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 depressed mothers are more likely to have a difficult temperament, as well as cognitive and emotional delays. The primary care setting is uniquely poised to be the screening and treatment site for perinatal depression; however, several obstacles, both at patient and systems level, have been identified that interfere with women's treatment engagement. Current published treatment guidelines favour psychotherapy above medicines as first line treatment for mild to moderate perinatal depression, while pharmacotherapy is first choice for severe depression, often in combination with psychosocial or integrative approaches. Among mothers who decide to stop taking their antidepressants despite ongoing depression during the perinatal period, the majority suffer from relapsing symptoms. If depression continues post?partum, there is an increased risk of poor mother–infant attachment, delayed cognitive and linguistic skills in the infant, impaired emotional development and risk for behavioural problems in later life. Complex, comprehensive and multilevel algorithms are warranted to treat perinatal depression. Primary care doctors are best suited to initiate, carry out and evaluate the effectiveness of such interventions designed to prevent adverse outcomes of maternal perinatal depression on mother and child wellbeing. PMID:22477948
Method: We examined depression, suicidality (ideation and nonfatal behaviours), and the mental health service use of participants in the Canadian Community Health Survey Cycle 1.2: Mental Health and Well-Being. The sample comprised 36 984 household members aged 15 years or over. Results: Approximately 4% to 5% of the population suffered from a major depression or suicidality. About 2 of 3
Anne E Rhodes; Jennifer Bethell; Susan J Bondy
The published literature provides strong evidence for connections between mental health issues, such as depression, and suicidal behaviours. However, in spite of this, no investigations to date have explored young people's perceptions of the interconnections between depression, and suicidal behaviours. This article presents discussive analyses of discussions of the contributions of depression to their suicidal behaviours of young people in
Sara Bennett; Carolyn Coggan; Peter Adams
ObjectiveTo examine a proposed pathway to service use among depressed adolescents, this study assessed the effects of (1) parental perceptions of family burden due to adolescents’ depression, (2) adolescent–parent communication, (3) parents’ depressive symptomatology, and (4) comorbid substance use disorders on parental identification of adolescent depression and use of mental health services.
DEIRDRE E. LOGAN; CHERYL A. KING
Background: Mental health literacy refers to the knowledge and beliefs about mental disorders which aid their recognition, management and prevention. This study examined the mental health literacy and experience of depression in a random and representative community population. Method: The experience of depression and mental health literacy of 3010 subjects from a random and representative population were determined on the
Robert D. Goldney; Laura J. Fisher; David H. Wilson
in mental health. Methods: The Depression Attitude Questionnaire (DAQ) was completed by 468 FPs from all of training in mental health on attitudes towards depression. Keywords: depression, attitudes, family1 Beliefs and attitudes of French family practitioners towards depression: the impact of training
Depressive Disorders impact an estimated 17.6 million Americans a year (National Institute of Mental Health, NIMH, 1999). It has been found, in fact, that major depressive disorders are the predominant illnesses among the population served in the community mental health population (Bailey, 1999; Blendon & Benson, 1998). Due to restrictions in funding in Medicaid and Medicare services, many mental health
Marcy A. Shoemaker
Accurate diagnosis is key to providing quality services in community mental health. This research examined the ability of\\u000a the Beck Anxiety and Depression Inventories to identify anxiety and depression in community settings. The diagnostic accuracy\\u000a of these instruments was compared with the Structured Clinical Interview for DSM-IV in a sample of 288 distressed women seeking\\u000a treatment for their children. Operating
Shaun M. Eack; Jonathan B. Singer; Catherine G. Greeno
The National Institute of Mental Health (NIMH) is committed to reducing the burden of mental illness through research on mind, brain, and behavior. This report presents the latest information on what is known about depression. The symptoms and types of depression are considered. Research on the treatments of depression is described, including the…
National Inst. of Mental Health (DHHS), Bethesda, MD.
Objective: To assess the value of maternal and self-ratings of adolescent depression by investigating the extent to which these reports predicted a range of mental health and functional outcomes 4 years later. The potential influence of mother's own depressed mood on her ratings of adolescent depression and suicidal ideation on adolescent outcome…
Rice, Frances; Lifford, Kate J.; Thomas, Hollie V.; Thapar, Anita
ObjectiveFollowing trauma exposure and PTSD, individuals with severe mental illness (SMI) frequently suffer a complex course of recovery complicated by reduced mental and physical health and increased substance abuse. The authors evaluated a theoretical PTSD-SMI model which theorizes that trauma, PTSD, depression, substance abuse, mental health, and physical health are interrelated and that PTSD mediates these relationships.
Andrew M. Subica; Keith H. Claypoole; A. Michael Wylie
This study examines the utilization of health visits for mental health purposes by community respondents with depressive symptoms. Data are drawn from first wave interviews of the Epidemiologic Catchment Area (ECA) project at the Baltimore, Durham, and Los Angeles sites. The results indicate that persons with depressive symptoms, even in the absence of a recent DIS\\/DSM-III disorder, are at increased
M. Olfson; G. L. Klerman
This study examined the mental health literacy of a group of adolescents, with particular reference to their ability to recognize symptoms of depression in their peers. Respondents were 202 Australian adolescents (122 males, 80 females) aged 15–17 years. Their mental health literacy was examined through a questionnaire that presented them with five scenarios of young people. Respondents showed a mixed
John R. Burns; Ronald M. Rapee
This study examined the mental health literacy of a group of adolescents, with particular reference to their ability to recognize symptoms of depression in their peers. Respondents were 202 Australian adolescents (122 males, 80 females) aged 15-17 years. Their mental health literacy was examined through a questionnaire that presented them with…
Burns, John R.; Rapee, Ronald M.
Background Poor mental health literacy and negative attitudes toward individuals with mental health disorders may impede optimal help-seeking for symptoms of mental ill-health. The present study examined the ability to recognize cases of depression as a function of respondent and target gender, as well as individual psychological differences in attitudes toward persons with depression. Methods In a representative British general population survey, the ability to correctly recognize vignettes of depression was assessed among 1,218 adults. Respondents also rated the vignettes along a number of attitudinal dimensions and completed measures of attitudes toward seeking psychological help, psychiatric skepticism, and anti-scientific attitudes. Results There were significant differences in the ability to correctly identify cases of depression as a function of respondent and target gender. Respondents were more likely to indicate that a male vignette did not suffer from a mental health disorder compared to a female vignette, and women were more likely than men to indicate that the male vignette suffered from a mental health disorder. Attitudes toward persons with depression were associated with attitudes toward seeking psychological help, psychiatric skepticism, and anti-scientific attitudes. Conclusion Initiatives that consider the impact of gender stereotypes as well as individual differences may enhance mental health literacy, which in turn is associated with improved help-seeking behaviors for symptoms of mental ill-health. PMID:23166769
... Alzheimer’s disease or vascular dementia. Conclusion Having good mental health throughout life does not ensure immunity from severe ... The Joint Commission Let's Talk Facts Brochures Alzheimers Mental Health in Seniors Depression Healthy Minds TV - Depression Suicide ...
Do sudden, large wealth losses affect mental health? We use exogenous variation in the interview dates of the 2008 Health and Retirement Study to assess the impact of large wealth losses on mental health among older U.S. adults. We compare cross-wave changes in wealth and mental health for respondents interviewed before and after the October 2008 stock market crash. We find that the crash reduced wealth and increased feelings of depression and use of antidepressant drugs, and that these effects were largest among respondents with high levels of stock holdings prior to the crash. These results suggest that sudden wealth losses cause immediate declines in subjective measures of mental health. However, we find no evidence that wealth losses lead to increases in clinically-validated measures of depressive symptoms or indicators of depression. PMID:24113241
McInerney, Melissa; Mellor, Jennifer M.; Nicholas, Lauren Hersch
In order to characterize depression treatment-as-usual in a large primary care practice in the United States with colocated mental health care, and to examine predictors of receiving any treatment and receiving adequate treatment, primary care patients were systematically approached in waiting rooms. Those with a minimum level of depression symptoms (n = 91) were asked to participate in a study in which they completed assessments of mental health service use, depression symptoms, and related problems. Results suggested that most patients with elevated depressive symptoms were receiving some type of mental health care, indicating they had been identified as depressed. However, only half were receiving "minimally adequate care." Minority patients were less likely to receive any care. Patients who were more depressed, demonstrated poorer problem-solving ability, and had poorer physical health were more likely to receive any treatment and to receive minimally adequate treatment for depression. These results suggest that, even in the context of colocated mental health care, there is still room for improving treatment of depressed patients. PMID:19630457
Uebelacker, Lisa A; Smith, Marcia; Lewis, Angelique W; Sasaki, Ryan; Miller, Ivan W
The clinical significance of research findings is an important issue that, until recently, was often neglected. Statistical methods are available, however, to evaluate the meaningfulness of pre- to posttreatment change. The clinical significance of the National Institute of Mental Health Treatment of Depression Collaborative Research Program Data was evaluated. A substantial number of clients receiving treatment for depression made reliable
Benjamin M. Ogles; Michael J. Lambert; Jeffrey D. Sawyer
Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method: Five years of data (2004-2008) were pooled…
Cummings, Janet R.; Druss, Benjamin G.
Women disadvantaged by poverty, as well as racial or ethnic minority status, are more likely to experience depression than the rest of the U.S. population. At the same time, they are less likely to seek or remain in treatment for depression in traditional mental health settings. This article explores a therapeutic, psychosocial engagement strategy…
Grote, Nancy K.; Zuckoff, Allan; Swartz, Holly; Bledsoe, Sarah E.; Geibel, Sharon
In order to characterize depression treatment-as-usual in a large primary care practice in the United States with colocated mental health care, and to examine predictors of receiving any treatment and receiving adequate treatment, primary care patients were systematically approached in waiting rooms. Those with a minimum level of depression symptoms (n = 91) were asked to participate in a study
Lisa A. Uebelacker; Marcia Smith; Angelique W. Lewis; Ryan Sasaki; Ivan W. Miller
Objectives: To study (a) the prevalence of depressive symptoms and (b) the utilization of mental health treatment in an ethnoracially diverse sample consisting primarily of Asian Americans, European Americans, Native Hawaiians, and Pacific Islanders. Participants: Five hundred eighty-nine college students. Method: A questionnaire packet that included the Center for Epidemiological Studies Depression Scale (CES-D) was administered to students in introductory
Steve Herman; Olga G. Archambeau; Aimee N. Deliramich; Bryan S. K. Kim; Pearl H. Chiu; B. Christopher Frueh
Low-income and ethnic minority women have been described as at risk for experiencing depression during and around the time of pregnancy, a finding complicated by low levels of mental health service use within this population. This study retrospectively examined data from a community-based perinatal depression project targeting low-income women in…
Price, Sarah Kye
Objective: To identify the growing significance of depression as a global leading cause of years lost to disability and its role as a major independent risk factor in many chronic illnesses. The distinct effects of depression on morbidity and mortality in cancer, diabetes, heart disease, and stroke are investigated, including behavioral factors and plausible biological mechanisms (psychoneuroimmunology of depression). Data Sources: PubMed articles in English were searched from 1992 to 2012 (20-year span) using the following search criteria: psychoneuroimmunology of depression, immune-mediated inflammation, depression treatment recommendations, depression screening, years lost to disability, underserved populations and depression, chronic illnesses and depression, and selective serotonin reuptake inhibitors and immune system. Data Synthesis: Evidence of the robust bidirectional relationship between depression and individual chronic diseases is presented and discussed. A brief overview of currently recommended psychotherapeutic and psychopharmacologic treatment approaches in regard to depression in chronic diseases is provided. Results: Discordance between mental health and primary care within the US public health system is a systematic problem that must be addressed. This situation leads to a potentially high hidden prevalence of underdiagnosed and undertreated depression, especially in the underserved populations. Conclusion: Measures must be implemented across the communities of mental health and primary care practitioners in order to achieve a synergistic approach to depression. PMID:23930236
Richie, William D.; Bailey, Rahn K.
