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.
Home > Mental Health > Good mental health Mental Health This information in Spanish ( en español ) Good mental health Nutrition and mental health Exercise and mental health Sleep and mental health Stress ...
Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel and act ... handle stress, relate to others, and make choices. Mental health is important at every stage of life, from ...
Dernovsek, Mojca Zvezdana; Sprah, Lilijana
The aim of our study was to examine availability and utilization of mental health services in the 12 Slovenian statistical regions by using the The European Service Mapping Schedule (ESMS) methodology. 251 mental health services were mapped according to their type as presented in schema of ESMS service tree. Marked differences between regions were noticed in patterns of service provision and utilization. In contrast with the scarcity of mental health services in the Zasavska and Notranjsko-kraska region, the Central-Slovenian region offered the most diverse and abundant choice of services of all statistical regions. We lack day and structured activity services offering work or work-related activities. Out-patient and community services are mainly medium intensity non-mobile services that offer continuing care. PMID:18827780
... Home > Health & Education > Mental Health Information Women and Mental Health Mental illnesses affect women and men differently some ... mail.nih.gov Share Science News About Womens Mental Health Soldiers at High Suicide Risk after Hospitalization NIMH ...
... Men's Health This information in Spanish ( en español ) Mental health for men More information on mental health for ... extremely effective. Return to top More information on Mental health for men Explore other publications and websites Attention ...
... or worthless could be warning signs of a mental health problem. Mental health problems are real, painful, and sometimes severe. You ... reckless things that could harm you or others Mental health problems can be treated. To find help, talk ...
Examines potential uses of mental maps in the classroom by reviewing research efforts, providing an example of the differences between mental maps of two student groups, and suggesting how to use mental maps in the geography curriculum. Mental mapping (or cognitive mapping) refers to individuals' processes of collecting, storing, and retrieving
Full Text Available ... Videos & Tools You Are Here: Home ? Latest Health News ? Smog and Mental Health URL of this page: http://www.nlm.nih.gov/medlineplus/videos/news/Smog_032515-1.html Smog and Mental Health ...
Mental Health Screening Center These online screening tools are not a substitute for consultation with a health professional. ... you have any concerns, see your doctor or mental health professional. Depression This screening form was developed from ...
... Media Policy Makers Â National Center Homepage Children's Mental Health Language: English Español (Spanish) Recommend on Facebook Tweet ... problems can continue into adulthood. Public health includes mental health A new report from the Centers for Disease ...
... community for teens and young adults struggling with mental health problems and encourage them to talk about what ... just the typical growing pains or a real mental health problem. While adolescence is a difficult time for ...
... Minority Population Profiles > Black/African American > Mental Health Mental Health and African Americans Poverty level affects mental health ... compared to 120% of Non-Hispanic Whites. 1 MENTAL HEALTH STATUS Serious psychological distress among adults 18 years ...
This lesson, from Science NetLinks, examines how mental illness has been portrayed in the arts while highlighting for students a more insightful way to further develop their ideas about human behavior. This lesson is the third of three lessons on mental health and human behavior.
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.
... more about child and adolescent mental health research . Older adults Because older people often have more medical problems ... people who take medications for mental disorders. An older adult may forget his or her regular dose and ...
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.
Prince, Martin; Patel, Vikram; Saxena, Shekhar; Maj, Mario; Maselko, Joanna; Phillips, Michael R; Rahman, Atif
About 14% of the global burden of disease has been attributed to neuropsychiatric disorders, mostly due to the chronically disabling nature of depression and other common mental disorders, alcohol-use and substance-use disorders, and psychoses. Such estimates have drawn attention to the importance of mental disorders for public health. However, because they stress the separate contributions of mental and physical disorders to disability and mortality, they might have entrenched the alienation of mental health from mainstream efforts to improve health and reduce poverty. The burden of mental disorders is likely to have been underestimated because of inadequate appreciation of the connectedness between mental illness and other health conditions. Because these interactions are protean, there can be no health without mental health. Mental disorders increase risk for communicable and non-communicable diseases, and contribute to unintentional and intentional injury. Conversely, many health conditions increase the risk for mental disorder, and comorbidity complicates help-seeking, diagnosis, and treatment, and influences prognosis. Health services are not provided equitably to people with mental disorders, and the quality of care for both mental and physical health conditions for these people could be improved. We need to develop and evaluate psychosocial interventions that can be integrated into management of communicable and non-communicable diseases. Health-care systems should be strengthened to improve delivery of mental health care, by focusing on existing programmes and activities, such as those which address the prevention and treatment of HIV, tuberculosis, and malaria; gender-based violence; antenatal care; integrated management of childhood illnesses and child nutrition; and innovative management of chronic disease. An explicit mental health budget might need to be allocated for such activities. Mental health affects progress towards the achievement of several Millennium Development Goals, such as promotion of gender equality and empowerment of women, reduction of child mortality, improvement of maternal health, and reversal of the spread of HIV/AIDS. Mental health awareness needs to be integrated into all aspects of health and social policy, health-system planning, and delivery of primary and secondary general health care. PMID:17804063
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.
Community mental health teams (CMHTs) have evolved alongside the downsizing of mental hospitals. They originated in mental health services in the UK and France in the 1950s and 60s. Generic CMHTs provide assessment and treatment for the population of a defined sector (usually stratified by age: child, adult and old age), who are referred by GPs or other health professionals. Despite considerable variation there are regular features of such teams - in particular their approach to multidiscipli...
Full Text Available THE goal of mental health today calls for more than an alleviation of mental illness. The days of custodial care in institutions, segregated from the community, belong in the history books. We must look even further than the treatment or even the prevention of mental illness to the ideal of maximum physical, mental and social efficiency for the individual, his family and the community. Mental Health Education is a behavioural science which aims to change behaviour and attitudes which militate against the achievement of these goals.
Four out of five prisoners suffer mental health problems. There are 139 liaison teams responsible for ensuring offenders are directed to hospitals where appropriate, but they are under-resourced and stretched to capacity. Mental health teams are working to reduce inappropriate referrals. PMID:16335556
Childrens Mental Health Surveillance National Center on Birth Defects and Developmental Disabilities Division of Human Development and Disability What are ... gov CDC issues first comprehensive report on childrens mental health in the United States A new report from ...
... Data > Minority Population Profiles > Asian American > Mental Health Mental Health and Asian Americans Suicide was the 10th leading ... Americans is half that of the White population. MENTAL HEALTH STATUS Serious psychological distress among adults 18 years ...
Rural Mental Health There is a significant need for mental health services in rural America. According to Substance Abuse and ... action to prevent suicides? Where can I find mental health statistics for rural populations? The Substance Abuse and ...
Full Text Available ... news/Smog_032515-1.html Smog and Mental Health HealthDay News Video - March 25, 2015 To use ... health news that matters to you. Related MedlinePlus Health Topics Air Pollution Anxiety Stroke About MedlinePlus Site ...
... including: Biological factors, such as genes or brain chemistry Life experiences, such as trauma or abuse Family ... positive Getting physically active Helping others Getting enough sleep Developing coping skills Learn More About Mental Health ...
... and Human Services, 2001 Report of the Surgeon Generals Conference on Childrens Mental Health: A National Action Agenda ). What Does Psychology Have to Offer? Research in psychology has contributed ...
Mental Health Matters is a collection of various mental health articles which cover topics such as psychological disorders and treatments for mental illnesses. The site is easy to navigate and users can choose from disorders, symptoms, medications, and treatments. Once a visitor chooses a subfield from the homepage, they are provided with another set of choices which contain more specific information on the various main topics. The site is also designed so that users can search by disorder or category to find the appropriate information to answer their queries.
The mission of the Louis de le Parte Florida Mental Health Institute is "to improve the lives of people with mental, addictive, and developmental disorders through research, training, and education." The Institute was created by the Florida legislature in 1967 and its work encompasses a range of mental health issues coupled with a rigorous outreach program. The materials here are divided into six thematic areas, including Publications/Reports, Research, and State & Local Partners. In the Publications/Reports area, visitors can learn about the Instituteâ??s scholarly activities through its quarterly newsletter and then browse through news briefs and Medicaid studies if so desired. Moving along, the Research area contains updates and reports on work in eight different areas, including autism, child welfare, and veteran's mental health affairs. Finally, the site also includes a section where visitors can contact the Institute to ask questions about its academic work and mission.
U.S. Department of Health & Human Services An online resource for locating mental health treatment facilities and programs supported by the Substance Abuse and Mental Health Services Administration (SAMHSA)....
... About Us Home > Health & Education > Mental Health Information Older Adults and Mental Health Depression Depression is not a ... increased risk for suicide . Share Science News About Older Adults NIMH Hosts Twitter Chat on Depression and Older ...
... PDF version of this document . Insurance benefits for mental health services have changed a lot in recent years. ... health care. It is important to understand your mental health care coverage so that you can be an ...
... this? Submit What's this? Submit Button NCHS Home Mental Health Recommend on Facebook Tweet Share Compartir Data are ... Health, United States trend tables with data on mental health Identifying Emotional and Behavioral Problems in Children Aged ...
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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).
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Full Text Available ... need to manage air pollution globally as a cause of ill health. Im Dr. Cindy Haines of HealthDay TV, with the news doctors are reading health news that matters to you. Related MedlinePlus Health Topics Air Pollution Anxiety Stroke About MedlinePlus Site Map FAQs Contact Us Get ...
The concepts and management of mental health in Egypt are presented from the Pharaonic era through the Islamic Renaissance until today. Papyri from the Pharaonic period show that Soma and Psyche were not differentiated and mental disorders were described as symptoms of the heart and uterus. Although theories of causation were of a mystical nature, mental disorders were treated on a somatic basis. In the Islamic era, mental patients were neither maltreated nor tortured as a consequence of the belief that they may be possessed by a good Moslem genie. In the 14th century mental disorders was one of the four departments in Cairo's Kalawoon Hospital, a precursor of the place of psychiatry in general hospitals that was accepted in Europe six centuries later. The mental health services in Egypt today are described, and transcultural studies carried out in Egypt of the prevalence and phenomenology of anxiety, schizophrenia, depression, suicide, conversion and obsessive compulsive disorders are reviewed. The psychiatric services for children are in their infancy. Since 1983 the common and semi-accepted use of hashish has been joined by abuse by heroin and other substances. PMID:16342608
... ever felt down after eating a lot of fast food? Do you have a more positive outlook after eating a green salad or some stir-fry vegetables? Medical researchers are studying the effects of dietary choices on mood and mental health. This is sometimes called the food-mood connection. ...
Full Text Available ... National Institute of Mental Health grantee, talks about disasters and mental health research. Watch on YouTube. ... to traumatic events, whether man-made or natural disasters such as hurricanes, are at risk of developing ...
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Emotional & Mental Health Although dystonia is a movement disorder that impacts the physical body, it can also impact emotional and ... emotion as well as muscle movement. For years, mental health professionals have recognized that coping with a chronic ...
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... County or Zip By Name Other Links State Mental Health Agencies Frequently Asked Questions Links Comments or Questions ... a Facility in Your State To locate the mental health treatment programs nearest you, find your State on ...
... Living Listen Español Text Size Email Print Share Mental Health Care: Who's Who Article Body Psychiatrist: An M. ... degree in psychology, counseling or a related field. Mental Health Counselor: Masters degree and several years of supervised ...
Full Text Available ... were left with deep, internal scars- mental health issues following September 11th? What has science learned in ... hurricanes, are at risk of developing mental health issues. Dr. Sandro Galea : But we also know that ...
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Rossen, Eric; Cowan, Katherine C.
Students do not leave their mental health at the front door when they come to school. From wellness to serious illness, a student's mental health status is integral to how they think, feel, interact, behave, and learn. Decades of research and experience have laid a solid foundation and framework for effectively providing mental health
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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
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This project collects resources for studying mental health and stress issues with middle schoolers. Teens and stress Science NetLinks: The Laughing Brain 2: A Good Laugh Dealing with anger Stress-o-meter Look at each of the above sites. Choose one and read the content. Write a one-paragraph summary. Play interactive games and take quizzes. Keep a log of what you do. Tell which site you liked best and why. ...
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 po...
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Perspectives, provided by Mental Health Net, is a quarterly online magazine devoted to mental health. It features short (usually less than 2,000 word) articles about all aspects of its topic. The Vol. 1, No. 4 issue contains articles on Prozac, loneliness, and managed care, among others. It also includes a regular column on "Being Human." Archives are available at the site, as are submission guidelines. Mental Health Net is a well known "comprehensive guide to mental health online," with pointers to resources in the field, arranged by topic and resource type.
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Qureshi NA; Al-Habeeb AA; Koenig HG
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 Administ...
King, Richard V; Burkle, Frederick M; Walsh, Lauren E; North, Carol S
Competencies for disaster mental health are essential to domestic and international disaster response capabilities. Numerous consensus-based competency sets for disaster health workers exist, but no prior study identifies and discusses competency sets pertaining specifically to disaster mental health. Relevant competency sets were identified via MEDLINE, PsycINFO, EBSCO, and Google Scholar searches. Sixteen competency sets are discussed, some providing core competencies for all disaster responders and others for specific responder groups within particular professions or specialties. Competency sets specifically for disaster mental health professionals are lacking, with the exception of one set that focused only on cultural competence. The identified competency sets provide guidance for educators in developing disaster mental health curricula and for disaster health workers seeking education and training in disaster mental health. Valid, criterion-based competencies are required to guide selection and training of mental health professionals for the disaster mental health workforce. In developing these competencies, consideration should be given to the requirements of both domestic and international disaster response efforts. PMID:25681279
Thomas, Christopher R; Penn, Joseph V
As the second century of partnership begins, child psychiatry and juvenile justice face continuing challenges in meeting the mental health needs of delinquents. The modern juvenile justice system is marked by a significantly higher volume of cases, with increasingly complicated multiproblem youths and families with comorbid medical, psychiatric, substance abuse disorders, multiple family and psychosocial adversities, and shrinking community resources and alternatives to confinement. The family court is faced with shrinking financial resources to support court-ordered placement and treatment programs in efforts to treat and rehabilitate youths. The recognition of high rates of mental disorders for incarcerated youth has prompted several recommendations for improvement and calls for reform [56,57]. In their 2000 annual report, the Coalition for Juvenile Justice advocated increased access to mental health services that provide a continuum of care tailored to the specific problems of incarcerated youth . The specific recommendations of the report for mental health providers include the need for wraparound services, improved planning and coordination between agencies, and further research. The Department of Justice, Office of Juvenile Justice and Delinquency Prevention has set three priorities in dealing with the mental health needs of delinquents: further research on the prevalence of mental illness among juvenile offenders, development of mental health screening assessment protocols, and improved mental health services . Other programs have called for earlier detection and diversion of troubled youth from juvenile justice to mental health systems [31,56]. Most recently, many juvenile and family courts have developed innovative programs to address specific problems such as truancy or substance use and diversionary or alternative sentencing programs to deal with first-time or nonviolent delinquents. All youths who come in contact with the juvenile justice system should be screened and, when necessary, assessed for mental health and substance abuse disorders. The screening should occur at the youth's earliest point of contact with the juvenile justice system and should be available at all stages of juvenile justice processing. Whenever possible, youth with serious mental health disorders should be diverted from the juvenile justice system . If delinquent youths do not receive the necessary evaluation, treatment, and rehabilitation, they face the real prospect of further incarceration in adult correctional facilities. Improved screening and treatment require better interagency collaboration, established standards of care, and continuing research on the mental health needs of youth in the juvenile justice system. Better mental health care for youth in the juvenile justice system supports the goal of rehabilitation. Mental health professionals should support these efforts as the appropriate response to meet the challenges of the new century. PMID:12397896
... to recognize the symptoms of treatable mental illness. Types of Mental Disorders Depression Depression is considered the most common mental disorder ... than one condition, such as combinations of stroke, depression, Alzheimers ... may cause this. These types of dementia can often be reversed after their ...
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
While more than 800,000 people die from suicide globally each year, the median amount of the health budget allocated to mental health in 2011 was 2.8%. In Afghanistan, six out of every 100,000 men committed suicide. In the United States, that number was 19. These and other data can be gleaned from the age-standardized suicide rates interactive graph on the World Health Organizationâ??s Global Health Observatory website dedicated to issues of Mental Health. Additionally, the page provides links to reports on Policy and financing of mental health, Human resources (in terms of the number of psychiatrists available per 100,000 people in a given country), and Mental health care delivery.
As it approaches its 100th anniversary in 2009, the National Mental Health Association (NMHA) remains the countryâ??s oldest and largest nonprofit organization that deals with all aspects of mental health and mental illness. First-time users of their site will find that their homepage contains copious amounts of material related to their advocacy efforts, along with materials that deal with helping a loved one who may be suffering the effects of mental illness. The â??Need Info?â? area is a good place to start for these types of materials, as it provides access to information on treatment resources, support groups, and fact sheets. Visitors can also elect to sign up for one (or several) of their helpful email updates, which include work on related legislation, and mental health news coverage.
... report good attendance and punctuality, as well as motivation, quality of work, and job tenure on par with or greater than other employees. Studies by the National Institute of Mental Health ( ...
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Full Text Available ... investigators who studied the mental health impact on people living in and around New York City. Dr. ... the attacks, about seven to nine percent of people had symptoms of post traumatic stress disorder and ...
Full Text Available ... But what about those who were left with deep, internal scars- mental health issues following September 11th? ... some of these disorders- including both pharmacotherapy as well as psychotherapy. Announcer : The unpredictable nature of traumatic ...
Mangala, R; Thara, R
Tamil cinema is a vibrant part of the lives of many in south India. A chequered history and a phenomenal growth have made this medium highly influential not only in Tamil Nadu politics, but also in the social lives of the viewers. This paper provides an overview of the growth of Tamil cinema, and discusses in detail the way mental health has been handled by Tamil films. Cinema can be used very effectively to improve awareness about mental health issues. PMID:19459098
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.
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
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.
Dixon, Decia Nicole
Latest research on the mental health status of children indicates that schools are key providers of mental health services (U.S. Department of Health and Human Services, 2003). The push for school mental health services has only increased as stakeholders have begun to recognize the significance of sound mental health as an essential part of
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
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This lesson, from Science NetLinks, provides students with a sound introduction and historical overview of the important figures and discoveries that have greatly advanced the study of human behavior since the early 1900s. This lesson is the first of three lessons on mental health and human behavior.
Full Text Available ... create something of a blueprint on how mental health professionals can respond to individuals who have been exposed to traumatic events. Dr. Sandro Galea : There is something now which is called psychological first aid which essentially consists of supportive care ...
Full Text Available ... Eating Disorders (9 items) Panic Disorder (1 item) Post-Traumatic Stress Disorder (7 items) Schizophrenia (2 items) Social Phobia (1 item) Populations Children and Adolescents (18 items) Military Service Members (1 item) Womens Mental Health (1 ...
Full Text Available ... these disorders- including both pharmacotherapy as well as psychotherapy. Announcer : The unpredictable nature of traumatic events will always create challenges in the mental health community. But the goal of on-going research is to study long range consequences and develop ...
... preceeding year. Experiences of mental illness vary across cultures, and there is a need for improved cultural awareness and competence in the health care and mental health workforce. Across a recent 15-year span, suicide rates ...
... Regulations and Guidance Stakeholder Engagement Training Resources The Mental Health Parity and Addiction Equity Act Contents Introduction Summary ... Regulation Introduction The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) ...
... Families © helpful and would like to make good mental health a reality, consider donating to the Campaign for ... Facts for Families, as well as other vital mental health information, free of charge. Medication-Related Weight Gain, ...
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...
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...
Gureje, O.; Alem, A.
Mental health issues are usually given very low priority in health service policies. Although this is changing, African countries are still confronted with so many problems caused by communicable diseases and malnutrition that they have not waken up to the impact of mental disorders. Every country must formulate a mental health policy based on its own social and cultural realities. Such policies must take into account the scope of mental health problems, provide proven and affordable interven...
Nizamie, S. Haque; Katshu, Mohammad Zia Ul Haq; Uvais, N. A.
Human experience in, health and disease, always has a spiritual dimension. pirituality is accepted as one of the defining determinants of health and it no more remains a sole preserve of religion and mysticism. In recent years, pirituality has been an area of research in neurosciences and both in the nderstanding of psychiatric morbidity and extending therapeutic interventions it seems to be full of promises. Sufism has been a prominent spiritual tradition in Islam deriving influences from ma...
Congress of the U.S., Washington, DC. Office of Technology Assessment.
The Senate Select Committee on Indian Affairs is considering legislation to improve mental health services to American Indians and Alaska Natives. This report is in response to the Committee's request for information on the mental health needs of Indian adolescents and the services available to them. The section on mental health problems among
Yuan, Anastasia S. Vogt
Although perceived discrimination (especially due to race-ethnicity) decreases mental health, the influence of perceived discrimination due to other reasons on mental health needs to be explored. This study examines the relationship between perceived age discrimination and mental health and determines whether psychosocial resources explain or
Kilkenny, Robert; Katz, Nechama; Baron, Lisa
By addressing common reasons that schools and mental health partners often cannot sustain sufficient school-based mental health services, Connecting With Care (CWC)--a mental health collaboration that places full-time clinicians in schools in Boston's most under-served urban neighborhood--is demonstrating how schools and districts can leverage
Southern Regional Education Board, Atlanta, GA.
