (1...
Full Text Available Abstract Background Despite the 1991 reforms of the health system in Zambia, mental health is still given low priority. This is evident from the fragmented manner in which mental health services are provided in the country and the limited budget allocations, with mental health services receiving 0.4% of the total health budget. Most of the mental health services provided are curative in nature and based in tertiary health institutions. At primary health care level, there is either absence of, or fragmented health services. Aims The aim of this paper was to explore health providers' views about mental health integration into primary health care. Methods A mixed methods, structured survey was conducted of 111 health service providers in primary health care centres, drawn from one urban setting (Lusaka and one rural setting (Mumbwa. Results There is strong support for integrating mental health into primary health care from care providers, as a way of facilitating early detection and intervention for mental health problems. Participants believed that this would contribute to the reduction of stigma and the promotion of human rights for people with mental health problems. However, health providers felt they require basic training in order to enhance their knowledge and skills in providing health care to people with mental health problems. Recommendations It is recommended that health care providers should be provided with basic training in mental health in order to enhance their knowledge and skills to enable them provide mental health care to patients seeking help at primary health care level. Conclusion Integrating mental health services into primary health care is critical to improving and promoting the mental health of the population in Zambia.
Tassone-Monchicourt, C; Daumerie, N; Caria, A; Benradia, I; Roelandt, J-L
Image of Madness was always strongly linked with the notion of "dangerousness", provoking fear and social exclusion, despite the evolution of psychiatric practices and organisation, and the emphasis on user's rights respect. Mediatization and politicization of this issue through news item combining crime and mental illness, reinforce and spread out this perception. This paper presents a review of the litterature on social perceptions associating "dangerousness", "Insanity" and "mental illness", available data about the link between "dangerous states" and "psychiatric disorders", as well as the notion of "dangerousness" and the assessment of "dangerous state" of people suffering or not from psychiatric disorders. MAPPING OF SOCIAL REPRESENTATIONS: The French Survey "Mental Health in General Population: Images and Realities (MHGP)" was carried out between 1999 and 2003, on a representative sample of 36.000 individuals over 18 years old. It aims at describing the social representations of the population about "insanity/insane" and "mental illness/mentally ill". The results show that about 75% of the people interviewed link "insanity" or "mental illness" with "criminal or violent acts". Young people and those with a high level of education more frequently categorize violent and dangerous behaviours in the field of Mental illness rather than in that of madness. CORRELATION BETWEEN DANGEROUS STATE AND PSYCHIATRIC DISORDERS: in the scientific literature, all experts reject the hypothesis of a direct link between violence and mental disorder. Besides, 2 tendencies appear in their conclusions: on one hand, some studies establish a significative link between violence and severe mental illness, compared with the general population. On the other hand, results show that 87 to 97% of des aggressors are not mentally ills. Therefore, the absence of scientific consensus feeds the confusion and reinforce the link of causality between psychiatric disorders and violence. OFFICIAL FIGURES BY THE MINISTRY OF JUSTICE: according to the French Ministry of Justice, there is a lack of significative data in general population, that would allow the accurate evaluation of the proportion of authors of crimes and offences presenting a "dangerous state", either of criminological order or related to a psychiatric disorder. FROM "DANGEROUSNESS" TO "DANGEROUS STATE": the vagueness of the notion of "dangerousness" aggravates the confusion and reinforce the negative social representations attached to subjects labelled as "mentally ills". A way to alleviate this stigmatisation would be to stop using the word "dangerous", and rather use those of "dangerous states". Assessment of dangerous states is complex and needs to take into account several heterogeneous factors (circumstances of acting, social and family environment...). Besides, it is not a linear process for a given individual. Those risk factors of "dangerous state" lead to the construction of evaluation or prediction scales, which limits lay in the biaises of over or under predictive value. The overestimation of dangerousness is harmful, not only to individuals wrongly considered as "dangerous", but also to the society which, driven by safety concerns, agrees on the implementation of inaccurate measures. A FEW TRACKS FOR REMEDIATION: the representations linking "mental illness" and "dangerousness" are the major vectors of stigma, and deeply anchored in the collective popular imagination. They are shared by all population categories, with no distinction of age, gender, professional status or level of education. To overcome those prejudices, one has to carefully study their basis, their criteria, document them with statistical data, look for consistency and scientific rigour, in the terminology as well as in the methodology. Moreover, one has to encourage ex
Martorell, Almudena; Gutiérrez-Recacha, Pedro; Irazábal, Marcia; Marsà, Ferrán; García, Mercedes
Family impact (or family burden) is a concept born in the field of mental health that has successfully been exported to the ambit of intellectual disability (ID). However, differences in family impact associated with severe mental health disorders (schizophrenia), to ID or to mental health problems in ID should be expected. Seventy-two adults with intellectual disability clients of the Carmen Pardo-Valcarce Foundation's sheltered workshops and vocational employment programmes in Madrid (Spain...
Yang, Fan; Meng, Heng; Chen, Hui; Xu, Xin-hao; Liu, Zhuo; Luo, Ai; Feng, Zhan-chun
This study investigated the mental health status of medical students in China, and analyzed the influencing factors in order to provide evidence for mental health education for medical students. A stratified cluster sampling method was used to recruit medical students from Huazhong University of Science and Technology, China. The questionnaire survey on general information and Symptom Checklist 90 (SCL-90) were used for investigation and analysis. The results showed among the 1137 valid questionnaires, 278 (24.45%) participants had SCL-90 score ? 160. The top three mental problems of medical students were obsessive-compulsive disorder, interpersonal sensitivity and depression in terms of the factor score ? 2.5 and the number of participants who reflected on the diseases. The third-year medical students had the worst mental health status, and fifth-year medical students had the best mental health status. Students from rural area had more psychological problems than those from urban area; furthermore, students with high professional satisfaction, those who were the single child of the family, non-poor students, and those whose parents had high education level had better mental health status. It was concluded that the mental health of medical students is not optimistic in China. Medical students have some mental health problems of different degrees. Factors that influence the mental health of medical students include academic pressure, professional satisfaction level and family environment. PMID:24939314
...National Advisory Mental Health Council. The meeting...National Advisory Mental Health Council. Date...program and policy issues. Place: National Institutes of Health, Neuroscience Center...National Institute of Mental Health, NIH,...
...National Advisory Mental Health Council. The meeting...National Advisory Mental Health Council. Date...program and policy issues. Place: National Institutes of Health (NIH), Neuroscience...National Institute of Mental Health, NIH,...
...National Advisory Mental Health Council. The meeting...National Advisory Mental Health Council. [[Page...program and policy issues. Place: National Institutes of Health, Neuroscience Center...National Institute of Mental Health, NIH,...
...National Advisory Mental Health Council. The meeting...National Advisory Mental Health Council. Date...program and policy issues. Place: National Institutes of Health Neuroscience Center...National Institute of Mental Health, NIH,...
...National Advisory Mental Health Council. The meeting...National Advisory Mental Health Council. Date...program and policy issues. Place: National Institutes of Health, Neuroscience Center...National Institute of Mental Health, NIH,...
...National Advisory Mental Health Council. The meeting...National Advisory Mental Health Council. Date...program and policy issues. Place: National Institutes of Health, Neuroscience Center...National Institute of Mental Health, NIH,...
...National Advisory Mental Health Council. The meeting...National Advisory Mental Health Council. Date...program and policy issues. [[Page 24973...National Institutes of Health, Neuroscience Center...National Institute of Mental Health, NIH,...
Full Text Available This study was designed to identify: (1 predictors of 12-month healthcare service utilization for mental health reasons, framed by the Andersen model, among a population cohort in an epidemiological catchment area; and (2 correlates associated with healthcare service utilization for mental health reasons among individuals with and without mental disorders respectively. Analyses comprised univariate, bivariate, and multiple regression analyses. Being male, having poor quality of life, possessing better self-perception of physical health, and suffering from major depressive episodes, panic disorder, social phobia, and emotional problems predicted healthcare service utilization for mental health reasons. Among individuals with mental disorders, needs factors (psychological distress, impulsiveness, emotional problems, victim of violence, and aggressive behavior and visits to healthcare professionals were associated with healthcare service utilization for mental health reasons. Among individuals without mental disorders, healthcare service utilization for mental health reasons is strongly associated with enabling factors such as social support, income, environmental variables, and self-perception of the neighborhood. Interventions facilitating social cohesion and social solidarity in neighborhood settings may reduce the need to seek help among individuals without mental disorders. Furthermore, in their capacity as frontline professionals, general practitioners should be more sensitive in preventing, detecting, and treating mental disorders in routine primary care.
Cherry, Ralph, Comp.
Designed to acquaint social workers and other professionals in the mental health field with the basic terms necessary for professional discussions, paper presentations, and international correspondence, the English/Spanish-Spanish/English glossary lists 130 selected mental health terms. The glossary includes two sections: English to Spanish andâ¦
Cherry, Ralph, Comp.
Designed to acquaint social workers and other professionals in the mental health field with the basic terms necessary for professional discussions, paper presentations, and international correspondence, the English/Spanish-Spanish/English glossary lists 130 selected mental health terms. The glossary includes two sections: English to Spanish and
Diet, lifestyle and environment do not just affect a person's health, they also determine the health of their children and possibly the health of their grandchildren. Mental ill health is an epidemic worldwide because of the combined effect of the modern diet and a sedentary lifestyle. Primary prevention of mental ill health starts, crucially, with optimal adult nutrition before the inception of pregnancy, includes breastfeeding, and continues throughout the life of the newborn. Obesity in pr...
Ana Alexandra Marinho, Alves; Nuno Filipe Reis, Rodrigues.
Full Text Available O conceito de "saúde mental" é amplo, e nem sempre é fácil a sua definição, ou a identificação daquilo que a determina. No entanto, da mesma forma que a "saúde" não é apenas a ausência de doença, também a saúde mental é mais do que apenas a ausência de perturbação mental. Neste sentido, tem sido cad [...] a vez mais entendida como o produto de múltiplas e complexas interacções, que incluem factores biológicos, psicológicos e sociais. Neste artigo são revistos alguns dos determinantes sociais e económicos da saúde mental, nomeadamente factores como condições laborais e desemprego, educação, pobreza, condições de habitação, nível de urbanização, discriminação sexual e violência de género, experiências precoces e interacção familiar, exclusão social e estigma, cultura e acontecimentos de vida stressantes. Por fim, salienta-se também a importância do conhecimento dos determinantes sociais e económicos da saúde mental numa perspectiva de Saúde Pública, e a sua relevância para a redução da carga global de doença e a melhoria da saúde mental das populações. Abstract in english The concept of "mental health" is comprehensive, and it isn't always easy to define or to identify its determinants. However, in the same way that "health" isn't merely the absence of disease, mental health is also more than just the absence of mental disorder. Thus, it has increasingly been underst [...] ood as the product of multiple and complex interactions that include biological, psychological and social factors. This article reviews some of the social and economic determinants of mental health, including factors like working conditions and unemployment, education, poverty, housing conditions, urbanization, sexual discrimination and gender based violence, early experiences and family interactions, social exclusion and stigma, culture, and stressful life events. Finally, the importance of the knowledge of social and economic determinants of mental health in a Public Health perspective is also highlighted, as well as its relevance to reduce the global burden of disease and to improve the mental health of populations.