Several studies reveal poor knowledge about mental illness in the general population and stigmatizing attitudes toward people with mental illness. However, it is unknown whether mental health professionals hold fewer stigmatizing attitudes than the general population. A survey was conducted of the attitudes of mental health professionals (n = 1073) and members of the public (n = 1737) toward mental illness and their specific reaction toward a person with and without psychiatric symptoms (“non-case” as a reference category). Psychiatrists had more negative stereotypes than the general population. Mental health professionals accepted restrictions toward people with mental illness 3 times less often than the public. Most professionals were able to recognize cases of schizophrenia and depression, but 1 in 4 psychiatrists and psychologists also considered the non-case as mentally ill. The social distance toward both major depression and the non-case was lower than toward schizophrenia. However, in this regard, there was no difference between professionals and the public. The study concludes that the better knowledge of mental health professionals and their support of individual rights neither entail fewer stereotypes nor enhance the willingness to closely interact with mentally ill people. PMID:16510695
Nordt, Carlos; Rössler, Wulf; Lauber, Christoph
Long working hours & mental health Long working hours and symptoms of anxiety and depression: a 5. Marianna Virtanen Finnish Institute of Occupational Health / Work and Mental Health Team Topeliuksenkatu 41 working hours on mental health. Method. We examined the association between long working hours and onset
Paris-Sud XI, UniversitĆ© de
BACKGROUND: Health literacy has been linked to health status in a variety of chronic diseases. However, evidence for a relationship between\\u000a health literacy and mental health outcomes is sparse.\\u000a \\u000a \\u000a OBJECTIVE: We hypothesized that low literacy would be associated with higher addiction severity, higher levels of depressive symptoms,\\u000a and worse mental health functioning compared with those with higher literacy in adults
Alisa Lincoln; Michael K. Paasche-Orlow; Debbie M. Cheng; Christine Lloyd-Travaglini; Christine Caruso; Richard Saitz; Jeffrey H. Samet
This study aims to explore mental health literacy, specifically focusing on depression, among Southeast Asian (SEA) elderly refugees residing in the Twin Cities of St. Paul and Minneapolis, Minnesota. Three focus groups were held with nine mental health professionals who work with SEA elders. Jorm's mental health literacy framework guided the…
Lee, Hee Yun; Lytle, Kathy; Yang, Pa Nhia; Lum, Terry
Background Depression is a common illness, often treated in primary care. Guidelines provide recommendations for referral to mental health\\u000a care. Several studies investigated determinants of referral, none investigated guideline criteria as possible determinants.\\u000a \\u000a \\u000a We wanted to evaluate general practitioner's referral of depressed patients to mental health care and to what extent this\\u000a is in agreement with (Dutch) guideline recommendations.\\u000a \\u000a \\u000a \\u000a \\u000a \\u000a Methods We used
Ellen Piek; Klaas van der Meer; Brenda WJH Penninx; Peter FM Verhaak; Willem A Nolen
Depression is ranked fourth among the disabling diseases affecting people worldwide and is the most common psychological problem in patients with End Stage Renal Disease (ESRD). The aim of this study is to assess the physical and emotional health status of renal dialysis patients, based on the SF-36 scale in relation to their economic status. Sixty maintenance hemodialysis patients, with a mean age of 40±13 years were included in this cross-sectional study using the SF-36 scale. It comprises 36 questions regarding physical and mental functions, body pain, vitality, etc. An SF-36 score of 50 or less was considered as moderate to severe depression and 51-100 as mild depression to good health. 56.81% of the patients who are below poverty line under dialysis had moderate to severe depression with regard to their health status. A physical health score of up to 50 was seen in 63.63% of patients below poverty line 63.63% (P= 0.16). A mental health score of 0-50 was observed in 61.63% of the cohort studied (P = 0.22). Among the patient with diabetes (28.33%) 55.56% had depression. Dialysis duration was directly associated with deteriorating physical health status and inversely proportional to their mental health status (P<0.05). There are problems in other regular activities due to depressed physical and mental health. The factors that were identified in this study that influence depression such as poverty status, increasing age, vintage and frequency of dialysis and treatment with erythropoietin dosage should be addressed and treated accordingly to improve the quality of life. Improving self-esteem with fruitful employment opportunities, concerted rehabilitation by professionals and easing of economic burden by private-public partnership is an achievable goal. PMID:23162267
Vettath, R E; Reddy, Y N V; Reddy, Y N V; Dutta, S; Singh, Z; Mathew, M; Abraham, G
This study aims to determine whether family history of depression predicts major depression in midlife women independent of psychosocial and health profiles at midlife. Participants were 303 African American and Caucasian women (42-52 years at baseline) recruited into the Study of Women's Health Across the Nation (SWAN) and the Women's Mental Health Study (MHS) in Pittsburgh. Major depression was assessed annually with the Structured Clinical Interview for DSM-IV. Family mental health history was collected at the ninth or tenth follow-up. Multivariable logistic regression was used to determine whether family history of depression predicted major depression in midlife, adjusting for covariates. The odds of experiencing major depression during the study were three times greater for those with a family history than for those without a family history (OR?=?3.22, 95% CI?=?1.95-5.31). Family history predicted depression (OR?=?2.67, 95% CI?=?1.50-4.78) after adjusting for lifetime history of depression, age, trait anxiety, chronic medical conditions, and stressful life events. In analyses stratified by lifetime history of depression, family history significantly predicted depression only among women with a lifetime history of depression. Family history of depression predicts major depression in midlife women generally, but particularly in those with a lifetime history of depression prior to midlife. PMID:24952069
Colvin, Alicia; Richardson, Gale A; Cyranowski, Jill M; Youk, Ada; Bromberger, Joyce T
Depression is a common disorder among women with young children. Compared to non-depressed mothers, depressed mothers tend to display less positive affection, provide less emotional support, and inconsistently respond to their child's every day and emotional needs. We examined the association between maternal depression and child (middle childhood) mental health problems according to the child's gender. This study was conducted between June and August 2006 on 3,911 subjects aged 7-12 years. The data for this study was collected through a questionnaire that included the Beck Depression Inventory (BDI) and Korean Child Behavior Checklist (K-CBCL). Most of the CBCL scores were higher for children in the depressed mother group. The two way ANOVAs (depressed group by gender) found girls to have significantly higher scores than boys on somatization. Children may experience somatic complaints when they also suffer from emotional disorders, and therefore must be observed closely. PMID:25566948
Cho, Sun-Mi; Kim, Eu Jin; Lim, Ki-Young; Lee, Ji-Won; Shin, Yun-Mi
The authors examined the relationship among trauma, coping, depression, and mental health service seeking in a probability sample of sheltered homeless and low-income housed women. Results highlight the diversity of trauma. In a longitudinal analysis, women who lived in shelters or experienced major violence had a twofold increase in their risk of depression over the 6-month follow-up. In a cross-sectional
Nadine Recker Rayburn; Suzanne L. Wenzel; Marc N. Elliott; Katrin Hambarsoomians; Grant N. Marshall; Joan S. Tucker
Objectives: To study (a) the prevalence of depressive symptoms and (b) the utilization of mental health treatment in an ethnoracially diverse sample consisting primarily of Asian Americans, European Americans, Native Hawaiians, and Pacific Islanders. Participants: Five hundred eighty-nine college students. Method: A questionnaire packet that…
Herman, Steve; Archambeau, Olga G.; Deliramich, Aimee N.; Kim, Bryan S. K.; Chiu, Pearl H.; Frueh, B. Christopher
Mental health literacy is the knowledge and beliefs about mental disorders that aid their recognition, management, or prevention and is considered to be an important determinant of help-seeking. This has relevance in suicide prevention, as depression, the clinical condition most frequently associated with suicidality, has been the target of…
Chamberlain, Peter N.; Goldney, Robert D.; Taylor, Anne W.; Eckert, Kerena A.
This study tests whether social class exploitation operates as a relational mechanism that generates mental health inequalities in the nursing home industry. We ask, does social class exploitation (i.e., the acquisition of economic benefits from the labor of those who are dominated) have a systematic and predictable impact on depression among nursing assistants? Using cross-sectional data from 868 nursing assistants employed in 50 nursing homes in three U.S. states, we measure social class exploitation as "ownership type" (private for-profit, private not-for-profit, and public) and "managerial domination" (labor relations violations, perceptions of labor-management conflict). Depression is assessed using the original and revised versions of the Center for Epidemiologic Studies Depression Scale (CES-D and CESD-R). Using two-level logistic regressions, we find that private for-profit ownership and higher managerial domination are predictive of depression among nursing assistants even after adjustment for potential confounders and mediators. Our findings confirm the theoretical and empirical value of applying a social class approach to understanding how mental health inequalities are generated through exploitative mechanisms. Ownership type and managerial domination appear to affect depression through social relations that generate mental health inequalities through the process of acquiring profits, controlling production, supervising and monitoring labor, and enforcing disciplinary sanctions. PMID:25813501
Muntaner, Carles; Ng, Edwin; Prins, Seth J; Bones-Rocha, Katia; Espelt, Albert; Chung, Haejoo
Depression causes significant distress, disability and cost within the UK. Behavioural activation (BA) is an effective single-strand psychological approach which may lend itself to brief training programmes for a wide range of clinical staff. No previous research has directly examined outcomes of such dissemination. A 5-day training course for 10 primary care mental health workers aiming to increase knowledge and clinical skills in BA was evaluated using the Training Acceptability Rating Scale. Depression symptom level data collected in a randomized controlled trial using trainees were then compared to results from meta-analysis of studies using experienced therapists. BA training was highly acceptable to trainees (94.4%, SD 6%). The combined effect size of BA was unchanged by the addition of the results of this evaluation to those of studies using specialist therapists. BA offers a promising psychological intervention for depression that appears suitable for delivery by mental health nurses following brief training. PMID:22452364
Ekers, D M; Dawson, M S; Bailey, E
Objective: To determine the concordance between the Structured Clinical Interview for DSM-IV (SCID) and the Patient Health Questionnaire (PHQ) in diagnosing anxiety and depressive disorders. Method: Fifty women seeking psychiatric services for their children at two mental health centers in western Pennsylvania were assessed for anxiety and…
Eack, Shaun M.; Greeno, Catherine G.; Lee, Bong-Jae
Objective To characterize depression treatment-as-usual in a large primary care practice in the U.S. with co-located mental health care, and to examine predictors of receiving any treatment and receiving adequate treatment. Methods Primary care patients were systematically approached in waiting rooms. Those with a minimum level of depression symptoms (n = 91) were asked to participate in a study in which they completed assessments of mental health service use, depression symptoms, and related problems. Results In this setting with co-located mental health care, most patients with elevated depressive symptoms were receiving some type of mental health care, indicating they had been identified as depressed. However, only half were receiving “minimally adequate care.” Minority patients were less likely to receive any care. Patients who were more depressed, demonstrated poorer problem-solving ability, and had poorer physical health were more likely to receive any treatment and to receive minimally adequate treatment for depression. Conclusion Even in the context of co-located mental health care, there is still room for improving treatment of depressed patients. For some depressed patients, an important first step will be to ensure they are receiving minimally adequate care. However, others may need more intensive care, including combined treatments. PMID:19630457
Uebelacker, Lisa A.; Smith, Marcia; Lewis, Angelique W.; Sasaki, Ryan; Miller, Ivan W.