This report is directed particularly to state mental health agency directors and members of their management teams and support systems such as the budget offices, legislative committees and board members. Through a survey of the status of mental health program evaluation within the state mental health agencies in the South, it was found that few
Kessler, Ronald C; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Chatterji, Somnath; LEE, SING; Üstün, T. Bedirhan
The paper presents an overview of the WHO World Mental Health (WMH) Survey Initiative and summarizes recent WMH results regarding the prevalence and societal costs of mental disorders. The WMH surveys are representative community surveys that were carried out in 28 countries throughout the world aimed at providing information to mental health policy makers about the prevalence, burden, and unmet need for treatment of common mental disorders. Results show that mental disorders are commonly occ...
Mental image and place-preference maps of college students in Florida were created through a two-part lesson. The patterns revealed by these maps were linked to students' life experiences, census data on migration and income, and similar studies conducted in other states. Students prefer states with established migration links to Florida and
Vaillant, George E.
Seven models for conceptualizing positive mental health are reviewed: mental health as above normal, epitomized by a DSM-IVs Global Assessment of Functioning (GAF) score of over 80; mental health as the presence of multiple human strengths rather than the absence of weaknesses; mental health conceptualized as maturity; mental health as the dominance of positive emotions; mental health as high socio-emotional intelligence; mental health as subjective well-being; mental health as resilience....
Deepa P. Makhija
Full Text Available The main objectives of the present study were to study importance of mental health and role of Ayurvedic medicines to improve mental health. Aperson who has good mental health has good emotional and social wellbeing and the capacity to cope with change and challenges. Mental health problems can affect feelings, thoughts and actions, and cause difficulties in everyday activities, whether at school, at work, or in relationships. Findings of various studies showed thatAyurvedic medicines are very effective to improve mental health.
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...
This article charts the historical development of the discipline of global mental health, whose goal is to improve access to mental health care and reduce inequalities in mental health outcomes between and within nations. The article begins with an overview of the contribution of four scientific foundations toward the discipline's core agenda: to scale up services for people with mental disorders and to promote their human rights. Next, the article highlights four recent, key events that are ...
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.
Burke, M. M.; Griggs, M.; Dykens, E. M.; Hodapp, R. M.
Background: Begun in the late 1990s, mental health courts are specialty criminal courts developed to address the needs of persons with mental illness. Methods: As many persons with intellectual disabilities (IDs) may overlap in the mental health court system, we used mental health court records to examine the phenomenology and outcomes of 224
Johnson, M.; Schmeid, V.; Lupton, S. J.; Austin, M. -p; Matthey, S. M.; Kemp, L.; Meade, T.; Yeo, A. E.
The purpose of this review was to critically analyse existing tools to measure perinatal mental health risk and report on the psychometric properties of the various approaches using defined criteria. An initial literature search revealed 379 papers, from which 21 papers relating to ten instruments were included in the final review. A further four papers were identified from experts (one excluded) in the field. The psychometric properties of six multidimensional tools and/or criteria were asse...
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.
In Pakistan, societal attitudes and norms, as well as cultural practices (Karo Kari, exchange marriages, dowry, etc.), play a vital role in women's mental health. The religious and ethnic conflicts, along with the dehumanizing attitudes towards women, the extended family system, role of in-laws in daily lives of women, represent major issues and stressors. Such practices in Pakistan have created the extreme marginalisation of women in numerous spheres of life, which has had ...
Part of a much larger meta-resource, this site contains annotated, rated resources in over 25 subject categories, as well as associations, academic departments, employment, mailing lists, and newsgroups, among other resources. MHN has a rating system (one to four stars), based on content, presentation, ease of use, and overall experience. Interestingly, users are also allowed to interactively vote thumbs up or down on annotated resources. Mental Health Net and CMHC Systems maintain this site.
Minas, Harry; Cohen, Alex
The global situation for people with mental illness - in developing and developed countries - is dire. Legislative and human rights protections are frequently lacking. Mental health budgets are inadequate. There are insufficient numbers of skilled policy makers, managers and clinicians. Communities are poorly informed about mental health and illness and not well organised for purposes of advocacy. In most of the world, mental health services are inaccessible or of poor quality. Most people who would benefit from psychiatric treatment and rehabilitation do not have affordable access to such services. Leadership - at all levels - for mental health system development needs to be greatly strengthened. While mental health research attention and funds are devoted predominantly to neuroscience and clinical research, we believe that the highest global mental health research priority is mental health systems research. There is an urgent need to focus on the development of effective, appropriate, affordable mental health services. The evidence base for such development is currently weak. The International Journal of Mental Health Systems aims to stimulate greater attention to the central importance of building functioning mental health systems. Rapid publication and global reach through open access will make this journal a resource for all those who wish to contribute to such development. PMID:18271974
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.
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 an increasing need to integrate spirituality within the mental health field albeit there are several impediments in achieving the same, which need to be worked through circumspectly. PMID:21938086
Full Text Available 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 an increasing need to integrate spirituality within the mental health field albeit there are several impediments in achieving the same, which need to be worked through circumspectly.
Seko, Yukari; Kidd, Sean; Wiljer, David; McKenzie, Kwame
Mobile phone technologies have been hailed as a promising means for delivering mental health interventions to youth and adolescents, the age group with high cell phone penetration and with the onset of 75% of all lifetime mental disorders. Despite the growing evidence in physical health and adult mental health, however, little information is available about how mobile phones are implemented to deliver mental health services to the younger population. The purpose of this scoping study was to map the current state of knowledge regarding mobile mental health (mMental Health) for young people (age 13-24 years), identify gaps, and consider implications for future research. Seventeen articles that met the inclusion criteria provided evidence for mobile phones as a way to engage youth in therapeutic activities. The flexibility, interactivity, and spontaneous nature of mobile communications were also considered advantageous in encouraging persistent and continual access to care outside clinical settings. Four gaps in current knowledge were identified: the scarcity of studies conducted in low and middle income countries, the absence of information about the real-life feasibility of mobile tools, the need to address the issue of technical and health literacy of both young users and health professionals, and the need for critical discussion regarding diverse ethical issues associated with mobile phone use. We suggest that mMental Health researchers and clinicians should carefully consider the ethical issues related to patient-practitioner relationship, best practices, and the logic of self-surveillance. PMID:25007383
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. [...
Culture and ethnicity can influence the way we think about mental illness and mental health services. For example, among some Latinos, depression may be mistaken for nervousness, tiredness or a physical ailment, and may be viewed as something temporary. Some ...
Lagomasino, Isabel T.; Zatzick, Douglas F.; Chambers, David A.
Limited financial resources, escalating mental health related costs, and opportunities for capitalizing on advances in health information technologies have brought the theme of efficiency to the forefront of mental health services research and clinical practice. In this introductory paper to the journal series stemming from the 20th NIMH Mental Health Services Research Conference, we first delineate the need for a new focus on efficiency in both research and clinical practice. Second, we prov...
Full Text Available In most articles about Stigma in Mental Health Stigma is oftenoverlooked role of professionals and stigmatizing process known as therapeutic protocol. These processes governed by institutional logics end resulting in most cases the chief cause in stigma, enthroned as the patients in a double role and identity as chronically ill patient; object of study, ultimately undermining the capacity of subjects to reconstruct their identity outside of that sick double identity. From the living experience as a person diagnosed to have suffered the vagaries of madness and perversion in a health system that has come to industrialize mental suffering, this article seeks to deconstruct the main dynamics that build social and institutional image of people with Mental problems. In contrast, using the example of the Socio-cultural Association Radio Nicosia and its ability to generate instances when possibilities for being, being and saying out of all clinical scope in what is on many occasions the identity and re-structuring of the discourse itself through constant work in media and artistic-political interventions, collectively engaged with and from the community, in the most ordinary common-vindicate community another way to understand suffering, naturalizing in the public sphere.
Jaimes, Annie; Crocker, Anne; Bédard, Evelyne; Ambrosini, Daniel L
In Québec, as elsewhere in North America, psychiatric deinstitutionalization, lack of community mental health resources as well as legislative changes to civil and criminal codes have led to an increased probability that individuals with a mental illness come into contact with the criminal justice system. Based on the principle of therapeutic jurisprudence, mental health courts constitute emerging diversion programs, taking place within the court, implemented to offer an alternative to incarceration for individuals with a mental illness. This article offers a critical synthesis of the scientific literature on the topic. The authors first present the context in which mental health courts were developed ; describe their objectives and functioning ; and introduce the Montreal Mental Health Court pilot project, renamed PAJ-SM (Plan d'Accompagnement Justice et Santé) the first of its kind in Québec. The paper examines the research on mental health courts and tackles some of the stakes of diversion programs. The challenges and limits inherent to specialized courts are discussed as well as methodological obstacles related to the study of these complex intervention programs. The authors conclude that mental health courts offer promising intervention venues, but that they do not constitute a panacea to resolving all issues related to the contact of mentally ill individuals with the justice system. Mental health courts must be accompanied by other intervention strategies for persons with mental health problems at all stages of the criminal justice process. PMID:20361114
Gritzner, Charles F.
Models the creation of a complex mental geographic map to illustrate the geography teacher's instructional task to students. Cites 12 elements of a well-organized geography course that emphasizes spatial analysis, synthesis, and explanation of features and patterns that give geography its uniqueness among social science disciplines. (TRS)
White, J H
Eating disorders are prevalent health problems for women today. The traditional biomedical or psychiatric approaches offer a narrow perspective of the problem, its courses, and its treatment. Analyzing disordered eating from a feminist perspective, this article discusses cultural, political, and social phenomena that have had a significant impact on the development of these disorders. Parallels of eating disorders and other women's mental illnesses and the medicalization of their symptoms is explored. A "new view" of disordered eating in women is proposed that can be advanced only through feminist research. PMID:1707250
Mari Jair Jesus; Bressan Rodrigo A; Almeida-Filho Naomar de; Gerolin Jerônimo; Sharan Pratap; Saxena Shekhar
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...
Alarco?n, 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...
Krishnakar, Mallikarjun H.; Chengti, Shivakumar S.
The major aim of the present study was to assess the Emotional intelligence and mental health in adolescents. The sample of 100 (50 Boys and 50 Girls) students was chosen from Gulbarga district on whom the Emotional intelligence and Mental Health Scales were administered. After scoring, the data were subjected to t test. The results revealed that there is significant difference in Mental Health of the sample subgroups. The study also revealed significant gender differences in the amount o...
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...
Moreira-Almeida Alexander; Lotufo Neto Francisco; Koenig Harold G
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 ...
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...
Choochart Deeromram; Amorn Suwannimitr; Suwadee Jundeekrayom
Problem statement: In the literature, there is no consensus over what constitutes an appropriate model for mental health promotion among nursing students in Thailand. Approach: This quasi-experimental research was conducted to evaluate the effects of mental health promotion intervention. Several activities in this intervention were created for promoting sense of coherence which focused on the manipulation of both internal and external factors that effect mental health. Results: The results re...
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...
Full Text Available The major aim of the present study was to assess the Emotional intelligence and mental health in adolescents. The sample of 100 (50 Boys and 50 Girls students was chosen from Gulbarga district on whom the Emotional intelligence and Mental Health Scales were administered. After scoring, the data were subjected to t test. The results revealed that there is significant difference in Mental Health of the sample subgroups. The study also revealed significant gender differences in the amount of mental health.
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
This article charts the historical development of the discipline of global mental health, whose goal is to improve access to mental health care and reduce inequalities in mental health outcomes between and within nations. The article begins with an overview of the contribution of four scientific foundations toward the discipline's core agenda: to scale up services for people with mental disorders and to promote their human rights. Next, the article highlights four recent, key events that are indicative of the actions shaping the discipline: the Mental Health Gap Action Programme to synthesize evidence on what treatments are effective for a range of mental disorders; the evidence on task shifting to nonspecialist health workers to deliver these treatments; the Movement for Global Mental Health's efforts to build a common platform for professionals and civil society to advocate for their shared goal; and the Grand Challenges in Global Mental Health, which has identified the research priorities that, within the next decade, can lead to substantial improvements in the lives of people living with mental disorders. The article ends by examining the major challenges for the field, and the opportunities for addressing them in the future. PMID:22335178
Blackborow, May; Tuck, Christine; Lambert, Patrice; Disney, Jody; Porter, Jessica; Jordan, Alicia
It is the position of the National Association of School Nurses that mental health is as critical to academic success as physical well-being. Registered professional school nurses (hereinafter referred to as school nurses) serve a vital role in the school community by promoting positive mental health outcomes in students through school/community evidence-based programs and curricula. As members of interdisciplinary teams, school nurses collaborate with school personnel, community health care professionals, students, and families, in the assessment, identification, intervention, referral, and follow-up of children in need of mental health services. School nurses are uniquely qualified to identify students with potential mental health problems. In addition, school nurses serve as advocates, facilitators, and counselors of mental health services both within the school environment and in the community. PMID:25507062
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...
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
Stone, T R; Warren, W E; Stevens, R E
The authors report the results of a segmentation study of the mental health care market. A random sample of 387 residents of a western city were interviewed by telephone. Cluster analysis of the data identified six market segments. Each is described according to the mental health care services to which it is most sensitive. Implications for targeting the segments are discussed. PMID:10104017
This article reports the findings of an analysis of mental health-related news items in two Australian newspapers-one with a national readership, the other being more regionally orientated-over 1 year. The study employs both descriptive and interpretative methods in analyzing how messages about mental health and illness, mental health policy, psychiatry, mental health nursing and other mental health-related topics, are constructed and conveyed in the print media. Which stories are carried both nationally and regionally? How are these framed? Which points of view get canvassed? Which social and political interests are ignored or under-represented? PMID:9256656
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.
Full Text Available A century has passed since Klifford Beers published his work "A mind that found Itself". This paper has inspired the shift of mental hygiene towards the prevention of mental disorders and health improvements. At the beginning of this millenium, with much improved scientific knowledge, experience and possibilities, but confronted with new challenges we are observing the tempestuous historical features which have influenced the development of mental health care. Mental health is crucial for the welfare of a society and its individuals, since such disorders are not only the cause of emotional suffering, but they also deteriorate the quality of life, cause alienation and discrimination of an individual. At the same time, they are a great economic burden to the society as they require long-term therapy and often result in poor productivity. In order to decrease the burden of mental disorders it is required to stimulate prevention and improvement of mental health of the population within the framework of national policies, legislation and financing.
Gibert Karina; Roca Miquel; Grané Mont-serrat; Martín Manuel; Salinas-Pérez José; Salvador-Carulla Luis; Bulbena Antonio
Abstract Background There are many sources of information for mental health indicators but we lack a comprehensive classification and hierarchy to improve their use in mental health planning. This study aims at developing a preliminary taxonomy and its related knowledge base of mental health indicators usable in Spain. Methods A qualitative method with two experts panels was used to develop a framing document, a preliminary taxonomy with a conceptual map of health indicators, and a knowledge ...
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).
... Stages Listen Español Text Size Email Print Share Mental Health and Teens: Watch for Danger Signs Article Body ... be strong indicators of serious mental health issues. Mental Health Red Flags Parents Should Be Alert For: Excessive ...
Smith, Allison L.; Cashwell, Craig S.
The authors explored attitudes toward adults with mental illness. Results suggest that mental health trainees and professionals had less stigmatizing attitudes than did non-mental-health trainees and professionals. Professionals receiving supervision had higher mean scores on the Benevolence subscale than did professionals who were not receiving
Full Text Available This paper considers indications and obstacles for the development of primary mental health care practice in both developed and under-developed countries. Both are considered as this represents the South African reality. While a significant body of literature has documented the need for primary mental health care, the obstacles (especially in terms of the commodification of health to its fruition are seldom addressed.
Nicaise, Pablo; Lindert, Jutta; 5th European Public Health Conference
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...
NSGIC GIS Inventory (aka Ramona) This Mental Health Facilities dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Hardcopy Maps information as of 2010. It is described...
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 198197, 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 198696 aimed at raising awareness of this special problem and decreasing by 20% the proportionally high suicide rate in Finland. The National Depression Programme 199498 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 19982003 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 20002003, in which mental health has been chosen as one of the eight priority areas.
U.S. Department of Health & Human Services TOXMAP® 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...
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
Goodson, Barbara Dillon; Mackrain, Mary; Perry, Deborah F; O'Brien, Kevin; Gwaltney, Margaret K
Home visiting programs have been successful in engaging and enrolling families who are at high risk for stress, depression, and substance abuse. However, many of these mothers may not be receiving mental health services because home visitors lack the knowledge and skills to identify mental health or determine how to appropriately address these problems. In response, a growing number of home visiting programs are expanding their capacity by integrating a mental health provider into their ongoing operations. This approach, referred to as early childhood mental health consultation, involves a partnership between a professional consultant with early childhood mental health expertise and home visiting or family support programs, staff, and families. This integrated model holds the promise of promoting parent and child behavioral health by enhancing the capacity of home visitors to identify and appropriately address the unmet mental health needs of children and families. The article highlights efforts under way in several federally funded Linking Actions for Unmet Needs in Children's Health Project sites where local programs are testing the effectiveness of this model. PMID:24187122
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
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.
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.
Full Text Available The aim of this study is to investigate the simple and multiple relationships between role ambiguity, role conflict, role overload and mental health considering the moderating role of type A personality and sense of coherence. To this end correlation and regression analysis is utilized. Research sample includes 196 personnel working in Ahvaz Pipe-production factory during year 2007. Research results revealed that there is a significant relation between role ambiguity and mental health deficiency, but no one was found between role conflict and role overload and mental health deficiency; nevertheless, higher correlation level between role stressors and mental Health deficiency in low-level sense of coherence in comparison with high-level sense of coherence personnel was found. Also, a higher multiple correlations between role stressors and MH deficiency in personnel having further type A personality in comparison with personnel having not as much of mentioned groups type A personality was observed.
The author presents an overview of the role of existentialism in the training of counselors and mental health practitioners. Exercises and skill development techniques are also presented for existentially oriented training of psychotherapists, using a workshop format. (HLM)
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.
... of your partial hospitalization program, Medicare may cover occupational therapy thats part of your mental health treatment and/or individual patient training and education about your condition. For Medicare to cover a ...
Abdul-Kazem Naisi; Ali Moazami-Goodarzi; Maryam Zarra-Nezhad
The aim of this study is to investigate the simple and multiple relationships between role ambiguity, role conflict, role overload and mental health considering the moderating role of type A personality and sense of coherence. To this end correlation and regression analysis is utilized. Research sample includes 196 personnel working in Ahvaz Pipe-production factory during year 2007. Research results revealed that there is a significant relation between role ambiguity and mental health deficie...
Maeda, Masaharu; Yabe, Hirooki; Yasumura, Seiji; Abe, Masafumi
Mental health problems such as post-traumatic stress disorder (PTSD) and depression have surfaced and are affecting many residents in Fukushima prefecture as a result of the Great East Japan Earthquake and tsunami and the subsequent nuclear disaster. It has also been reported that such mental health problems appeared and persisted after large-scale nuclear accidents in the past, such as the Chernobyl and Three Mile Island accidents, widely affecting the disaster victims. PMID:25747615
Ambrose, D M; Lennox, L
Faced with a rapidly changing market, increased legislation and intense competition, mental health service providers must be sophisticated planners and position themselves advantageously in the marketplace. They can effectively position themselves to be profitable and sustaining through market segmentation and sensitivity. The following article will address one concept of marketing that has received less attention but is of critical importance: positioning. As the market environment becomes increasingly competitive, positioning will be the key to success for mental health programs and institutions. PMID:10302552
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...
Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Mental Health Services.
This first Report of the Surgeon General on Mental Health represents the initial step in advancing the notion that mental health is fundamental to general health. It states that a review of research on mental health revealed two findings. First, the efficacy of treatment is well documented, and second, a range of treatment exists for most mental
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 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.
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.
Aziz, A A; Salina, A A; Abdul Kadir, A B; Badiah, Y; Cheah, Y C; Nor Hayati, A; Ruzanna, Z Z; Sharifah Suziah, S M; Chee, K Y
The National Mental Health Registry (NMHR) collects information about patients with mental disorder in Malaysia. This information allows us to estimate the incidence of selected mental disorders, and to evaluate risk factors and treatment in the country. The National Mental Health Registry (NMHR) presented its first report in 2004, a year after its establishment. The report focused on schizophrenia as a pioneer project for the National Mental Health Registry. The development of the registry has progressed with data collected from government-based facilities, the academia and the private sector. The 2003-2005 report was recently published and distributed. Since then the registry has progressed to include suicides and other mental illnesses such as depression. The NMHR Report 2003-2005 provides detailed information about the profile of persons with Schizophrenia who presented for the first time to various psychiatry and mental health providers throughout Malaysia. More detailed description regarding pharmacotherapy is reported and few cross tabulations done in an effort to provide better understanding and more clinically meaningful reports. PMID:19227671
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.