Full Text Available BACKGROUND: Financing and the way in which funds are then allocated are key issues in health policy. They can act as an incentive or barrier to system reform , can prioritise certain types or sectors of care and have long term consequences for the planning and delivery of services. The way in which these issues can impact on the funding of mental health services across Europe has been a key task of the Mental Health Economics European Network. (MHEEN This paper draws on information prepared for MHEEN and provides an analysis of the context and the main issues related to mental health financing in Spain. METHODS: A structured questionnaire developed by the MHEEN group was used to assess the pattern of financing, eligibility and coverage for mental healthcare. In Spain contacts were made with the Mental Health agencies of the 17 Autonomous Communities (ACs, and available mental health plans and annual reports were reviewed. A direct collaboration was set up with four ACs (Madrid, Navarre, Andalusia, Catalonia. RESULTS: In Spain, like many other European countries mental healthcare is an integral part of the general healthcare with universal coverage funded by taxation. Total health expenditure accounted for 7.7% of GDP in 2003 (public health expenditure was 5.6% of GDP. Although the actual percentage expended in mental care is not known and estimates are unreliable, approximately 5% of total health expenditure can be attributed to mental health. Moreover what is often overlooked is that many services have been shifted from the health to the social care sector as part of the reform process. Social care is discretionary, and provides only limited coverage. This level of expenditure also appears low by European standards, accounting for just 0.6% of GDP. COMMENTS: In spite of its policy implications, little is known about mental healthcare financing in Spain. Comparisons of expenditure for mental health across the ACs are problematic, making it difficult to assess inequalities in access to services across the country. The limited data available on mental healthcare expenditure suggests that level of funding for mental health is low compared with many of the EU-15 countries. This may indicate inefficient and inequitable funding given the significant contribution of mental disorders to the overall burden of ill health. Attention needs to be directed to redressing both the information deficit and also in using a range of financing mechanisms to promote greater investment in mental health.
L., Salvador-Carulla; M., Garrido; D., McDaid; J.M., Haro.
Full Text Available BACKGROUND: Financing and the way in which funds are then allocated are key issues in health policy. They can act as an incentive or barrier to system reform , can prioritise certain types or sectors of care and have long term consequences for the planning and delivery of services. The way in which [...] these issues can impact on the funding of mental health services across Europe has been a key task of the Mental Health Economics European Network. (MHEEN) This paper draws on information prepared for MHEEN and provides an analysis of the context and the main issues related to mental health financing in Spain. METHODS: A structured questionnaire developed by the MHEEN group was used to assess the pattern of financing, eligibility and coverage for mental healthcare. In Spain contacts were made with the Mental Health agencies of the 17 Autonomous Communities (ACs), and available mental health plans and annual reports were reviewed. A direct collaboration was set up with four ACs (Madrid, Navarre, Andalusia, Catalonia). RESULTS: In Spain, like many other European countries mental healthcare is an integral part of the general healthcare with universal coverage funded by taxation. Total health expenditure accounted for 7.7% of GDP in 2003 (public health expenditure was 5.6% of GDP). Although the actual percentage expended in mental care is not known and estimates are unreliable, approximately 5% of total health expenditure can be attributed to mental health. Moreover what is often overlooked is that many services have been shifted from the health to the social care sector as part of the reform process. Social care is discretionary, and provides only limited coverage. This level of expenditure also appears low by European standards, accounting for just 0.6% of GDP. COMMENTS: In spite of its policy implications, little is known about mental healthcare financing in Spain. Comparisons of expenditure for mental health across the ACs are problematic, making it difficult to assess inequalities in access to services across the country. The limited data available on mental healthcare expenditure suggests that level of funding for mental health is low compared with many of the EU-15 countries. This may indicate inefficient and inequitable funding given the significant contribution of mental disorders to the overall burden of ill health. Attention needs to be directed to redressing both the information deficit and also in using a range of financing mechanisms to promote greater investment in mental health.
Jones, Christian M; Scholes, Laura; Johnson, Daniel; Katsikitis, Mary; Carras, Michelle C
This paper is a review of the state of play of research linking videogaming and flourishing, and explores the role of videogames and technology to improve mental health and well-being. Its purpose is to develop understandings about the positive intersection of gaming and well-being, to document evidence regarding links between videogames and positive mental health, and to provide guidelines for use by other researchers as they design and use tools and games to improve mental health and well-being. Using Huppert's (Huppert and So, 2013) proposition that to flourish is more than the absence of mental disorder but rather a combination of feeling good and functioning effectively, resulting in high levels of mental well-being, and Seligman's (Seligman, 2011) PERMA theory of well-being, the paper identifies strengths in existing games that generate positive affect, positive functioning, and positive social functioning, contributing to, and supporting mental health and well-being. PMID:24744743
Virupaksha, H G; Kumar, Ashok; Nirmala, Bergai Parthsarathy
Migration is a universal phenomenon, which existed with the subsistence of the human beings on earth. People migrate from one place to another for several reasons, but the goal or main reason behind changing the residence would be improving their living conditions or to escape from debts and poverty. Migration is also a social phenomenon which influences human life and the environment around. Hence, migration has a great impact on any geographical area and it is known as one of the three basic components of population growth of any particular region (the other two are, mortality and fertility). Migration involves certain phases to go through; hence, it is a process. Many times, lack of preparedness, difficulties in adjusting to the new environment, the complexity of the local system, language difficulties, cultural disparities and adverse experiences would cause distress to the migrants. Moreover subsequently it has a negative impact on mental well-being of such population. Due to globalization, modernization, improved technologies and developments in all the sectors, the migration and its impact on human well-being is a contemporary issue; hence, here is an attempt to understand the migration and its impact on the mental health of the migrants based on the studies conducted around. PMID:25097389
Errázuriz, Paula; Valdés, Camila; Vöhringer, Paul A; Calvo, Esteban
In spite of the high prevalence of mental health disorders in Chile, there is a significant financing deficit in this area when compared to the world's average. The financing for mental health has not increased in accordance with the objectives proposed in the 2000 Chilean National Mental Health and Psychiatry Plan, and only three of the six mental health priorities proposed by this plan have secure financial coverage. The National Health Strategy for the Fulfilment of Health Objectives for the decade 2011-2020 acknowledges that mental disorders worsen the quality of life, increase the risk of physical illness, and have a substantial economic cost for the country. Thus, this article focuses on the importance of investing in mental health, the cost of not doing so, and the need for local mental health research. The article discusses how the United States is trying to eliminate the financial discrimination suffered by patients with mental health disorders, and concludes with public policy recommendations for Chile. PMID:26530201
Full Text Available The mental health of the child affects his physical health and the learning process. The present study was conducted to study the health status and etiological factors among 58 mentally challenged children in school for mentally challenged at Sangamner. Majority of mentally challenged children (68.0% were in 5-9 years age group. Most of them had moderate retardation. (43.0% In majority of children (70.68%no clinical syndrome was present. Most common clinical syndrome was Downs syndrome (17.23%,followed by Fragile X syndrome (6.89%. More than sixty percent children were off springs of consanguineous marriages. Idiopathic causes (63.8% followed by genetic causes (29.31% were common etiological factor responsible for mental retardation. Mental handicap can be prevented by genetic counseling.
Full Text Available Students mental health is a public issues, public health policy makes at the international level, are very well concerned about this issue become of the increasing rate of suicide, among students their amenity, depression and involvement in high risk behavior .The aim of the study was to understand the influences of demographic variables on mental health of college students. The mental health scale (MHS constructed and standardized by Kamlesh Sharma (2002 was used to measure the mental health. 500 samples were taken based on Purposive sampling method .Statistical method such as t- test, and correlation analysis was used in the present study to test the hypothesis and interpret the data. The findings of the study were there is an influence of demographic variables on mental health of college students
Releva, M; Boskovska, M; Apceva, A; Polazarevska, M; Novotni, A; Bonevski, D; Sargent, J
This paper describes the development of child and adolescent mental health emergency services in Macedonia since 1993. The evolution of services through the Mental Crisis Centre for Children and Adolescents, funded by the Open Society Institute, and located in six cities is outlined. The paper also defines traditional services, the nature of child mental health emergencies, the evaluation process, follow-up care and training and supervision. It concludes with concern that the mental health emergency system is not sufficient to meet the needs of the child and adolescent population, particularly in the face of the Kosovar refugee crisis. Recommendations for the future are made. PMID:11508566
Full Text Available The aim of this study is to analyze the status of mental health promotion in college student and the role of positive psychology in promoting mental health in college student. Mental disorders account for a large proportion of the disease burden in college student in all societies. Positive psychology is the study of such competencies and resources, or what is right about people-their positive attributes, psychological assets and strengths. The research results proved that positive psychology was useful for mental health promotion in college student.
Jones, L R; Badger, L W; Ficken, R P; Leeper, J D; Anderson, R L
Mental disorder diagnoses among 51 patients, made by a group of 20 family physicians, were compared with diagnoses generated by the Diagnostic Interview Schedule (DIS). Processes of diagnosis, decision making, and treatment planning were then examined through structured physician interviews and chart audits. In this study, 75 of 94 DIS diagnoses (79%) were undetected. During interview and chart audit, the physicians were found to have consistently underestimated, misinterpreted, or neglected psychiatric aspects of care among a majority of patients in the study. These physicians had all satisfactorily completed a psychiatry curriculum designed for family physicians. Analysis of these results suggests that a mental health role is often not integrated into primary care practice, regardless of physician performance during psychiatric training experiences. Assumption of this role appears to be state dependent on involvement with a psychiatric treatment setting. Primary care practice patterns do not seem to result in application of appropriate skills and therapeutic attitudes to detect, diagnose, and correctly manage the majority of mental disorders that occur. The need is reaffirmed for active collaboration between mental health professional and primary care providers in training and in incorporation of psychiatric skills into primary care practice. PMID:3609735
Bolton, Paul A.
In this paper, the author contrasts the substantial impact of mental health problems on global disability with the limited attention and resources these problems receive. The author discusses possible reasons for the disparity: Compared to physical disorders, mental health problems are considered less important, perhaps due to lower priority of disorders that primarily cause dysfunction rather than mortality, and skepticism that mental disorders are treatable in low-resource countries. He arg...
United Kingdom. Department of Health
Many mental health patients also have substance misuse problems, so mental health service staff need to be skilled to provide simple prevention and treatment interventions, assisted by drug and alcohol specialists. This guidance covers the assessment and clinical management of patients with mental illness being cared for in psychiatric inpatient or day care settings who also use or misuse alcohol and/or illicit or other drugs*. It also covers organisational and management issues to help menta...
Zhang Xiuxia; Du Junfang
The aim of this study is to analyze the status of mental health promotion in college student and the role of positive psychology in promoting mental health in college student. Mental disorders account for a large proportion of the disease burden in college student in all societies. Positive psychology is the study of such competencies and resources, or what is right about people-their positive attributes, psychological assets and strengths. The research results proved that positive psycholo...