BackgroundMental disorders are likely to be elevated in the Libyan population during the post-conflict period. We estimated cases of severe PTSD and depression and related health service requirements using modelling from existing epidemiological data and current recommended mental health service targets in low and middle income countries (LMIC’s).MethodsPost-conflict prevalence estimates were derived from models based on a previously conducted systematic
Fiona J. Charlson; Zachary Steel; Louisa Degenhardt; Tien Chey; Derrick Silove; Claire Marnane; Harvey A. Whiteford
Abstract Purpose: to present clinical guidelines for exercise therapy in depressed patients derived from recent meta-analyses. Method: four meta-analyses on effects of physical exercise on mental and physical in depression were analysed. Results: For mild to moderate depression the effect of exercise may be comparable to antidepressant medication and psychotherapy; for severe depression exercise seems to be a valuable complementary therapy to the traditional treatments. Depression is associated with a high incidence of co-morbid somatic illnesses, especially cardiovascular diseases, type 2 diabetes and metabolic syndrome. Exercise is extremely powerful in preventing and treating these diseases. Physical exercise is an outstanding opportunity for the treatment of patients who have a mix of mental and physical health problems. Exercise therapy also improves body image, patient s coping strategies with stress, quality of life and independence in activities of daily living in older adults. Conclusions: Physical therapists should be aware, that several characteristics of major depression (e.g. loss of interest, motivation and energy, generalised fatigue, a low self-worth and self-confidence, fear to move, and psychosomatic complaints) and physical health problems interfere with participation in exercise. Therefore, motivational strategies should be incorporated in exercise interventions to enhance the patients' motivation and adherence in exercise programs. Implications for Rehabilitation For mild to moderate depression, the effect of exercise may be comparable with antidepressant medication and psychotherapy; for severe depression, exercise seems to be a valuable complementary therapy to the traditional treatments. Exercise therapy also improves physical health, body image, patient's coping strategies with stress, quality of life, and independence in activities of daily living in older adults. Motivational strategies should be incorporated in exercise interventions to enhance the patients' motivation. PMID:25342564
Knapen, Jan; Vancampfort, Davy; Moriėn, Yves; Marchal, Yannick
1 The role of family history in mental health service utilization for major depression. Elena family history of major depressive disorder (MDD) and mental health service utilization for MDD. Methods history. Mental health service utilization among participants with lifetime MDD was studied. Data were
Paris-Sud XI, UniversitĆ© de
Background The aim of the present study was to evaluate the knowledge and perception of depression among students of University Sains Malaysia (USM), in Penang, Peninsular Malaysia. Method Face?to?face interviews were conducted using a pre?validated 21?item questionnaire among students at USM. Results A total of 500 respondents participated in the survey comprising 24.6% (n=123) males and 75.4% (n=377) females. Half (50.0%, n=250) were Malays, followed by Chinese (44.0%, n=220) and Indians (6.0%, n=30). Whilst exploring the respondents' knowledge of the symptoms of depression, it was found that Chinese females had a comparatively better knowledge (P=0.058) of the symptoms of depression in comparison with Malays and Indians. Overall, social issues were attributed as the possible cause of depression. A cursory knowledge level was observed regarding medication for depression. Female students were more inclined towards the use of alternative and traditional medicines. However, with regard to seeking professional help, consultation with a psychiatrist was preferred by the majority. Conclusion Overall, a moderate level of knowledge about the symptoms of depression and a cursory knowledge of its therapy were observed. Those with personal experience of depression had better knowledge of the symptoms and therapy. Alternative treatments and traditional medicines were also favoured. There is a risk that this may affect the ability of Malaysian youths to seek evidence?based mental health care. PMID:22477920
Women disadvantaged by poverty, as well as racial or ethnic minority status, are more likely to experience depression than the rest of the U.S. population. At the same time, they are less likely to seek or remain in treatment for depression in traditional mental health settings. This article explores a therapeutic, psychosocial engagement strategy developed to address the barriers to treatment engagement and the application of this strategy to a special population--women of color and white women who are depressed and living on low incomes. The conceptual foundations of this intervention-ethnographic and motivational interviewing--as well as its key techniques and structure are reviewed. Finally, a case example description and promising pilot data demonstrate the usefulness of this strategy. PMID:18232240
Grote, Nancy K; Zuckoff, Allan; Swartz, Holly; Bledsoe, Sarah E; Geibel, Sharon
Objective To identify the factors associated with 12-month mental health service use in primary care patients with depressive symptoms. Design Cross-sectional followed by 12-month cohort study. Setting and participants 10?179 adult patients were recruited from the waiting rooms of 59 primary care clinics across Hong Kong to complete a questionnaire which screened for depression. 518 screened-positive participants formed the cohort and were telephoned at 3, 6 and 12?months to monitor mental health service use. Primary and secondary outcomes ??Help-seeking preferences; ??Intention to seek help from a healthcare professional; ? 12-month mental health service use. Results At baseline, when asked who they would seek help from if they thought they were depressed, respondents preferred using friends and family (46.5%) over a psychiatrist (24.9%), psychologist (22.8%) or general practitioner (GP; 19.9%). The presence of depressive symptoms was associated with a lower intention to seek help from family and friends but had no effect on intention to seek help from a healthcare professional. Over 12?months, 24.3% of the screened-positive cohort reported receiving services from a mental health professional. Factors associated with service use included identification of depression by the GP at baseline, having a past history of depression or other mental illness, and being a public sector patient. Having a positive intention to seek professional help or more severe depressive symptoms at baseline was not associated with a greater likelihood of receiving treatment. Conclusions Mental health service use appears to be very low in this setting with only one in four primary care patients with depressive symptoms receiving treatment from a psychiatrist, GP or psychologist over a year. To help reduce the burden of illness, better detection of depressive disorders is needed especially for patients who may be undertreated such as those with no prior diagnosis of depression and those with more severe symptoms. PMID:25631313
Chin, Weng Yee; Chan, Kit T Y; Lam, Cindy L K; Lam, T P; Wan, Eric Y F
Depression has received increasing attention as a significant public health issue over the past ten years, both in Canada and elsewhere in the industrialized west. During the same period, many of the social and economic policies adopted by governments in these jurisdictions have reflected neoliberal goals and orientations. The purpose of this article is to explore the points of contact between these two features of contemporary social and political life in the industrialized west, using the Canadian province of British Columbia as an empirical site. My analysis draws on the Foucauldian literature on governmentality in presenting a close reading of provincial government documents concerned with depression and mental health literacy that have been produced since the election of the Liberal Party to office in British Columbia in 2001. This analysis identifies discourses of "responsibilization" circulating in these documents, within which individuals, families, communities and workplaces - rather than publicly-funded services - appear as key resources in responding to experiences of mental distress. It also points to a number of strategies visible in the documents that work to align the interests of individuals and their practitioners in pursuing particular approaches to treatment with a governing interest in reducing public spending on services and supports. The article concludes by identifying a number of resistive discourses and proposing further research in a range of empirical contexts within which they may be evident. PMID:19427730
... Depression Other mental health conditions include bipolar disorder , schizophrenia , and attention deficit hyperactivity disorder (ADHD). If you ... well-being, as well as information about referrals. Schizophrenia - This booklet discusses schizophrenia, including information about what ...
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Engagement with Online Mental Health Interventions: An Exploratory Clinical Study of a Treatment James Joyce St., Dublin 1 firstname.lastname@example.org ABSTRACT Online mental health interventions can benefit and qualitative results contribute towards our understanding of engagement. Author Keywords Mental health; online
African American adolescent boys underutilize mental health service due to stigma associated with depression. Gaining an increased understanding of how depressed, African American adolescent boys perceive their mental health needs and engage in help-seeking behaviors might play an essential role in efforts to improve their symptoms and access to…
Lindsey, Michael A.; Joe, Sean; Nebbitt, Von
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
Martin Prince; Vikram Patel; Shekhar Saxena; Mario Maj; Joanna Maselko; Michael R Phillips; Atif Rahman
Background Although irritability is a core symptom of DSM-IV major depressive disorder (MDD) for youth but not adults, clinical studies find comparable rates of irritability between nonbipolar depressed adults and youth. Including irritability as a core symptom of adult MDD would allow detection of depression-equivalent syndromes with primary irritability hypothesized to be more common among males than females. We carried out a preliminary examination of this issue using cross-national community-based survey data from 21 countries in the World Mental Health (WMH) Surveys (n = 110,729). Methods The assessment of MDD in the WHO Composite International Diagnostic Interview includes one question about persistent irritability. We examined two expansions of the definition of MDD involving this question: (1) cases with dysphoria and/or anhedonia and exactly four of nine Criterion A symptoms plus irritability; and (2) cases with two or more weeks of irritability plus four or more other Criterion A MDD symptoms in the absence of dysphoria or anhedonia. Results Adding irritability as a tenth Criterion A symptom increased lifetime prevalence by 0.4% (from 11.2 to 11.6%). Adding episodes of persistent irritability increased prevalence by an additional 0.2%. Proportional prevalence increases were significantly higher, but nonetheless small, among males compared to females. Rates of severe role impairment were significantly lower among respondents with this irritable depression who did not meet conventional DSM-IV criteria than those with DSM-IV MDD. Conclusion Although limited by the superficial assessment in this single question on irritability, results do not support expanding adult MDD criteria to include irritable mood. PMID:23364997
Kovess-Masfety, Viviane; Alonso, Jordi; Angermeyer, Matthias; Bromet, Evelyn; de Girolamo, Giovanni; de Jonge, Peter; Demyttenaere, Koen; Florescu, Silvia E.; Gruber, Michael J.; Gureje, Oye; Hu, Chiyi; Huang, Yueqin; Karam, Elie G.; Jin, Robert; Lépine, Jean-Pierre; Levinson, Daphna; McLaughlin, Katie A.; Medina-Mora, Marķa E.; O’Neill, Siobhan; Ono, Yutaka; Posada-Villa, José A.; Sampson, Nancy A.; Scott, Kate M.; Shahly, Victoria; Stein, Dan J.; Viana, Maria C.; Zarkov, Zahari; Kessler, Ronald C.
Background Mental disorders are likely to be elevated in the Libyan population during the post-conflict period. We estimated cases of severe PTSD and depression and related health service requirements using modelling from existing epidemiological data and current recommended mental health service targets in low and middle income countries (LMIC’s). Methods Post-conflict prevalence estimates were derived from models based on a previously conducted systematic review and meta-regression analysis of mental health among populations living in conflict. Political terror ratings and intensity of exposure to traumatic events were used in predictive models. Prevalence of severe cases was applied to chosen populations along with uncertainty ranges. Six populations deemed to be affected by the conflict were chosen for modelling: Misrata (population of 444,812), Benghazi (pop. 674,094), Zintan (pop. 40,000), displaced people within Tripoli/Zlitan (pop. 49,000), displaced people within Misrata (pop. 25,000) and Ras Jdir camps (pop. 3,700). Proposed targets for service coverage, resource utilisation and full-time equivalent staffing for management of severe cases of major depression and post-traumatic stress disorder (PTSD) are based on a published model for LMIC’s. Findings Severe PTSD prevalence in populations exposed to a high level of political terror and traumatic events was estimated at 12.4% (95%CI 8.5–16.7) and was 19.8% (95%CI 14.0–26.3) for severe depression. Across all six populations (total population 1,236,600), the conflict could be associated with 123,200 (71,600–182,400) cases of severe PTSD and 228,100 (134,000–344,200) cases of severe depression; 50% of PTSD cases were estimated to co-occur with severe depression. Based upon service coverage targets, approximately 154 full-time equivalent staff would be required to respond to these cases sufficiently which is substantially below the current level of resource estimates for these regions. Discussion This is the first attempt to predict the mental health burden and consequent service response needs of such a conflict, and is crucially timed for Libya. PMID:22808201
Charlson, Fiona J.; Steel, Zachary; Degenhardt, Louisa; Chey, Tien; Silove, Derrick; Marnane, Claire; Whiteford, Harvey A.
Using data from a national survey, this study examined different factors and their association with mental health service\\u000a use in youth aged 15–24 with depression and\\/or suicidality. Our sample consisted of 1,252 youth with depression and\\/or suicidality.\\u000a In youth aged 15–18 years old, two factors influenced service use: (1) co-occurrence of depression and suicidality (OR 3.23,\\u000a 95% CI 1.43, 7.32) and
Amy Cheung; Carolyn Dewa; John Cairney; Scott Veldhuizen; Ayal Schaffer
The goal of the current article is to present the results of a randomized pilot investigation of a brief dynamic psychotherapy compared with treatment-as-usual (TAU) in the treatment of moderate-to-severe depression in the community mental health system. Forty patients seeking services for moderate-to-severe depression in the community mental health system were randomized to 12 weeks of psychotherapy, with either a community therapist trained in brief dynamic psychotherapy or a TAU therapist. Results indicated that blind judges could discriminate the dynamic sessions from the TAU sessions on adherence to dynamic interventions. The results indicate moderate-to-large effect sizes in favor of the dynamic psychotherapy over the TAU therapy in the treatment of depression. The Behavior and Symptom Identification Scale-24 showed that 50% of patients treated with dynamic therapy moved into a normative range compared with only 29% of patients treated with TAU. PMID:22962971
Connolly Gibbons, Mary Beth; Thompson, Sarah M.; Scott, Kelli; Schauble, Lindsay A.; Mooney, Tessa; Thompson, Donald; Green, Patricia; MacArthur, Mary Jo; Crits-Christoph, Paul
This paper highlights the mental health needs of the elderly. It tackles the issues of their institutionalisation and community care. Rapid urbanisation in Indian society throws up special problems in elderly care. There is great evidence of a raise in morbidity, mortality, hospitalisation and loss of functional status related to common mental disorders in the elderly patients. Overlap of depression and anxiety is very common with up to almost half of the elderly patients reporting significant depressive and anxiety symptoms. Also, depression is the most common psychiatric disorder in late life. Growth in the elderly population means a direct increase in age related diseases such as dementia and poor mental health outcomes such as depression, anxiety, suicide and serious constraints on the quality of life among elderly individuals. The need to identify new and unmet problem areas and develop efficient therapeutic outcomes for this special population is stressed.