Graham Annette L; Julian John; Meadows Graham
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 ...
Daar, Abdallah S; Jacobs, Marian; Wall, Stig; Groenewald, Johann; Eaton, Julian; Patel, Vikram; dos Santos, Palmira; Kagee, Ashraf; Gevers, Anik; Sunkel, Charlene; Andrews, Gail; Daniels, Ingrid; Ndetei, David
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. PMID:24931476
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.
Full Text Available ... who are isolated- socially isolated- are at great risk of mental illness after these events. We know that people who are exposed to stressors, including financial stressors, for example, stressors on family life, including ...
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.
Alberto, Fernández Liria; Mª Jesús, García Álvarez.
Full Text Available Se revisan las formas predominantes de experimentar el trabajo y el medio laboral en el mundo occidental desde la revolución industrial analizando el sur-gimiento de diferentes funciones, como: medio de subsistencia, generador de derechos, jerarquizador en el entramado social, fuente de significado [...] personal y entorno privilegiado de relaciones interpersonales significativas. Se discute el papel que la actividad productiva puede tener en el sistema de significados que configura a los individuos como miembros de una sociedad concreta, y, por tanto, en su salud mental. En base a ello se discute el papel del sistema de atención a la salud mental en este terreno. Abstract in english We review the main ways of experiencing work and work environment in Occident since the industrial revolution. We describe the emergence of different functions as: subsistence means, source of rights, source of social hierarchies, source of personal meanings and scene of personal relationships. We d [...] iscuss the role of productive activity in the meaning system that constitute individuals as member of a concrete society and, therefore, their mental health. On this basis, we discuss the role of the mental health care system in this field.
Cowan, Katherine C.
May is National Mental Health Awareness Month. This is a great time to highlight the importance of mental wellness and school-based mental health services to children's positive learning and development. There is heightened urgency to the imperative to advance school-based mental health and school psychologists' expertise as essential to the
Stewart-Brown, Sarah; Samaraweera, Preshila Chandimali; Taggart, Frances; Kandala, Ngianga-Bakwin; Stranges, Saverio
Background Research on mental well-being is relatively new and studies of its determinants are rare. Aims To investigate whether the socioeconomic correlates of mental well-being mirror those for mental illness. Method Using logistic regression analyses, the independent odds ratios of high and low mental well-being, compared with middle-range mental well-being, were estimated for a number of sociodemographic variables known to be associated with mental illness from 13 983 participants in the 2010 and 2011 Health Surveys for England. Results Independent odds ratios for low mental well-being were as expected from studies of mental illness with increased odds for the unemployed (OR = 1.46, 95% CI 1.01-2.10) and those aged 35-54 years (OR = 1.58, 95% CI 1.35-1.84) and reduced odds for the married (OR = 0.78, 95% CI 0.62-0.97). A linear trend was observed with education and equivalised income. Odds ratios for high mental well-being differed from those for low mental well-being with regard to age (55+ years: OR = 1.48, 95% CI 1.23-1.79); employment status where there was an association only with retirement (OR = 1.35, 95% CI 1.09-1.69); education where there was no association; and equivalised income for which the association was non-linear. Conclusions Odds ratios for low mental well-being mirrored those for mental illness, but not those for high mental well-being, suggesting that the socioeconomic factors associated with positive mental health are different from those associated with mental illness. PMID:25792696
Annie E. Casey Foundation, 2009
The guidelines and supporting rationale presented in this paper were developed from the October 2007 "Best Practices for Mental Health in Child Welfare Consensus Conference" sponsored by Casey Family Programs, the Annie E. Casey Foundation and the REACH Institute (REsource for Advancing Children's Health). The purpose of the conference was to
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
U.S. Department of Health & Human Services 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...
Yaghmaie, Pouya; Koudelka, Caroline W.; Simpson, Eric L.
Background Recent data, primarily from Europe, suggest children with atopic dermatitis may be at increased risk of developing mental health disorders. Objective We aimed to quantify the mental health burden associated with pediatric atopic dermatitis in the United States. Methods A cross-sectional study design was used analyzing data from the 2007 National Survey of Children's Health a survey reporting on the health status of 92,642 non-institutionalized children ages 0-17. The lifetime prevalence of various provider-diagnosed mental health conditions was calculated for those with and without a history of atopic dermatitis. Results The odds of having attention-deficit/hyperactivity disorder was significantly increased in children with atopic dermatitis compared to non-atopic dermatitis controls, OR 1.87 (95% CI 1.54, 2.27) even after controlling for known confounders. The adjusted odds ratios for depression, anxiety, conduct disorder, and autism were 1.81 (95% CI 1.33,2.46) , 1.77 (95% CI 1.36, 2.29), 1.87 (1.46, 2.39), and 3.04 (95% CI 2.13, 4.34), respectively, and these estimates were all statistically significant. A clear dose-dependent relationship was observed between the prevalence of a mental health disorder and the reported severity of the skin disease. Conclusions Our data reveal a striking association between mental health disorders and atopic dermatitis in the U.S. pediatric population. The severity of the skin disease alters the strength of the association. Prospective cohort studies are needed to verify these associations and to explore underlying mechanisms. Strategies to prevent atopic dermatitis or to aggressively treat early skin inflammation may modify the risk of developing mental health disorders in at-risk children. PMID:23245818
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...
Reif, Susan S.; Pence, Brian W.; LeGrand, Sara; Wilson, Elena S.; Swartz, Marvin; Ellington, Terry; WHETTEN, KATHRYN
Mental health problems are highly prevalent among individuals with HIV and are consistently associated with negative health outcomes. However, mental illness often remains untreated due to significant psychosocial and physical barriers to treatment participation. The Collaborative HIV/AIDS Mental Health Program (CHAMP) assessed the outcomes associated with providing 9 months of in-home mental health counseling for 40 individuals with HIV and a Major Axis I mental disorder. The evidence-based ...
Maria Wanderleya de Lavor Coriolano
Full Text Available Objective: To understand how it impacts the problem of mental disorder in the lives of family members and carers of users of PACs Acopiara-Ceará. Methods: Exploratory-descriptive qualitative study that used semi structured interviews as a tool for data collection. Results: the data reeled that the woman is still socially responsible for supplying the affection demands and caring of family members, including the ones that suffer from mental illness. Difficulties were indicated in the role of caregivers for the care promotion. Final consideration: knowing and understanding the familiar dynamic constitute a strong strategy for improving mental health assistance and promotion of life quality of the users.
Smye, Vicki; Mussell, Bill
In July 1999, the first meeting of the Aboriginal Mental Health Committee was held at the Longhouse, UBC . This discussion paper represents the discussions of the Committee's working group based on their viewpoints and the literature available in the area of Aboriginal Mental Heath, including information from the Assembly of First Nations (AFN) and Inuit Tapirisat of Canada (ITC) Environmental Scan (Federal) and the Royal Commission Reports on Aboriginal Peoples. The paper is intended for dis...
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...
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
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
... Outpatient mental health treatment limitation. (a) Limitation...furnished in connection with the treatment of a mental, psychoneurotic...prescriptions used in the treatment of mental, psychoneurotic...to a patient diagnosed with Alzheimer's disease or a related...
Mental health service provision has traditionally been dominated by biomedical models of illness and disorder, a problem-based orientation, and the assessment and management of risk. While psychotherapeutic approaches are numerous and have been widely utilized, psychotropic medications, either as monotherapy or in conjunction with psychological therapies, remain the mainstay for the 'treatment' of mental health problems. This is despite growing uncertainty over the effectiveness of psychotropic medications (particularly antidepressants), as well as their potential for enduring and debilitating side-effects. This discussion paper outlines the emerging field of positive health, which eschews a psychiatric disorder and illness focus, and is instead oriented towards the identification of strengths, abilities, hopes, and the individual's preferred future. The shift in positive health, from illness towards wellness, aims to build health literacy and the capacity of individuals to make decisions conducive to health, and thereby make more effective the use of health-care services. A positioning of mental health nursing practice within a positive health paradigm is promoted. By illustration, a number of solution-focused mental health assessment questions are tabled to contrast the current format for mental health assessment, which rather than being 'comprehensive', is predominantly concerned only with problem and risk identification, and the search for pathology in the individual. PMID:23020848
...Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION...Childhood Development and Health Services § 1304.24...community mental health resources, as...
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 tred 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)
Stuber, Jennifer; Rocha, Anita; Christian, Ann; Johnson, David
A survey of 813 mental health professionals serving adults with severe mental illness clustered in 25 community mental health centers assessed the extent to which mental health professionals possess clinical competencies that support recovery and the predictors of these competencies. The results suggest there is room for improvement in recovery-oriented competencies. In-depth professional training in recovery, greater job variety, more years practicing in mental health, participation on an intensive case management team, and perceptions of workplace recovery culture were predictors of recovery-oriented competencies. Prioritization of on-going professional, worker retention, and management strategies that incorporate a team approach to treatment and improvements in workplace recovery culture may potentially increase recovery-oriented clinical practice. PMID:24510273
GAIKWAD SANTOSH BHIKAJI
Full Text Available 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, emotionally unstable and social non conformity than above one year duration of widowhood women. The widow women were introvert but not neurotic on the personality test.Mental health and personality was positively correlated at low level.
Edgar, K; Rickford, D
From first contact with the police to release from prison, people with mental ill health who come into conflict with the law often find that their mental health needs are neglected while they are under the authority of the criminal justice system. In 2008, the Prison Reform Trust surveyed independent monitoring boards in England and Wales, asking them to comment on mental health care. Topics included the adequacy of court diversion schemes, assessments carried out in prison reception units, and preparations to ensure continuity of care upon release. The responses documented some of the consequences of neglect in prisons in England and Wales. Over half of the boards felt that they frequently saw prisoners who were too ill to be in prison. Boards also expressed concerns about assessment processes in prison reception areas, which were by no means adequate to identify mental health problems. A number of boards stated that, too often, people with severe mental illnesses are held in segregation units, where they endure an impoverished regime. The boards observed that many prisons lack any means of identifying people who have learning disabilities, and often their disabilities restrict their capacity to engage fully with the regime. PMID:25757422
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;
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
ÁLVARO ROBERTO, VALLEJO SAMUDIO.
Full Text Available Las diferentes alternativas médicas con que hoy cuenta la humanidad enriquecen tanto la profilaxis, como los diagnósticos y los tratamientos mismos de las enfermedades, cuando éstas se abordan desde un marco multicausal. El siguiente artículo hace una reflexión alrededor de dos alternativas: la medi [...] cina occidental y la medicina indígena. Se focaliza en la concepción de salud que manejan estas dos formas de conocimiento, se hace hincapié en la necesidad de revalorar la medicina indígena, y se plantea a grosso modo cómo desde la medicina indígena se ven las alteraciones en la salud mental. El autor resalta que para comprender la concepción de salud mental que puedan tener los pueblos indígenas, se hace necesario entender la cosmogonía y cosmología propia de esos pueblos. Abstract in english The different medical alternatives used today by humanity enrich the prophylaxis as well as the diagnoses and the treatment of diseases when these are tackled within a multicausal framework. In this paper two of these alternatives are considered: Western medicine and indigenous medicine. It focuses [...] on the concept of health developed by these two approaches, emphasizes the need to reassess indigenous medicine, and examines in general how mental health disorders are regarded from the point of view of indigenous medicine. The author stresses that in order to understand this conception it is necessary to get acquainted with the cosmogony and cosmology characteristics of indigenous people.
Kiesler, C A
Changes in the de facto system of mental health care in the last decade reflect organizational and entrepreneurial responsiveness to changes in health policy, not mental health policy. Various other actions described here reduced statutory or institutional leadership roles in mental health and increased the pace at which mental health policy was becoming dependent on health policy. In turn, U.S. health policy in the 20th century has been inherently flawed. The short-term general hospital--the "doctors' workshop"--emphasizing acute care and surgery, has been the cornerstone of U.S. health policy throughout the 20th century. The mimicry of health services by mental health leads to demonstrably more expensive and less effective mental health care and dooms mental health policy to failure. PMID:1416383
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
Antony, James 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 pers...
Maphorisa, M. K.; Poggenpoel, M.; Myburgh, C. P. H.
Since the inception of the decentralisation and integration of psychiatric mental health care services into the general health care delivery system in Botswana, there has never been a study to investigate what community mental health nurses are experiencing due to the policy. Many of these nurses have been leaving the scantily staffed mental health care services in increasing numbers to join other sectors of health or elsewhere since the beginning of the implementation of the policy. During ...
Verhaeghe, N; De Maeseneer, J; Maes, L; Van Heeringen, C; Annemans, L
The aim of this review was to examine the perceptions of patients with mental disorders and mental health nurses of health promotion targeting physical activity and eating habits in mental health care. An electronic search strategy was conducted. Furthermore, references were searched by hand-searching the reference lists of the retrieved articles from the electronic databases. The literature on perceptions of health promotion and lifestyle interventions in mental health care principally consist of qualitative studies using interviews and focus groups. Positive perceptions of both mental health nurses and patients towards health promotion targeting physical activity and eating habits in mental health care were identified. Contrary, several barriers for integrating healthy lifestyles into the daily life of patients were described. Patients usually want to learn more about healthy lifestyles, but see the ability to change their physical health as beyond their control. In this sense, support from mental health nurses is considered as important. Despite the awareness of the importance of health promotion in mental health care, it appears that visions and attitudes towards the potential of health promotion are in need of change. PMID:21749554
Padhy, Susanta Kumar; Sarkar, Sidharth; Panigrahi, Mahima; Paul, Surender
We all know that 2014 has been declared as the hottest year globally by the Meteorological department of United States of America. Climate change is a global challenge which is likely to affect the mankind in substantial ways. Not only climate change is expected to affect physical health, it is also likely to affect mental health. Increasing ambient temperatures is likely to increase rates of aggression and violent suicides, while prolonged droughts due to climate change can lead to more number of farmer suicides. Droughts otherwise can lead to impaired mental health and stress. Increased frequency of disasters with climate change can lead to posttraumatic stress disorder, adjustment disorder, and depression. Changes in climate and global warming may require population to migrate, which can lead to acculturation stress. It can also lead to increased rates of physical illnesses, which secondarily would be associated with psychological distress. The possible effects of mitigation measures on mental health are also discussed. The paper concludes with a discussion of what can and should be done to tackle the expected mental health issues consequent to climate change. PMID:26023264
Work is both an important resource for mental health, yet it also presents risk factors for mental illness. Consequently, the workplace has been identified as a potential setting for both mental health promotion and mental illness prevention. In the workplace various programs have been implemented which address risk factors for mental illness eg. stress management programs or the introduction of anti-bullying policies. However, few programs have been developed to address mental health promotion. It seems that the potential of mental health promotion is not fully utilised in this setting, nor are programs and initiatives to promote mental health as prolific as those in the physical health area. Furthermore, despite the introduction of legislation and workplace policies, structural changes have been unsuccessful in bringing about environmental modification which fosters mental well-being. This article explores explanations for this and makes recommendations utilising primary health care as an approach by which this situation can be redressed. PMID:16594890
Full Text Available 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 10–20% of children and adolescents worldwide. Despite their relevance as a leading cause of health-related disability and their long lasting consequences, the mental health needs of children and adolescents are neglected. Early intervention can help reduce the significant impacts that children and adolescents with serious mental health problems may experience. Screening is the first step in early intervention, recognizing emotional and behavioral problems and providing help at an early stage. It is essential to implement early intervention in a sensitive and ethical manner to avoid any of the negative outcomes.
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
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.
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
Boscarino, Joseph A; Adams, Richard E.; Stuber, Jennifer; GALEA, SANDRO
To assess disparities in mental health treatment in New York City (NYC) after the World Trade Center Disaster (WTCD) reported previously related to care access, we conducted analyses among a cross-sectional survey of adults who had posttraumatic stress disorder (PTSD) or major depression (N = 473) one year after the event. The dependent variables examined were use of mental health services, in general, and use of mental health services related to the WTCD. Similar dependent variables were dev...
Lesage, A. D.; Goering, P.; Lin, E.
OBJECTIVE: To determine family physicians' role in the mental health care system. DESIGN: The Mental Health Supplement to the Ontario Health Survey is an epidemiologic, retrospective, home-interview survey. Results reported here are based on responses of a weighted sample of patients aged 15 to 64. SETTING: Ontario, 1990 to 1991. PARTICIPANTS: Random sample of 9953 household residents. MAIN OUTCOME MEASURES: Standardized assessment of mental disorders, associated risk factors and disability, ...
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
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
Greist, John H.; Klein, Marjorie H.; Erdman, Harold P.; Jefferson, James W.
Direct patient-computer interviews were among the earliest applications of computing in medicine. Yet patient interviewing and other clinical applications have lagged behind fiscal/administrative uses. Several reasons for delays in the development and implementation of clinical computing programs and their resolution are discussed. Patient interviewing, clinician consultation and other applications of clinical computing in mental health are reviewed.
Rossi, Giovanni; Agnetti, Germana; Bosio, Roberto; De Luca, Pasquale; Erlicher, Arcadio; Morganti, Carla; Neri, Giovanni; Re, Edoardo; Semisa, Domenico; Fioritti, Angelo
Since the radical changes in Italian mental health law in the 1970s, quality assurance models have gained consensus as the most suitable service assessment tool. In the 1990s, the whole Italian National Health System changed into a corporate model, and an accreditation system was implemented.The Italian Association for Quality and Accreditation in Mental Health (Associazione Italiana per la Qualità e l'Accreditamento in Salute Mentale [QUASM]) was founded in 1984, and since then, it offers consultation and support for Mental Health Departments and Regional Governments to help them to develop psychiatric programs, self-evaluation, educational programs, and professional peer-model accreditation. The QUASM accreditation manual has now gone through several revisions, the last in 2008. Until 2008, QUASM was successful in promoting quality and facilitating both institutional and professional accreditation. However, radical changes triggered by financial crisis have jeopardized quality assurance implementation. Nowadays, the challenge for QUASM is to maintain quality and accreditation geared to excellence against prevailing leveling trends. PMID:24840086
Bayes, Marjorie; Neill, T. Kerby
Issues of changing positions and roles for paraprofessionals are considered in the context of the hierarchical structure and process of mental health organizations. Discussion focuses on problems arising when paraprofessionals are promoted in the functional hierarchy while continuing to occupy the lowest level in the professional caste system.
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
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
Lessing, K; Blignault, I
A national survey of mental health telemedicine programmes was conducted and data collected on their catchment areas, organizational structure, equipment, clinical and non-clinical activity, and use by populations who traditionally have been poorly served by mental health services in Australia. Of 25 programmes surveyed, information was obtained for 23. Sixteen programmes had dealt with a total of 526 clients during the preceding three months. Of these, 397 (75%) were resident in rural or remote locations at the time of consultation. Thirty-seven (7%) were Aboriginals or Torres Strait Islanders. Only 19 (4%) were migrants from non-English-speaking backgrounds. The programmes provided both direct clinical and secondary support services. Overall, the number of videoconferencing sessions devoted to clinical activity was low, the average being 123 sessions of direct clinical care per programme per year. Videoconferencing was also used for professional education, peer support, professional supervision, administration and linking families. The results of the study suggest that telehealth can increase access to mental health services for people in rural and remote areas, particularly those who have hitherto been poorly served by mental health services in Australia. PMID:11747632
Clarke, Dave; Ebbett, Erin
Research examining the relationships among Maori cultural identification, drinking behaviour, drinking motivation and mental health is almost non-existent. A review of literature suggests that stronger Maori identification could be associated with lower alcohol consumption on a typical occasion, less frequent drinking, drinking to enhance mood or
Low Dog, Tieraona
A truly integrative approach to mental health includes a thorough assessment of dietary habits, level of exercise/physical activity, environmental exposures, medications, comorbid conditions, life stressors, level of social support, and family history. A complete physical exam and appropriate laboratory and imaging studies should be utilized to rule out underlying causes of depressed or anxious mood. Many patients will benefit from the use of specific dietary supplements, such as a multivitamin-mineral high in B-vitamins and omega-3 fatty acid. And no matter what the underlying cause of the mood disorder, patients should be counseled about the relationship between food and mood, for the evidence now substantiates what laypeople and medical professionals have long known intuitively: the way we eat affects the way we feel. The Western diet consumed in a growing number of countries is devoid of many of the key nutrients critical for the proper functioning of the central nervous system. When making dietary recommendations, clinicians should consider a low-glycemic, modified Mediterranean diet rich in fruits, vegetables, whole grains, and seafood (if not vegetarian) and low in processed, refined foods for optimizing mental health. A future article on the topic of nutrition and mental health will address the role of nutraceuticals and herbal medicines in mental health. PMID:20232617
Bernzweig, Jane; Ramler, Malia; Alkon, Abbey
Early childhood mental health consultation is a relationship-based intervention that promotes children's social and emotional development. Benefits include improved childhood behaviors, improved staff self-efficacy, and lowered parental stress. Child care center directors are more likely to be satisfied with consultation when they are involved in
Shikare Suvarna; Shingate Chandan
'Sound mind in a Sound body.' It is a very famous maxim which tells us the importance of health in an individual's development. Education is the process which requires not only the intellectual ability but also physical, mental & social strength. They should go hand in hand.