Full Text Available Abstract Previous studies about unaccompanied refugee minors (URMs showed that they are a highly vulnerable group who have greater psychiatric morbidity than the general population. This review focuses on mental health issues among URMs. Articles in databases PsycINFO, Medline and PubMed from 1998 to 2008 addressing this topic were reviewed. The literature had a considerable emphasis on the assessment of PTSD symptoms. Results revealed higher levels of PTSD symptoms in comparison to the norm populations and accompanied refugee minors. In several studies, age and female gender predicted or influenced PTSD symptoms. The existing literature only permits limited conclusions on this very hard to reach population. Future research should include the analysis of long-term outcomes, stress management and a more thorough analysis of the whole range of psychopathology. Additionally, the development of culturally sensitive norms and standardized measures for diverse ethnic groups is of great importance.
Full Text Available The problems confronted by people who experience mental disorders are often conceptualised in terms of health and illness. However, these problems extend far beyond the healthcare system, into all areas of human life. Having a psychiatric diagnosis may have a negative impact on every aspect of the individuals life, leading to the deprivation or limitation of rights in relation to housing, employment, and family life. In this article, some of these problems are discussed within the theoretical framework of debates on citizenship and on human rights. As the context is Europe, reference is made to the recent policy initiatives with the EU, to national and European level consumer organisations and to cases brought before the European Court of Human Rights.
Viviano, Thomas A.
Data was analyzed in the National Longitudinal Survey Study from 1997 specifically relating to questions regarding depression in youth. In the analysis it was found that how the respondent defined their own depression and poor mental health was different than the perceptions about their mental health from those that live with them in the sameâ¦
Cornaglia, Francesca; Crivellaro, Elena; McNally, Sandra
Mental health problems--and depression in particular--have been rising internationally. The link between poor mental health and poor educational outcomes is particularly interesting in the case of the UK which has a low international ranking both on measures of child wellbeing and the probability of early drop-out from the labour market and
Fink, John E.
Objective: To explore the predictive factors of student mental health within the college environment. Participants: Students enrolled at 7 unique universities during years 2008 (n = 1,161) and 2009 (n = 1,459). Methods: Participants completed survey measures of mental health, consequences of alcohol use, and engagement in the college environment.â¦
McMillan, Julie M.; Jarvis, Jane M.
Students with disabilities are at increased risk of experiencing mental health difficulties, but may not be recognised as an at-risk population in the design of school-based prevention and intervention efforts. Understanding the link between disability and mental health is important for school psychologists and guidance counsellors, teachers, and
Rogers, Kenneth M.; Pumariega, Andres J.; Cuffe, Steven P.
This report discusses the outcomes of a study that examined the mental health referral patterns of youth referred to a public sector mental health system as the result of a judicial consent decree. The study included two samples of youth ages 13-17 from the entire state of South Carolina. The first group included incarcerated youth recruited from
Hermann, Richard C; Mattke, Soeren; Somekh, David; Silfverhielm, Helena; Goldner, Elliot; Glover, Gyles; Pirkis, Jane; Mainz, Jan; Chan, Jeffrey A
To identify quality measures for international benchmarking of mental health care that assess important processes and outcomes of care, are scientifically sound, and are feasible to construct from preexisting data.......To identify quality measures for international benchmarking of mental health care that assess important processes and outcomes of care, are scientifically sound, and are feasible to construct from preexisting data....
Daddona, Mark F.
As more college students face severe mental health issues, peer educators need effective communication skills and knowledge of campus counseling services to properly make referrals while continuing the peer relationship. This chapter presents an overview of current mental health issues in college students. These issues must be understood and
Invites the American Mental Health Counselors Association to engage more fully in the science as well as the practice of mental health counseling. Reviews current status of research in psychotherapy with emphasis on a persistent divergence between those who identify themselves as researchers versus clinicians. Challenges that premise by examining
Bird, Victoria J.; Le Boutillier, Clair; Leamy, Mary; Larsen, John; Oades, Lindsay G.; Williams, Julie; Slade, Mike
Strengths assessments focus on the individual's talents, abilities, resources, and strengths. No systematic review of strengths assessments for use within mental health populations has been published. The aims of this study were to describe and evaluate strengths assessments for use within mental health services. A systematic review identified 12
Gerstein, Lawrence H.; Bennett, Matt
Introduces a new framework of mental health counseling based on quantum physics. The framework stresses systemic thinking and intervention, interdependence, and the importance of adopting a novel perspective about time, space, reality, and change. This framework has the potential of modifying mental health counseling practice and training. Offers
Rosenberg, Sebastian P; Hickie, Ian B; McGorry, Patrick D; Salvador-Carulla, Luis; Burns, Jane; Christensen, Helen; Mendoza, John; Rosen, Alan; Russell, Lesley M; Sinclair, Sally
Greatly enhanced accountability can drive mental health reform. As extant approaches are ineffective, we propose a new approach. Australia spends around $7.6 billion on mental health services annually, but is anybody getting better? Effective accountability for mental health can reduce variation in care and increase effective service provision. Despite 20 years of rhetoric, Australia's approach to accountability in mental health is overly focused on fulfilling governmental reporting requirements rather than using data to drive reform. The existing system is both fragmented and outcome blind. Australia has failed to develop useful local and regional approaches to benchmarking in mental health. New approaches must address this gap and better reflect the experience of care felt by consumers and carers, as well as by service providers. There are important social priorities in mental health that must be assessed. We provide a brief overview of the existing system and propose a new, modest but achievable set of indicators by which to monitor the progress of national mental health reform. These indicators should form part of a new, system-wide process of continuous quality improvement in mental health care and suicide prevention. PMID:26465695
Ebbett, Erin; Clarke, Dave
The impact of Maori identification on alcohol behaviour and mental health and has been neglected in the psychological literature. This paper consists of a review of literature on the history of alcohol use in New Zealand and its impact on indigenous Maori, on their cultural identity and on their mental health. Previous research has been primarily
Fink, John E.
Objective: To explore the predictive factors of student mental health within the college environment. Participants: Students enrolled at 7 unique universities during years 2008 (n = 1,161) and 2009 (n = 1,459). Methods: Participants completed survey measures of mental health, consequences of alcohol use, and engagement in the college environment.
Ackerman, Ashley M.; Wantz, Richard A.; Firmin, Michael W; Poindexter, Dawn C.; Pujara, Amita L.
Undergraduate perceptions of the overall effectiveness of six types of mental health service providers (MHSPs) were obtained with a survey. Although many mental health services are available to consumers in the United States, research has indicated that these services are underutilized. Perceptions have been linked to therapeutic outcomes and may
This article provides a review of current research on human trafficking for mental health practitioners and scholars. In addition to an overview of definitions, causes and processes of trafficking, the article highlights mental health consequences of trafficking along with suggestions for treatment of survivors. Directions for counseling services,
This article examines the issues of confidentiality and privileged communication as they relate to psychiatric/mental health nursing practice. It includes a discussion of statutory and case law, arguments for and against privileged communication, and several examples of how these issues effect psychiatric/mental health nurses and their practice. PMID:2274409
Hagan, Brian J.; And Others
Warns that community mental health services are threatened by reductions in federal support and increased numbers of clients. Reviews literature on the effect of adverse economic events on mental health. Identifies issues and answers for managing this dilemma including planning, financial diversification, and inter-agency cooperation. (Author/JAC)
Crain, Rebecca; Grzywacz, Joseph G.; Schwantes, Melody; Isom, Scott; Quandt, Sara A.; Arcury, Thomas A.
Purpose: Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine primary and context-specific stressors of poor mental health among Latino farmworkers. Methods: Structured interview data were obtained
Full Text Available The understanding of popular beliefs about mental health care and the pathways clients take prior to admission to a mental health institution is vital in planning to reduce delays in seeking treatment. The objectives of this exploratory survey were to determine pathways of care the clients with mental illness take, which ultimately lead to the mental health institution, the effects of socio-cultural and economic factor on the pathways to mental health care and the satisfaction with different service providers consulted. Data was gathered through semi-structured interviews. The results indicate that African clients interpret mental illness as bewitchment. Delays in seeking appropriate mental health care are experienced because traditional and faith healers are the first port of call. The short pathways are used when the first signs of psychotic features are severe, including like aggressive or violent behaviour. Financial constraints seem to be the problem for most of the clients in accessing mental health care. Furthermore, defaulting treatment was also observed due to the fact that mental illnesses are stigmatised in African communities.
Mohamad M. S.
Full Text Available The benefits of public knowledge towards physical health are widely accepted but the area of mental health literacy remains undervalued and relatively neglected. The study aimed to identify caregiversâ mental health literacy in Malaysia. There were 154 family caregivers participated in the face-to-face semi-structured interview regarding their personal caring experiences. This study found that majority of the caregivers was women aged less than 60 years. Most of the caregivers have some understanding about their relativesâ mental illness. More than half of the participants found that the doctors were considered as their primary source of information about mental health. Consistent with previous literature in Malaysia, most of the caregivers used religious and traditional coping mechanism in their help-seeking processes. Each ethnic group had their own strong cultural beliefs about mental illness. The implications for mental health services are that many of the caregivers need help to educate their family members about mental illness. While this study emphasized on the family members who should be targeted to improve mental health literacy it also become significant to the public to reduce stigma towards the person with mental illness and their family.
Friedman, Ann Lorentson; Hughes, Rosemary B.
Complex HIV and AIDS related legal issues confronting mental health professionals are addressed, specifically: living will, statutes, durable power of attorney, durable power of attorney for health care, rational suicide, euthanasia, workplace discrimination, and laws affecting minors. (JBJ)
Hogan, Michael F.