Parkar, Shubhangi R.
Background: Major depression makes an important contribution to disease burden in Canada. In principle, the burden of major depression can be reduced by the provision of treatment within the health care system. In a previous data analysis, the National Population Health Survey (NPHS) reported an increase in antidepressant (AD) use between 1994 and 1998. In this paper, the analysis is
Scott B Patten; Cynthia A Beck
Individuals with disabilities encounter practical and social problems beyond those experienced by nondisabled individuals. This extra burden may in turn increase the risk of developing mental health problems. The objective of this article is to disclose the mental health situation among deaf individuals compared to a control sample of hearing…
Kvam, Marit H.; Loeb, Mitchell; Tambs, Kristian
State mental health systems have been leaders in the implementation of evidence-based approaches to care for individuals with severe mental illness. Numerous case studies of the wide-scale implementation of research-supported models such as integrated dual diagnosis treatment and assertive community treatment are documented. However, relatively few dissemination efforts have focused on cognitive behavioral therapy (CBT) for individuals with major depression despite evidence indicating its efficacy with this population. A multi-site effectiveness trial of CBT was conducted within the Texas public mental health system. Eighty-three adults with major depression received CBT from community clinicians trained through a workshop and regular consultation with a master clinician. Outcomes were compared to a matched sample of individuals receiving pharmacotherapy. Outcome measures used included the quick inventory of depressive symptomatology and beck depression inventory. Individuals receiving CBT showed greater improvements in depression symptoms than those in the comparison group. Greater pre-treatment symptom severity predicted better treatment response, while the presence of comorbid personality disorders was associated with poorer outcomes. PMID:24692026
Lopez, Molly A; Basco, Monica A
... of Behavioral Sciences at the Crozer-Keystone Family Medicine Residency Program in Springfield, Pa. “It’s not just being unhappy. It’s having biochemical changes that predispose people to have other health problems, including heart problems.” Depression and Other Issues Many forms of mental health ...
Limited research exists on social work students' level of depression and help-seeking beliefs. This study empirically examined the rates of depression among 215 BSW students and explored students' reasons for not using mental health services. Approximately 50% scored at or above the Center for Epidemiologic Studies Depression Scale cutoff;…
The main objective of this study is to investigate the interrelation between life satisfaction, anxiety, depression, and hopelessness among Ankara University students. 364 university students completed a test battery including the Beck Depression Inventory, the Beck Anxiety Inventory, the Hopelessness Scale and the Satisfaction with Life Scale. Life satisfaction was negatively and significantly correlated with the scores from depression, anxiety
Sevgi Guney; Temel Kalafat; Murat Boysan
Objective: The present research aims to analyze the efficacy of group metacognitive therapy (MCT) on self-esteem and mental Health of those who suffer from major depressive disorder. Methods: The research was a randomized clinical controlled trial, using pretest and posttest with 2 months of follow-up. Twenty-two patients with major depressive disorder based on DSM-IV-TR criteria were selected through available sampling from patients of two psychiatric hospitals of Mashhad, Iran, in 2011. They were allocated randomly into two groups of trial (n = 11) and control (n = 11). Citalopram and sertraline were prescribed as antidepressant to both groups. The experimental group also attended nine 90-minute sessions of MCT (a 5-week program). Eysenck self-esteem scale (ESES) and Mental Health Checklist (MHC) were used in pretest, posttest, and follow-up as the study instrument. The data were analyzed by analysis of covariance (ANCOVA) using SPSS. Results: ANCOVA revealed that the patients receiving group MCT had significantly increased (p < 0.001) self-esteem in posttest, which remained significant in the follow up (p < 0.001). Moreover, mental health scores had increased in the MCT group (posttest, p < 0.001; follow up, p < 0.001). Conclusion: Group MCT has beneficial therapeutic roles in improving the self-steam and recuperation of mental health in MDD patients. PMID:25053952
Farahmand, Vahid; Hassanzadeh, Ramezan; Mirzaian, Bahram; Fayyazi Bordbar, Mohammad Reza; Feizi, Jaleh
Objectives: This report presents the national estimates of maternal depressive symptomatology prevalence and its socio-demographic correlates\\u000a among major racial\\/ethnic-nativity groups in the United States. We also examined the relationship of mental health-seeking\\u000a patterns by race\\/ethnicity and nativity. Methods: Using the Early Childhood Longitudinal Survey-Birth Cohort Nine-month data, we present the distribution of Center for Epidemiological\\u000a Study-Depression (CES-D) score by new
Zhihuan Jennifer Huang; Frank Y. Wong; Cynthia R. Ronzio; Stella M. Yu
Background Depression is an important cause of disability among children and adolescents. Depression screening is one possible method for managing depression, and screening programs have been initiated in some school and medical settings. However, in 2005, the Canadian Task Force on Preventive Health Care and the United Kingdom National Institute of Clinical Excellence did not recommend depression screening among children and adolescents. By contrast, in 2009, the United States Preventive Services Task Force recommended that all adolescents, but not younger children, be screened for depression in medical settings with integrated depression management services, although no trials of screening were identified. The objectives of this systematic review are to evaluate in children and adolescents the accuracy of depression screening tools; depression treatment efficacy; whether depression screening improves depression outcomes; and potential harms related to depression interventions and screening. Methods/design Data sources will include the bibliographic databases MEDLINE, Cochrane CENTRAL, PsycINFO, EMBASE, LILACS and Web of Science, supplemented by reference harvesting of eligible articles, relevant systematic reviews, relevant guidelines and recommendations, and selected journals, and by searches for unpublished studies. Eligible studies will report data for children and adolescents aged 6 to 18 years. Eligible diagnostic accuracy studies must compare a depression screening tool to a validated diagnostic interview for major depressive disorder and report diagnostic accuracy data. Eligible treatment studies must be randomized controlled trials of pharmacological, psychotherapeutic, or other depression treatments commonly available for children and adolescents in pediatric, primary-care, and family medicine settings. Eligible screening studies must be randomized controlled trials that compare depression outcomes between children or adolescents who underwent depression screening versus those who did not. Studies of harms will include randomized controlled trials and observational studies that evaluate harms from depression screening or treatment. Two investigators will independently review titles and abstracts, followed by full article review. Disagreements will be resolved by consensus. Two investigators will independently extract the data, with discrepancies resolved via consensus. Discussion The proposed systematic review will determine whether there is sufficient evidence of benefits in excess of harms and costs to support screening for depression in childhood and adolescence. PMID:23176742
Background Depressive symptoms in older home care clients are common but poorly recognized and treated, resulting in adverse health outcomes, premature institutionalization, and costly use of health services. The objectives of this study were to examine the feasibility and acceptability of a new six-month interprofessional (IP) nurse-led mental health promotion intervention, and to explore its effects on reducing depressive symptoms in older home care clients (??70 years) using personal support services. Methods A prospective one-group pre-test/post-test study design was used. The intervention was a six-month evidence-based depression care management strategy led by a registered nurse that used an IP approach. Of 142 eligible consenting participants, 98 (69%) completed the six-month and 87 (61%) completed the one-year follow-up. Outcomes included depressive symptoms, anxiety, health-related quality of life (HRQoL), and the costs of use of all types of health services at baseline and six-month and one-year follow-up. An interpretive descriptive design was used to explore clients’, nurses’, and personal support workers’ perceptions about the intervention’s appropriateness, benefits, and barriers and facilitators to implementation. Results Of the 142 participants, 56% had clinically significant depressive symptoms, with 38% having moderate to severe symptoms. The intervention was feasible and acceptable to older home care clients with depressive symptoms. It was effective in reducing depressive symptoms and improving HRQoL at six-month follow-up, with small additional improvements six months after the intervention. The intervention also reduced anxiety at one year follow-up. Significant reductions were observed in the use of hospitalization, ambulance services, and emergency room visits over the study period. Conclusions Our findings provide initial evidence for the feasibility, acceptability, and sustained effects of the nurse-led mental health promotion intervention in improving client outcomes, reducing use of expensive health services, and improving clinical practice behaviours of home care providers. Future research should evaluate its efficacy using a randomized clinical trial design, in different settings, with an adequate sample of older home care recipients with depressive symptoms. Trial registration Clinicaltrials.gov identifier: NCT01407926. PMID:24886344
Background: Previous studies suggest that single mothers are at a higher risk of major depression and more likely to use mental health services than are married mothers. The objectives of this analysis were to provide estimates of the prevalence of major depressive syndrome among single and married mothers, to investigate the factors which may affect the difference in the prevalence
Objective We examined the risk of depression as it relates to social support among individuals from African American, Caribbean Black, and non-Hispanic White backgrounds. Methods 6,082 individuals participated in the National Survey of American Life (NSAL), a nationally representative, psychiatric epidemiological, cross-sectional survey of household populations. The survey is designed to explore racial and ethnic differences in mental disorders. NSAL survey questions were used as a proxy for social support. Logistic regression analysis was used to examine the correlates between having a DSM-IV diagnosis of major depressive disorder in the past year, demographic variables, and social support. Results African American race/ethnicity was associated with decreased odds of depression when compared to non-Hispanic Whites, even when controlling for social support variables and demographics (OR = 0.51, 95% CI = 0.43–0.60). We found a three-fold increase in risk of depression among individuals who reported feeling “not very close at all” with family members compared to those who reported feeling “very close” to family (OR = 3.35, 95% CI = 1.81–6.19). Conclusions These findings reinforce previous research documenting the important relationship between social support and depression, and perhaps should lead us to reexamine the individualistic models of treatment that are most evaluated in United States. The lack of evidence-based data on support groups, peer counseling, family therapy, or other social support interventions may reflect a majority-culture bias toward individualism, which belies the extensive body of research on social support deficits as a major risk factor for depression. PMID:22774304
Shim, Ruth S.; Ye, Jiali; Baltrus, Peter; Fry-Johnson, Yvonne; Daniels, Elvan; Rust, George
Depression has received increasing attention as a significant public health issue over the past ten years, both in Canada and elsewhere in the industrialized west. During the same period, many of the social and economic policies adopted by governments in these jurisdictions have reflected neoliberal goals and orientations. The purpose of this article is to explore the points of contact
There is a paucity of research on self-harm during pregnancy and the postpartum period despite suicide being a leading cause of death and high rates of mental disorder during this time. This audit describes a cohort of women referred to a new perinatal mental health team (PMHT) based in a large maternity hospital in the UK over a 12-month period. The audit was conducted in two stages. Stage one describes the clinical and socio-demographic characteristics of 225 pregnant women referred to the team after screening positive for a significant mental health history. Stage two determines the veracity of data on a subgroup of 73 pregnant women referred for previous postpartum depression (PPD), 58 % of whom disclosed an episode of self-harm with the 'intent to kill themselves' to the maternity staff when they first booked in for antenatal care. Previous PPD accounted for the largest majority of referrals (32 %) to the PMHT followed by depression (27 %) and self-harm (10 %). The majority of women (85 %) referred to the PMHT were engaged. Eight percent were so unwell at the point of referral they required an admission to the hospital. Attempted suicide in the subgroup of 73 women with previous PPD ranged from 24-49 %. The findings from this audit suggest that self-harm in PPD warrants further investigation. PMID:23462983
Healey, Christine; Morriss, Richard; Henshaw, Carol; Wadoo, Ovais; Sajjad, Aamer; Scholefield, Helen; Kinderman, Peter
OBJECTIVE: We compare mental health utilization in prepaid and fee-for-service plans and analyze selection biases. DATA SOURCE: Primary data were collected every six months over a two-year interval for a panel of depressed patients participating in the Medical Outcomes Study, an observational study of adults in competing systems of care in three urban areas (Boston, Chicago, and Los Angeles). STUDY DESIGN: Patients visiting a participating clinician at baseline were screened for depression, followed by a telephone interview, which included the depression section of the NIMH Diagnostic Interview Schedule. Patients with current or past lifetime depressive disorder and those with depressed mood and three other lifetime symptoms were eligible for this analysis. We analyze mental health utilization based on periodic patient self-report. ANALYTIC METHODS: We use two-part models because of the presence of both nonuse and skewness of use. Standard errors are corrected nonparametrically for correlations across observations due to clustered sampling within participating physicians and repeated observations on the same individual. PRINCIPAL FINDINGS: The average number of mental health visits was 35-40 percent lower in the prepaid system, adjusted and unadjusted for observed differences in patient characteristics, including health status. Utilization differences were concentrated among patients of psychiatrists, with only minor differences among patients of general medical providers. Analyzing the effect of switches that patients make between payment systems over time, we found some evidence of adverse selection into fee-for-service plans based on baseline utilization, but not based on utilization at the end of the study. In particular, after adjusting for observed patient characteristics and health status, patients switching out of prepaid plans had higher baseline use than predicted, whereas patients switching out of fee-for-service had lower use than predicted. Switching itself appears to be related to an immediate decline in utilization and was not followed by an increase or "catch-up" effect. CONCLUSIONS: The absence of the commonly found "catch-up" effect following switching and the significant decrease in utilization during the switching period suggests an interruption in care that does not occur for patients staying within a payment system. This finding emphasizes the need for integrating new patients quickly into a system, an issue that should not be neglected in the current policy discussion. PMID:7782219