... nlm.nih.gov/medlineplus/news/fullstory_151058.html Mental Health Woes Common Among Homeless Kids, Study Finds Exposure ... of homeless children in the United States require mental health services -- far more than kids in the general ...
... Americans and Pacific Islanders. However, researchers have examined mental-health problems by measuring the prevalence of symptoms. In ... studies have indicated that Asian Americans who use mental-health services are more severely ill than other groups. ...
... 151260.html Helping Student-Athletes With Mental Health Issues Guidelines issued for U.S. high schools To use ... and parent on the prevalence of mental health issues in secondary school athletes," said Tim Neal, chair ...
Objectives Performance measurement (PM) is central to the current Irish health service policy. However, PM within the Irish mental health services has not been fully implemented. These services lack a national comprehensive suite of performance indicators (PIs). Those indicators that are measured do not tend to reflect the objectives of the managers and staff measuring them. To overcome these challenges, this article suggests a suite of measures and aims to provide a practical guide to PM for managers and staff.\\r\
Padhy, Susanta Kumar; Sarkar, Sidharth; Panigrahi, Mahima; Paul, Surender
We all know that 2014 has been declared as the hottest year globally by the Meteorological department of United States of America. Climate change is a global challenge which is likely to affect the mankind in substantial ways. Not only climate change is expected to affect physical health, it is also likely to affect mental health. Increasing ambient temperatures is likely to increase rates of aggression and violent suicides, while prolonged droughts due to climate change can lead to more numb...
Waidman, Maria Angélica Pagliarini; da Costa, Bruna; Paiano, Marcelle
The objectives of this study are to identity the perceptions of community health agents regarding health and mental disorders, and to verify the preparation these agents receive to work in this field. This qualitative study was performed using semi-structured interviews for data collection and utilizing content analysis to interpret the data. Interviews were performed with 45 community health agents working in the Family Health Strategy, who reported to 21 basic health units in the city of Maringá, PR. Results show the prejudice that these workers have regarding mental disorders. They recognize the importance of working with the patient and the family but do not feel prepared to provide adequate care. Because they share the same social context and have a close experience with the community dynamics, we see them as important facilitators of mental healthcare. PMID:23223734
Gottfredson, Douglas; Finkelstein, Allan; Christensen, Phillip; Weaver, Richard; Sells, Jeffery; Miller, David; Anderson, Ronald
Since 1972, the Department of Veterans Affairs has had mental health computer applications for clinicians, managers, and researchers, operating on main frame and mini computers. The advent of personal computers has provided the opportunity to further enhance mental health automation. With Congressional support, VA's Mental Health and Behavioral Sciences Service placed micro computers in 168 VA Medical Centers and developed additional mental health applications. Using wide area networking proc...
BACKGROUND: Current national policies encourage prioritisation of people with severe mental illness (SMI) as well as the development of a primary care-led National Health Service. Where resources for mental health are limited, there is a potential conflict between the needs of people with SMI and the much more common depressive and anxiety disorders that form the bulk of the mental health workload in primary care. AIM: To describe the re-organisation of a community mental health team in order...
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...
G. RAMANATHAN; 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...
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.
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"
Tramonte, Michael R.
The goals of this presentation were to help mental health professionals learn more about intervening in aviation disasters, learn about the uniqueness of disaster mental health, and share the presenter's mental health disaster experiences as they relate to aviation disasters. Survivors' emotional phases during the disaster recovery process are
Joshanloo, Mohsen; Nosratabadi, Masoud
Empirically, mental health and mental illness are not opposite ends of a single measurement continuum. In view of this fact, Keyes ("J Health Soc Behav," 43:207-202, 2002) operationalizes mental health as a syndrome of symptoms of both positive feelings (emotional well-being) and positive functioning (psychological and social well-being) in life.
Grabert, John C.
This article describes the process of enhancing early childhood mental health awareness and skills in non-mental health staff. The author describes a pilot training model, conducted the U.S. Army's Early Intervention Services, that involved: (a) increasing early childhood mental health knowledge through reflective readings, (b) enhancing
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.
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.
Hamid, Hamada; Abanilla, Karen; Bauta, Besa; Huang, Keng-yen
Mental health is a low priority in most countries around the world. Minimal research and resources have been invested in mental health at the national level. As a result, WHO has developed the Assessment Instrument for Mental Health Systems (WHO-AIMS) to encourage countries to gather data and to re-evaluate their national mental health policy. This paper demonstrates the utility and limitations of WHO-AIMS by applying the model to four countries with different cultures, political histories an...
K. Bruce Newbold
Full Text Available This paper presents the results of a 2010 survey exploring the determinants of rural mental health in two farming groups in Waterloo, Ontario, Canada: Old Order Mennonites (OOMs and non-OOM farmers. Comparing these two groups reduces the likely impact of many contextual features impacting both groups, such as local economic conditions. We explore a comprehensive list of health determinants to assess their relative importance and thus enable policy action to focus on those having the greatest impact. The mental component summary (MCS of the short- form health survey (SF-12 was used to measure mental health. We compare mental health in the two populations and use multiple regression to determine the relative importance of the determinants in explaining mental health. The results show that OOMs experience better mental health than non-OOMs, in part due to the strong mental health of OOM women. Coping, stress and social interaction shape mental health in both groups, reflecting the broader determinants literature and suggesting these are important across many populations with different life circumstances. Other determinants are important for one group but not the other, underscoring the diversity of rural populations. For example, different social capital measures shape mental health in the two groups, and sense-of-place is associated with mental health in only one group (OOMs. The results are discussed in terms of their implications for future health determinants research and policy action to address rural mental health.
Full Text Available Since the inception of the decentralisation and integration of psychiatric mental health care services into the general health care delivery system in Botswana, there has never been a study to investigate what community mental health nurses are experiencing due to the policy. Many of these nurses have been leaving the scantily staffed mental health care services in increasing numbers to join other sectors of health or elsewhere since the beginning of the implementation of the policy. During the research study, phenomenological in-depth interviews were conducted with three groups of 12 community mental health nurses altogether. An open central question was posed to each group followed by probing questions to explore and describe these nurses experience of the decentralisation and integration of psychiatric-mental health care services. After the data was analysed, related literature was incorporated and guidelines for advanced psychiatric nurses were formulated and described to assist these nurses to cope with the decentralisation and integration of psychiatric-mental health care services. The guidelines were set up for the management of the community mental health nurses who are experiencing obstacles in the quest for mental health which also interfere with their capabilities as mental health care providers.
Wolpert, Miranda; Humphrey, Neil; Belsky, Jay; Deighton, Jessica
The Targeted Mental Health in Schools (TaMHS) programme was a nationwide initiative that funded mental health provision in schools for pupils at risk of or already experiencing mental health problems. The implementation, impact and experience of this programme was evaluated using quantitative and qualitative methodology involving three main
Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Mental Health Services.
This supplement to "Mental Health: A Report of the Surgeon General" (1999) documents the existence of striking disparities for minorities in mental health services and the underlying knowledge base. Racial and ethnic minorities have less access to mental health services than whites, and they are less likely to receive needed care. When they
Gudino, Omar G.; Lau, Anna S.; Hough, Richard L.
This study examined youth mental health service (MHS) use as a function of family immigrant status and type of mental health need (internalizing vs. externalizing). A sample of Hispanic and Asian/Pacific Islander families (youth ages 11-18; N = 457) involved with public sectors of care provided reports of youth mental health need during an initial
Currin, James B.; Hayslip, Bert, Jr.; Temple, Jeff R.
The purpose of this study was to explore the impact of age, historical change, and gender on perceptions of mental health and mental health services. Using multidimensional measures to assess such perceptions among older adults (1977, 1991, 2000), and younger adults (1991, 2000), we expected that older adults would have less positive mental health
Kang-Yi, Christina D.; Mandell, David S.; Hadley, Trevor
Background: This study examined the impact of school-based mental health programs on children's school outcomes and the utilization of acute mental health services. Methods: The study sample included 468 Medicaid-enrolled children aged 6 to 17 years who were enrolled 1 of 2 school-based mental health programs (SBMHs) in a metropolitan area
Interviews with Native American mental health and social workers discuss how Native mental health problems are related to historical trauma and chronically inadequate mental health services. Elements of culturally relevant mental health services include locally delivered workshops, kinship foster care, tribal elders, spirituality, and Native care
Shoyinka, Sosunmolu; Lauriello, John
Mental illnesses are a significant cause of morbidity and mortality in the United States, affecting, in some estimates, up to one in four adults or 57.7 million people. Severe psychiatric disorders, like schizophrenia, bipolar and major depression occur in one in seventeen Americans. Moreover, serious mental illnesses affect children at rates approaching 10%. Addictive disorders co-occurring with other mental illnesses affect over five million adults. The direct cost of these illnesses is high, totaling 16 billion dollars per year; dwarfed by the indirect costs of loss productivity which is four times as much. Individuals diagnosed with mental disorders have significantly higher rates of school dropout, homelessness, incarceration, and suicide. Embedded in these statistics is a concerning fact; access to care for those with psychiatric disorders is poor, with only one-third of adults and half the children diagnosed receiving care in any given year. These numbers are worse if the person is a racial or ethnic minority. This paper hopes to highlight the state of mental health treatment first in the United States and then in our state of Missouri. The news is sobering but there are pockets of good news as well. PMID:23362651
Survey responses from 66 adult referrals to a mental health clinic for mentally retarded persons revealed that four diagnostic groupings (schizophrenic symptomatology, antisocial behavior, depression, and personality disorder) accounted for 51 of the 66 referrals. Results emphasized the need for mental health services for this population. (CL)
Meintjes, Ingrid; Field, Sally; Sanders, Lisa; van Heyningen, Thandi; Honikman, Simone
This commentary will provide a general overview of the public health considerations of maternal mental illness, both from a global perspective as well as from the South African context. The paper will outline the consequences of maternal mental illness for mothers as well as their offspring, through the life stages from pregnancy until adulthood. The paper then describes the Perinatal Mental Health Project (PMHP), an intervention that addresses maternal mental health in Cape Town, South Africa. The evidence emerging from this example contributes to the case for integrating maternal mental health into the mainstream health environment. PMID:25859765
Vinha, Luis Da
Geographic mental maps have been called on numerous times in explaining foreign policy decisions. However, mental maps lack a serious conceptualising endeavour in order to be useful to scientific inquiry. Before we can use mental maps to understand and compare foreign policy making processes we must define mental maps and frame them in their wider intellectual context. In this paper we develop geographic mental maps as an analytical concept and assess their conceptual goodness so they c...
Desai, Nimesh G; S. C. Tiwari; Nambi, S; Shah, Bela; Singh, R. A.; 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 o...
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...
...Section 441.106 Public Health CENTERS FOR MEDICARE...SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... Comprehensive mental health program. (a...health and public welfare resources; including...
James Lando, MD, MPH
Full Text Available 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 provides details on inputs, activities, and desired outcomes, and the designers of the model welcome input from other mental health and public health practitioners.
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
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.
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...
A WHILE AGO I was involved in setting up a dedicated liaison team to work across child and adolescent mental health services (CAMHS) and our local children's ward, which received all the young people who had self-harmed or attempted suicide. It was not the nurse's main job, of course, it is a busy paediatric ward in a large general hospital, so it deals with a lot of sick babies, children and young people. PMID:25858405
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 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
Managing complex change initiatives can be a risky and controversial task. Hargrove and Glidew's (1990) model of "impossible jobs" defines typical obstacles: constituency conflict, perceptions of client legitimacy, respect for professional authority, and the strength of the agency myth. The author uses this model to describe his experiences while implementing major changes within British Columbia's community mental health system and provincial psychiatric hospital. Coping strategies include coalition building, public education, meaningful stakeholder participation, systemic feedback, mutual aid, and staff development. PMID:12854677
Patient safety leadership walkrounds are designed to assist healthcare leaders to improve patient safety. At 2gether Foundation Trust, walkrounds have been developed in mental health settings. They ensure that executives are informed firsthand about the safety concerns of frontline staff, while ensuring staff are listened to and supported when issues of safety are raised. Patient safety and quality improvements have been implemented over time through this process. PMID:25016736
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...
Peltonen, Kirsi; Ellonen, Noora; Larsen, Helmer B.; Helweg-larsen, Karin
Abstract Being the target of parental violent acts decreases child adjustment and increases the likelihood of mental health problems in childhood and adolescence. Our study analyses how different types of parental violence ranging from verbal threats and swearing to hitting and kicking a child, are associated with child adjustment, indicated by strengths and difficulties scale (SDQ) total problem score, internalizing and externalizing problems as well as prosocial behaviour. We als...
Hatala, Andrew R
Previous research on Aboriginal [Native American] spirituality has demonstrated that some of its dimensions have significant, positive effects on health and healing. This review will explore and highlight some important spiritual domains and characteristics of Aboriginal life that are significant factors in both the prevention of and recovery from various mental health issues afflicting the Canadian Aboriginal population today. Findings from current research in this area is explored and presented as grounds for supporting the current objectives. As demonstrated, Aboriginal perspectives on health and healing are broader than those of biomedicine, encompassing emotional and spiritual aspects as well as the mental and physical. Mental health practitioners should, therefore, include spiritual dimensions while working with Aboriginal patients, not only to respect the patients' worldview but also for the demonstrated positive effects on healing. PMID:20664135
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
Pfefferbaum, Betty; Sweeton, Jennifer L; Nitiéma, Pascal; Noffsinger, Mary A; Varma, Vandana; Nelson, Summer D; Newman, Elana
Children face innumerable challenges following exposure to disasters. To address trauma sequelae, researchers and clinicians have developed a variety of mental health interventions. While the overall effectiveness of multiple interventions has been examined, few studies have focused on the individual components of these interventions. As a preliminary step to advancing intervention development and research, this literature review identifies and describes nine common components that comprise child disaster mental health interventions. This review concluded that future research should clearly define the constituent components included in available interventions. This will require that future studies dismantle interventions to examine the effectiveness of specific components and identify common therapeutic elements. Issues related to populations studied (eg, disaster exposure, demographic and cultural influences) and to intervention delivery (eg, timing and optimal sequencing of components) also warrant attention. Pfefferbaum B , Sweeton JL , Nitiéma P , Noffsinger MA , Varma V , Nelson SD , Newman E . Child disaster mental health interventions: therapy components. Prehosp Disaster Med. 2014;29(5):1-9. PMID:25225954
Shaun M. Eack; 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...
Aynkran Jothy R
Full Text Available Abstract Background Community care of the chronic mentally ill has always been prevalent in India, largely due to family involvement and unavailability of institutions. In the 80s, a few mental health clinics became operational in some parts of the country. The Schizophrenia Research Foundation (SCARF, an NGO in Chennai had established a community clinic in 1989 in Thiruporur, which was functional till 1999. During this period various programmes such as training of the primary health center staff, setting up a referral system, setting up of a Citizen's Group, and self-employment schemes were initiated. It was decided to begin a follow up in 2005 to determine the present status of the schemes as well as the current status of the patients registered at the clinic. This we believed would lead to pointers to help evolve future community based programmes. Methods One hundred and eighty five patients with chronic mental illness were followed up and their present treatment status determined using a modified version of the Psychiatric and Personal History Schedule (PPHS. The resources created earlier were assessed and qualitative information was gathered during interviews with patient and families and other stakeholders to identify the reasons behind the sustenance or failure of these initiatives. Results Of the 185 patients followed up, 15% had continued treatment, 35% had stopped treatment, 21% had died, 12% had wandered away from home and 17% were untraceable. Of the patients who had discontinued treatment 25% were asymptomatic while 75% were acutely psychotic. The referral service was used by only 15% of the patients and mental health services provided by the PHC stopped within a year. The Citizen's group was functional for only a year and apart from chicken rearing, all other self-employment schemes were discontinued within a period of 6 months to 3 years. There were multiple factors contributing to the failure, the primary reasons being the limited access and associated expenses entailed in seeking treatment, inadequate knowledge about the illness, lack of support from the family and community and continued dependence by the family on the service provider to provide solutions. Conclusion Community based initiatives in the management of mental disorders however well intentioned will not be sustainable unless the family and the community are involved in the intervention program with support being provided regularly by mental health professionals.
Albizu-garcia, Carmen E.; Alegri?a, Margarita; Freeman, Daniel; Vera, Mildred
This study addresses whether the predictors of seeking help for a mental health problem differ by gender. An adaptation of Andersens Socio-Behavioral Model is used to identify factors associated with seeking care for a mental health problem. Data are derived from two waves of a community survey undertaken in 19921993 and in 19931994 among a probability sample of adults (1869 years), residing in poor areas of Puerto Rico. Paired data was used from those individuals who responded to...
In many low and middle income countries, attention to mental illness remains compartmentalized and consigned as a matter for specialist policy. Despite great advances in global mental health, mental health policy and practice dovetail only to a limited degree with social development efforts. They often lag behind broader approaches to health and development. This gap ignores the small but growing evidence that social development unavoidably impacts the mental health of those affected, and that this influence can be both positive and negative. This article examines the theoretical and practical challenges that need to be overcome for a more effective integration of social development and mental health policy. From a theoretical perspective, this article demonstrates compatibility between social development and mental health paradigms. In particular, the capability approach is shown to provide a strong framework for integrating mental health and development. Yet, capability-oriented critiques on 'happiness' have recently been applied to mental health with potentially detrimental outcomes. With regard to policy and practice, horizontal and vertical integration strategies are suggested. Horizontal strategies require stronger devolution of mental health care to the primary care level, more unified messages regarding mental health care provision and the gradual expansion of mental health packages of care. Vertical integration refers to the alignment of mental health with related policy domains (particularly the social, economic and political domains). Evidence from mental health research reinforces aspects of social development theory in a way that can have tangible implications on practice. First, it encourages a focus on avoiding exclusion of those affected by or at risk of mental illness. Secondly, it underscores the importance of the process of implementation as an integral component of successful policies. Finally, by retaining a focus on the individual, it seeks to avoid uneven approaches to development. PMID:24452138
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
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
Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw
Background The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. Method We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. Results The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. Discussion The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention. PMID:25962075
Mirta, Gavilán; Karina, Ferrer; Rosana, Ibarra.
Full Text Available El presente trabajo forma parte de una investigación sobre orientación y empleo en La Plata , Pcia. de Bs. As. (Argentina), llevada a cabo en forma conjunta con las cátedras de Psicología Preventiva y Orientación Vocacional, de la Carrera de Psicología de la Universidad Nacional de La Plata. Esta in [...] vestigación se apoya en cuatro ejes: Educación-Trabajo-Políticas Sociales y Salud. Esta presentación estará referida al eje salud, que carece de servicios de ubicación y empleo y que actualmente viene desarrollando algunas experiencias de orientación vocacional no sistemáticas desde los servicios de Adolescencia y Salud Mental. La investigación advierte la existencia de nuevas demandas de tratamiento psicológico de una población ("los nuevos pobres") que teme perder el empleo o que está desempleada y que antes no concurría a los hospitales públicos. En la casuística estudiada aparecen con mayores complejidades psicosomáticas las personas que temen perder el empleo. Se realiza el análisis en la población local y se lo relaciona con diferentes investigaciones nacionales e internacionales. Abstract in english This contribution is part of a research on guidance and employment in La Plata , province of Buenos Aires (Argentina) undertaken jointly by the Chairs of Preventive Psychology and Vocational Guidance, both pertaining to the course of studies for Psychology at the National University of La Plata. Thi [...] s research is based on four axes, namely, education-work-social policies-health. This paper shall focus around the health axis, which is not provided with placement and employment services. Some unsystematical guidance experiences from the services of Adolescence and Mental Health are currently under way in the area. Research points to the existence of new demands of psychological treatment from a population ("the new poor") afraid of losing their jobs -or even unemployed- who was not in the habit of going to the public hospital. In the casuistry explored here, people afraid of losing their jobs present more psychosomatic complexities. Local population is also analysed and the said analysis is linked with several national and international research projects.
Slee, Phillip T.; Katherine Dix; Helen Askell-Williams
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 a...
p>Mental health disorders are common conditions in the general population, yet only about half of those with mental health problems have health care contacts for their problems. The pathway for help-seeking is complex, and may be influenced by socio-demographic factors, as well as more complex characteristics such as personality, attitudes and personal preferences. This thesis aimed to improve knowledge of factors associated with help-seeking for mental health problems. One ...
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...
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 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.
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.
Bottino, Sara Mota Borges; Bottino, Cássio 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
Community mental health centers are subject to a number of pressures that will affect the way centers operate in the years ahead. These influences include a reduction in federal appropriations, the use of block grants to the states, the administration's efforts at deregulation, and the continuing impact of deinstitutionalization. Because of these pressures, changes can be expected in the staffing patterns, catchment-area philosophy, numbers of service mergers and consolidations, degree of competition with the private sector the role of the states, use of state hospitals, consumer and citizen involvement, and kind and degree of professional advocacy. The author cautions that these trends may lead to decisions harmful to patient care unless careful planning is carried out. Centers of the future may well have to serve fewer clients while maintaining a highly professional staff, a wide range of services, and an increased responsibility for caring for the chronic mentally ill. PMID:7129391
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
Alexander Moreira-Almeida; Francisco Lotufo Neto; Koenig, Harold G.