BACKGROUND: In the United States, there is an uneasy division of responsibility for financing mental health care. For most illnesses, employer-sponsored health insurance and the large federal health insurance programs (Medicare, Medicaid) cover the costs of care. However, most employer-sponsored plans and Medicare provide only limited coverage for treatment of mental illness. A possible cause and result of this limited coverage in mental health is that states, and in some cases local (county) governments, finance a separate system of mental health care. This separate "public mental health system" provides a "safety net" of care for indigent individuals needing mental health care. However, there are potential negative consequences of maintaining separate systems. Continuity of treatment between systems may be impaired, and costs may be higher due to duplicate administrative costs. Maintaining a separate system managed by government may exacerbate the stigma associated with mental illness treatment. Most significantly, since eligibility for care may be linked to poverty status, and since having a serious mental illness may preclude regaining private coverage, maintaining a separate system may contribute to the poverty rate among persons with mental illnesses. AIMS OF THE PAPER: These potential problems have not been widely considered, perhaps because other problems and controversies in mental health care have captured our attention. In particular, controversies over deinstitutionalization in mental health have dominated the policy debate, especially when linked to related problems. These have included conflicts over authority and financial responsibility among federal, state and local governments, sensationalized media coverage of incidents involving people with mental illness, problems with siting community facilities, concern about mental illness among prisoners and the like. However, with the substantial reform of public mental health care in some states and localities, it is now possible to consider the implications of public and private integration. This paper considers such an approach. METHODS: This paper addresses the question of public and private integration, considering the state of Ohio as a case study. Ohio is a large state (population 11.2 million) and shares demographic, cultural and political characteristics with many other states. Ohio's successful experience implementing community mental health reform makes it a good candidate to use in evaluating issues in the potential integration of insurance-paid and public mental health care. RESULTS: The analysis indicates that the resources now used in Ohio's public system may be sufficient to support insurance financing of inpatient and ambulatory mental health treatment (the types of health care usually paid by insurance) while maintaining supportive services (e.g. housing, crisis care) as a residual safety net. DISCUSSION: At the current time, these resources are in state and local mental health budgets, and in the Medicaid program that finances health care for low income and disabled individuals. The analysis indicates that the aggregate level of resources expended on inpatient and ambulatory mental health treatment are substantially greater than expenditures for such care in an insurance plan for Ohio State employees. A substantial limitation of the analysis is that it is not possible to compare the need for care in a relatively healthy employed population versus a poor and disabled population. CONCLUSION: The paper concludes that there are substantial structural, economic and social problems associated with the "two-tiered" system of commercial/employer-paid insurance and public mental health care in the United States. Examining data from one state's public system, the paper further concludes that it might be feasible to finance a single system of acute and ambulatory mental health benefits, if public resources were redeployed and private contributions were continued. IMPLICATIONS FOR POLICY AND RESEARCH: Given the substantial pr
Full Text Available Abstract Introduction Sustained cooperative action is required to improve the mental health of populations, particularly in low and middle-income countries where meagre mental health investment and insufficient human and other resources result in poorly performing mental health systems. The Observatory The International Observatory on Mental Health Systems is a mental health systems research, education and development network that will contribute to the development of high quality mental health systems in low and middle-income countries. The work of the Observatory will be done by mental health systems research, education and development groups that are located in and managed by collaborating organisations. These groups will be supported by the IOMHS Secretariat, the International IOMHS Steering Group and a Technical Reference Group. Summary The International Observatory on Mental Health Systems is: 1 the mental health systems research, education and development groups; 2 the IOMHS Steering Group; 3 the IOMHS Technical Reference Group; and 4 the IOMHS Secretariat. The work of the Observatory will depend on free and open collaboration, sharing of knowledge and skills, and governance arrangements that are inclusive and that put the needs and interests of people with mental illness and their families at the centre of decision-making. We welcome contact from individuals and institutions that wish to contribute to achieving the goals of the Observatory. Now is the time to make it happen where it matters, by turning scientific knowledge into effective action for people's health. (J.W. Lee, in his acceptance speech on his appointment as the Director-General of the World Health Organization 1.
Wright, Nicola; Jordan, Melanie; Kane, Eddie
This article takes mental health and prisons as its two foci. It explores the links between social and structural aspects of the penal setting, the provision of mental healthcare in prisons, and mental health work in this environment. This analysis utilises qualitative interview data from prison-based fieldwork undertaken in Her Majesty×³s Prison Service, England. Two themes are discussed: (1) the desire and practicalities of doing mental health work and (2) prison staff as mental health work allies. Concepts covered include equivalence, training, ownership, informal communication, mental health knowledge, service gatekeepers, case identification, and unmet need. Implications for practice are (1) the mental health knowledge and understanding of prison wing staff could be appraised and developed to improve mental healthcare and address unmet need. Their role as observers and gatekeepers could be considered. (2) The realities of frontline mental health work for clinicians in the penal environment should be embraced and used to produce and implement improved policy and practice guidance, which is in better accord with the actuality of the context - both socially and structurally. PMID:25124166
Chambers, David A; Rupp, Agnes
With the rise of "big data," the opportunities to use administrative and clinical data to evaluate impact of state level program initiatives are greatly expanded. The National Institute of Mental Health has in recent years supported research studies pooling data across states to address state-relevant questions. This commentary summarizes these activities and describes future platforms that may enhance ongoing work in this area. PMID:25583270
Full Text Available Once an orphan field, global mental health now has wide acknowledgement and prominence on the global health agenda. Increased recognition draws needed attention to individual suffering and the population impacts, but medicalizing global mental health produces a narrow view of the problems and solutions. Early framing by advocates of the global mental health problem emphasised biological disease, linked psychiatry with neurology, and reinforced categories of mental health disorders. Universality of biomedical concepts across culture is assumed in the globalisation of mental health but is strongly disputed by transcultural psychiatrists and anthropologists. Global mental health movement priorities take an individualised view, emphasising treatment and scale-up and neglecting social and structural determinants of health. To meet international targets and address the problem's broad social and cultural dimensions, the global mental health movement and advocates must develop more comprehensive strategies and include more diverse perspectives.
Shaji, K. S.; Kishore, N.R. Arun; Lal, K. Praveen; Pinto, Charles; Trivedi, J.K.
Demographic aging will soon lead to a sudden increase in the number of older people with dementia and depression in India. We need to develop services to meet the mental health needs of the aged in the population. Geriatric Psychiatry section of IPS has initiated a process of consultations to address this emerging public health issue. Health professionals involved in the care of older people with mental health problems took part in focus group discussions Their opinion and suggestions regardi...
Forsman, Anna K; Wahlbeck, Kristian; Aarø, Leif Edvard; Alonso, Jordi; Barry, Margaret M; Brunn, Matthias; Cardoso, Graça; Cattan, Mima; de Girolamo, Giovanni; Eberhard-Gran, Malin; Evans-Lacko, Sara; Fiorillo, Andrea; Hansson, Lars; Haro, Josep Maria; Hazo, Jean-Baptiste; Hegerl, Ulrich; Katschnig, Heinz; Knappe, Susanne; Luciano, Mario; Miret, Marta; Nordentoft, Merete; Obradors-Tarragó, Carla; Pilgrim, David; Ruud, Torleif; Salize, Hans Joachim; Stewart-Brown, Sarah L; Tómasson, Kristinn; van der Feltz-Cornelis, Christina M; Ventus, Daniel B J; Vuori, Jukka; Värnik, Airi
BACKGROUND: The ROAdmap for MEntal health Research in Europe project aimed to create an integrated European roadmap for mental health research. Leading mental health research experts across Europe have formulated consensus-based recommendations for future research within the public mental health...... field. METHODS: Experts were invited to compile and discuss research priorities in a series of topic-based scientific workshops. In addition, a Delphi process was carried out to reach consensus on the list of research priorities and their rank order. Three web-based surveys were conducted. Nearly 60...... Europe-and thematic research priorities, including area-specific top priorities on research topics and methods. The priorities represent three overarching goals mirroring societal challenges, that is, to identify causes, risk and protective factors for mental health across the lifespan; to advance the...
Full Text Available Services for people with Intellectual Disability (ID and coexisting mental health problems remain undeveloped; research into their effectiveness has been lacking. Three linked recent studies in the UK have provided evidence on essential service provision from staff, service users and carers. Interfaces with mainstream mental health services were seen as problematic: the area of crisis response was seen as a particular problem. Further services research is needed, focusing on service components rather than whole service configurations. There was not support for establishing more intensive mental health services for people with ID only. The way forward is in developing new ways of co-working with staff in mainstream mental health services. Mental health of ID staff might often be best situated directly within these services.
Grandjean Bamberger, Simon; Vinding, Anker Lund
Although limited evidence is available, organisational change is often cited as the cause of mental health problems. This paper provides an overview of the current literature regarding the impact of organisational change on mental health. A systematic search in PUBMED, PsychInfo and Web of Knowledge combining MeSH search terms for exposure and outcome. The criterion for inclusion was original data on exposure to organisational change with mental health problems as outcome. Both cross-sectional and longitudinal studies were included. We found in 11 out of 17 studies, an association between organisational change and elevated risk of mental health problems was observed, with a less provident association in the longitudinal studies. Based on the current research, this review cannot provide sufficient evidence of an association between organisational change and elevated risk of mental health problems. More studies of long-term effects are required including relevant analyses of confounders.
Bamberger, Simon Grandjean; Vinding, Anker Lund
Although limited evidence is available, organisational change is often cited as the cause of mental health problems. This paper provides an overview of the current literature regarding the impact of organisational change on mental health. A systematic search in PUBMED, PsychInfo and Web of Knowledge combining MeSH search terms for exposure and outcome. The criterion for inclusion was original data on exposure to organisational change with mental health problems as outcome. Both cross-sectional and longitudinal studies were included. We found in 11 out of 17 studies, an association between organisational change and elevated risk of mental health problems was observed, with a less provident association in the longitudinal studies. Based on the current research, this review cannot provide sufficient evidence of an association between organisational change and elevated risk of mental health problems. More studies of long-term effects are required including relevant analyses of confounders.
Full Text Available The aim of the present study was to study the mental health of working and nonworking widows. The objectives of the study were 1 to examine the significant difference in mental health of working and non-working widows, 2 to examine the significant difference in mental health between rural and urban sample. The sample consisted of 120 (60 working and 60 non-working selected from Gulbarga District in Karnataka state. The sample is matched for the type category of widows and domicile. The sample was administered with mental health inventory. And the data were subjected the t-test. The results revealed that there is a significant difference in mental health between working and non-working widows.
Chen, Gila; Gueta, Keren
Gender differences in the relationship between mental health problems and childhood abuse have long been of interest to researchers. The purpose of the present study was to examine gender differences in the relationship between childhood abuse and mental health problems among 110 Israeli inmates (50 women and 60 men). The findings indicated that female inmates reported higher prevalence of physical, emotional, and sexual abuse and were more likely to suffer from mental health problems, compared with the male inmates. Additionally, the findings revealed that more female than male inmates had parents with mental health problems. Female inmates who reported mental health problems in their families also reported higher rates of child abuse relative to male inmates with a similar family history. PMID:25999267
Crain, R.; Grzywacz, J.G.
Purpose: Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine primary and context-specific stressors of poor mental health among Latino farmworkers. Methods: Structured interview data were obtained from farmworkers (N = 69) in 6 counties in eastern and western North Carolina. Findings: Results indicated that a substantial number of farmworkers have poor mental health, as indicated by elevated depressive symptoms (52.2%) and anxiety (16.4%). Results also indicated that each mental health outcome had different predictors. Conclusion: Addressing the mental health issues of farmworkers requires a comprehensive, multifaceted approach.