Sturm, R; Jackson, C A; Meredith, L S; Yip, W; Manning, W G; Rogers, W H; Wells, K B
Objectives. We examined neighborhood-level foreclosure rates and their association with onset of depressive symptoms in older adults. Methods. We linked data from the National Social Life, Health, and Aging Project (2005–2006 and 2010–2011 waves), a longitudinal, nationally representative survey, to data on zip code–level foreclosure rates, and predicted the onset of depressive symptoms using logit-linked regression. Results. Multiple stages of the foreclosure process predicted the onset of depressive symptoms, with adjustment for demographic characteristics and changes in household assets, neighborhood poverty, and visible neighborhood disorder. A large increase in the number of notices of default (odds ratio [OR]?=?1.75; 95% confidence interval [CI]?=?1.14, 2.67) and properties returning to ownership by the bank (OR?=?1.62; 95% CI?=?1.06, 2.47) were associated with depressive symptoms. A large increase in properties going to auction was suggestive of such an association (OR?=?1.45; 95% CI?=?0.96, 2.19). Age, fewer years of education, and functional limitations also were predictive. Conclusions. Increases in neighborhood-level foreclosure represent an important risk factor for depression in older adults. These results accord with previous studies suggesting that the effects of economic crises are typically first experienced through deficits in emotional well-being. PMID:24446830
Cagney, Kathleen A.; Browning, Christopher R.; Iveniuk, James; English, Ned
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
Annette L Graham; John Julian; Graham Meadows
In the last two decades, different research has demonstrated the high prevalence of childhood trauma, including sexual abuse, among depressive women. These findings are associated with a complex, severe, and chronic psychopathology. This can be explained considering the neurobiological changes secondary to early trauma that can provoke a neuroendocrine failure to compensate in response to challenge. It suggests the existence of a distinguishable clinical-neurobiological subtype of depression as a function of childhood trauma that requires specific treatments. Among women with depression and early trauma receiving treatment in a public mental health service in Chile, it was demonstrated that a brief outpatient intervention (that screened for and focused on childhood trauma and helped patients to understand current psychosocial difficulties as a repetition of past trauma) was effective in reducing psychiatric symptoms and improving interpersonal relationships. However, in this population, this intervention did not prevent posttraumatic stress disorder secondary to the extreme earthquake that occurred in February 2010. Therefore in adults with depression and early trauma, it is necessary to evaluate prolonged multimodal treatments that integrate pharmacotherapy, social support, and interpersonal psychotherapies with trauma focused interventions (specific interventions for specific traumas). PMID:24695633
Vitriol, Verónica; Cancino, Alfredo; Weil, Kristina; Salgado, Carolina; Asenjo, Maria Andrea; Potthoff, Soledad
In cases of mental depression, the plasma serotonin, melatonin and glutamate levels are increased along with the lowering of urinary – 5 – hydroxyindole acetic acid, plasma monoamine oxidase and cortisol levels following three and six months Practice of Kundalini Yoga. The pulse rate and blood pressure in these patients are also lowered after Kundalini Yoga practice. Thus, the practice of Kundalini Yoga helps to maintain a perfect homeostasis by bringing an equilibrium between the sympathetic and parasympathetic activities and it can be used as a non – medical measure in treating patients with mental depression. PMID:22557558
Devi, Sanjenbam Kunjeshwori; Chansauria, J. P. N.; Udupa, K.N.
Background Patients with chronic conditions like hypertension may experience many negative emotions which increase their risk for the development of mental health disorders particularly anxiety and depression. For Ghanaian patients with hypertension, the interaction between hypertension and symptoms of anxiety, depression and stress remains largely unexplored. To fill this knowledge gap, the study sought to ascertain the prevalence and role of these negative emotions on anti-hypertensive medication adherence while taking into account patients’ belief systems. Methods The hospital-based cross-sectional study involving 400 hypertensive patients was conducted in two tertiary hospitals in Ghana. Data were gathered on patient’s socio-demographic characteristics, anxiety, depression and stress symptoms, spiritual beliefs, and medication adherence. Results Hypertensive patients experienced symptoms of anxiety (56%), stress (20%) and depression (4%). As a coping mechanism, a significant relation was observed between spiritual beliefs and anxiety (x2?=?13.352, p?=?0.010), depression (x2?=?6.205, p?=?0.045) and stress (x2?=?14.833, p?=?0.001). Stress among patients increased their likelihood of medication non-adherence [odds ratio (OR)?=?2.42 (95% CI 1.06 – 5.5), p?=?0.035]. Conclusion The study has demonstrated the need for clinicians to pay attention to negative emotions and their role in medication non-adherence. The recommendation is that attention should be directed toward the use of spirituality as a possible mechanism by which negative emotions could be managed among hypertensive patients. PMID:24987456
Late-life depression is common in primary care. However, because of barriers such as stigma and the assumption that depression in older adults is a normal part of aging, it is often underrecognized and undertreated. Further, most primary care providers do not have the time or resources to provide adequate follow-up depression care. By integrating a depression clinical specialist into the
Carol D. Saur; Linda H. Harpole; David C. Steffens; Caryl D. Fulcher; Yvonne Porterfield; Rita Haverkamp; Dena Kivett; Jürgen Unützer
This population-based study reports depression rates in primary schools in China and application of a holistic intervention program to promote resilience and prevent depression in primary schools using a prospective intervention research design. Kovaks’ Children's Depression Inventory (CDI) was used to measure depressive symptoms in children and a student survey was developed to measure student resilience and associated protective factors.
Donald Stewart; Jing Sun
Mental Health America is a nonprofit organization that has developed a website concerning mental health issues. The focus is to educate, advocate, and serve all people. The website promotes wellness by providing users with information about mental disorders.
Offers guidelines to teachers for identifying depression in students with mental retardation. Discusses prevalence and symptoms of depression, causes of depression, difficulty of diagnosis in students with mental retardation, detecting symptoms in the classroom, treatment of depression, and psychological services. Inserts list ideas for helping…
Stough, Laura M.; Baker, Lynn
Data for completer and intent-to-treat samples from the two psychotherapy conditions of the National Institute of Mental Health Treatment of Depression Collaborative Research Program were analyzed to estimate the proportion of variability in outcomes resulting from therapists. Therapists, who were nested within treatments, were considered a random factor in multilevel analyses. These analyses, which modeled therapist variability in several different
Don-Min Kim; Bruce E. Wampold; Daniel M. Bolt
Objective: This study aimed to determine the impact of lifetime physical, psychological, and sexual intimate male partner violence (IPV) on the mental health of women, after controlling for the contribution of lifetime victimization. The comorbidity of depressive symptoms and posttraumatic stress disorder (PTSD) and their relation to state anxiety and suicide were also assessed. Methods: Physically\\/psychologically (n ? 75) and
Maria A. Pico-Alfonso; M. Isabel Garcia-Linares; Nuria Celda-Navarro; Concepcion Blasco-Ros; Enrique Echeburua; Manuela Martinez
Evidence and current mental health policy point to the importance of promoting mental health in families and to the role of the health visitor in this work. Health visitors are key practitioners in the mental and emotional well-being of families of young children. Their remit needs to extend beyond postnatal depression to holistic assessments of child and family mental health and interventions where necessary. This work is likely to benefit the longer-term health of the children and other family members and reduce their future demands on health and social services. The importance of this preventive work must be brought to the attention of health commissioners, especially during the present cutbacks in the health visiting service. PMID:17476975
This paper describes current issues in occupational mental health, occupational mental health activities currently underway, and priorities to improve the situation in Japan. A new tool to support these activities is then discussed. The incidence of employee mental health problems is rising, despite efforts to promote occupational mental health activities. The adoption of such activities is lagging behind in medium and small-sized enterprises. Priorities to improve occupational mental health include motivating business operators to address mental health issues, focusing more on prevention, and promoting mental health initiatives in medium and small-sized enterprises. Mental-Rosai, a web-based mental health check system, is a useful tool for the prevention of mental health problems and can provide support for medium and small-sized enterprises. PMID:24605529
Momotani, Hiroko; Yamamoto, Haruyoshi
Background This study examined exposure to violence and risk for lethality in intimate partner relationships as factors related to co-occurring MH problems and use of mental health (MH) resources among women of African descent. Methods Black women with intimate partner violence (IPV) experiences (n=431) were recruited from primary care, prenatal or family planning clinics in the US and the US Virgin Islands. Results Severity of IPV was significantly associated with co-occurring MH problems, but was not associated with the use of MH resources among African American women. Risk for lethality and co-occurring problems were also not significantly related to the use of resources. African Caribbean women with severe physical abuse experiences were significantly less likely to use resources. In contrast, severity of physical abuse was positively associated with the use of resources among Black women with mixed ethnicity. Conclusions Severe IPV experiences are risk factors for co-occurring MH problems, which in turn, increases the need for MH services. However, Black women may not seek help for MH problems. Thus, social work practitioners in health care settings must thoroughly assess women for their IPV experiences and develop tailored treatment plans that address their abuse histories and MH needs. PMID:23581838
SABRI, BUSHRA; BOLYARD, RICHELLE; MCFADGION, AKOSOA L.; STOCKMAN, JAMILA K.; LUCEA, MARGUERITE B.; CALLWOOD, GLORIA B.; COVERSTON, CATHERINE R.; CAMPBELL, JACQUELYN C.
Objective Although there has been growing evidence for the efficacy of mindfulness-based cognitive therapy (MBCT) for different clinical populations, its effectiveness as a public mental health intervention has not been studied. The present study evaluates a community-based MBCT intervention for adults with mild to moderate depressive symptomatology in a large multi-site, pragmatic randomized controlled trial. Method The participants with mild to moderate depressive symptomatology were recruited from the general population and randomized to the MBCT intervention (n?=?76) or to a waiting list control group (n?=?75). Participants completed measures before and after the intervention. Participants in the experimental condition also completed these measures at a 3-month follow-up. Results In the experimental condition significant reductions in depression, anxiety, and experiential avoidance, and improvements in mindfulness and emotional- and psychological mental health were found, compared to the waiting list (effect sizes Cohen's d?=?0.31–0.56). These effects were sustained at the 3-month follow-up. The likelihood of a clinically significant change in depressive symptoms was significantly higher for the MBCT group [odds ratio (OR) 3.026, p<0.01 at post-treatment; NNT?=?5.10]. Discussion MBCT as a public mental health intervention for adults with mild to moderate depressive symptoms seems effective and applicable in a natural setting. Trial Registration Nederlands Trial Register NTR2096 PMID:25333885
Pots, Wendy T. M.; Meulenbeek, Peter A. M.; Veehof, Martine M.; Klungers, Jorinde; Bohlmeijer, Ernst T.
1 STUDENT MENTAL HEALTH POLICY Revised January 2013 #12;2 A. INTRODUCTION 1. Context Widening with a notable increase in the numbers of students with significant mental health difficulties entering HE the continuum from promoting positive mental well-being to working with students with severe mental health
Martin, Ralph R.
Nonlinear digital signal processing methods that address system complexity have provided useful computational tools for helping in the diagnosis and treatment of a wide range of pathologies. More specifically, nonlinear measures have been successful in characterizing patients with mental disorders such as Major Depression (MD). In this study, we propose the use of instantaneous measures of entropy, namely the inhomogeneous point-process approximate entropy (ipApEn) and the inhomogeneous point-process sample entropy (ipSampEn), to describe a novel characterization of MD patients undergoing affective elicitation. Because these measures are built within a nonlinear point-process model, they allow for the assessment of complexity in cardiovascular dynamics at each moment in time. Heartbeat dynamics were characterized from 48 healthy controls and 48 patients with MD while emotionally elicited through either neutral or arousing audiovisual stimuli. Experimental results coming from the arousing tasks show that ipApEn measures are able to instantaneously track heartbeat complexity as well as discern between healthy subjects and MD patients. Conversely, standard heart rate variability (HRV) analysis performed in both time and frequency domains did not show any statistical significance. We conclude that measures of entropy based on nonlinear point-process models might contribute to devising useful computational tools for care in mental health.