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 ...
Doucet, Shelley Anne; Letourneau, Nicole Lyn; Stoppard, Janet M
Mental health problems are serious health concerns that affect women across diverse settings internationally. Knowledge of this population historically has been informed by research using a positivist approach. This article is a critical examination of contemporary paradigms for research related to women's mental health. We begin the article with an introduction to women's mental health, followed by an overview of the postpositivist, critical theory, and constructivist paradigms. We then present a critical examination of the benefits and limitations of these paradigms in relation to the study of women's mental health. We conclude with implications for research and practice. PMID:20390655
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
Mental illness is the greatest hidden problem in our society. Tackling it would do more than anything else to raise our national wellbeing. Mental health is crucial for our quality of life and it also has huge effects on our ability to learn, to work and to be a good parent. There are many excellent ways of promoting mental health and treating mental illness, but they are not properly available in any country. So mental health is the new frontier for the Welfare State.
Mental health services in New Zealand have been significantly altered by M?ori cultural values. Since 1980, a monocultural approach has given way to the incorporation of M?ori language, M?ori health perspectives, and M?ori psychological frameworks in the assessment, treatment, and care of patients. M?ori provider organizations, an expanded M?ori health workforce, and M?ori leadership have been crucial catalysts for the transformation. The shifts have paralleled similar changes in other sectors, reflecting a broader societal movement within which indigeneity has received greater acknowledgement. The author's bicultural background, psychiatric training, and inclusion in M?ori networks were important for promoting the transformation. PMID:21511844
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
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.
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 financial resources across the public mental health sector is a powerful argument for investigating innovative alternatives of delivering mental health care. Thus, one challenge that arises in modern mental health care is the development of innovative treatment concepts. One possibility for improving mental health care services is to deliver them via the Internet. Online-based mental health services have the potential to address the unmet need for mental health care. PMID:24967221
Full Text Available Faith has been shown to serve a protective role in the mental health of African Americans and European Americans. However, little research has examined whether any association exists in Asian Americans. Using the National Latino and Asian American Study dataset, we examined the effect of religious attendance on the mental health of Asian Americans in the United States. The present study focused on Chinese Americans because they are the largest Asian American group. The results revealed that almost 80% of the respondents were foreign-born and that their English proficiency had a positive association with their self-rated mental health. Being male correlated significantly to higher levels of mental health self-rating. After controlling for known predictive variables, such as demographics, cultural and immigration variables, more frequent religious attendance significantly predicted higher self-rating of mental health. These findings suggest that faith may have a unique protective role in Chinese Americans mental health.
Cemil Gökten; Ilkay Südas
In this study, mental representations of Australia were examined through mental maps in case of Turkish immigrants living in Sydney. The survey is based on 53 mental maps of Australia drawn by Turkish immigrants who reside in Sydney. The participants were asked to list the connotations about Australia, draw a sketch map of the continent and finally fill in an outline Australian map. A prominent difference between these two types of mental maps was in the number and in the categories (place na...
Watson, Amy C.; Kelly, Brian L.; Vidalon, Theresa M.
A large percentage of youth involved in the juvenile justice system experience mental health problems, yet many do not receive mental health care. In this study, we used a process-focused framework of mental health decision making to gain insight into the use of mental health services among these youth. In-depth interviews were conducted with nine youth and nine parents participating in a program servicing youth with mental health problems who have been in detention. Themes related to problem...
The aim of this thesis was to carry out an epidemiological study on mental health related issues in the Kurdish population of Iran. This part of Iran suffered directly during the Iran-Iraq war 1980-1988. Iran is an Islamic republic with strict adherence to Islamic traditions, which has implications for the way of life and gender issues. Suicide is prohibited according to Islamic teaching, but still there is a rather high suicide incidence especially among young women, who burn themselves to d...
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 Commis...
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.
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
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...
In this podcast, we talk to Professor Vikram Patel about the impact of global mental health in the field of medicine, and discuss the initiatives and platforms being developed to promote capacity building, research, policy and advocacy within the established Centre for Global Mental Health. The anticipated challenges, controversies, and future directions for this discipline of global health are highlighted as well.
Camayd-Freixas, Yohel; Uriarte, Miren
Reviews the status and organization of the Cuban mental health system. Focuses on the deliberate and systematic interdependence of mental health, public health, and socio-political structures; inpatient treatment modes and rehabilitation programs; use of social networks to support discharged patients; community-based care; and primary to tertiary
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
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.
Hanlon, Charlotte; Wondimagegn, Dawit; Alem, Atalay
This paper summarizes the findings for the African Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. We present an overview of mental health policies, plans and programmes in the African region; a summary of relevant research and studies; a critical appraisal of community mental health service components; a discussion of the key challenges, obstacles and lessons learned, and some recommendations for the development of...
Semrau, Maya; Barley, Elizabeth A.; Law, Ann; Thornicroft, Graham
This paper summarizes the findings for the European Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. The article presents a description of the region, an overview of mental health policies and legislation, a summary of relevant research in the region, a precis of community mental health services, a discussion of the key lessons learned, and some recommendations for the future.
Delaney, Kathleen R.
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....
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...
Es, Kuhn; Rd, Laird
Emily S Kuhn, Robert D Laird Department of Psychology, University of New Orleans, New Orleans, LA, USA Abstract: Family support programs aim to improve parent wellbeing and parenting as well as adolescent mental and behavioral health by addressing the needs of parents of adolescents experiencing or at risk for mental health problems. Family support programs can be part of the treatment for adolescents diagnosed with mental or behavioral health problems, or family support programs can be deli...
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...
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...
Atkins, Marc S.; Hoagwood, Kimberly E.; Kutash, Krista; Seidman, Edward
Education and mental health integration will be advanced when the goal of mental health includes effective schooling and the goal of effective schools includes the healthy functioning of students. To build a solid foundation for this reciprocal agenda, especially within the zeitgeist of recent educational reforms, a change in the fundamental framework within which school mental health is conceptualized is needed. This change involves acknowledging a new set of priorities, which include: the u...
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...
Das, Sanghamitra; Mukhopadhyay, Abhiroop; Ray, Tridip
This paper presents simple measures of individual and family mental health indices based on axiomatic foundations and integrates mental health into a neoclassical model that allows for proper substitution possibilities in the family preferences and quantifies its significance in family utility. We find that mental health effects are far more important than the effect of consumption or childrens schooling in determining family utility. We illustrate the usefulness of our approach by cons...
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...
Eriksen, Kristin Ådnøy
Background: An essential element of community-based mental health services is the relationship between service users and mental health workers. This thesis explores how service users personhood and intrinsic human value are recognised or at risk in those relationships. There is focus on Recovery and Ethics of caring, and the concept Social dignity is used as a perspective. Purpose: The overall purpose was to explore mental health service users experience-based k...
Fritsch, Sandra L; Overton, Mark W; Robbins, Douglas R
Diabetes mellitus is a common childhood illness, and its management is often complicated by mental health challenges. Psychiatric comorbidities are common, including anxiety, depression, and eating disorders. The illness can profoundly affect the developing brain and family functioning and have lifelong consequences. The child mental health provider can provide valuable assistance to support the child and family and assessment and treatment of comorbid mental health problems and to promote positive family functioning and normal developmental progress. PMID:25725569
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.
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
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.
Pfeiffer, Constanze; Glaser, Stephanie; Vencatesan, Jayshree; Schliermann-Kraus, Elke; Drescher, Axel; Glaser, Rüdiger
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 decision making, 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. PMID:19021113
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 tools-targeting screening, assessment, prevention, and treatment-are 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.
Fabiana Vieira Gauy
Full Text Available Este estudo foi conduzido para comparar os resultados de um procedimento grupal aberto e um procedimento individual estruturado para avaliação do comportamento da criança conforme o relato materno. Participaram deste estudo 29 mães que buscavam atendimento para seus filhos em uma unidade de saúde mental infanto-juvenil. As primeiras 15 mães que procuraram o serviço foram entrevistadas individualmente conforme um roteiro estruturado desenvolvido a partir do CBCL e depois foram entrevistadas em grupo, em formato aberto. As outras 14 mães participaram da entrevista grupal aberta e em seguida participaram da entrevista individual estruturada. Os resultados das entrevistas foram comparados tomando como referência as 67 categorias comportamentais identificadas a partir do roteiro individual e quatro variáveis contextuais relatadas nos dois procedimentos. Os resultados mostram que um número substancialmente maior de comportamentos-problema foi identificado através de entrevista individual estruturada do que através de entrevista grupal aberta realizada com os mesmos informantes. É possível que o uso de um roteiro estruturado em entrevistas grupais possa oferecer mais informações com otimização do tempo de avaliação.This study was aimed at comparing the results of a group open procedure and a structured individual procedure to evaluate child behavior according to the mother's report. Participants were 29 mothers who searched attendance for their children at a mental health unit for children and youngsters. The first 15 mothers to enroll in the study underwent an individual, structured interview, developed from the CBCL items, and then they underwent a group open interview. The next 14 mother to enroll underwent the open group interview and then the individual structured interview. The results obtained were compared taking into consideration the 67 behavioral categories identified from the individual report and four contextual variables from the two procedures. The results show that a substantially higher number of problematic behaviors was identified through the structured individual interview than through the open group interview held with the same informants. It is possible that the use of a structured report in group interviews may offer more information with the optimization of the evaluation time.
Isaacs, Anton N; Maybery, Darryl; Gruis, Hilton
This paper describes the perceptions of Aboriginal stakeholders as well as mental health personnel on improving Aboriginal men's access to mental health services. From January 2009 to June 2010, 23 semi-structured interviews and three focus groups were conducted with 17 Aboriginal stakeholders and 29 mental health staff from a regional mental health service in Victoria. A qualitative description design was adopted and data were analysed thematically. Seven themes emerged from the data. Three themes focused on the mismatch between mainstream mental health service provision and the mental health needs of Aboriginal men. They include barriers to gaining entry into services, barriers to engagement with services, and staffing problems in the services. The remaining four themes related to possible solutions to improving men's access to services and included building men's confidence in services, developing relationships with the Aboriginal Community, enhancing flexibility of services, and strengthening the role of the Koori Mental Health Liaison Officer. The dual perspectives of Aboriginal stakeholders and service providers provide a more comprehensive picture of the ground realities concerning Aboriginal men's access to mental health services. The findings have implications for the provision of culturally sensitive mental health services for Aboriginal men. PMID:22571647
Amaddeo, Francesco; Grigoletti, Laura; Montagni, Ilaria
Through a review of the studies conducted on the analysis of the costs of the Italian mental health provision of care, this study aimed at describing the current financing system for mental health care in Italy. From the deinstitutionalization to the present days, Italian mental health care financing has evolved in line with both national plans and the actual European directives. The description of the current situation of mental health care financing in Italy can be useful to inform service planning and resource allocation, and to offer a wider European perspective. PMID:24840087
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:
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 maternalchild 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 patients 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 mothers 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
Brophy, Chris; Morris, David
Unprecedented levels of cost containment in NHS and social care organisations - together with integration as a policy priority - make this a key moment for fresh ways of thinking about how to commission and provide community-based integrated services that meet the challenge of local accountability and citizen participation. This is nowhere more important than in mental health. Primary care with its local orientation is properly at the heart of this agenda, but there is a need for new forms of leadership for collaboration in the sector. In this context, the contribution of general practitioner (GP) networks is likely to be fundamental. This paper is a brief discussion of some of the issues associated with GP networks and mental health, set in the context of a round table discussion with three sets of participants at a 2014 London Journal of Primary Care/Royal College of General Practitioners conference. The conference provided a forum for capturing a diversity of experience and knowledge and for turning this into a force for critical transformation. This paper describes a contribution to the day. PMID:25949738
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.
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...
Background Many factors contribute to health. This study uses community level data to estimate the impact of socioeconomic and demographic factors as well as physical health on community mental health outcomes. Method Multiple regression analysis was used to estimate the impact of determinants on community mental health outcomes for men and women using community level data from up to 113 health regions covering almost the entire population in Canada. Results Study findings indicate that commu...
This study explores the complex nature of mental health challenges and priorities in a post-apartheid South Africa. Special reference is made to indigenous people's experiences of poverty, racism, sexism and the machinery of political repression as critical bases for determining the priorities in mental health services. Whilst the provision of mental health services for all is sought by mental health professionals and legal systems in Western countries and other African states, South Africa has not developed a coherent sociolegal policy which aims at preventing, alleviating and healing mental health problems for all its citizens. Research gathered through a phenomenological approach amongst the oppressed seeks to define the terrain of people's psychological problems. Although data used are deduced mainly from the 'oppressed' on one white owned farm, questions raised and conclusions drawn address national as opposed to regional solutions, and also facilitate thinking about mental health priorities for all South Africans living under similar conditions. Commonly experienced problems are the effects of organized violence, child and adolescent problems, the prevalence of alcohol and drug use, depression, lack of facilities for the disabled and psychological care for homeless children, families and the youth. Participants were ignorant about mental health services, they experienced them as inaccessible and they were generally suspicious of an lacked faith in mental health workers. The author proposes broad future mental health options, like the restoration of family life in oppressed communities, the training of lay counsellors and the introduction of community mental health programmes. A suggestion is made that health workers in community mental health centres should adopt an advocacy position against all forms of unfair practices and violence and lobby for the protection of human rights. PMID:8065247
Yang, Yu-Fen; Wong, Wing-Kwong; Yeh, Hui-Chin
Referential identification and resolution are considered the keys to help readers grasp the main idea of a text and solve lexical ambiguities. The goal of this study is to design a computer system for helping college students who learn English as a Foreign Language (EFL) develop mental maps of referential identification and resolution in reading.
Brian, Rachel M; Ben-Zeev, Dror
Mobile technologies are transforming the way in which we interact with one another, access resources, find information, and conduct business around the world. Harnessing the capabilities of mobile technologies to support health care initiatives worldwide has developed into a new interdisciplinary field called mobile health (mHealth). In the current paper, we review the penetration of mobile technology in Asia, and consider the integration of mobile technologies into the study, diagnoses, and treatment of mental disorders in the region. We outline how mHealth programs could improve mental health literacy, provide greater access to mental health services, extend community-based outreach and engagement, support self-management of illness, and regulate medication distribution. We end with a consideration of the potential barriers and limitations of mHealth for mental health, including funding, language and literacy barriers, power supply considerations, data security, and privacy issues. PMID:25042960
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.
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.
Riva, Giuseppe; Banos, Rosa; Botella, Cristina; Gaggioli, Andrea; Wiederhold, Brenda K.
Since the European funded project VREPAR - Virtual Reality in Neuro- Psycho-Physiology (1995) different European research activities have been using virtual reality and advanced information and communication technologies to improve the quality of care in the treatment of many different mental health disorders including anxiety disorders, eating disorders and obesity. Now the European Commission funding is shifting from the traditional hospital-centred and reactive healthcare delivery mode...
Frank, R G; Kamlet, M S
This article specifies and estimates a model of provider choice for mental health services. Three types of providers are identified: specialty mental health providers, general medical providers, and informal providers. Specific attention is paid to the role of health and mental health status in determining provider choice. The model is estimated using a multinomial logit approach applied to a sample of 2,800 respondents to the Baltimore Epidemiological Catchment Area Survey. The results are largely consistent with the previous work of Wells et al. (1982), suggesting that health and mental health status play an important role in the decision to seek care but have little effect on the type of provider chosen. The results also reveal that 22 percent of individuals obtaining mental health care did so through the informal care sector. One exemplary benefit design simulation is performed using the estimation results. PMID:2714994
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
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
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 argues that achieving improved global health and development requires addressing problems causing disability, particularly mental health problems among populations in which the common mental disorders are frequent due to deprivation, war, and disasters. The author contends that services addressing the common mental disorders could be made widely and relatively cheaply accessible if provided by non-professional workers at the community level. PMID:25191140
Papathanasiou, Ioanna V.
Introduction: Burnout can create problems in every aspect of individuals human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. Aim: The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. Material and Methods: The sample in this study consisted of 240 health care employees. The Greek version of Maslachs Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05. Results: The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated with any SRSDA subscale. Conclusions: Burnout appears to implicate mental health status of healthcare providers in work index. Emotional exhaustion is the burnout dimension that is correlated the most with employees mental health. PMID:25870487
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.
Borba, Letícia de Oliveira; Guimarães, Andrea Noeremberg; Mazza, Verônica de Azevedo; Maftum, Mariluci Alves
This study was performed in 2009 in Curitiba, using the thematic oral history technique. The participants were eight individuals from three different families who had one relative suffering from a mental disorder. The objective of the study was to describe the perception of relatives and persons with mental disorders regarding mental healthcare based on the psychosocial model. The data were obtained through semi-structured interviews, which were then analyzed and organized descriptively. The participants opined that extra-hospital services such as the Psychosocial Care Center and mental health outpatient clinics are innovative strategies. They described receiving assistance from a multidisciplinary team, the mediation of family conflicts, and the principle of territoriality. They highlighted that the individual with a mental disorder is followed by the Basic Health Unit and emphasized the importance of mental health network connections. They believe that including the family in the treatment regime improves family relationships and their acceptance of the disease. PMID:23380785
Young adulthood is the peak age for the onset of most mental disorders and is a period of crucial importance for the establishment of emotional well-being in adult life. Mental health problems, including psychological distress and depressive symptoms, as well as suicide attempts, are reported to be increasing among young people, especially females, in many Western countries. Thus, the overall purpose of this thesis is to examine trends and causes of mental ill-health in contemp...
Strous, Rael D; Netta Shoenfeld; Avi Lehman; Aharon Wolf; Leah Snyder; Ori Barzilai
Objectives: To investigate the subjective presence of a range of subsyndromal and syndromal mental health conditions in medical students, and to compare the presence of these conditions between preclinical and clinical training. Methods: A cross sectional study was used among first-and fifth-year medical students. Student reported their mental health conditions using the Diagnostic and Statistical Manual of Mental Disorders criteria, the fourth version (DSM-IV). Data analysis was based on 110...
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 psyc...
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...
Socioeconomic disadvantage in childhood is related to both immediate and persisting impairments in mental health and well-being. Findings from epidemiological studies suggest that children who grow up in families with a lower socioeconomic status (SES) have more symptoms of mental health problems, compared to those raised in more affluent families.
The overall aim of the current thesis was to expand the knowledge of the socioeconomic distribution of childhood mental healt...
Hein, Laura C; Scharer, Kathleen M
This paper discusses the progression of developments in psychiatric-mental health nursing from the 1960s to the present. The 1960s were a time of shortage of psychiatric APRNs, with legislation expanding the availability of mental health services. We find ourselves in a similar time with 7 million new health insurance enrollees, because of the Affordable Care Act (ACA). The expansion of health insurance coverage comes at a time when some colleges of nursing are closing master's programs in psychiatric-mental health, in lieu of the DNP mandate from the American Association of Colleges of Nursing. Is history repeating itself? PMID:25634875
Jenkins, Rachel; Fitch, Chris; Hurlston, Malcolm; Walker, Frances
Background During the economic downturn, the link between recession and health has featured in many countries' media, political, and medical debate. This paper focuses on the previously neglected relationship between personal debt and mental health.
... important for children to participate and enjoy themselves. TV use should be monitored Try not to use TV as a baby-sitter on a regular basis. ... for Good Mental Health is one in a series of pamphlets on children and teen mental health. ...
Mancoske, Ronald J.; Lewis, Marva L.; Bowers-Stephens, Cheryll; Ford, Almarie
This study describes the relationships between clients' perception of cultural competency of mental health providers and service outcomes. A study was conducted of a public children's mental health program that used a community-based, systems of care approach. Data from a subsample (N = 111) of families with youths (average age 12.3) and primarily
Lee, Debbiesiu L.; Ahn, Soyeon
Although research on racial discrimination and mental health has proliferated, findings are varied and dispersed. This study explored the critical question of how Asians, in particular, deal with discrimination and how this relates to Asian mental health. With 99 correlations from 23 independent studies, the overall relationship between racial
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
Williams, Robert J.; Zolner, Theresa; Bertrand, Lorne D.; Davis, R. Meghan
Frequent substance use has a strong association with poor mental health. The relationship between infrequent substance use and mental health is less clear. The present study investigated this relationship in a large group (n = 2118) of 12-19-year-olds from Alberta, Canada. Results indicated that adolescents who used tobacco or alcohol once a month
Ellis, B. Heidi; Miller, Alisa B.; Abdi, Saida; Barrett, Colleen; Blood, Emily A.; Betancourt, Theresa S.
Objective: We sought to establish that refugee youths who receive a multi-tiered approach to services, Project SHIFA, would show high levels of engagement in treatment appropriate to their level of mental health distress, improvements in mental health symptoms, and a decrease in resource hardships. Method: Study participants were 30 Somali and
This speech discusses client advocacy, a paraprofessional service offered in many community mental health centers to help bridge the gap between therapist and client. While having an advocate on the mental health team is an attractive idea, these client advocates are quite susceptible to "corruption." The author discusses two major causes of this
Brigitta Spaeth-Rublee; Harold Alan Pincus; Fran Silvestri; Janet Peters
The International Initiative for Mental Health Leadership (IIMHL) (www.iimhl.com) is a unique international collaborative that focuses on improving mental health and addiction services. IIMHL is a collaboration of eight countries including Australia, England, Canada, New Zealand, Republic of Ireland, Scotland, Sweden and USA.[...