Egan, Katie G; Koff, Rosalind N; Moreno, Megan A
Facebook is widely used by the college population, and previous research has shown that mental health references on Facebook are common. Focus groups of college students were held to determine their views of mental health references seen in their peers' Facebook profiles. Students' views of mental health references varied from being serious calls for help, to being jokes or attention-seeking behavior. Responses to mental health references depended on the participants' offline relationship with the poster. Students would contact close friends through a phone call or in-person conversation, but would not approach acquaintances. The prevalence of mental health references on Facebook, and the awareness of these references by college students, may present opportunities for future peer intervention efforts. PMID:23301569
Global mental health research is needed to inform effective and efficient services and policy interventions within and between countries. Ethical reflection should accompany all GMHR and human resource capacity endeavors to ensure high standards of respect for participants and communities and to raise public debate leading to changes in policies and regulations. The views and circumstances of ethno-cultural and disadvantaged communities in the Majority and Minority world need to be considered to enhance scientific merit, public awareness, and social justice. The same applies to people with vulnerabilities yet who are simultaneously capable, such as children and youth. The ethical principles of respect for persons or autonomy, beneficence/non-maleficence, justice, and relationality require careful contextualization for research involving human beings. Building on the work of Fisher and colleagues (2002), this article highlights some strategies to stimulate the ethical conduct of global mental health research and to guide decision-making for culturally responsible research, such as developing culturally sensitive informed consent and disclosure policies and procedures; paying special attention to socioeconomic, cultural, and environmental risks and benefits; and ensuring meaningful community and individual participation. Research and capacity-building partnerships, political will, and access to resources are needed to stimulate global mental health research and consolidate ethical practice. PMID:24668025
Zahran, Sammy; Peek, Lori; Snodgrass, Jeffrey G; Weiler, Stephan; Hempel, Lynn
We investigate the relationship between exposure to Hurricanes Katrina and/or Rita and mental health resilience by vulnerability status, with particular focus on the mental health outcomes of single mothers versus the general public. We advance a measurable notion of mental health resilience to disaster events. We also calculate the economic costs of poor mental health days added by natural disaster exposure. Negative binomial analyses show that hurricane exposure increases the expected count of poor mental health days for all persons by 18.7% (95% confidence interval [CI], 7.44-31.14%), and by 71.88% (95% CI, 39.48-211.82%) for single females with children. Monthly time-series show that single mothers have lower event resilience, experiencing higher added mental stress. Results also show that the count of poor mental health days is sensitive to hurricane intensity, increasing by a factor of 1.06 (95% CI, 1.02-1.10) for every billion (U.S.$) dollars of damage added for all exposed persons, and by a factor of 1.08 (95% CI, 1.03-1.14) for single mothers. We estimate that single mothers, as a group, suffered over $130 million in productivity loss from added postdisaster stress and disability. Results illustrate the measurability of mental health resilience as a two-dimensional concept of resistance capacity and recovery time. Overall, we show that natural disasters regressively tax disadvantaged population strata. PMID:21303401
Hanandita, Wulung; Tampubolon, Gindo
That poverty and mental health are negatively associated in developing countries is well known among epidemiologists. Whether the relationship is causal or associational, however, remains an open question. This paper aims to estimate the causal effect of poverty on mental health by exploiting a natural experiment induced by weather variability across 440 districts in Indonesia (N = 577,548). Precipitation anomaly in two climatological seasons is used as an instrument for poverty status, which is measured using per capita household consumption expenditure. Results of an instrumental variable estimation suggest that poverty causes poor mental health: halving one's consumption expenditure raises the probability of suffering mental illness by 0.06 point; in terms of elasticity, a 1% decrease in consumption brings about 0.62% more symptoms of common mental disorders. This poverty effect is approximately five times stronger than that obtained prior to instrumenting and is robust to alternative distributional assumption, model specification, sample stratification and estimation technique. An individual's mental health is also negatively correlated with district income inequality, suggesting that income distribution may have a significant influence upon mental health over and above the effect of poverty. The findings imply that mental health can be improved not only by influencing individuals' health knowledge and behaviour but also by implementing a more equitable economic policy. PMID:24836844
Full Text Available Public well being is a perquisite for sustaining, community job and educational performance of the society which is achievable through physical mental health programs. One of important dimension of sustainable development includes health sectors which has direct influence of human health. This is possible only through healthy and motivated human resources health sector. Thereby, this study was conducted aiming in assessing the mental health status of human resources of shiraz hospitals and community performance it also studies the occupational risk factors, in relation human resources health and relationship between migraine -TTH and their mental health status. The sample size includes 1023 Shiraz hospital staff. The subjects were selected using categorical random sampling method. Data was collected using a questionnaire, which included demographic, occupational and health status of staff. The health status was assessed using GHQ 28 standards. The diagnostic criteria of type of headache were done by using international headache society standards and interview and medical examination by a neurologist (466 individuals. 45.6% of staff had poor mental health, prevalence among male and female were 27.6(16 cases and 54.3 (380 cases, respectively. Their average score in physical health, anxiety, social functions, depression and general mental health statue were 6.72, 6.67, 6.48, 3.28 and 23.2% respectively. Mental health status had a meaningful relationship with steep pattern, physical activity and job satisfaction. Females had more odds to disorder and results show that headache has a profound effect on mental health status and these two are not independent of each other. Findings indicate that mental health disorders have a high prevalence; thereby authorities and researchers need to pay more attention to this issue, through identifying influential factors and developing intervention programs to improve the situation. To improve the sleep pattern and make facilities available for physical activities, are essential for staff satisfaction. High co morbidity between headache and GHQ requires specific strategy and intervention development.
Full Text Available Governances, structures and contents of mental health services are being reformed across countries. There is a need for data to support those changes. The aim of this study was to explore the quality, i.e., diversity and community orientation, and quantity, i.e., personnel resources, of mental health and substance abuse services (MHS and evaluate correlation between population needs and quality and quantity of MHS. The European Service Mapping ScheduleRevised (ESMS-R was used to classify mental health and substance abuse services in southern Finland. Municipal-level aggregate data, local data on unemployment rate, length of education, age of retirement, proportion of single households, alcohol sales and a composite mental health index were used as indicators of population mental health needs. Population size correlated strongly with service diversity, explaining 84% of the variance. Personnel resources did not associate with diversity or community orientation. The indicators of mental health services need did not have the expected association with quality and quantity of services. In terms of service organization, the results may support larger population bases, at least 150,000 adult inhabitants, when aiming for higher diversity.
Ala-Nikkola, Taina; Pirkola, Sami; Kontio, Raija; Joffe, Grigori; Pankakoski, Maiju; Malin, Maili; Sadeniemi, Minna; Kaila, Minna; Wahlbeck, Kristian
Governances, structures and contents of mental health services are being reformed across countries. There is a need for data to support those changes. The aim of this study was to explore the quality, i.e., diversity and community orientation, and quantity, i.e., personnel resources, of mental health and substance abuse services (MHS) and evaluate correlation between population needs and quality and quantity of MHS. The European Service Mapping Schedule-Revised (ESMS-R) was used to classify mental health and substance abuse services in southern Finland. Municipal-level aggregate data, local data on unemployment rate, length of education, age of retirement, proportion of single households, alcohol sales and a composite mental health index were used as indicators of population mental health needs. Population size correlated strongly with service diversity, explaining 84% of the variance. Personnel resources did not associate with diversity or community orientation. The indicators of mental health services need did not have the expected association with quality and quantity of services. In terms of service organization, the results may support larger population bases, at least 150,000 adult inhabitants, when aiming for higher diversity. PMID:25153471
Glover-Thomas, N; Chima, S C
Mental health law across many jurisdictions provides a legal framework for the compulsory detention and, where appropriate, treatment in hospital of people with mental health problems. Latent within many of these "systems" of mental health provision is the concern that the quality of care people receive does not always meet legal and ethical norms. For many, there remains the very serious recognition that access to mental health care in its entirety remains elusive. International human rights discourse has influenced the shaping of modern mental health laws in many developed countries. In 2008, the Convention on the Rights of Persons with Disabilities (CRPD) entered into force. For many countries, such as South Africa, the CRPD provides a human rights instrument with the scope to establish a worldwide means of bolstering human rights. This paper examines both the UK and the broader African position with regard to the extent redress can be sought if and when an individual does not receive the care and treatment needed. Within this, consideration will be given to one of the paradoxes of mental health care which bedevil mental health systems: How do legal frameworks for detaining and treating people without their consent work when there is no corresponding enforceable right that appropriate treatment or suitable conditions of detention must be provided. The focus of this paper is the question of whether there is indeed a legal "right" to mental health care. PMID:26620626
...Clinical Social Worker, Mental Health Counselor, Occupational Therapist, Physician...clinical social worker, an occupational therapist, and...licensed mental health counselors, as...clinical social worker. (iv) A clinical...psychologist. (v) An occupational therapist...licensed mental health...
...clinical social worker, an occupational therapist, and...licensed mental health counselors, as...clinical social worker. A clinical psychologist. An occupational therapist. ...licensed mental health professionals...clinical social worker, clinical psychologist, occupational therapist, and...licensed mental health...
Grez Buchling, Marcela
Background: The number of international university students has dramatically increased during the last decades, being Germany one of the major host countries. Although it has been suggested that international students may be at higher risk for the development of mental disorders compared to domestic students, only few studies have examined the mental health of this population. Therefore, the present study aimed to estimate the prevalence rates of mental disorders [major depressive disorder (M...
Shin, Gisoo; Lee, Suk Jeong
This study was conducted to identify mental health status, post-traumatic stress disorder (PTSD), and psychophysiological change in female North Korean refugees. Data were collected using questionnaires and symptom checklists that measured PTSD and the psychosomatic state of the subjects. As many as 97 subjects, who had settled in and around Seoul, South Korea, were selected by snowball sampling. Mental health and PTSD levels of the participants were above a moderate level. We conclude that health care professionals need to provide female North Korean defectors with services to improve mental health and make the sociocultural transition successfully. PMID:24020655
SUDARSHAN DEVIDAS KHAPARDE
Full Text Available Mental health is a state of successful performance of mental function resulting in productive activities, fulfilling relationships with other people and the ability to adapt to change and to cope with adversity. India being predominantly an agricultural country, majority of our population is involved in agricultural activities and staying in rural areas. Everyman's right to health has been accepted in all international treaties as a social right which implies all other rights. According to the world health organization (WHO mental health is a condition which permits optional development physical, intellectual and emotional development of the individual, so far as this is compatible with that of other individuals.
The existing insurance coverage for mental health benefits provides incentives for hospital as compared with community care and reinforces a medical approach to psychological disability. Moreover, the structure of benefits favors the affluent as compared with the disadvantaged and provides little assistance for the community integration of the chronic mental patient. In considering mental health benefits under National Health Insurance we must be careful to avoid reinforcing these patterns. It is suggested that NHI include a mental health resource development fund intended for building a stronger network of community mental health care and that the pattern of insurance benefits under NHI be consistent with developing psychiatric services on a capitation basis. PMID:645997
Full Text Available Jane Burns, Emma Birrell Young and Well Cooperative Research Centre, Abbotsford, VIC, Australia Abstract: International studies have shown that the prevalence of mental illness, and the fundamental contribution it make to the overall disease burden, is greatest in children and young people. Despite this high burden, adolescents and young adults are the least likely population group to seek help or to access professional care for mental health problems. This issue is particularly problematic given that untreated, or poorly treated, mental disorders are associated with both short- and long-term functional impairment, including poorer education and employment opportunities, potential comorbidity, including drug and alcohol problems, and a greater risk for antisocial behavior, including violence and aggression. This cycle of poor mental health creates a significant burden for the young person, their family and friends, and society as a whole. Australia is enviably positioned to substantially enhance the well-being of young people, to improve their engagement with mental health services, and ultimately to improve mental health. High prevalence but potentially debilitating disorders, such as depression and anxiety, are targeted by the specialized youth mental health service, headspace: the National Youth Mental Health Foundation and a series of Early Psychosis Prevention and Intervention Centres, will provide early intervention specialist services for low prevalence, complex illnesses. Online services, such as ReachOut.com by Inspire Foundation, Youthbeyondblue, Kids Helpline, and Lifeline Australia, and evidence-based online interventions, such as MoodGYM, are also freely available, yet a major challenge still exists in ensuring that young people receive effective evidence-based care at the right time. This article describes Australian innovation in shaping a comprehensive youth mental health system, which is informed by an evidence-based approach, dedicated advocacy and, critically, the inclusion of young people in service design, development, and ongoing evaluation to ensure that services can be continuously improved. Keywords: young people, mental health, technology, participation, well-being, help-seeking
Aparecida Rosângela, Silveira; Anne Raissa Souza Dias, Brante; Cornelis Johannes, van Stralen.