Valenza, Gaetano; Garcia, Ronald G.; Citi, Luca; Scilingo, Enzo P.; Tomaz, Carlos A; Barbieri, Riccardo
Survey results from 96 Asian Indians in the USA found that those having depressive symptoms were more likely to have experienced social, family or relationship issues. Logistic regression analysis indicated three significant predictors: 1) individuals with anxiety problems were 11.34 times more likely to have depressive symptoms; 2) each unit increase in the score for family or relationship issues increased
Patrick Leung; Monit Cheung; Venus Tsui
Treatment of Cotard’s syndrome with electroconvulsive therapy (ECT) has been seen to be an effective treatment option when pharmacological options are not successful. Recent changes in the Mental Health Act 2007 used within the United Kingdom has resulted in clinicians unable to prescribe treatment for patients who have capacity but are not providing consent for treatment. We report a case of a patient in the UK with Cotard’s phenomenon and severe depression, where the only effective treatment of ECT was restricted due to changes in mental health law. The role of maintenance ECT as well as the ethical dilemma faced is discussed. PMID:25478127
Menezes, Simon B.
For the majority service in the Armed Forces is beneficial and, in the main, military veterans have successful lives. However, a minority have a bleaker outlook as a result of on-going ill health and social exclusion. Whilst the media focuses on Post Traumatic Stress Disorder, in reality the most frequent mental health problems for veterans are alcohol problems, depression and anxiety disorders. These difficulties are difficult to manage as veterans, particularly those who are unwell, demonstrate a reticence to seek help for mental health problems. Another issue is that many veterans are now reserve personnel who have been found to be at greater risk of developing mental health problems than their regular counterparts. Steps to improve the knowledge and expertise of primary care services about veteran's mental health issues and increasing the availability of treatment options are important and are underway. PMID:19043996
Murphy, D; Iversen, A; Greenberg, N
Background Anxiety and depressive disorders are increasingly recognized as a health care policy priority. Reducing the treatment gap for common mental disorders requires strengthening the quality of primary mental health care. We developed a knowledge application program designed to improve the organization and delivery of care for anxiety and depression in community-based primary mental health care teams in Quebec, Canada. The principal objectives of the study are: to implement and evaluate this evidence-based knowledge application program; to examine the contextual factors associated with the selection of local quality improvement strategies; to explore barriers and facilitators associated with the implementation of local quality improvement plans; and to study the implementation of local quality monitoring strategies. Methods The research design is a mixed-methods prospective multiple case study. The main analysis unit (cases) is composed of the six multidisciplinary community-based primary mental health care teams, and each of the cases has identified at least one primary care medical clinic interested in collaborating with the implementation project. The training modules of the program are based on the Chronic Care Model, and the implementation strategies were developed according to the Promoting Action on Research Implementation in Health Services conceptual framework. Discussion The implementation of an evidence-based knowledge application program for anxiety and depression in primary care aims to improve the organization and delivery of mental health services. The uptake of evidence to improve the quality of care for common mental disorders in primary care is a complex process that requires careful consideration of the context in which innovations are introduced. The project will provide a close examination of the interplay between evidence, context and facilitation, and contribute to the understanding of factors associated with the process of implementation of interventions in routine care. The implementation of the knowledge application program with a population health perspective is consistent with the priorities set forth in the current mental health care reform in Quebec. Strengthening primary mental health care will lead to a more efficient health care system. PMID:23497399
Background Previous studies of Haitian immigrant and refugee youth have emphasized "externalizing" behaviors, such as substance use, high risk sexual behavior, and delinquency, with very little information available on "internalizing" symptoms, such as depression and anxiety. Analyzing stressors and "internalizing" symptoms offers a more balanced picture of the type of social and mental health services that may be needed for this population. The present study aims to: 1) estimate the prevalence of depression and post-traumatic stress disorder (PTSD) among Haitian immigrant students; and 2) examine factors associated with depression and PTSD to identify potential areas of intervention that may enhance psychosocial health outcomes among immigrant youth from Haiti in the U.S. Methods A stratified random sample of Haitian immigrant students enrolled in Boston public high schools was selected for participation; 84% agreed to be interviewed with a standardized questionnaire. Diagnosis of depression and PTSD was ascertained using the best estimate diagnosis method. Results The prevalence estimates of depression and PTSD were 14.0% and 11.6%; 7.9% suffered from comorbid PTSD and depression. Multivariate logistic regression demonstrated factors most strongly associated with depression (history of father's death, self-report of schoolwork not going well, not spending time with friends) and PTSD (concern for physical safety, having many arguments with parents, history of physical abuse, and lack of safety of neighborhood). Conclusions A significant level of depression and PTSD was observed. Stressors subsequent to immigration, such as living in an unsafe neighborhood and concern for physical safety, were associated with an increased risk of PTSD and should be considered when developing programs to assist this population. Reducing exposure to these stressors and enhancing access to social support and appropriate school-based and mental health services may improve educational attainment and psychosocial health outcomes among Haitian immigrant youth. PMID:20028506
Developed as a public service by the National Institute of Mental Health, this Web site contains a wealth of materials that will be very useful to mental health practitioners, parents, and those who work with young people in any capacity. First-time visitors will want to read the brief notes on the mental health of children and adolescents, as well as the section dealing with the treatment of children with mental disorders, which answers some basic questions about various disorders and psychotropic medicines commonly prescribed to treat these conditions. The Educational Materials section provides a number of booklets, fact sheets, and additional Web sites on such conditions as autism, depression, learning disabilities, and Attention Deficit Hyperactivity Disorder (ADHD). Researchers and health care professionals will want to examine the sections devoted to current research reports and multi-center collaborations, including the Child and Adolescent Research Consortium and the Child Abuse and Neglect Working Group.
Mental health is a key development issue. The development of mental health services in individual countries is a means of contributing towards the United Nations' Millennium Development Goal (MDG) of reducing extreme poverty and hunger by 2015. Mental ill health accounts for 11 per cent of the total Global Burden of Disease . Conflict, disasters, increasing numbers of displaced people,
Virginia R. Wittig
Student Services Department. Helping Students With Mental Health Difficulties. #12;#12;This document has been produced to assist staff in their dealings with students with mental health difficulties.1 It aims to: If a student is experiencing mental health difficulties there will often be warning
... 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 ...
Describes hypothyroidism, an endocrine disorder characterized by symptoms that resemble those of depression. Discusses features of the disorder, types and grades of hypothyroidism, causes, valuative techniques for the disorder, and implications of hypothyroidism in counseling and in treating patients suffering from this disorder. (RJM)
Stanley, Paula Helen
Background The signing of the Comprehensive Peace Agreement in January 2005 marked the end of the civil conflict in Sudan lasting over 20 years. The conflict was characterised by widespread violence and large-scale forced migration. Mental health is recognised as a key public health issue for conflict-affected populations. Studies revealed high levels of post-traumatic stress disorder (PTSD) amongst populations from Southern Sudan during the conflict. However, no studies have been conducted on mental health in post-war Southern Sudan. The objective of this study was to measure PTSD and depression in the population in the town of Juba in Southern Sudan; and to investigate the association ofdemographic, displacement, and past and recent trauma exposure variables, on the outcomes of PTSD and depression. Methods A cross-sectional, random cluster survey with a sample of 1242 adults (aged over 18 years) was conducted in November 2007 in the town of Juba, the capital of Southern Sudan. Levels of exposure to traumatic events and PTSD were measured using the Harvard Trauma Questionnaire (original version), and levels of depression measured using the Hopkins Symptom Checklist-25. Multivariate logistic regression was used to analyse the association ofdemographic, displacement and trauma exposure variables on the outcomes of PTSD and depression. Multivariate logistic regression was also conducted to investigate which demographic and displacement variables were associated with exposure to traumatic events. Results Over one third (36%) of respondents met symptom criteria for PTSD and half (50%) of respondents met symptom criteria for depression. The multivariate logistic regression analysis showed strong associations of gender, marital status, forced displacement, and trauma exposure with outcomes of PTSD and depression. Men, IDPs, and refugees and persons displaced more than once were all significantly more likely to have experienced eight or more traumatic events. Conclusion This study provides evidence of high levels of mental distress in the population of Juba Town, and associated risk-factors. Comprehensive social and psychological assistance is urgently required in Juba. PMID:19261192
Roberts, Bayard; Damundu, Eliaba Yona; Lomoro, Olivia; Sondorp, Egbert
Objectives. Depression is a leading cause of ill health and disability. As migrants form an increasing group in Europe, already making up about 8.7% of the population in 2010, knowledge on migrant-related inequalities in depression is of main public health interest. In this study, we first assess whether migrants in Europe are at higher risk for depression compared to the native population. Second, we assess whether the association between migration and depression is dependent on different forms of migrant integration. Migrant integration is looked at both from the individual and from the national level. Design. Hierarchical linear regression analyses based on data for 20 countries in the European Social Survey 2006/2007 (N = 37,076 individuals aged 15 or more). Depression is measured using the center for Epidemiologic Depression Scale. We consider migrant integration over time (first- and second-generation migrants, differentiated according to European Union (EU) or non-EU origin), barriers to integration (low educational level, financial difficulties, being out of the labor market, ethnic minority status, discrimination), and the host country environment (national migrant integration policy). Controls are gender, age, partner relationship, social support, and welfare state regime. Results. Natives and second-generation migrants do not differ significantly in their risk profile for depression. First-generation migrants show higher levels of depression, with those born outside of Europe to be the worst off. This higher risk for depression is not attributable to ethnic minority status but is mainly due to experienced barriers to socioeconomic integration and processes of discrimination. A country's national policy on migrant integration shows not to soften the depressing effect of being a first-generation migrant nor does it have indirect beneficial health effects by reducing barriers to integration. Conclusion. In Europe, first-generation EU and non-EU migrants experience higher levels of depression. Second-generation migrants and natives show similar risk profiles. PMID:24517205
Levecque, Katia; Van Rossem, Ronan
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.
Background Early detection of common mental disorders, such as depression and anxiety, among children and adolescents requires the use\\u000a of validated, culturally sensitive, and developmentally appropriate screening instruments. The Arab region has a high proportion\\u000a of youth, yet Arabic-language screening instruments for mental disorders among this age group are virtually absent.\\u000a \\u000a \\u000a \\u000a \\u000a Methods We carried out construct and clinical validation on the recently-developed
Ziyad Mahfoud; Sawsan Abdulrahim; Madeleine Badaro Taha; Taghreed El Hajj; Jihad Makhoul; Rima Nakkash; Mayada Kanj; Rema Afifi
This is the second of three lessons from Science NetLinks on mental health and human behavior. This lesson gives students an up-close, personal look at Bedlam, the world's first mental health asylum, and the kind of life and treatment that mentally ill people received before the 20th century.
Patients' illness representations and beliefs about treatment for depression and anxiety, as well as their perceived needs, are important for treatment. A systematic review was conducted of 71 studies describing the beliefs or perceived needs of patients and non-patients. Patients give multi-dimensional explanations for depression and see both psychological and medication treatment as helpful. People who suffer from depression have
Marijn A. Prins; Peter F. M. Verhaak; Jozien M. Bensing; Klaas van der Meer
...Health National Institute of Mental Health; Notice of Closed...National Institute of Mental Health Special Emphasis...for Treatment- Resistant Depression (RAPID). Date: April...National Institute of Mental Health, NIH,...