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
Bickman, Leonard, Ed.
This special issue focuses on several methodological issues in the evaluation of the largest mental health and substance abuse project for children and adolescents conducted at a single site, the U.S. Army's Fort Bragg Child and Adolescent Mental Health Demonstration program. The introduction and seven articles describe this program and the
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
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,
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.
Full Text Available This study is intended to gain knowledge about Job Satisfaction and Mental Health of 600 Male and Female teachers working in government and private aided primary schools of Belgaum and Dharwad districts of Karnataka State. The Job Satisfaction and Mental Health Scales were administered on the selected sample to know their level of Job Satisfaction and Mental Health. Statistical 't' test and correlation was applied to analyse the data. It was found that there is no significant difference in the Job Satisfaction of male and female teachers. It was also found that there is no significant difference in the Mental Health of teachers. There is a significant and positive correlation found in Job Satisfaction and Mental Health of teachers.
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.
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.
Social functioning is important in relation to mental illness as it can limit the ability to function independently and because it may vary separately from symptoms. This paper summarises and critically reviews the development of the WHO Classification of Impairments, Disabilities and Handicaps. The value of social role theory is described followed by a classification of the relevant assessment scales in this field. Mental disorders are in general strongly associated with social dysfunctioning, particularly in schizophrenia and the major affective disorders. For a long time social dysfunctioning was considered an epiphenomenon and just a part of the disease process. Criteria for the diagnosis of a mental disorder were and still are often derived from the domains of work and social relationships. There are at least two related reasons why social functioning deserves a closer look: 1. There is an increasing trend to treat patients in the community instead of in the hospital: the changing orientation on community care needs careful evaluation with respect to its consequences. To what extent is survival in the community possible and what is the quality of life like there? Are community programs better than hospital treatment, and for whom? Therefore, separate measurement is justified for evaluation of outcome and costs and benefits. 2. There is growing evidence that the courses of symptomatology and social dysfunctioning may vary relatively independently: social disablement of a patient may be characterized much more by social disabilities than by persistent psychiatric symptoms; the former may call for another kind of action than usually available. For example, psychosocial rehabilitation focuses on cognitive and social abilities of the patient which are crucial for a more or less independent life. Therefore, separate measurement is justified for the sake of the right choice of treatment. The usual diagnostic systems such as the ICD and the DSM offer no adequate solution to the problem of classification and assessment of social dysfunctioning as a consequence of mental disorder. We have to look for other classification systems such as the International Classification Impairments, Disabilities and Handicaps (ICIDH) of the WHO (1980, 1993) which offers a conceptual model to study the long-term consequences in terms of functional disabilities and experienced social handicaps, and the effectiveness of health care to handle these kind of problems. PMID:8766454
...Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...of Committee: National Institute of Mental Health Special Emphasis Panel; Grand Challenges in Global Mental Health. Date: November 8, 2012....
...National Institute of Mental Health Special Emphasis...Anti-Retroviral Therapy Effects Research as a Resource...National Institute of Mental Health, NIH, Neuroscience...National Institute of Mental Health Special Emphasis...Anti-Retroviral Therapy Effects Research...
... Disclosing information obtained from...mental health services. 51.46... Disclosing information obtained from...mental health services. ...mental health services, it may not disclose information from such...
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.
Alienation, which is the source of much violence, is widespread throughout the world, deriving from and connected with adverse social and economic conditions. It is a state of estrangement from society often associated with bitterness and resentment; these exacerbate conflict and lead to war and other types of violence. Alienation is the antithesis of compassion and other feelings on which the good society is based. It is partially maintained by a web of psychological falsehoods, knots, relating to: awareness, happiness, identity, permanence, separateness, guilt and inferiority, and violence. These knots foster confused thinking that makes us more vulnerable to alienation. Unravelling the knots and cutting through the web of psychological falsehoods helps to release the human potential for positive, peaceful and non-violent action. Medicine can best contribute to weakening wide-spread alienation through the development of public mental health, working at the interface with the social, economic and cultural actors in the development of civil society. PMID:9080784
Francisca Bezerra de Oliveira
Full Text Available O manicômio, apesar de criticado, reformado ou mesmo negado, ainda é uma prática preponderante no cuidado às pessoas com transtornos mentais. Tal prática tem como princípio básico o isolamento do doente mental, contrariando todas as possibilidades de assistência centrada num humanismo ético. Este ensaio procura interpretar a institucionalização do asilo, da psiquiatria, da doença mental e o processo da reforma psiquiátrica, buscando contribuir para as reflexões acerca da desinstitucionalização e dos saberes e práticas de enfermagem em saúde mental.El manicomio a pesar de criticado, reformado o incluso negado, todavía sigue siendo una práctica preponderante en el cuidado a las personas con trastornos mentales. Tal práctica lleva como principio básico el aislamiento del enfermo mental, contradiciendo todas las posibilidades de asistencia centrada en un humanismo ético. Este ensayo procura interpretar la institucionalización del asilo, de la psiquiatría, de enfermedad mental, y el proceso de reforma psiquiátrica, intentando contribuir con las reflexiones acerca de la desinstitucionalización y de los saberes prácticos de enfermería en salud mental.The insane asylum, in spite of being criticized, reformed or even denied, is still a predominant habit in taking care of people with mental disturbances. That habit has as its basic principle the isolation of the mental sick, contradicting all the possibilities of assistance centered in an ethical humanism. This essay tries to interpret the institutionalization of the asylum, psychiatry, mental sickness and also the process of psychiatry reform, searching to contribute to all the reflections about uninstitutionalization, nursing knowledge and practice in mental health.
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.
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
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.
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.
Hannes, Els; Kusumastuti, Diana; Espinosa, Maikel León; 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.
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
Green, Carla A; Perrin, Nancy A; Polen, Michael R; Leo, Michael C; Hibbard, Judith H; Tusler, Martin
Our objective was to adapt the physical health Patient Activation Measure (PAM) for use among people with mental health conditions (PAM-MH). Data came from three studies among people with chronic mental health conditions and were combined in Rasch analyses. The PAM-MH's psychometric properties equal those of the original 13-item PAM. Test-retest reliability and concurrent validity were good, and the PAM-MH showed sensitivity to change. The PAM-MH appears to be a reliable and valid measure of patient activation among individuals with mental health problems. It appears to have potential for use in assessing change in activation. PMID:19728074
Smith, Megan V; Kruse-Austin, Anna
The New Haven Mental Health Outreach for MotherS (MOMS) Partnership is a community-academic partnership that works to develop public health approaches to ensure that pregnant and parenting women living in the City of New Haven achieve the highest possible level of mental health. The MOMS Partnership developed a training model for community health workers specializing in maternal mental health. Six community health workers (termed Community Mental Health Ambassadors or CMHAs) were trained on key topics in this gender-informed maternal mental health curriculum. Pre- and post-test questionnaires assessed changes in attitudes, perceived self-efficacy and control using standardized scales. The results indicated preliminary acceptability of the training curriculum in transforming knowledge and attitudes about maternal mental health among community health workers. PMID:25534578
Ahn, Woo-kyoung; Proctor, Caroline C.; Flanagan, Elizabeth H.
The current experiments examine mental health clinicians beliefs about biological, psychological, and environmental bases of the DSM-IV-TR mental disorders and the consequences of those causal beliefs for judging treatment effectiveness. Study 1 found a large negative correlation between clinicians beliefs about biological bases and environmental/psychological bases, suggesting that clinicians conceptualize mental disorders along a single continuum spanning from highly biological disorders ...
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...
October 2013 marks the 50th anniversary of President John F. Kennedy's message to the US Congress on the need to reform mental healthcare. Much has changed in that time. In 2006, Frank and Glied summarized these changes and the forces behind them, finding that the well-being of people with mental illness was 'better but not well.' They also conclude that most improvements have been due to 'mainstreaming,' the inclusion of those with mental illness in broad reforms such as Medicare, Medicaid and Social Security. With the gradual assimilation of mental health concerns, leadership and resources into mainstream programmes and agencies, future improvements will require that these programmes are accessible and oriented to people with mental illness. The passage of broad health reform legislation in 2010 (the Affordable Care Act) reinforces this change; several of its provisions attempt to make healthcare more relevant to the population with mental illness. In this editorial, I discuss a set of challenges which remain for the population with mental illness in the healthcare system, and the prospects for change. These challenges include: (1) improving basic mental healthcare in primary care, (2) improving mental healthcare for children, (3) earlier detection and treatment of psychotic illness, (4) disability and unemployment and (5) the challenge of sustaining an adequate, speciality public mental healthcare system under conditions of mainstreaming. In general, I conclude that the prospects for successful reform are uncertain. Establishing mental healthcare specialization in mainstream systems has not been notably successful to date. PMID:24229608
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...
Narayan, Choudhary Laxmi; Shekhar, Shivendra
The Mental Health Care Bill 2013 has been introduced in Rajya Sabha and is now waiting for enactment. The Bill entails unprecedented measures to be undertaken by the Government ensuring everyone right to access mental health care and treatment from services run or funded by the Government. The Government is to meet the man-power requirement of mental health professionals according to international standard within a period of ten years. Various rights of persons with mental illness have been ensured. All the places where psychiatric patients are admitted and treated including the general hospital psychiatry units (GHPU) are to be registered as mental health establishments. Unmodified ECT has been banned and ECT to minors can be given only after approval from the Mental Health Review Board. This article advocates for exemption of GHPU from the purview of the Bill, taking into consideration impediment created in the treatment of vast majority of psychiatric patients who retain their insight into the illness and seldom require involuntary admissions. It is also advocated to reconsider ban on unmodified ECT and restriction placed on ECT to minor which are very effective treatment methods based on scientific evidence. In our country, family is an important asset in management of mental illness. But requirement of seeking approval from the Board in many of the mental health care decision may discourage the families to be proactive in taking care of their wards. The Board and Mental Health Authorities at the central and the state levels are authorized to take many crucial decisions, but these panels have very few experts in the field of mental health. PMID:25969610
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.
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...
Tannenbaum, Cara; Lexchin, Joel; Tamblyn, Robyn; Romans, Sarah
Accurate measurement and improvement of population mental health requires the recording of indicators that capture the full spectrum of disease severity. This paper describes four different strategies for measuring the prevalence of depression and anxiety in Canada based on data from the 2002 Canadian Community Health Survey Mental Health and Well-being (Cycle 1.2) and the 2003 Quebec medical services claims database. The use of multiple indicators provides a more comprehensive picture of...
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
Objective Nursing directors in mental health services hold important leadership positions that include responsibility for the nursing workforce. The comprehensive or generalist approach to undergraduate nursing education consistently poses significant recruitment problems. Specialisation in mental health within Bachelor of Nursing programs has been suggested as a potential solution. This paper presents the views and opinions of mental health nursing directors regarding undergraduate specialisation. Methods A qualitative exploratory study was undertaken. Thirteen nursing directors from Queensland Mental Health Services participated in an in-depth telephone interview. The data were analysed thematically. Results Nursing directors were very supportive of specialisation in mental health at the undergraduate level. Thematic analysis revealed four main themes: perceived advantages of the specialist stream; knowledge and experience; increased recruitment; and commitment. Conclusions Nursing directors are important stakeholders in educational preparation for practice in mental health settings. The research participants described many potential benefits to undergraduate specialisation. Their voice provides an important contribution to this issue. What is known about the topic? The current model of nurse education in Australia aims to prepare graduates for practice in a broad range of healthcare settings with specialisation occurring at the postgraduate level. Mental health nursing is identified as one of the least popular career options for nursing graduates, and mental health services struggle to recruit sufficient graduates for their nursing workforce; this is attributed, at least in part, to the current model of education. What does this paper add? This paper gives voice to the perspectives of nursing directors from the mental health service delivery sector about the educational preparation for nursing practice in mental health. Nursing directors support the introduction of specialist preparation in mental health nursing at the undergraduate level. A more skilled and committed workforce is seen as contributing to addressing current recruitment problems. What are the implications for practitioners? The educational preparation for nursing graduates for mental health practice impacts significantly on nursing leaders, and their perspective is essential in addressing the debate. Mental health nursing directors need to be formally recognised as key stakeholders in the preparation of nursing graduates. PMID:25514568
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...
Trabalho na atenção básica: integralidade do cuidado em saúde mental Trabajo en la atención primaria de salud: integralidad del cuidado em salud mental Work in primary health care: a comprehensive mental health care
Juliana Reale Caçapava
Full Text Available Este estudo tem por objetivo cartografar o cuidado ao usuário com necessidades no campo da saúde mental em uma Unidade Básica de Saúde, analisando o trabalho em equipe à luz da integralidade das ações de saúde. Seus participantes são trabalhadores de saúde, de diferentes profissões, que fazem parte dos processos de trabalho em saúde mental do serviço. A técnica de coleta de dados utilizada foi o fluxograma analisador. Os resultados nos mostram que, na Unidade Básica, os fluxos conectivos entre os diversos trabalhadores - e entre estes e os usuários - vêm produzindo e proliferando vários e distintos espaços coletivos de trocas, possibilitando ações de saúde alinhadas à perspectiva da integralidade, através de uma compreensão ampliada do processo saúde-doença mental, construída pela valorização das relações humanas e das subjetividades envolvidas no espaço do trabalho em saúde.Este estúdio de abordaje cualitativa tiene como objetivo cartografiar el cuidado al usuário con necessidades en lo campo de la salud mental en uma Unidad Básica de Salud, a través de la análisis del trabajo en equipo a la luz de la integralidad de las acciones de salud. Sus partipantes son trabajadores de salud mental, de diferentes profesiones, que son parte de los procesos de trabajo en salud mental de lo servicio. La colección de datos fue construida mediante lo fluxograma analizador. Los resultados muestran que, en la Unidad Básica, los flujos conectivos entre los diversos trabajadores - y entre estes y los usuarios - están a producir y proliferar vários y distintos espacios colectivos de intercâmbios, permitiendo acciones integrales de salud a través de una comprensión ampliada del proceso de salud-enfermedad mental, construida por médio de la valorización de las relaciones humanas y de las subjetividades involucradas en lo espacio del trabajo en salud.This study intends to map the health care given to the usuary with needs in the mental health field in a primary health care unity, analyzing the team work in the light of the integrate primary health care practices. The participants are health workers from different professions, who belong to the service's mental health working processes. The data collection technique used was the analytic flowchart. The results show us that the connective flows among the professionals and between them and the health unity's, in the primary health care unit, has been producing and proliferated diverse exchanges' spaces, making possible health actions aligned to the integrality in people's care through a enlarged understanding of health mental disease process, by means of human relationships' valuation and subjectivities involved in the health work space.
Horgan, C M
A two-part model is used to examine the demand for ambulatory mental health services in the specialty sector. In the first equation, the probability of having a mental health visit is estimated. In the second part of the model, variations in levels of use expressed in terms of visits and expenditures are examined in turn, with each of these equations conditional on positive utilization of mental health services. In the second part of the model, users are additionally grouped into those with a...
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...
Bisexual women often report higher rates of depression and mental health problems than their heterosexual and lesbian counterparts. These disparities likely occur, in part, as a result of the unique stigma that bisexual women face and experience. Such stigma can in turn operate as a stressor, thereby contributing to poor mental health status. The current pilot study tested a new measure of bisexual stigma and its association with mental health. Results suggest a moderate positive correlation between the two, and point to areas for future consideration when measuring bisexual stigma. PMID:24683314
Grande, Todd L; Hallman, Janelle; Rutledge, Brandon; Caldwell, Kristen; Upton, Brian; Underwood, Lee A; Warren, Kellie M; Rehfuss, Mark
Varying risk factors for both incarceration and mental health diagnoses have been identified for female juveniles, highlighting the need for gender-specific assessments and treatment protocols. The purpose of this study is to determine how the prevalence rates of mental health symptoms differ in male and female juvenile offenders. It was hypothesized that the prevalence rates would be greater for females than males. This study found significant differences between males and females on several clinical scales. These findings are consistent with past studies that have identified differences in mental health symptoms between genders. PMID:22411502
Gaggioli, Andrea; Riva, Giuseppe
The combination of smart phones, wearable sensor devices and social media offer new ways of monitoring and promoting mental and physical wellbeing. In this contribution, we describe recent developments in the field of mobile healthcare (or mHealth), by focusing in particular on mobile mental health applications. First, we examine the potential benefits associated with this approach, providing examples from existing projects. Next, we identify and explain possible differences in focus between mobile mental health and mobile wellbeing applications. Finally, we discuss some open challenges associated with the implementation of this vision, ranging from the lack of evidence-based validation to privacy, security and ethical concerns. PMID:23400146
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 ar...
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.
Vlassova, Natalia; Angelino, Andrew F; Treisman, Glenn J
HIV infection remains a major world health problem more than 20 years after discovery of the virus. Mental disorders make individuals more vulnerable to behaviors that transmit HIV and interfere with HIV treatment adherence. The evidence supporting the need for optimal provision of mental health care in HIV clinics is mounting, along with evidence that these disorders can be treated successfully. Disorders of mental life include brain diseases (eg, depression, bipolar disorder, schizophrenia, and dementia), personality disorders, addictions, and psychologic disruptions, which contribute to the spread of the virus through their influence on behavior. However, although evidence exists that successful treatment of co-occurring mental disorders leads to improved HIV outcomes, integrated mental health care in HIV clinics remains grossly suboptimal. PMID:19239808
Tsai, S P; Bernacki, E J; Reedy, S M
This article presents the mental health care utilization and costs among 14,162 employees and their families, covered under a major medical policy of a large multinational corporation for the 1984 policy year. Mental health care costs comprise a substantial portion of the total health care dollars expended (8.1%) for a relatively small fraction of the total number of claims (2.8%). The average hospital stay for mental disorders (20 days for employees; 15 days for spouses; 43 days for dependents) was significantly longer than for other illnesses (6.1 days for employees; 6.2 days for spouses; 4.4 days for dependents). Although the average daily hospital cost for mental disorders was less than that for non-mental conditions, total expenditures per admission were approximately three times higher due to the long lengths of stay. Case management, peer utilization review, and day treatment are recommended to reduce these costs. PMID:3681492
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 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.
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 ...
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.
The services that most mentally unwell patients receive are excellent. However, there is one area nationally where people with perceived mental health issues receive a less than ideal service, and that is when they or their relatives call an ambulance. PMID:25902242
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
... as high. Historical traumas, including forced relocations and cultural assimilation, broken treaties, and other social, economic, and political injustices continue to affect Indian/Native communities Mental Health Issues Indians/Natives experience most mental disorders in rates similar to the ...
Silver, Judith; Dicker, Sheryl
Infants placed in foster care are at high risk for emotional and behavioral problems. Assessment of their mental health must account for their often-adverse life experiences prior to placement and the involvement of multiple systems that shape their lives in lieu of parents' authority. This article presents practice guidelines for infant mental
Smith, Katherine L W; Flora I. Matheson; Rahim Moineddin; James R. Dunn; Hong Lu; John Cairney; Richard H. Glazier
This study examined whether people who self-reported depression sought mental health treatment in the year after being interviewed, and how gender affected utilization. Depression data were obtained from the Canadian Community Health Survey (2000-01), and linked to medical records in Ontario (n = 24,677). Overall, women had higher rates of mental health service utilization, but there were no gender differences in rates of specialist care. The gender difference in mental health contact wa...
Buckingham, C D; Ahmed, A; Adams, A E
Current tools for assessing risks associated with mental-health problems require assessors to make high-level judgements based on clinical experience. This paper describes how new technologies can enhance qualitative research methods to identify lower-level cues underlying these judgements, which can be collected by people without a specialist mental-health background. Content analysis of interviews with 46 multidisciplinary mental-health experts exposed the cues and their interrelationships, which were represented by a mind map using software that stores maps as XML. All 46 mind maps were integrated into a single XML knowledge structure and analysed by a Lisp program to generate quantitative information about the numbers of experts associated with each part of it. The knowledge was refined by the experts, using software developed in Flash to record their collective views within the XML itself. These views specified how the XML should be transformed by XSLT, a technology for rendering XML, which resulted in a validated hierarchical knowledge structure associating patient cues with risks. Changing knowledge elicitation requirements were accommodated by flexible transformations of XML data using XSLT, which also facilitated generation of multiple data-gathering tools suiting different assessment circumstances and levels of mental-health knowledge. PMID:17365646
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.