Full Text Available Este artigo analisa as práticas sociais de usuários, gestores e trabalhadores no tocante à participação social na política de saúde mental entre participantes da II Conferência Municipal de Saúde Mental Intersetorial de Montes Claros, Minas Gerais. Trata-se de pesquisa qualitativa, com realização [...] de entrevistas semiestruturadas. As falas foram interpretadas por meio da análise de discurso textualmente orientada. Os resultados apontam para a heterogeneidade de concepções sobre a participação social. O estudo revela que apenas a realização de conferências de saúde mental não garante a incorporação dos diversos segmentos sociais no controle social em políticas de saúde mental no município. Abstract in english This article analyzes the social practices of users, managers and employees regarding the social participation in mental health policy between participants of the II Municipal Conference of Mental Health Intersectoral of Montes Claros, Minas Gerais. This is a qualitative research, with the realiza [...] tion of semi-structured interviews. The lines were interpreted by means of the textually oriented discourse analysis. The results point out to heterogeneity of conceptions about social participation. This study reveals that only the mere accomplishment of conferences about mental health does not guarantee the incorporation of several social segments in the social control in mental health policies in the municipality.
Nikolaou L; Crustolo AM; Kates N; Farrar S
OBJECTIVE: To determine whether health care providers are satisfied with an integrated program of mental health care. DESIGN: Surveys using a mailed questionnaire. Surveys were developed for each of the three disciplines; each survey had 30 questions. SETTING: Thirty-six primary care practices in Hamilton, Ont, participating in the Hamilton-Wentworth Health Service Organization's Mental Health Program. PARTICIPANTS: Family physicians, psychiatrists, and mental health counselors providing ment...
Jenkins Rachel; Muga Florence A
Abstract Background Mental health policy is needed to set the strategy and direction for the provision of mental health services in a country. Policy formulation does not occur in a vacuum, however, but is influenced by local and international factors in the health sector and other sectors. Methods This study was carried out in 1997 to examine the evolution of mental health policy in Kenya between 1965 and 1997 in the context of changing international concepts of health and development. Quali...
Wurster, Cecil R.; Goodman, John D.
Various approaches to centralized support of computer applications in health care are described. The NIMH project to develop a prototype Management Information System (MIS) for community mental health centers is presented and discussed as a centralized development of an automated data processing system for multiple user organizations. The NIMH program is summarized, the prototype MIS is characterized, and steps taken to provide for the differing needs of the mental health centers are highligh...
Casteleijn, Daleen; Graham, Margot
Occupational therapists in mental health care settings find it difficult to produce convincing evidence of their unique contribution to health care. This article reports on the initial phase of a larger study where the purpose was to determine domains for an outcome measure for occupational therapists in mental health care settings. A mixed methods exploratory design: Instrument Development Model was used to determine suitable domains. Occupational therapy clinicians participated in focus gro...
Nielsen, Line; Koushede, Vibeke; Vinther-Larsen, Mathilde; Bendtsen, Pernille; Ersbøll, Annette Kjær; Due, Pernille; Holstein, Bjørn E
It seems that social capital in the neighbourhood has the potential to reduce socioeconomic differences in mental health among adolescents. Whether school social capital is a buffer in the association between socioeconomic position and mental health among adolescents remains uncertain. The aim of this study is therefore to examine if the association between socioeconomic position and emotional symptoms among adolescents is modified by school social capital. The Health Behaviour in School-aged Ch...
Luciana Assis Costa
Full Text Available Occupational therapy, along with other professions, is provoked to think its performance in the area of mental health in light of the new perspectives of assistance to people with mental distress. Considering the psychiatric reform as a backdrop, the aim of this paper is to discuss the theoretical conceptions that supported the interventions of occupational therapy in this field, and the new demands presented to professionals.To this end, a study of narrative review, whose search was conducted in the Lilacs, Medline and SciELO databases , with the descriptors Occupational Therapy, Mental Health and Health Care, between 1990 and 2012. One hundred sixteen indexed articles were found: 109 in LILACS and seven in SciELO, and 25 articles were analyzed. The results reveal the approaches that have underpinned occupational therapy, from the asylum model to the care model in mental health, indicating the challenges to be faced by the profession in the transition process to the current model of mental health. We conclude that the occupational therapist should be the one responsible to mediate the reinvention of the mental health users interaction with their multifaceted everyday activities/actions in order to contribute to the process of mental health care transformation, producing new ways of thinking and practicing occupational therapy
Tseng, W S; Ebata, K; Kim, K I; Krahl, W; Kua, E H; Lu, Q; Shen, Y; Tan, E S; Yang, M J
Remarkable improvements in economic conditions and a considerable upgrade in the quality of life have been observed in many parts of Asia during the past several decades. At the same time, many mental health challenges face the people of Asia. Various social mental health indexes are reviewed here, with available data from China, Japan, Korea, Singapore, Malaysia, and other Asian societies. The data are compared with data from the United States, Australia in the Pacific Rim, and some other Western countries to examine patterns of similarity or difference between East and West in the process of modernization. Common trends in mental health issues associated with rapid sociocultural change observed in different Asian societies are discussed, as well as the relative shortage of mental health personnel available in many Asian societies. It is emphasized that, in addition to expanding psychiatric services, there is an even more urgent need to promote mental health knowledge and concern through education in the general population. Mental health needs to be cultivated and maintained by social forces and cultural strengths. It is stressed that there is a challenge for Asian people to advance mental health beyond economic development in the 21st century. PMID:11322408
Burns, Jane; Birrell, Emma
International studies have shown that the prevalence of mental illness, and the fundamental contribution it make to the overall disease burden, is greatest in children and young people. Despite this high burden, adolescents and young adults are the least likely population group to seek help or to access professional care for mental health problems. This issue is particularly problematic given that untreated, or poorly treated, mental disorders are associated with both short- and long-term fun...
Inder, Kerry J; Berry, Helen; Kelly, Brian J
This paper, presented at the 2010 rural health researchers' National Scientific Symposium on Rural and Remote Health, provides an overview of large Australian population mental health cohort studies which have a focus on climate-related and environmental adversity, social factors and mental health. These studies highlight the value of exploiting multiple exceptional datasets to better understand the drivers of rural health, including how to use population-level research to improve health resources in non-metropolitan areas. We show how the key characteristics of rural and remote mental health might be explored by exploiting the following cohort studies: Household, Income and Labour Dynamics in Australia Survey; Australian Rural Mental Health Study; Hunter Community Study; and Extending Treatments, Education and Networks in Depression study. Existing cohort studies that focus on significant rural and regional characteristics can be creatively analysed to better understand geographic variation in mental health. They have the potential to move understanding beyond simple prevalence to building knowledge about the trajectories of psychological distress and determinants of mental disorders and outcomes over time. PMID:21771157
Basit, Abdul; Hamid, Mohammad
The underpinning of all research leading to various schools of thought in the field of psychiatry and psychology is without doubt a product of Western professionals who represent the religio-cultural traditions, historical symbols, and narratives of Western society. Also, the major schools of psychotherapy emerged during an era of individualism and logical positivism reflecting the religious, ethical, and cultural heritage that has shaped the modern Western society. Consequently, the methods and techniques developed in the West may not be always suitable and effective for Muslim Americans. To respond to the growing needs of psychiatric problems encountered by Muslim Americans, many community social service centers have been established in the United States during the past two decades. We now have a growing body of research data suggesting how to tailor our field to the specific needs of this population. We will discuss what kind of emotional and psychiatric problems are most prevalent in Muslim Americans and explain the therapeutic approaches mental health professionals have used and the treatment strategies which have been found effective in the psychosocial rehabilitation of Muslim Americans. PMID:23864761
Full Text Available On 11 March 2011, a devastating earthquake struck off the coast of Japan, causing blustering tsunami that swept over the northeast coast of the country. Many struggled to evacuate from their homes, schools, and workplaces as 8- to 9-m-tall tsunami rapidly reached the coast within half an hour after the earthquake (Emergency Disaster Response Headquarters. The officials reported a record-breaking magnitude of 9.0 Mw, which made this earthquake the most devastating earthquake in the Japan's history. It had not been long since the previous massive earthquake had hit Kobe in 1995, killing 6,434 people (Japan Meteorological Agency. The author presents the outline of the initial mental-health-care responses at various levels. It has focused on the comprehensive strategies and policies that were intended to cover all the affected areas but has not described the individual countermeasures and reactions in each prefecture and city. The psychological effects of the atomic plant accident in Fukushima has not been mentioned in detail, because the scope of the physiological effect of the accident has not been settled yet and the society is not necessarily ready to deal with the accident as a psychological matter rather than a sociopolitical one. A number of psychiatric professionals are deeply concerned with the psychological and prolonged impact of the accident, including those who are in the Fukushima prefecture and conducting heroic efforts to care for the residents.
Shigemura, Jun; Nomura, Soichiro
The end of the Cold War has brought a dramatic change to the international political situation and the role of the United Nations peacekeeping operations (PKO) has drawn increased attention. While many reports on PKO have focused on political or sociologic considerations, the mental health of the peacekeepers themselves has received little attention and psychiatric problems that can have a negative impact on mission success have been largely ignored. Participation in PKO creates a number of stressors and serious psychiatric and/or physical disorders may result. Yet, there is little research on this topic, either domestically or globally, and the methodology for clinical intervention remains in an early stage of development. We have reviewed previous reports to determine how various stressors before, during and after deployment affect the participants. Research in associated fields (e.g. crisis workers and military personnel) are also reviewed and their application to peacekeeping psychiatry is discussed. It must be admitted that the significance of PKO is arguable and each PKO is unique in terms of the nature of its mission and the local situation. Yet, the relationship between the psychiatric status of the personnel and the characteristics of an individual mission has never been studied. At present, no clear consensus regarding a framework for psychiatric intervention exists. Studies that enhance the recognition and significance of peacekeeping psychiatry are likely to improve the efficacy of PKO. PMID:12193236
Barry, M M; Clarke, A M; Petersen, I
There is compelling evidence from high-quality studies that mental health promotion and primary prevention interventions can reduce the risk of mental disorders, enhance protective factors for good mental and physical health, and lead to lasting positive effects on a range of social and economic outcomes. This paper reviews the available evidence in order to guide the implementation of mental health promotion and prevention interventions in the Eastern Mediterranean Region. The paper identifies a number of priority areas that can generate clear health and social gains in the population and be implemented and sustained at a reasonable cost. The interventions cover population groups across the lifespan from infancy to adulthood and include actions delivered across different settings and delivery platforms. "Best practices" were identified as interventions for which there is evidence not only of their effectiveness but also of their feasibility within resource constraints. The implications of the findings for capacity development are considered. PMID:26442891
Adams, S M; Dolfie, E K; Feren, S S; Love, R A; Taylor, S W
In the aftermath of a natural disaster, adult survivors often move through the following phases of disaster response: Heroic Phase, Honeymoon Phase, Disillusionment Phase, and Reconstruction Phase. Understanding age-related responses to traumatic events such as a tornado enables mental health clinicians to individualize appropriate interventions and prevent or diminish emotional sequelae such as post-traumatic stress disorders. Psychiatric-mental health nurses are encouraged to attend local Red Cross disaster training to be prepared should the need arise for mobilization of mental health disaster response teams in your community. PMID:10572851
The term stigma has been widely used in the social sciences since the 1960s, however until recently it has rarely been applied in the context of youth mental health. This paper, which addresses the stigma of youth mental health, has two main aims. The first is to explain what is meant by stigma and to give examples of stigma drawn from interviews with young people with mental health problems. The second aim is to explore what is known about the development of stigma and to arg...