Subjective Versus Objective: An Exploratory Analysis of Latino Primary Care Patients With Self-Perceived Depression Who Do Not Fulfill Primary Care Evaluation of Mental Disorders Patient Health Questionnaire Criteria for Depression
Objective: Identification and treatment of depression may be difficult for primary care providers when there is a mismatch between the patient's subjective experiences of illness and objective criteria. Cultural differences in presentation of symptoms among Latino immigrants may hinder access to care for treatment of depression. This article seeks to describe the self-perceptions and symptoms of Latino primary care patients who identify themselves as depressed but do not meet screening criteria for depression. Method: A convenience sample of Latino immigrants (N = 177) in Corona, Queens, New York, was obtained from a primary care practice from August 2008 to December 2008. The sample was divided into 3 groups according to whether participants met Patient Health Questionnaire diagnostic criteria for depression and whether or not participants had a self-perceived mental health problem and self-identified their problem as “depression” from a checklist of cultural idioms of distress. Psychosocial, demographic, and treatment variables were compared between the 3 groups. Results: Participants’ descriptions of symptoms had a predominantly somatic component. The most common complaints were įnimo bajo (low energy) and decaimiento (weakness). Participants with “subjective” depression had mean scores of somatic symptoms and depression severity that were significantly lower than the participants with “objective” depression and significantly higher than the group with no depression (P < .0001). Conclusions: Latino immigrants who perceive that they need help with depression, but do not meet screening criteria for depression, still have significant distress and impairment. To avoid having these patients “fall through the cracks,” it is important to take into account culturally accepted expressions of distress and the meaning of illness for the individual. PMID:21274360
Alvidrez, Jennifer; Paris, Manuel; Escobar, Javier I.; Dixon, Jane K.; Desai, Mayur M.; Whittemore, Robin; Scahill, Lawrence D.
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
Kisely, Steve; Lesage, Alain
This is an account of my trips to Brazil in 2001 where I worked on a series of mental health projects with Brazilian colleagues. I first got interested in Brazil after I graduated from college when I was a Peace Corps volunteer in Northeast Brazil (Bahia state). After I got out of the Peace Corps I moved to Rio de Janeiro and went to work for United Press International (UPI) in their Rio bureau. I was UPI foreign news correspondent for a year and a half. Those years in Brazil were probably the happiest years of my life. Later on, after I became ill in the U.S., my Brazilian connection played an important role in my recovery. Raised in a Victorian family in a small town in the Midwest, and schooled in a traditional boarding school for boys and then at an all men's college, Brazil's lively Latino culture served as a healthy antidote for my tendency to be reserved and often depressed. My contact with Brazilians and Brazilian culture always beckoned me on. I maintained contact with my friends in Brazil and they stuck by me through my illness years. What seemed like my emotional and intellectual "excess" to me, was easily accepted by my Brazilian friends. I felt much more myself interacting with Brazilians and connected to a larger sense of self I developed in Brazil. I traveled to Brazil at every opportunity and made friends with Brazilians I met in the States. I initiated Portuguese classes at John Carroll University in Cleveland, Ohio in the early 1990s and then was invited to teach Brazilian culture to undergraduates. These appointments and my own resilience moved me past one depression and a dysthymia condition and into the wider community. I regained my confidence as a teacher, a role I had before and during the years of my illness. From this position, I organized a club for Brazilian students studying in the Cleveland area. After this teaching stint, I felt ready to pursue full time employment and began a job search that would eventually land me in New Haven at the Connecticut Mental Health Center. Since 1997, I've spent my vacations traveling and working in Brazil as an Outside Consultant on mental health projects with colleagues in Rio and Sao Paulo. In my travels I've been befriended and supported by adherents of a social movement, not unlike the U.S. Civil Rights Movement, that has struggled for many years to close Brazil's long-term psychiatric hospitals, create community-based services and expand the rights of mental patients. Now I see my Brazilian connection as part of my ongoing recovery. I see myself as having the opportunity to be a link between the mental health worlds of the U.S. and Brazil. I believe the two countries have much to offer each other when it comes to mental health. PMID:12653451
This study expands the marital status and mental health literature by examining several dimensions of marital trajectories, including the number and type of prior marital losses and duration in current status. Data are drawn from the Piedmont Health Survey of the National Institute of Mental Health Epidemiologic Catchment Area Study, collected in 1982-83 (n = 2,158). Results indicate that number of prior losses moderates the health-enhancing effect of being currently married; higher order marriages are associated with worse mental health. Although results vary across the mental illnesses examined (depression, anxiety, and substance use), the negative effect of multiple loss also is observed for the currently divorced and widowed. There is less evidence that the type of prior loss (i.e., divorce or widowhood) moderates the effect of current marital status on mental health; however, some support is found among the presently widowed. The analyses of duration in current status suggest that the rate of decline in symptoms of anxiety following one's most recent loss varies by marital history among the currently widowed. PMID:11198568
Barrett, A E
This descriptive study used stakeholder input to prioritize evidence-based strategies for improving depression care and to select incentives for mental health clinicians to adopt those strategies, and to conduct a feasibility test of an incentive-based program in a managed behavioral healthcare organization (MBHO). In two rounds of interviews and a stakeholder meeting, MBHO administrators and clinicians selected increasing combination treatment (antidepressant plus psychotherapy) rates as the program goal; and paying a bonus for case reviews, clinician feedback, and clinician education as incentives. We assessed program feasibility with case review and clinician surveys from a large independent practice association that contracts with the MBHO. Findings suggest that providing incentives for mental health clinicians is feasible and the incentive program did increase awareness. However, adoption may be challenging because of administrative barriers and limited clinical data available to MBHOs. PMID:20957427
Meredith, Lisa S; Branstrom, Robert B; Azocar, Francisca; Fikes, Ruth; Ettner, Susan L
In this chapter, the relation between religion and mental health and vice versa has been described. From primitive times different religions have different beliefs and systems of worshipping. Every religion with their belief system has implications on mental health and illness. We described how Hindu system of beliefs and rituals may have an effect in causation of various mental illnesses. It is also described how religion can help an individual to sustain one's life in various domains. The relationship between different religion and symptomatology is described. The impact and outcome of religion on mental health have been highlighted. PMID:23858253
Behere, Prakash B.; Das, Anweshak; Yadav, Richa; Behere, Aniruddh P.
IINational Institute of Mental Health U. S. D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S N A T I O N A L I N S T I T U T E S O F H E A L T H of the National Institute of Mental...........................................................................................24 Triggering the Mood Changes in Depression and Bipolar Illness .............................24
Bandettini, Peter A.
It is generally agreed that social ties play a beneficial role in the maintenance of psychological well-being. In this targeted\\u000a review, we highlight four sets of insights that emerge from the literature on social ties and mental health outcomes (defined\\u000a as stress reactions, psychological well-being, and psychological distress, including depressive symptoms and anxiety). First,\\u000a the pathways by which social networks
Ichiro Kawachi; Lisa F. Berkman
Objectives: To estimate the extent to which those who exit the workforce early due to mental health problems have less savings by the time they reach retirement age.Methods: Using Health&WealthMOD – a microsimulation model of Australians aged 45–64 years that predicts accumulated savings at age 65, regression models were used to analyse the differences between the projected savings and the
Deborah J. Schofield; Simon J. Kelly; Rupendra N. Shrestha; Emily J. Callander; Richard Percival; Megan E. Passey
Children’s 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 children’s mental health in the United States A new report from ...
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Identifying depression in students with mental retardation Stough, Laura M;Baker, Lynn Teaching Exceptional Children; Mar/Apr 1999; 31, 4; Pro...
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Identifying depression in students with mental retardation Stough, Laura M;Baker, Lynn Teaching Exceptional Children; Mar/Apr 1999; 31, 4; Pro...
Objectives There is growing evidence that delusional-like experiences (DLE) are associated with common mental disorders. In particular, a National Mental Health Survey conducted in Australia during 2007 reported an association between DLE and both anxiety disorder and major depressive disorder (MDD). However, the previous study did not examine this association with respect to subtypes of anxiety disorder nor with severity of MDD. The aim of this study was to examine the associations between DLE and both anxiety disorder and MDD in more detail based on an independent population sample. Design Cross-sectional study. Setting Subjects were drawn from the Australian Survey of Mental Health and Wellbeing 1997 using a stratified multistage area sampling of persons living in private dwellings in all States and Territories of Australia. Participants Approximately 13?600 private dwellings were initially selected with one person aged 18?years or older from each dwelling invited to participate. In total, 10?641 individuals participated in the survey. Primary and secondary outcome measures The Composite International Diagnostic Interview was used to identify individuals with DLE and Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition (DSM IV) lifetime diagnoses of anxiety disorders and MDD. The influence of various anxiety disorders and MDD on DLE was assessed with logistic regression. Results Having a lifetime diagnosis of either any anxiety disorder or MDD was significantly associated with the endorsement of DLE. The association was found for each of the main anxiety disorders when examined separately. There was a dose–response relationship between increasing severity of MDD and higher odds of DLE endorsement. Conclusions DLE are associated with a wide range of anxiety disorders and are more prevalent in those with MDD. Understanding the relationship between DLE, anxiety disorders and depression may provide insights into shared pathways that underpin both psychotic disorders and common mental disorders. PMID:22649176
Scott, James; Varghese, Daniel; McGrath, John
Despite pharmacologic and psychotherapeutic advances over the past decades, many individuals with major depressive disorder (MDD) experience recurrent depressive episodes and persistent depressive symptoms despite treatment with the usual care. Yoga is a mind-body therapeutic modality that has received attention in both the lay and research literature as a possible adjunctive therapy for depression. Although promising, recent findings about the positive mental health effects of yoga are limited because few studies have used standardized outcome measures and none of them have involved long-term follow-up beyond a few months after the intervention period. The goal of our research study was to evaluate the feasibility, acceptability, and effects of a yoga intervention for women with MDD using standardized outcome measures and a long follow-up period (1year after the intervention). The key finding is that previous yoga practice has long-term positive effects, as revealed in both qualitative reports of participants' experiences and in the quantitative data about depression and rumination scores over time. Although generalizability of the study findings is limited because of a very small sample size at the 1-year follow-up assessment, the trends in the data suggest that exposure to yoga may convey a sustained positive effect on depression, ruminations, stress, anxiety, and health-related quality of life. Whether an individual continues with yoga practice, simple exposure to a yoga intervention appears to provide sustained benefits to the individual. This is important because it is rare that any intervention, pharmacologic or non-pharmacologic, for depression conveys such sustained effects for individuals with MDD, particularly after the treatment is discontinued. PMID:25457687
Kinser, Patricia Anne; Elswick, R K; Kornstein, Susan
... 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 ...
The authors review epidemiological and survey research relevant to the relationships between religiousness/spirituality and mental health in people at the end of life, with the end of helping psychiatrists, psychologists, and other mental health professionals dealing with older Americans. They give special attention to well-being, religious coping, cognitive dysfunction, anxiety, depression, and suicide, and consider the extent to which hope is a mediator of the purported salutary effects of religiousness. Studies were selected from the comprehensive and systematic review of 20th-century scientific literature concerning religion and health. Authors also review current studies relevant to religion and end-of-life issues. Religious persons reported generally higher levels of well-being. The review also found fairly consistent inverse associations of religiousness with rates of depression and suicide. There was some negative association between religious participation and cognitive dysfunction, but the association with anxiety was inconsistent, with some studies showing a correlation between higher levels of religion and anxiety. Religion’s effects on mental health are generally protective in direction but modest in strength. PMID:12095898
Van Ness, Peter H.; Larson, David B.
Mental Health Clinic Intake Assessment Welcome to the Mental Health Clinic at Boynton Health or ADHD evaluation for review prior to scheduling your first medication appointment in the Mental Health). Contact the Medical Social Worker for resourcesĀ 612-624-8182. Ā· Long Term Therapy: The Mental Health
Weiblen, George D
This site is an excellent resource for anyone seeking the latest issues surrounding mental health topics. It is designed and maintained by Clinical Psychologists and is "dedicated to educating the public about mental health, wellness, and family and relationship issues and concerns." In existence since 1995, the site provides featured topics, essays and articles, as well as latest news sections. In addition to these tools, weblogs, podcasts, and a questions and answers section are available. This site will be a valuable resource for any student, instructor or professional in the mental health field.