Simon, R W; Marcussen, K
In this paper, we examine whether people's beliefs about the permanence, desirability, and importance of marriage moderate the impact of marital transitions--including marital losses and gains--on depression, a disorder associated with both marital status and role transitions. Using two waves of panel data from the National Survey of Families and Households (N = 10,005), we find that a marital loss results in increased symptoms, whereas a marital gain results in decreased symptoms. We also find, however, that the negative effects of a marital loss are greater for people who believe in the permanence of marriage than they are for those who do not. Conversely, the positive effects of a marital gain are greater for people who believe in the desirability and importance of marriage than they are for those who do not. Our results highlight the potential utility of more systematically incorporating people's beliefs--and sociocultural factors more generally--into theory and research on the impact of stressors on mental health. PMID:10467758
Full Text Available Context: This study set out to investigate the mental health literacy (MHL about eight anxiety disorders (ADs, using vignette methodology. Methods: In all 317 British Adult participants completed a questionnaire with vignettes describing eight anxiety disorders including OCD, PTSD, Agoraphobia, Specific Phobias, Social Phobia, Separation Anxiety Disorder, GAD and Panic Disorder. Recognition, beliefs about treatments and perceived life adjustment (happiness, success at work of specific people with these disorders were assessed. Results: Literacy levels varied across anxiety disorders, with high recognition of OCD (64.67%, but very poor for panic disorder (1.26%, GAD (2.84% and separation anxiety disorder (5.99%. There were few significant effects of vignette gender on literacy levels. MHL for most anxiety disorders was relatively low; particularly panic disorder, GAD and separation anxiety disorder. Social Phobics were judged as least happy and adjusted and agoraphobics least successful at work and would benefit most from psychological help. Conclusions: Overall recognition of the anxiety disorders was poor. Beliefs about adjustment and treatment varied widely as a function of each disorder. Implications of the research for education of the public and limitations of this research are considered.
Introduction: Recently there has been increasing interest in understanding and addressing health inequalities and enhancing the well-being of the population as a whole through anticipatory care and better health care delivery. The current study aimed to investigate the predictive relationships between smoking behaviour, physical health, and mental health in a deprived population using models of mediation. Method: Participants had attended a Keep Well health check, a natio...
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.
Macarena, Gálvez Herrer; María Dolores, Gutiérrez García; Nuria, Zapico Martínez.
Full Text Available Partiendo de una conceptualización de la salud mental como un bienestar físico, psicológico y social, en el presente artículo revisaremos la situación de esa fuerza trabajadora atendiendo a la complejidad de su situación legal, social y laboral y cómo todo ello se relaciona con su salud mental y sal [...] ud laboral. Abstract in english Working motivation is the main reason of the migratory phenomenon. It means breaking with cultural, social and language barriers, both in the society of origin as in the receiving. Migration processes do not themselves involve mental health problems, but they raise situations of high vulnerability a [...] nd challenges of integration. Based on a conceptualization of mental health as the physical, psychological and social well-being, in the present article we will review the legal status, social and labour, and how this relates to their mental and occupational health.
...AFFAIRS MEDICAL Outpatient Treatment § 17.98 Mental health...Following the death of a veteran, bereavement counseling involving services...services in connection with treatment of the veteran under...hospice or similar program. Bereavement counseling may be...
Gun Violence Takes Toll on Kids' Mental Health, Study Finds Even witnessing such incidents carries long-term ... has been assaulted in incidents where lethal weapons -- guns and knives -- were used. Such lethal weapons exposure ...
Bracke, Piet; van de Straat, Vera; Missinne, Sarah
Higher-educated people experience enhanced mental health. We ponder whether the mental health benefits of educational attainment are limitless. At the individual level, we look at the impact of job-education mismatch. At the societal level, we hypothesize that diminishing economic returns on education limit its mental health benefits. Using a subsample of individuals aged 20 to 65 years (N = 28,288) from 21 countries in the European Social Survey (ESS 2006), we estimate the impact on depressive symptoms of characteristics at both the employee level (years of education and job-education mismatch) and the labor market/country level (the gap between the nontertiary and tertiary educated in terms of unemployment risks and earnings). The results show that educational attainment produces mental health benefits in most European countries. However, in some of the countries, these benefits are limited or even completely eliminated by education-labor market misfit. PMID:25413804
Shield, T; Campbell, S.; Rogers, A.; Worrall, A.; Chew-Graham, C; Gask, L.
Objectives: To identify a generic set of face valid quality indicators for primary care mental health services which reflect a multi-stakeholder perspective and can be used for facilitating quality improvement.
The concept of globalization has been applied recently to ways in which mental health may be developed in low- and middle-income countries (LMICs), sometimes referred to as the 'Third World' or developing countries. This paper (1) describes the roots of psychiatry in western culture and its current domination by pharmacological therapies; (2) considers the history of mental health in LMICs, focusing on many being essentially non-western in cultural background with a tradition of using a plurality of systems of care and help for mental health problems, including religious and indigenous systems of medicine; and (3) concludes that in a post-colonial world, mental health development in LMICs should not be left to market forces, which are inevitably manipulated by the interests of multinational corporations mostly located in ex-colonizing countries, especially the pharmaceutical companies. PMID:25343630
... theorized. "Given that so many children suffer from insomnia, and only just over half 'outgrow it,' it is critical for us to be able to provide thorough identification and good treatment. Perhaps early treatment of mental health problems can ...
J. L., Tizón; A., Dal Cin; J. de, Mesones.
Full Text Available En el trabajo se realiza una aplicación concreta de mi esquema de los "niveles de riesgo y contención de la salud mental" para el caso de las transformaciones urbanas y las planificaciones regionales que quieran tener en cuenta ese apartado de la ecología humana. [...] Abstract in english The work consists in a concrete application of the model of the "levels of risk and contention for the mental health" for the case of the urban transformations of that level of the human ecology. [...
Milovancevic, Milica Pejovic; Jovicic, Milica
It has been estimated that 9 to 13% of children and adolescents have a mental disorder that causes significant functioning impairment and that only one fifth of those who need mental health services actually receive them. The majority of children and adolescents are enrolled in schools, where they spend a considerable amount of time, and this is
Quadri Syed Javeed
Full Text Available Objective: The main objective of the study was to assess the effect of yoga training on depression, self concept and mental health. Hypothesis: Hypotheses of the study there will be difference in between control group and experimental group (Yoga Training on the dimension of depression, self concept and mental health. Materials and Methods: 40 normal health students were selected. 20 Experimental group of normal health students and 20 controlled group of normal health students. Age group was between 20 to 30 years. Both group were given pre test in three dimensions, i.e., Depression, Self concept and Mental Health. A yoga module consisting of yoga asanas, pranayama, meditation, 30 min of yoga training given daily for one month. For the both groups pre and post tests conducted. Results: positive effect of yoga on depression, self concept and mental health of normal health students. Yogic exercise can improve the depression, self concept and mental health in experimental grou.
Hedlund, James L.; Vieweg, Bruce W.
Reports of mental health information systems have principally described experiences with those systems during planning, developmental and implementation stages. Relatively little attention has been given to follow-up reports that deal with longterm utilization and maintenance issues. This presentation provides a brief case history of a major, state-wide mental health information system as the basis for beginning to consider a number of specific problems and issues which, even after the relati...
Cottini, Elena; Lucifora, Claudio
Increased pressure for labour market flexibility and increasing demand over workers' performance have fostered the idea that working conditions, in most European countries, have progressively deteriorated with adverse effects on psychological well being and mental health. This paper investigates the links between contractual arrangements, working conditions and mental health using time-series cross-section data for 15 European countries. We use different waves of the European Working Conditio...
Surjus, Luciana Togni Lima E. Silva; Campos, Rosana Teresa Onocko
A literature review was conducted aiming to understand the interface between the Intellectual Disability and Mental Health fields and to contribute to mitigating the path of institutionalizing individuals with intellectual deficiencies. The so-called dual diagnosis phenomenon remains underestimated in Brazil but is the object of research and specific public policy internationally. This phenomenon alerts us to the prevalence of mental health problems in those with intellectual ...
Anaebere, Ann Kiki; DeLilly, Carol Rose
Faith Community Nurses consider community cultural practices an essential component in understanding how to effectively support an individuals mental health during important life transitions. Additionally, as part of their practice, Faith Community Nurses seek to understand how religious beliefs and life transitions such as marriage, divorce, birth, death, and illness impact on spiritual and mental health care. The emotional tolls of family separations due to wars, unexpected life events, or...
East, Carole Ann Margaret
1.6 million young people are currently in higher education (HEFCE, 2010). Even though participation stands at 57% for the 20% most advantaged...compared to 19% for the most disadvantaged 20 %( Inside Government, 2011), this is an increasingly diverse population. Among the attendant pressures for both students and staff, mental health concerns predominate: since the Royal College of Psychiatrists published their first report into the mental health of students, (RCP, 2003), the issues ...
Morgan, C.; Burns, T; Fitzpatrick, R.; Pinfold, V.; Priebe, S.
BACKGROUND: The concept of social exclusion is now widely used in discussions about the nature of disadvantage, and there are ongoing initiatives to promote social inclusion among those with mental health problems. AIMS: To conduct a conceptual and methodological review of social exclusion, focusing initially on the origins and definitions of the concept and then on approaches to its measurement, both in general and in relation to mental health. METHOD: We used two main strategies. First, we ...
Taylor, C B; Sallis, J F; Needle, R
Mental disorders are of major public health significance. It has been claimed that vigorous physical activity has positive effects on mental health in both clinical and nonclinical populations. This paper reviews the evidence for this claim and provides recommendations for future studies. The strongest evidence suggests that physical activity and exercise probably alleviate some symptoms associated with mild to moderate depression. The evidence also suggests that physical activity and exercis...
RENESES, BLANCA; MUÑOZ, ELENA; López-Ibor, Juan José
This study aimed to identify treatment, therapist and patient factors associated with dropping out of treatment in four outpatient mental health services. The experimental group comprised all 789 individuals who attended for the first time the mental health services during one year and dropped out of treatment in the same year or during the two following ones. The control group consisted of the same number of individuals, chosen at random from patients who, in the same year, attended for the ...
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 th...
Russell-Mayhew, Shelly; McVey, Gail; Bardick, Angela; Ireland, Alana
Childhood obesity is a growing concern, and while progress has been made to understand the association between multiple biological factors (i.e., genetics, nutrition, exercise etc.), little is known about the relationship between mental health and childhood obesity. In this paper, we offer a review of current evidence about the association between mental health and childhood obesity. A systematic literature search of peer-reviewed, English-language studies published between January 2000 and J...
Ferris, J A; Laslett, A-M.; Livingston, M; Room, Robin; Wilkinson, C
OBJECTIVE: To analyse the links between other people's drinking and mental health and to explore the effects on mental health of heavy and problematic drinkers both within and outside spousal relationships. DESIGN, SETTING AND PARTICIPANTS: A secondary analysis of data obtained as part of the Alcohol's Harm to Others survey from 2622 randomly sampled Australian adults interviewed by telephone between October and December 2008. MAIN OUTCOME MEASURES: Self-reported anxiety or depression and sa...
This paper provides an empirical analysis of reference-dependent effects of unemployment on mental health. I show that the negative effect of unemployment on mental health depends on expectations about the future employment status. Several contributions to the literature have shown that the perception of the individual employment status depends on the surrounding unemployment rate. We argue that expectations are a possible link between unemployment rates and the individual employment status r...
Bu Huang; Hoa B. Appel; Ai, Amy L.; Chyongchiou Jeng Lin
Faith has been shown to serve a protective role in the mental health of African Americans and European Americans. However, little research has examined whether any association exists in Asian Americans. Using the National Latino and Asian American Study dataset, we examined the effect of religious attendance on the mental health of Asian Americans in the United States. The present study focused on Chinese Americans because they are the largest Asian American group. The results revealed that a...
Bornstein, Marc H.
In its most general instrumental sense, parenting consists of care of the young in preparing them to manage the tasks of life. Parents provide childhood experiences and populate the environments that guide children's development and so contribute to child mental health. Parenting is expressed in cognitions and practices. However, parents do not parent, and children do not grow up, in isolation, but in multiple contexts, and one notable context of parenting and child mental health is culture. ...
Vanska, Mervi; Punamaki, Raija-Leena; Tolvanen, Asko; Lindblom, Jallu; Flykt, Marjo; Unkila-Kallio, Leila; Tiitinen, Aila; Repokari, Leena; Sinkkonen, Jari; Tulppala, Maija
Pregnancy and early motherhood involve uncertainty and change, which can evoke mental health problems. We identified maternal mental health trajectories in pre- and postnatal period, and examined their association with later child mental health and development. Finnish mothers reported psychological distress (General Health Questionnaire [GHQ-36])
Full Text Available Tracy Stecker1,2, John Fortney3,4, Francis Hamilton1,2, Cathy D Sherbourne5, Icek Ajzen61Psychiatric Research Center, Dartmouth Medical School, Lebanon, NH, USA; 2VA Health Services Research and Development, White River Junction Veterans Administration, White River Junction, VT, USA; 3VA Health Services Research and Development (HR S&D, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA; 4Division of Health Services Research, Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 5RAND, Santa Monica, CA, USA; 6Department of Psychology, University of Massachusetts, Amherst, MA, USAObjectives: Many veterans return from combat experiencing a variety of mental health concerns. Previous research has documented a stigma associated with seeking treatment that interferes with the decision to seek treatment. This study, conceptualized using the theory of planned behavior, assessed beliefs about mental health treatment in order to understand mental health treatment seeking behavior among a group of returning National Guard soldiers who served in the war in Iraq.Methods: Participants were one hundred and fifty Operation Iraqi Freedom National Guard soldiers who screened positive for depression, posttraumatic stress disorder, generalized anxiety disorder, panic disorder or alcohol abuse disorder on the Mini International Neuropsychiatric Interview (MINI. Participants were asked to complete a questionnaire assessing beliefs about mental health treatment and treatment-seeking behavior.Results: Beliefs related to symptom reduction and work were significantly related to mental health treatment-seeking behavior. Conclusions: Interventions developed to engage veterans into care must be directed toward cognitive factors that motivate treatment seeking in addition to traditionally targeted structural barriers.Keywords: treatment-seeking behavior, mental health
Despite the Government providing additional funding for mental health services and research, it is grossly less than other physical health services. Treatment and positive development of mental health issues remain the biggest challenge for The Scottish Government. A connection has been made between physical and mental health and thus accessible rehabilitation programmes may benefit patients mentally and physically. In the last two ...
Mitchell, Paul; Smedley, Kirsty; Kenning, Cassandra; McKee, Amy; Woods, Debbie; Rennie, Charlotte E.; Bell, Rachel V.; Aryamanesh, Mitra; Dolan, Mairead
Many studies have identified high levels of mental health problems among adolescents in custody and there is increasing evidence that mental health problems in this population are associated with further offending and mental health problems into adulthood. Despite recent improvements in mental health provision within custodial settings there is
Spruill, David A.; Fong, Margaret L.
Reviews mental health counseling literature for descriptions of practice settings, mental health conceptual models, role descriptions, and essential knowledge and skills. Proposes mental health counseling definition that incorporates common elements from the review. Concludes with proposal for resolving mental health counseling's severe identity
Hartley, Michael T.
In this study, the relationships between measures of inter- and intrapersonal resilience and mental health were examined with respect to academic persistence in college students with mental health issues. A sample of 121 undergraduate students with mental health issues was recruited from campus mental health offices offering college counseling,
Full Text Available Background: Mental health needs to increase in disasters and this study assesses the basic and mental health needs and delivered services during the first month after Bam (Iran earthquake disaster in year 2004."nMethods: Thirty Five mental health professionals and experts were involved in mental health care and interventions for survivors in Tehran general hospitals and in the Bam, were participated in a focus group qualitative study, and finding analyzed after coding from tape recorder."nResults: The primary and immediate needs of survivors were: water, food, shelter, security, finding family members, treating and helping injured ones, respect and good relationship by others, and information and news about disaster and others. Second and long time needs and services were the previous needs and services and also immediate starting the daily routine activities, opening schools and workplaces, participating in community services and resettlement or housing. Lack of previous program and inadequate services are discussed in the paper."nConclusion: It is the first time in Iran survivors get immediate mental health intervention in disaster, but based on finding and the survivors needs, and the problems reported in services were delivered, the study proposes a new mental health intervention program in natural disaster for Iran
Full Text Available The study sims to provide the tool of research and assessment of disabled person's mental health. The definition of disabled person's mental health was defined according to literature and adaptive view. Disabled Person's Mental Health Scale was developed basing on relevant scales, interview, and testing its reliability and validity. 460 disabled persons were tested in this study. Basing on project analyses and factor analyses, 44 items were made up of Disabled Person's Mental Health Scale. In this study, the results showed that :1Disabled Person's Mental Health Scale was composed of 5 dimensions, which are interpersonal harmony and social adaptation, positive self-conception, happiness experience, satisfaction of love and marriage, glad to study and work.2the internal consistency of the scale is 0.964(p<0.01,the correlation coefficient between dimensions and the total scale are from 0.622 to 0.940, and among dimensions are from 0.395 to 0.772.3Disabled Person's Mental Health Scale has good validity and reliability, meeting the requirement of metrology.
DINESH P. NAIK
Full Text Available 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 Status Inventory (MMHSI prepared by Anandkumar and Giridhar Thakur data was collected.In all 54 students who found poor in Mental Health enrolled for this study. This group met for instructions of music therapy, after the regular class time for 45 minutes per day, all days of week, over eight-week period. The group focused on music activities. These included listening music as well as singing. This group of students was tested again after completion of eight-week period of music therapy. They were tested on five measures: Egocentrism, Alienation, Expression, Emotional Unstability, and Social Non-conformity. Suitable statistical treatment was given to the data for analysis of the scores. Results show that there were significant improvements in Mental Health. Taken together, these findings suggest that music training produces remarkable improvements in Adolescent's Mental Health.
Leong, F T; Lau, A S
Using the research framework recommended by L. Rogler, R. Malgady, and D. Rodriguez (1989), the current paper examines the barriers to providing effective mental health services to Asian Americans. Beginning with the recognition that Asian Americans consists of numerous heterogeneous subgroups, the issue of the stereotype of Asian Americans as the "model minority" was also discussed. The primary focus of the paper is on Stages 2, 3, and 4 within the Rogler et al. (1989) model and the identification and discussion of cultural factors that hinder the delivery of mental health services to Asian Americans. The paper is therefore organized into these three sections: (a) help-seeking or mental health service utilization, (b) evaluation of mental health problems, and (c) psychotherapeutic services. In each of the sections, not only are the barriers to delivery of effective mental health services discussed but so are the research and methodological problems as well as some directions for future research. This critical review of the literature has been prepared with the goal of serving as a "blueprint" for us to pursue rigorous but relevant research to identify and reduce these cultural barriers to providing effective mental health services to Asian Americans. PMID:11859966
Alexander, Moreira-Almeida; Francisco, Lotufo Neto; Harold G, Koenig.
Full Text Available OBJETIVO: A relação entre religiosidade e saúde mental tem sido uma perene fonte de controvérsias. O presente artigo revisa a evidência científica disponível sobre a relação entre religião e saúde mental. MÉTODO: Os autores apresentam os principais estudos e as conclusões de uma revisão sistemática [...] abrangente dos estudos sobre a relação religião-saúde mental. Utilizando-se de várias bases de dados, a revisão identificou 850 artigos publicados ao longo do século XX. O presente artigo também inclui uma breve contextualização histórica e metodológica, além de uma atualização com artigos publicados após 2000 e a descrição de pesquisas conduzidas no Brasil. DISCUSSÃO: A ampla maioria dos estudos de boa qualidade encontrou que maiores níveis de envolvimento religioso estão associados positivamente a indicadores de bem estar psicológico (satisfação com a vida, felicidade, afeto positivo e moral mais elevado) e a menos depressão, pensamentos e comportamentos suicidas, uso/abuso de álcool/drogas. Habitualmente, o impacto positivo do envolvimento religioso na saúde mental é mais intenso entre pessoas sob estresse (idosos, e aqueles com deficiências e doenças clínicas). Mecanismos teóricos da conexão religiosidade-saúde mental e as implicações clínicas destes achados são discutidos. CONCLUSÕES: Há evidência suficiente disponível para se afirmar que o envolvimento religioso habitualmente está associado a melhor saúde mental. Atualmente, duas áreas necessitam de maior investimento: compreensão dos fatores mediadores desta associação e a aplicação deste conhecimento na pratica clínica. Abstract in english 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 systema [...] tic 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.
Corrigan, Patrick W; Watson, Amy C; Warpinski, Amy C; Gracia, Gabriela
This study tests a social psychological model (Skitka & Tetlock, 1992). Journal of Experimental Social Psychology, 28, 491-522; . Journal of Personality & Social Psychology, 65, 1205-1223 stating that policy maker decisions regarding the allocation of resources to mental health services are influenced by their attitudes towards people with mental illness and treatment efficacy. Fifty four individuals participated in a larger study of education about mental health stigma. Participants completed various measures of resource allocation preferences for mandated treatment and rehabilitation services, attributions about people with mental illness, and factors that influence allocation preferences including perceived treatment efficacy. Results showed significant attitudinal correlates with resource allocation preferences for mandated treatment, but no correlates to rehabilitation services. In particular, people who pity people with mental illness as well as those that endorse coercive and segregated treatments, were more likely to rate resource allocation to mandated care as important. Perceived treatment efficacy was also positively associated with resource allocation preferences for mandated treatment. A separate behavioral measure that involved donating money to NAMI was found to be inversely associated with blaming people for their mental illness and not being willing to help them. Implications of these findings on strategies that seek to increase resources for mental health programs are discussed. PMID:15453083
Fear Nicola T; Seddon Rachel; Jones Norman; Greenberg Neil; Wessely Simon
Abstract Background There is no doubt that the perceived stigma of having a mental disorder acts as a barrier to help seeking. It is possible that personnel may be reluctant to admit to symptoms suggestive of poor mental health when such data can be linked to them, even if their personal details are only used to help them access further care. This may be particularly relevant because individuals who have a mental health problem are more likely to experience barriers to care and hold stigmatiz...