Eshelman, Lee; Levendosky, Alytia A
This study aims to determine the relationship between psychological, physical, and sexual abuse, and mental health symptoms. Female college students (N = 499) completed anonymous online surveys to report experiences of abuse, as well as symptoms of depression, posttraumatic stress disorder (PTSD), and physical injuries. Five groups of participants were found: no abuse; psychological abuse; physical abuse; psychological and physical abuse; and psychological, physical, and sexual abuse. The multiple abuse groups showed the highest rate of mental health symptoms. In addition, increased frequency of abuse was related to more mental health symptoms and more physical injuries. PMID:22594217
Soulier, Matthew; McBride, Anne
The effective rehabilitation of detained youth begins with optimal screening of their mental health needs as they enter the juvenile delinquency system. The Massachusetts Youth Screening Instrument-Version 2 is the most used and empirically proven tool to screen juveniles. Juvenile facilities should consider the use of screening instruments like the Massachusetts Youth Screening Instrument-Version 2 as close to intake as feasible. Mental health professionals working in these systems of care will then need adequate resources to assess the mental health needs according to a biopsychosocial model of these youth. PMID:26593116
Cullins, Lisa M; Mian, Ayesha I
There is no question that there is a significant burden of mental illness in children and families across the globe. Despite heightened awareness of the significance of global mental health and its determinants on public health, there is an increased need for innovative interventions, research, resources, and efforts devoted to this area. It has been clearly established that culture, in all of its complex dimensions and dynamics, is at the heart of this labor. In order to integrate culture into global mental health advocacy and solutions, a collaborative approach with flexibility in thinking and implementation must exist. PMID:26346392
ChristianJones; DanielJohnson; MichelleCCarras
This paper is a review of the state of play of research linking videogaming and flourishing, and explores the role of videogames and technology to improve mental health and well-being. Its purpose is to develop understandings about the positive intersection of gaming and well-being, to document evidence regarding links between videogames and positive mental health, and to provide guidelines for use by other researchers as they design and use tools and games to improve mental health and well-b...
Mahjoob, Monireh; Nejati, Jalil; Hosseini, Alireaza; Bakhshani, Noor Mohammad
This study was designed to determine the effect of Quran listening without its musical tone (Tartil) on the mental health of personnel in Zahedan University of Medical Sciences, southeast of Iran. The results showed significant differences between the test and control groups in their mean mental health scores after Quran listening (P = 0.037). No significant gender differences in the test group before and after intervention were found (P = 0.806). These results suggest that Quran listening could be recommended by psychologists for improving mental health and achieving greater calm. PMID:24421119
Phillip T. Slee
Full Text Available Although there is increasing recognition internationally of the significance of social and emotional health and wellbeing for the healthy development of young people, the levels of support that governments provide for mental health policy and programme initiatives vary widely. In this paper, consideration is given to Australia's approach to mental health promotion from early years to secondary school, including specific reference to the KidsMatter Primary mental health promotion, prevention and early intervention initiative. Although it is now well established that schools provide important settings for the promotion of mental health initiatives, there are significant challenges faced in effectively implementing and maintaining the delivery of evidence-based practice in school settings, including concerns about quality assurance in processes of implementation, translation, dissemination and evaluation.
Full Text Available The aim of this study was to examine the relationship between sensory processing sensitivity, personality dimensions and mental health. In a sample of University of Mohaghegh Ardabili students. One hundred and eighty students were included in this study. All participants were asked to complete the highly sensitive person scale, NEO-five factor inventory and general health questionnaire. Analysis of the data involved both descriptive and inferential statistics including means, standard deviations, Pearson's correlation coefficients and regression analysis. The results revealed that ease of excitation was positively correlated to neuroticism and mental health (physical problems, anxiety, disorder in social functioning and depression and negatively related to extra version. Aesthetic sensitivity was positively related to neuroticism, openness to experience, consienciousness and anxiety. Low sensory threshold was also positively related to neuroticism, physical problems, anxiety and mental health. The results of regression analysis revealed that sensory processing sensitivity can explain considerable variances of personality traits and mental health.
Knox, M D; Gaies, J S
HIV disease is an emerging community mental health concern. The need for specialized training to help community mental health professionals develop comprehensive knowledge and skills to serve this new population of clients is evident. The HIV clinical tutorial model is an innovative approach to continuing education characterized by an experiential and clinical orientation, a small participant group, and an interdisciplinary faculty. The three-day intensive workshop provides participants with experiences that can alter their perspective toward clients affected by HIV/AIDS and toward the role of the mental health system in responding to this epidemic. Similar training programs should be developed nationwide through collaboration among medical schools, teaching hospitals, public health departments and community mental health centers. PMID:2286060
Cecília Helena Glanzner
Full Text Available The professional that is facing changes in the mental health attention has been constituted himself in the confront of Psychiatric Reform discourse, which defends that the medical/psychiatric knowledge must change its place for the multidisciplinarity, it must start using the notion health instead of using illness, citys circulation instead of asylum, person in psychic suffering instead of person with mental illness, citizen instead of incapable one. This shock can be characterized as a factor of stress in the mental health teams work. This is a qualitative research, case study, and has the purpose of evaluating the strategies used by a CAPS (Center of Psychosocial Attention health team in promoting the workers mental health. Data collection was carried through during November and December 2006, in Foz do Iguaçu City, Parana State, Brazil. Data treatment will be done from the thematic analysis.
Kathryn M. Magruder
Full Text Available Background and Objectives: Research in the last decade has acknowledged that primary care plays a pivotal role in the delivery of mental health services. The aim of this paper is to review major accomplishments, emerging trends, and continuing gaps concerning mental health problems in primary care in North America. Methods: Literature from North America was reviewed and synthesized. Results: Major accomplishments include: the development and adoption of a number of clinical guidelines specifically for mental health conditions in primary care, the acceptance of the chronic care model as a framework for treating depression in primary care, and the clear adoption of pharmacologic approaches as the predominant mode for treating depression and anxiety. Emerging trends include: the use of non-physician facilitators as care managers in the treatment of depression in primary care, increasing use of technology in the assessment and treatment of mental health conditions in primary care, and dissemination and implementation of integrated mental health treatment approaches. Lingering issues include: the difficulty in moving beyond problem identification and initiation of treatment to sustaining evidence-based treatments, agreement on a common metric to evaluate outcomes, and the stigma still associated with mental illness. Conclusion: Though there now exists a solid and growing evidence base for the delivery of mental health services in primary care, there are still significant challenges which must be overcome in order to make further advances.
Full Text Available Background and aim: People suffering from mental illness and their experiences of attitudes towards them are rarely investigated from the perspective of the individual. The aim was to gain an understanding of how a group of mental health patients experienced social relationships in personal settings as well as in society. Method: Open interviews with twenty-five mental health patients were conducted and analysed with a qualitative content analysis. Result: The essence of the result was that mental health patients experiences are still not taken enough into account, neither by mental health professionals nor by their social networks. This was underpinned by four core categories: Patients experience of deteriorated and reduced social contacts due to various degrees of acceptance and knowledge of people in general; service users reported on difficulties with social contacts in general, with family relationships, relationships with friends and workmates and with employers; reduced life opportunities were expressed, including violated self-image and poor coping competence and, ambivalent experiences of contact with the mental health services were reported. Conclusion and clinical implication: The present study contributes to the understanding of mental health patients experiences of professional services and of their social networks. This knowledge may strengthen the implications of patient-centred care essential for the outcome of the care.
Kathryn M., Magruder; Derik E., Yeager.
Full Text Available Background and Objectives: Research in the last decade has acknowledged that primary care plays a pivotal role in the delivery of mental health services. The aim of this paper is to review major accomplishments, emerging trends, and continuing gaps concerning mental health problems in primary care i [...] n North America. Methods: Literature from North America was reviewed and synthesized. Results: Major accomplishments include: the development and adoption of a number of clinical guidelines specifically for mental health conditions in primary care, the acceptance of the chronic care model as a framework for treating depression in primary care, and the clear adoption of pharmacologic approaches as the predominant mode for treating depression and anxiety. Emerging trends include: the use of non-physician facilitators as care managers in the treatment of depression in primary care, increasing use of technology in the assessment and treatment of mental health conditions in primary care, and dissemination and implementation of integrated mental health treatment approaches. Lingering issues include: the difficulty in moving beyond problem identification and initiation of treatment to sustaining evidence-based treatments, agreement on a common metric to evaluate outcomes, and the stigma still associated with mental illness. Conclusion: Though there now exists a solid and growing evidence base for the delivery of mental health services in primary care, there are still significant challenges which must be overcome in order to make further advances.
Full Text Available Abstract Background Allogenic hematopoietic stem cell transplantation is a curative treatment for patients with advanced hematologic malignancies. However, the long-term mental health issues of siblings who were not selected as donors (non-donor siblings, NDS in the transplantation have not been well assessed. Data mining is useful in discovering new findings from a large, multidisciplinary data set and the Scenario Map analysis is a novel approach which allows extracting keywords linking different conditions/events from text data of interviews even when the keywords appeared infrequently. The aim of this study is to assess mental health issues on NDSs and to find helpful keywords for the clinical follow-up using a Scenario Map analysis. Findings A 47-year-old woman whose younger sister had undergone allogenic hematopoietic stem cell transplantation 20 years earlier was interviewed as a NDS. The text data from the interview transcriptions was analyzed using Scenario Mapping. Four clusters of words and six keywords were identified. Upon review of the word clusters and keywords, both the subject and researchers noticed that the subject has had mental health issues since the disease onset to date with being a NDS. The issues have been alleviated by her family. Conclusions This single subject study suggested the advantages of data mining in clinical follow-up for mental health issues of patients and/or their families.
Ana María, Mesa Ochoa; Ana Cristina, Gómez Arango.
Full Text Available Este artículo es de carácter teórico, su objetivo es presentar una revisión bibliográfica sobre la importancia de la promoción y prevención en salud mental desde el punto de vista de las intervenciones tempranas, que favorecen el desarrollo socio afectivo en contextos educativos. Subraya el vacío qu [...] e hay al abordar los aspectos psicoafectivos de los maestros. Se parte de los objetivos de los programas de educación preescolar y el lugar de la competencia emocional del docente en ellos. Posteriormente, se presenta el concepto de mentalización, su relación con el desarrollo socio afectivo y la salud mental y, se enuncian programas que fomentan dicha capacidad en contextos tanto escolares como no escolares. Finalmente, se plantea una discusión alrededor de los programas de formación del docente de preescolar, su competencia emocional o capacidad de mentalización y la incidencia en el desarrollo socio emocional y la salud mental de los niños a su cargo. Abstract in english This is a theoretical paper, its aim is to present a literature review on the importance of health promotion and prevention in mental health from the point of view of early interventions, which promote children socio emotional development in educational contexts. We stress that there is a vacuum in [...] addressing teachers psychological aspects. First, we present the aims of educative pre-school programs and the place teachers emotional competence have in them. Subsequently, we introduce mentalization concept and its relation with socio emotional development and mental health. We also illustrate some programs which have been designed to promote mentalization in school as well as non-school contexts. Finally, we present some ideas about preschool teachers' training programs and interventions that promote mentalization capacity. We demonstrate the relation between the promotion of socio-emotional development in the teachers and the positive incidence in mental health of the children with whom they work.
Bromand, Z; Temur-Erman, S; Yesil, R; Heredia Montesinos, A; Aichberger, M C; Kleiber, D; Schouler-Ocak, M; Heinz, A; Kastrup, M C; Rapp, M A
The purpose of the present study was to examine the protective and risk factors of mental distress among Turkish women living in Germany.......The purpose of the present study was to examine the protective and risk factors of mental distress among Turkish women living in Germany....
Sinha, Suman K.; Kaur, Jagdish
Mental disorders impose a massive burden in the society. The National Mental Health Programme (NMHP) is being implemented by the Government of India to support state governments in providing mental health services in the country. India is facing shortage of qualified mental health manpower for District Mental Health Programme (DMHP) in particular and for the whole mental health sector in general. Recognizing this key constraint Government of India has formulated manpower development schemes u...
Kline, Frank M., Ed.; Silver, Larry B., Ed.
An estimated 20 percent of students have an emotional, behavioral, or mental disorder. Teachers are often the first to notice these problems--and this guide, provides the information they need to help create effective learning environments for children and adolescents and collaborate effectively with mental health providers. Along with a detailed
Chavez, Mark; Insel, Thomas R.
The mission of the National Institute of Mental Health (NIMH) is to reduce the burden of mental and behavioral disorders through research, and eating disorders embody an important fraction of this burden. Although past and current research has provided important knowledge regarding the etiology, classification, pathophysiology, and treatment of
Chavez, Mark; Insel, Thomas R.
The mission of the National Institute of Mental Health (NIMH) is to reduce the burden of mental and behavioral disorders through research, and eating disorders embody an important fraction of this burden. Although past and current research has provided important knowledge regarding the etiology, classification, pathophysiology, and treatment ofâ¦
Rohrer James E
Full Text Available Abstract Background Population studies frequently employ a single item dependent variable for overall health. Self-rated mental health has been the focus of attention less often. The purpose of this project was to investigate the relationship between use of medical care and poor mental health in an elderly population. Methods This study involved a cross-sectional telephone survey of persons over 65 years of age in West Texas, a sparsely-populated 108-county region. Independent variables included number of medical visits, race/ethnicity, age, gender and ability to pay for care. Mental health was measured by asking subjects how often they felt downhearted or blue. Results Multiple logistic regression analysis revealed that more medical visits were made by persons who were downhearted or blue. Females, persons who had difficulty paying for care, Hispanic respondents, and older persons were more likely to report poor mental health. Conclusions Elderly persons in this region who use more medical care are at greater risk of being in poor mental health. Public health agencies that are planning population-based approaches to improving mental health should consider targeting persons who are high users of medical care as well as those of limited means, women, persons of Hispanic ethnicity, and people who are of greater age.
Mental disorders are common in almost all industrialized countries and many emerging economies. While several trials have shown that effective treatments exist for mental disorders, such as pharmacotherapy, psychological interventions, and self-help programs, the treatment gap in mental health care remains pervasive. Unrestricted access to adequate medical care for people with mental disorders will be one of the pressing public mental health tasks in the near future. In addition, scarcity of ...
K?z?l?rmak, Betül; Küçük, Leyla
This study was conducted to assess burden of care levels and the mental health of the family members providing care to persons with mental disorders. The data were collected using the Information Form, Burden Assessment Scale (BAS) and General Health Questionnaire-12 (GHQ) (N=243). Of the caregivers included in this study, 67.49% were found to be at risk, and 47.3% of the caregivers were found to be at a high risk of developing mental disorders like depression and anxiety. A positive and statistically significant relation was identified between the BAS scores and GHQ scores of the caregivers (r=0.498; p=0.001). PMID:26804501
Shah, P M
Some 5-15% of children aged 3 to 15 years in both developing and developed countries suffer from mental handicaps. There may be as many as 10-30 million severely and about 60-80 million mildly or moderately mentally retarded children in the world. The conditions causing mental handicaps are largely preventable through primary health care measures in developing countries. Birth asphyxia and birth trauma are the leading causes of mental handicaps in developing countries where over 1.2 million n...
Acharya, Lumeshor; Upadhya, Kapil Dev; Kortmann, Frank
To improve mental health care in Nepal, a National Mental Health Policy, Strategy and Plan of Action was approved by the Government in 1997. Nepal has high vulnerability to natural disasters compounded by a prolonged violent civil conflict affecting almost all districts of the country. Floods, landslides and earthquakes are the most regularly occurring disasters in Nepal. There is a Health Sector Emergency and Disaster Response Plan of the Ministry of Health, but mental health and psychosocial relief is not adequately addressed in this plan. In 2003 guidelines on best public health practices in emergencies for district health workers was developed in which the minimum standard and indicators include aspects of mental and social aspects of health. The experience of the complex emergency in April 2005 showed that in general the emergency preparedness plan has not been prepared well enough, but on the other hand the health system was able to cope quite well because of past training. Further strengthening of the mental health and psychosocial aspects of disaster preparedness is strongly recommended. PMID:17162702
Fidler, Miranda M; Ziff, Oliver J; Wang, Sarra; Cave, Joshua; Janardhanan, Pradeep; Winter, David L; Kelly, Julie; Mehta, Susan; Jenkinson, Helen; Frobisher, Clare; Reulen, Raoul C; Hawkins, Michael M
Background: Some previous studies have reported that survivors of childhood cancer are at an increased risk of developing long-term mental health morbidity, whilst others have reported that this is not the case. Therefore, we analysed 5-year survivors of childhood cancer using the British Childhood Cancer Survivor Study (BCCSS) to determine the risks of aspects of long-term mental health dysfunction. Procedure: Within the BCCSS, 10?488 survivors completed a questionnaire that ascertained mental health-related information via 10 questions from the Short Form-36 survey. Internal analyses were conducted using multivariable logistic regression to determine risk factors for mental health dysfunction. External analyses were undertaken using direct standardisation to compare mental health dysfunction in survivors with UK norms. Results: This study has shown that overall, childhood cancer survivors had a significantly higher prevalence of mental health dysfunction for 6/10 questions analysed compared to UK norms. Central nervous system (CNS) and bone sarcoma survivors reported the greatest dysfunction, compared to expected, with significant excess dysfunction in 10 and 6 questions, respectively; the excess ranged from 4.422.3% in CNS survivors and 6.915.9% in bone sarcoma survivors. Compared to expected, excess mental health dysfunction increased with attained age; this increase was greatest for reporting limitations in social activities due to health', where the excess rose from 4.5% to 12.8% in those aged 1624 and 45+, respectively. Within the internal analyses, higher levels of educational attainment and socio-economic classification were protective against mental health dysfunction. Conclusions: Based upon the findings of this large population-based study, childhood cancer survivors report significantly higher levels of mental health dysfunction than those in the general population, where deficits were observed particularly among CNS and bone sarcoma survivors. Limitations were also observed to increase with age, and thus it is important to emphasise the need for mental health evaluation and services across the entire lifespan. There is evidence that low educational attainment and being unemployed or having never worked adversely impacts long-term mental health. These findings provide an evidence base for risk stratification and planning interventions. PMID:26418531
Hughes, Frances A; Bamford, Anita
The worldwide burden of mental illness is increasing. Strong leadership is increasingly emerging as a core component of good mental health nursing. The aim of this article is to demonstrate the ways in which nurses can provide strong and consistent leadership in a values-based practice environment that embodies respect for individuals' dignity and self-determination within a community residential mental health service, which provides a structural foundation for effective action. This is accomplished through the presentation of two vignettes, which highlight how the seemingly impossible becomes possible when an economic paradigm such as agency theory is exchanged for a sociological and psychological paradigm found in leadership as stewardship at the point of service. It is through stronger nursing leadership in mental health that stigma and discrimination can be reduced and better access to treatments and services can be gained by those with mental illness. Nurse leadership in mental health services is not new, but it is still relatively uncommon to see residential services for "high needs" individuals being led by nurses. How nurses meet the challenges faced by mental health services are often at the heart of effective leadership skills and strategies. PMID:21702426
Annelle B. Primm, MD, MPH
Full Text Available Racial/ethnic minority populations are underserved in the American mental health care system. Disparity in treatment between whites and African Americans has increased substantially since the 1990s. Racial/ethnic minorities may be disproportionately affected by limited English proficiency, remote geographic settings, stigma, fragmented services, cost, comorbidity of mental illness and chronic diseases, cultural understanding of health care services, and incarceration. We present a model that illustrates how social determinants of health, interventions, and outcomes interact to affect mental health and mental illness. Public health approaches to these concerns include preventive strategies and federal agency collaborations that optimize the resilience of racial/ethnic minorities. We recommend strategies such as enhanced surveillance, research, evidence-based practice, and public policies that set standards for tracking and reducing disparities.
Berry, Helen L; Hogan, Anthony; Owen, Jennifer; Rickwood, Debra; Fragar, Lyn
Climate change is exacerbating climate variability, evident in more frequent and severe weather-related disasters, such as droughts, fires, and floods. Most of what is known about the possible effects of climate change on rural mental health relates to prolonged drought. But though drought is known to be a disproportionate and general stressor, evidence is mixed and inconclusive. Over time, like drought other weather-related disasters may erode the social and economic bases on which farming communities depend. Rural vulnerability to mental health problems is greatly increased by socioeconomic disadvantage. Related factors may compound this, such as reduced access to health services as communities decline and a "stoical" culture that inhibits help-seeking. Australia has the world's most variable climate and is a major global agricultural producer. Yet despite Australia's (and, especially, rural communities') dependence on farmers' well-being and success, there is very little-and inconclusive-quantitative evidence about farmers' mental health. The aim of this review is to consider, with a view to informing other countries, how climate change and related factors may affect farmers' mental health in Australia. That information is a prerequisite to identifying, selecting, and evaluating adaptive strategies, to lessen the risks of adverse mental health outcomes. The authors identify the need for a systematic epidemiology of the mental health of farmers facing increasing climate change- related weather adversity. PMID:21447547
Sundin, E C; Armelius, B A
Psychodynamic clinicians cite psychic structure and structural changes observed in treatment as sources of important information about unconscious psychological processes and configurations. Empirical studies have had difficulty demonstrating that psychic structure measures something different from psychiatric symptoms and everyday functioning. This study examined the relationship between psychic structure and mental health using the Health-Sickness Rating Scale (HSRS) to measure mental health and two different measures to assess psychic structure: Kernberg's personality organization (PO) and Wallerstein's Scales of Psychological Capacities (PSYCAP). Bivariate correlations and multiple regression analyses were computed based on ratings for 124 psychiatric inpatients and psychotherapy clients. Correlations showed that mental health and psychic structure are substantially interrelated, and multiple regression analyses indicated that 44% of the variance of HSRS is explained by psychic structure measured with the two methods taken together. The findings provide some support for a general factor of mental health and psychic structure and a "pure" component of psychic structure that is independent from mental health. Different factor-analytic models for understanding the relationship between mental health and psychic structure are discussed. PMID:9810110