NSGIC GIS Inventory (aka Ramona) This Mental Health Facilities dataset, published at 1:63360 (1in=1mile) scale, was produced all or in part from Other information as of 2009. Data by this publisher...
Ducat, Lee; Rubenstein, Arthur; Philipson, Louis H; Anderson, Barbara J
Individuals with type 1 diabetes are at increased risk for depression, anxiety disorder, and eating disorder diagnoses. People with type 1 diabetes are also at risk for subclinical levels of diabetes distress and anxiety. These mental/behavioral health comorbidities of diabetes are associated with poor adherence to treatment and poor glycemic control, thus increasing the risk for serious short- and long-term physical complications, which can result in blindness, amputations, stroke, cognitive decline, decreased quality of life, as well as premature death. When mental health comorbidities of diabetes are not diagnosed and treated, the financial cost to society and health care systems is catastrophic, and the human suffering that results is profound. This review summarizes state-of-the-art presentations and working group scholarly reports from the Mental Health Issues of Diabetes Conference (7-8 October 2013, Philadelphia, PA), which included stakeholders from the National Institutes of Health, people living with type 1 diabetes and their families, diabetes consumer advocacy groups, the insurance industry, as well as psychologists, psychiatrists, endocrinologists, and nurse practitioners who are all nationally and internationally recognized experts in type 1 diabetes research and care. At this landmark conference current evidence for the incidence and the consequences of mental health problems in type 1 diabetes was presented, supporting the integration of mental health screening and mental health care into routine diabetes medical care. Future research directions were recommended to establish the efficacy and cost-effectiveness of paradigms of diabetes care in which physical and mental health care are both priorities. PMID:25614689
Austen, Sally; McGrath, Melissa
Long-distance travel to provide mental health services for deaf people has implications for efficiency, safety, and equality of service. However, uptake of Telemental Health (TMH) has been slow in both deaf and general mental health services. A quantitative study was used to investigate access to TMH and whether staff confidence, experience, or
Barry, Colleen L.; Ridgely, M. Susan
A fundamental concern with competitive health insurance markets is that they will not supply efficient levels of coverage for treatment of costly, chronic, and predictable illnesses, such as mental illness. Since the inception of employer-based health insurance, coverage for mental health services has been offered on a more limited basis than
National Assembly on School-Based Health Care, 2011
School-based health centers (SBHCs) are the "ideal location" for primary care and mental health staff to "collaboratively address students' physical and mental health needs"--leading to greater success in school and in life. This brief document provides key facts that support this argument.
Amanda Gonçalves Simões, Soares; Gustavo, Estanislau; Elisa, Brietzke; Fernando, Lefèvre; Rodrigo Affonseca, Bressan.
Full Text Available OBJETIVO Analisar percepções de professores de escola pública sobre saúde geral e saúde mental e os meios de obtenção dessas informações. MÉTODOS Pesquisa qualitativa com 31 professores do ensino fundamental e médio de uma escola estadual do município de São Paulo, no ano de 2010. Os professores [...] responderam a um questionário com perguntas abertas sobre saúde mental e saúde em geral. Avaliou-se o que os professores compreendiam sobre o termo saúde e saúde mental, a relevância da necessidade de informação sobre o assunto, o método informativo preferido, a experiência com os diferentes meios de comunicação no que tange a assuntos dessa natureza e a percepção sobre quanto essas informações disponíveis são suficientes para amparar a sua prática. Os dados foram processados no software QUALIQUANTISOFT e analisados segundo técnica do Discurso do Sujeito Coletivo. RESULTADOS Na perspectiva do professor, saúde em geral é definida como o adequado funcionamento fisiológico do organismo e saúde mental relaciona-se ao equilíbrio entre mente e corpo, como requisito para a felicidade. A maioria dos professores (80,6%) demonstrou grande interesse em adquirir conhecimentos sobre saúde mental e receber materiais educativos sobre o assunto. Para os professores, a falta de informação gera insegurança e dificulta o manejo de situações cotidianas envolvendo transtornos mentais. Para 61,3% dos professores, a televisão é o veículo que mais produz informação sobre o tema. CONCLUSÕES Os dados indicam que há pouca informação sobre saúde mental disponível para os professores, mostrando ser necessário haver desenvolvimento de estratégias de promoção da saúde mental na escola. Abstract in english 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, S [...] outheastern 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.
Vanhatalo, Joni; Sarker, Md Abdur
This thesis deals with the observation and intervention of primary school teachers to promote mental health among their pupils. It was collaborated with KOPSY project which focuses on the mental health promotion of primary school pupils. Mental health promotion of the primary school pupils is a growing concept all over the world now days, because behavior problems among pupils are a growing concern for parents and teachers. The main purpose of this research is to find out based on their exper...
Ahnquist Johanna; Wamala Sarah P
Abstract Background Possible accumulative effects of a combined economic hardship's measure, including both income and non-income related economic hardships measures, on mental health has not been well investigated. The aim of this paper was to investigate; (i) independent associations between multiple measures of economic hardships and mental health problems, and (ii) associations between a combined economic hardships measure and mental health problems. Methods We analysed data from the 2009...
Cheng, Fung Kei
Mental disorders affect not only individual well-being but also community health, which pushes mental care professionals to investigate various solutions to accommodate different needs. The exercise of Baduanjin, a form of Qigong, facilitates improvements in psychological health, potentially serving as an alternative choice for interventions. This comprehensive review analyses 28 publications, among which three are in English and 25 in Chinese, these indicating enhancement in quality of life and mental health for a variety of participants, including college students, middle-aged individuals, the elderly, and patients who suffer from different mental problems or chronic physical illnesses. The outcomes suggest that this cost-effective, learner-friendly and self-pacing exercise should be promoted in individual and group settings for both curative and preventive measures, and for which further investigations are also recommended. PMID:25603754
Li, Lydia W.; Conwell, Yeates
This study describes the mental health status of community-living frail elders in Michigan and identifies subgroups who are vulnerable to mental health problems. We analyzed the baseline assessment data collected from older adults admitted to two community-based long-term care programs in Michigan (N = 18,939). Results show that 40.5% of the sample have recognized mental disorders, 39.6% use psychotropic medications, 24.5% have probable depression, and 1.4% have self-injury thoughts or attempts. Frail elders who are white, younger, and female--as well as those who experience more pain, disease burden, cognitive impairment and IADL limitations--are more prone to psychological distress. Mental health care is greatly needed by community-living frail elders. PMID:17766673
In developed nations, interest in mental health services research is increasing, which parallels an increased appreciation of the social and financial costs of mental illness and a growing need to identify cost-effective patterns of care. This paper examines common challenges in mental health services research, such as adjudicating between competing mental health priorities, designing research to better understand key elements in successful interventions, defining treatment outcomes more broadly to reflect consumer and family preference and quality of life, and linking services to improve community care. Using the assertive community treatment model as an example, the paper focuses on some of the differences between services research and controlled clinical investigations and the difficulties of looking inside the "black box" of effective interventions. PMID:8689366
Happell, Brenda; Platania-Phung, Chris
People with serious mental illness (SMI) have increased risk of cardiovascular disease and premature death, yet research on nurse-provided health promotion in mental health services remains under-developed. This paper informs efforts to improve the nursing role in physical health of consumers with SMI by establishing what nurse perceptions and background influence their care. Members of the Australian College of Mental Health Nursing were invited to participate in an online survey on their views on physical health care in mental health services. Survey questions included: (a) nurse-consumer collaboration in preventative care and (b) sub-sections of the Robson and Haddad Physical Health Attitude Scale to measure nurse perceived barriers to encouraging lifestyle change of consumers with SMI and frequency of nurse physical healthcare practices. Structural equation modelling was applied to investigate antecedents to physical health care, as well as relationships between antecedents. A national sample of 643 nurses reported regular engagement in health promotion (e.g. advice on diet). There was statistical support for a model depicting perceived consumer-nurse collaboration as a dual-determinant of nurse perceived barriers and self-reported health promotion to consumers with SMI. Perceived barriers to consumer lifestyle change did not predict health promotion. The effects of nurse-consumer collaboration were significant, but small. Perceived consumer-nurse collaboration in preventative care may positively influence the amount of health promotion by nurses in mental health. Perceived barriers to consumer adherence with a healthy lifestyle did not have an impact on nurse-delivered health promotion. PMID:25988803
Tsai, Alexander C.
Background The U.S. foreclosure crisis intensified markedly during the Great Recession of 2007-09, and currently an estimated five percent of U.S. residential properties are more than 90 days past due or in the process of foreclosure. Yet there has been no systematic assessment of the effects of foreclosure on health and mental health. Methods and Findings I applied systematic search terms to PubMed and PsycINFO to identify quantitative or qualitative studies about the relationship between home foreclosure and health or mental health. After screening the titles and abstracts of 930 publications and reviewing the full text of 76 articles, dissertations, and other reports, I identified 42 publications representing 35 unique studies about foreclosure, health, and mental health. The majority of studies (32 [91%]) concluded that foreclosure had adverse effects on health or mental health, while three studies yielded null or mixed findings. Only two studies examined the extent to which foreclosure may have disproportionate impacts on ethnic or racial minority populations. Conclusions Home foreclosure adversely affects health and mental health through channels operating at multiple levels: at the individual level, the stress of personally experiencing foreclosure was associated with worsened mental health and adverse health behaviors, which were in turn linked to poorer health status; at the community level, increasing degradation of the neighborhood environment had indirect, cross-level adverse effects on health and mental health. Early intervention may be able to prevent acute economic shocks from eventually developing into the chronic stress of foreclosure, with all of the attendant benefits this implies for health and mental health status. Programs designed to encourage early return of foreclosed properties back into productive use may have similar health and mental health benefits. PMID:25849962
Wolff, Nancy; Epperson, Matthew; Shi, Jing; Huening, Jessica; Schumann, Brooke E; Sullivan, Irene Rubinson
With the large and growing number of persons with mental illnesses under probation supervision, a form of specialized probation called specialized mental health caseload (SMHC) has been implemented. This study explores the effectiveness of a prototypic SMHC implemented statewide. A quasi-experimental design was used to compare criminal justice, mental health, and community engagement outcomes among three caseloads: a newly established SMHC supervising no more than 30 clients per officer (N=1367); an established SMHC supervising roughly 50 clients per officer (N=495); and a traditional caseload of clients receiving mental health treatment and supervised by officers with average caseloads of over 130 clients (N=5453). Using a mixed methods approach, we found that the SMHC was implemented with high adherence to fidelity, and comparisons based on different caseload samples generally support the effectiveness of the specialized mental health caseload, particularly on criminal justice outcomes. Future studies using random assignment are needed to examine the connection among mental health symptoms, compliance with treatment and probation supervision, and recidivism. PMID:24630740
Eisenberg, Daniel; Golberstein, Ezra; Whitlock, Janis L; Downs, Marilyn F
From a policy standpoint, the spread of health conditions in social networks is important to quantify, because it implies externalities and possible market failures in the consumption of health interventions. Recent studies conclude that happiness and depression may be highly contagious across social ties. The results may be biased, however, because of selection and common shocks. We provide unbiased estimates by using exogenous variation from college roommate assignments. Our findings are consistent with no significant overall contagion of mental health and no more than small contagion effects for specific mental health measures, with no evidence for happiness contagion and modest evidence for anxiety and depression contagion. The weakness of the contagion effects cannot be explained by avoidance of roommates with poor mental health or by generally low social contact among roommates. We also find that similarity of baseline mental health predicts the closeness of roommate relationships, which highlights the potential for selection biases in studies of peer effects that do not have a clearly exogenous source of variation. Overall, our results suggest that mental health contagion is lower, or at least more context specific, than implied by the recent studies in the medical literature. PMID:23055446
This article introduces the reader to mental health in the Middle East with an Egyptian perspective, from the Pharaonic era through the Islamic Renaissance, up until the current state. During Pharaonic times, mental illness was not known as such, as there was no separator between Soma and Psyche. Actually, mental disorders were described as symptoms of the heart and uterine diseases, as stated in Eber's and Kahoun's papyri. In spite of the mystical culture, mental disorders were attributed and treated on a somatic basis. In the Islamic era, mental patients were never subjected to any torture or maltreatment because of the inherited belief that they may be possessed by a good Moslem genie. The first mental hospital in Europe was located in Spain, following the Arab invasion, and from then on it propagated to other European countries. The 14th century Kalawoon Hospital in Cairo had four departments, including medicine, surgery, ophthalmology, and mental disorders. Six centuries earlier, psychiatry in general hospitals was recognized in Europe. The influence of Avicenna and Elrazi and their contributions to European medicine is well-known. This article discusses further the current state of the mental health services in Egypt and the transcultural studies of the prevalence and phenomenology of anxiety, schizophrenia, depression, suicide, conversion, and obsessive compulsive disorders. An outline of psychiatric disorders in children is discussed. The problem of drug abuse is also addressed, especially that in Egypt after 1983, where drugs like heroine replaced the common habit of hashish. PMID:10547710
Clark, Wayne; Welch, Stephanie N; Berry, Sandra H; Collentine, Ann M; Collins, Rebecca; Lebron, Dorthy; Shearer, Amy L
In a historic effort to reduce the stigma of mental illness, California voters approved the Mental Health Services Act in 2004. The law funds a comprehensive statewide prevention initiative that places stigma and discrimination reduction at its center, with 25 projects providing interventions at the institutional, societal, and individual levels. Stakeholders selected specific strategies from the research-based California Strategic Plan on Reducing Stigma and Discrimination. Strategies range from social marketing to increase public knowledge to capacity building at the local level, including training that emphasizes participation by consumers of mental health services and cultural competence. Collectively, these strategies aim to foster permanent change in the public perception of mental illness and in the individual experience of stigma. We examined the context, planning, programming, and evaluation of this effort. PMID:23488486
Kutcher, Stan; Chehil, Sonia; Cash, Colleen; Millar, Jim
This paper describes a competencies-based training model specifically created to teach needed mental health skills to health professionals in low and middle income countries (LMICs). The model combines a mental health training needs assessment with the delivery of mental health training modules aligned with national/regional mental health priorities and designed to be used by all health professionals at various levels of the health care system. The model also defines a susta...
Full Text Available Abstract Background This paper is a part of the work of the group that carried out the report "The state of the mental health in Europe" (European Commission, DG Health and Consumer Protection, 2004 and deals with the mental health issues related to the migration in Europe. Methods The paper tries to describe the social, demographical and political context of the emigration in Europe and tries to indicate the needs and (mental health problems of immigrants. A review of the literature concerning mental health risk in immigrant is also carried out. The work also faces the problem of the health policy toward immigrants and the access to health care services in Europe. Results Migration during the 1990s has been high and characterised by new migrations. Some countries in Europe, that have been traditionally exporters of migrants have shifted to become importers. Migration has been a key force in the demographic changes of the European population. The policy of closed borders do not stop migration, but rather seems to set up a new underclass of so-called "illegals" who are suppressed and highly exploited. In 2000 there were also 392.200 asylum applications. The reviewed literature among mental health risk in some immigrant groups in Europe concerns: 1 highest rate of schizophrenia; suicide; alcohol and drug abuse; access of psychiatric facilities; risk of anxiety and depression; mental health of EU immigrants once they returned to their country; early EU immigrants in today disadvantaged countries; refugees and mental health Due to the different condition of migration concerning variables as: motivation to migrations (e.g. settler, refugees, gastarbeiters; distance for the host culture; ability to develop mediating structures; legal residential status it is impossible to consider "migrants" as a homogeneous group concerning the risk for mental illness. In this sense, psychosocial studies should be undertaken to identify those factors which may under given conditions, imply an increased risk of psychiatric disorders and influence seeking for psychiatric care. Comments and Remarks Despite in the migrants some vulnerable groups were identified with respect to health problems, in many European countries there are migrants who fall outside the existing health and social services, something which is particularly true for asylum seekers and undocumented immigrants. In order to address these deficiencies, it is necessary to provide with an adequate financing and a continuity of the grants for research into the multicultural health demand. Finally, there is to highlight the importance of adopting an integrated approach to mental health care that moves away from psychiatric care only.
Szmukler, George; Rose, Nikolas
Risk assessment has assumed increasing salience in mental health care in a number of countries. The frequency of serious violent incidents perpetrated by people with a mental illness is an insufficient explanation. Understandings of mental illness and of the role of those charged with their care (or control) play a key role. "Moral outrage", associated with an implied culpability when certain types of tragedy occur, is very significant. This leads to tensions concerning the role of post-incident inquiries, and contributes to a flawed conception of what such inquiries can offer. At the same time, understanding of probability and prediction is generally very poor, among both professionals and the public. Unrealistic expectations for risk assessment and management in general psychiatric practice carry a variety of significant costs, taking a number forms, to those with a mental illness, to mental health professionals and to services. Especially important are changes in professional practice and accountabilities that are significantly divorced from traditional practice, implications for trust in patient-clinician relationships and the organisations in which mental health professionals work, and practices that often breach the ethical principle of justice (or fairness) and heighten discrimination against people with mental illness. PMID:23296543
Biebel, Kathleen; Nicholson, Joanne; Williams, Valerie; Hinden, Beth R.
The majority of adults with serious mental illness living in the community are parents, many of whom may be receiving services from State Mental Health Authorities. Innovative intervention approaches are available to improve outcomes for these parents and their children. An understanding of factors related to SMHA responsiveness to clients who are parents suggests strategies for policy and program development. Quantitative analyses of SMHA- and state-level data, and qualitative interviews of ...
Kelly Claire M; Kanowski Leonard G; Jorm Anthony F; Hart Laura M; Langlands Robyn L
Abstract Background Ethnic minority groups are under-represented in mental health care services because of barriers such as poor mental health literacy. In 2007, the Mental Health First Aid (MHFA) program implemented a cultural adaptation of its first aid course to improve the capacity of Indigenous Australians to recognise and respond to mental health issues within their own communities. It became apparent that the content of this training would be improved by the development of best practic...
Tracy Stecker; John Fortney; Francis Hamilton; et al, ...
Tracy Stecker1,2, John Fortney3,4, Francis Hamilton1,2, Cathy D Sherbourne5, Icek Ajzen61Psychiatric Research Center, Dartmouth Medical School, Lebanon, NH, USA; 2VA Health Services Research and Development, White River Junction Veterans Administration, White River Junction, VT, USA; 3VA Health Services Research and Development (HR S&D), Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA; 4Division of Health Services...
Given the history and legacy of colonialism, Aboriginal peoples suffer from disproportionately higher rates of mental health issues than non-Aboriginal Canadians. Mirroring recent political achievements by Aboriginal peoples, British Columbias health authorities are committed to closing this gap in health in partnership with Aboriginal peoples. Using institutional ethnography this study examines Aboriginal mental health reform as it is unfolding in Interior Health (IH). The impact on Aborigi...
Walsh, Jennifer L.; Senn, Theresa E; Carey, Michael P.
Although there are established relationships between physical and mental health, few studies have explored the relationship between health behaviors and mental health over time. To explore rates of health-compromising behaviors (HCBs) and the longitudinal relationship between HCBs and depression, anxiety, and stress, five waves of data were collected over 1 year from 482 patients at an urban public health clinic (47 % female, 68 % African-American, Mage?=?28). Smoking (61 %), binge dr...
Maria Helena Melhado Stroili
Full Text Available Este artigo propõe um debate sobre o Campo da Saúde Mental, sua estruturação no Brasil, seus conceitos e postulados . A partir dos dados obtidos em teses, dissertações de mestrado, artigos de periódicos, relatórios oficiais e de associações analisados na tese de doutorado da autora, debate-se a articulação da produção do conhecimento, o pensamento e o movimento no interior do Campo da Saúde Mental e suas implicações na formação do psicólogo, com especial destaque à interdisciplinaridade. Põe também em discussão o conceito de saúde e doença mental. As bases teóricas apoiam-se na teoria de Campo de Pierre Bourdieu e na metodologia da Arqueologia do saber de Michel Foucault . This article intends to propose a debate about the Mental Health Field, its structure in Brazil as well as its concepts and proposals. From data gathered in theses, master degree dissertations, periodical articles, official and association reports which were analyzed for the authors doctoral thesis, the articulation of the production of knowledge, thinking and movement in the interior of the Mental Health Field is debated, and its implications in the education of the psychologist, with special emphasis to interdisciplinarity. It also brings into discussion the concept of mental health and illness. The theoretical background is supported by Pierre Bourdieus Field Theory, and by Michael Foucalts methodology of Archaeology of knowledge.