Background The lack of culturally adapted and validated instruments for child mental health and psychosocial support in low and middle-income countries is a barrier to assessing prevalence of mental health problems, evaluating interventions, and determining program cost-effectiveness. Alternative procedures are needed to validate instruments in these settings. Methods Six criteria are proposed to evaluate cross-cultural validity of child mental health instruments: (i) purpose of instrument, (ii) construct measured, (iii) contents of construct, (iv) local idioms employed, (v) structure of response sets, and (vi) comparison with other measurable phenomena. These criteria are applied to transcultural translation and alternative validation for the Depression Self-Rating Scale (DSRS) and Child PTSD Symptom Scale (CPSS) in Nepal, which recently suffered a decade of war including conscription of child soldiers and widespread displacement of youth. Transcultural translation was conducted with Nepali mental health professionals and six focus groups with children (n = 64) aged 11-15 years old. Because of the lack of child mental health professionals in Nepal, a psychosocial counselor performed an alternative validation procedure using psychosocial functioning as a criterion for intervention. The validation sample was 162 children (11-14 years old). The Kiddie-Schedule for Affective Disorders and Schizophrenia (K-SADS) and Global Assessment of Psychosocial Disability (GAPD) were used to derive indication for treatment as the external criterion. Results The instruments displayed moderate to good psychometric properties: DSRS (area under the curve (AUC) = 0.82, sensitivity = 0.71, specificity = 0.81, cutoff score ? 14); CPSS (AUC = 0.77, sensitivity = 0.68, specificity = 0.73, cutoff score ? 20). The DSRS items with significant discriminant validity were "having energy to complete daily activities" (DSRS.7), "feeling that life is not worth living" (DSRS.10), and "feeling lonely" (DSRS.15). The CPSS items with significant discriminant validity were nightmares (CPSS.2), flashbacks (CPSS.3), traumatic amnesia (CPSS.8), feelings of a foreshortened future (CPSS.12), and easily irritated at small matters (CPSS.14). Conclusions Transcultural translation and alternative validation feasibly can be performed in low clinical resource settings through task-shifting the validation process to trained mental health paraprofessionals using structured interviews. This process is helpful to evaluate cost-effectiveness of psychosocial interventions. PMID:21816045
Data was analyzed in the National Longitudinal Survey Study from 1997 specifically relating to questions regarding depression in youth. In the analysis it was found that how the respondent defined their own depression and poor mental health was different than the perceptions about their mental health from those that live with them in the same…
Viviano, Thomas A.
Mental Health and Mass Violence Evidence-Based Early Psychological Intervention for Victims Institute of Mental Health (2002). Mental Health and Mass Violence: Evidence-Based Early Psychological are available through: The National Institute of Mental Health Office of Communications and Public Liaison 6001
Baker, Chris I.
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.
Understanding the Root Cause of Anxiety and Depression Mental illnesses such as anxiety disorders impact physical health. Anxiety disorders are the most common mental illnesses and are frequently, the worst outcome of mental illness, suicide, is increasing and is among the leading causes of death
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
Maeda, Masaharu; Yabe, Hirooki; Yasumura, Seiji; Abe, Masafumi
UPDATES IN HIV: Mental health May 2012, Issue 5 People with mental illness are the "invisible" risk with mental health problems compared to the rest of the population1,2 . Unfortunately, mental illness can have behavior. This is particularly concerning since the overall contribution of mental illness to the global
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 Instituteā??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.
This country profile for Zambia was compiled between 1998 and 2002. The objectives of the exercise were to first of all avail policymakers, other key decision makers and leaders in Zambia, information about mental health in Zambia in order to assist policy and services development. Secondly, to facilitate comparative analyses of mental health services between countries. The work involved formation of a core group of experts who coordinated the collection of information from the various organizations in Zambia. The information was later shared to a broad spectrum of stakeholders for consensus. A series of focus group discussions (FGDs) supplemented the information collected. There are various factors that contribute to mental health in Zambia. It is clear from the Zambian perspective that social, demographic, economic, political, environmental, cultural and religious influences affect the mental health of the people. With a population of 10.3 million and annual growth rate of 2.9%, Zambia is one of the most urbanized countries in sub-Saharan Africa. Poverty levels stood at 72.9% in 1998. In terms of unemployment, the most urbanized provinces, Lusaka (the capital city), and the copper-belt are the most affected. The gross domestic product (GDP) is US$3.09 billion dollars while per capita income is US$300. The total budget allocation for health in the year 2002 was 15% while the proportion of the GDP per capita expenditure for health was 5.6%. The HIV/AIDS prevalence rates stand at 20% among the reproductive age group 15-49 years. Political instability and wars in neighbouring states has resulted in an influx of refugees. Environmental factors affecting the country include natural and man-made disasters such as floods and drought, mine accidents, and deforestation. To a large extent in Zambia, people who are mentally ill are stigmatized, feared, scorned at, humiliated and condemned. However, caring for mental ill health in old age is positively perceived. It is traditionally the duty and responsibility of the extended family to look after the aged. Gender based violence (GBV) is another issue. Women, who are totally dependent on their spouses economically, are forced by circumstances to continue living in abusive relationships to the detriment of their mental well-being. In Zambia, the family is considered sacrosanct and the affairs of the family members, private. It is within this context that GBV is regarded as a family affair and therefore a private affair, yet spouse beating has led to depression and in some cases death. In terms of psychiatric services, there are close to 560 beds for psychiatric patients across the country. Common mental disorders found in Zambia are acute psychotic episodes, schizophrenia, affective disorders, alcohol related problems and organic brain syndromes. About 70-80% of people with mental health problems consult traditional health practitioners before they seek help from conventional health practitioners. Over time the number of frontline mental health workers and professional staff has been declining. This is due to the 'brain drain', retirement, death and low output from training institutions. For practicing psychiatrists, only one is available for the whole country. Other key mental health workers such as psychologists, social workers and occupational therapists are also in short supply. All in all, the mental health services situation in Zambia could be described as critical, requiring urgent attention. PMID:15276939
Mayeya, John; Chazulwa, Roy; Mayeya, Petronella Ntambo; Mbewe, Edward; Magolo, Lonia Mwape; Kasisi, Friday; Bowa, Annel Chishimba
We present in this review the current state of disaster mental health research. In particular, we provide an overview of research on the presentation, burden, correlates, and treatment of mental disorders following disasters. We also describe challenges to studying the mental health consequences of disasters and discuss the limitations in current methodologies. Finally, we offer directions for future disaster mental health research. PMID:24159920
Goldmann, Emily; Galea, Sandro
1 Student Mental Health Committee Final Report University of California Office of the President: Report of the University of California Student Mental Health Committee On behalf of the Student Mental in December 2005, and was given a charge to assess 1) trends in student mental health, 2) how these trends
O'Toole, Alice J.
Located at the National Institutes of Health, NIMH is focused on mental health: Depression, Anxiety Disorders, Alzheimer's Disease, Attention Deficit Hyperactivity Disorder, Schizophrenia, etc. The site contains items of interest to the researcher (news & events, grants, contracts, & committees, and research activities) as well as the lay person (the public information section provides specifics on "mental disorders, diagnosis and treatment," as well as links to other NIMH programs such as D/ART, the Depression Awareness Recognition Treatment Program). Additionally, NIMH organizational and directory information is available. The site can be searched, through either a simple or an advanced search interface.
Background Web-based interventions for the early treatment of depressive symptoms can be considered effective in reducing mental complaints. However, there is a limited understanding of which elements in an intervention contribute to effectiveness. For efficiency and effectiveness of interventions, insight is needed into the use of content and persuasive features. Objective The aims of this study were (1) to illustrate how log data can be used to understand the uptake of the content of a Web-based intervention that is based on the acceptance and commitment therapy (ACT) and (2) to discover how log data can be of value for improving the incorporation of content in Web-based interventions. Methods Data from 206 participants (out of the 239) who started the first nine lessons of the Web-based intervention, Living to the Full, were used for a secondary analysis of a subset of the log data of the parent study about adherence to the intervention. The log files used in this study were per lesson: login, start mindfulness, download mindfulness, view success story, view feedback message, start multimedia, turn on text-message coach, turn off text-message coach, and view text message. Differences in usage between lessons were explored with repeated measures ANOVAs (analysis of variance). Differences between groups were explored with one-way ANOVAs. To explore the possible predictive value of the login per lesson quartiles on the outcome measures, four linear regressions were used with login quartiles as predictor and with the outcome measures (Center for Epidemiologic Studies—Depression [CES-D] and the Hospital Anxiety and Depression Scale—Anxiety [HADS-A] on post-intervention and follow-up) as dependent variables. Results A significant decrease in logins and in the use of content and persuasive features over time was observed. The usage of features varied significantly during the treatment process. The usage of persuasive features increased during the third part of the ACT (commitment to value-based living), which might indicate that at that stage motivational support was relevant. Higher logins over time (9 weeks) corresponded with a higher usage of features (in most cases significant); when predicting depressive symptoms at post-intervention, the linear regression yielded a significant model with login quartile as a significant predictor (explained variance is 2.7%). Conclusions A better integration of content and persuasive features in the design of the intervention and a better intra-usability of features within the system are needed to identify which combination of features works best for whom. Pattern recognition can be used to tailor the intervention based on usage patterns from the earlier lessons and to support the uptake of content essential for therapy. An adaptable interface for a modular composition of therapy features supposes a dynamic approach for Web-based treatment; not a predefined path for all, but a flexible way to go through all features that have to be used. PMID:24486914
Objective: The authors examined the prevalence of and risk factors for homeless- ness among all patients treated for serious mental illnesses in a large public mental health system in a 1-year period. The use of public mental health services among homeless persons was also examined. Method: The study included 10,340 per- sons treated for schizophrenia, bipolar disorder, or major depression
David P. Folsom; William Hawthorne; Anne Bailey; Richard Hough; Dilip V. Jeste
Little data exist about the mental health needs of gay and bisexual men. This is due to limitations of existing studies such as small and nonrepresentative samples, failure to assess sexual orientation, and concerns about stigmatization, possibly causing sexual minority individuals to be reluctant to disclose their sexual orientation to researchers. Fenway Community Health is a large urban health center that serves the LGBT community. The large number of gay and bisexual men who present for mental health treatment allows for a unique opportunity to gain insight into mental health, prevention, and intervention needs for this group. The current study is a review of the mental health information from all of the gay and bisexual men who reported that they were HIV-negative during their mental health intake over a six-month period at Fenway Community Health (January to June 2000; N = 92). The most frequent presenting problems were depression, anxiety, and relationship issues. Additionally, presenting problems included current or past abuse, substance abuse, finance and employment, recent loss, and family issues. The most frequent diagnoses were depression, anxiety disorders, and adjustment disorders. These findings support the notion that presenting problems and mental health concerns among gay and bisexual men are similar to those frequently reported by individuals in other mental health facilities, however, specific psychosocial stressors are unique to this population. PMID:18825866
Berg, Michael B; Mimiaga, Matthew J; Safren, Steven A
... emotional health can sometimes have emotional problems or mental illness. Mental illness often has a physical cause, such as a ... with family, work or school can sometimes trigger mental illness or make it worse. However, people who are ...
Mental health professionals have significantly underestimated the importance of lifestyle factors (a) as contributors to and treatments for multiple psychopathologies, (b) for fostering individual and social well-being, and (c) for preserving and optimizing cognitive function. Consequently, therapeutic lifestyle changes (TLCs) are underutilized despite considerable evidence of their effectiveness in both clinical and normal populations. TLCs are sometimes as effective as
Mental health professionals have significantly underestimated the importance of lifestyle factors (a) as contributors to and treatments for multiple psychopathologies, (b) for fostering individual and social well-being, and (c) for preserving and optimizing cognitive function. Consequently, therapeutic lifestyle changes (TLCs) are underutilized…
Suicide/Depression and Other Severe Mental Illnesses in Minority Populations 20 Action Plan 2.2 20 Health (NIMH) is to reduce the burden of mental illness through research on the mind, brain, and behaviorNational Institute of Mental Health Five-Year Strategic Plan for Reducing Health Disparities
Baker, Chris I.
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…
Rossen, Eric; Cowan, Katherine C.
Early Childhood Mental Health Consultation in Florida Final Summary of Survey, with the Program Office of Substance Abuse and Mental Health in Florida's Department of Children and Families (DCF). Background Early Childhood Mental Health Consultation (ECMHC) is an effective prevention and early
McQuade, D. Tyler
The volume is reported to reflect the broad range of National Institute of Mental Health activities in areas of research, development of mental health manpower, and delivery of mental health services. Twenty papers examine, respectively, relationship of life histories and biochemistry of siblings and twins to schizophrenia, training of Navaho…
Segal, Julius, Ed.
MENTAL HEALTH and INTERNATIONAL STUDENTS: What Educators Need to Know Ingle International cares about you and your students www.studyinsured.com #12;www.studyinsured.comMental Health and International Students: What Educators Need to Know Mental Health and International Students: What Educators Need to Know
to cover mood and emo- tion. Mental health, especially depression, has close ties with emotion and e for mental health evaluation, e.g. showing 90% classification accuracy for depression from a few minutesAMMON: A Speech Analysis Library for Analyzing Affect, Stress, and Mental Health on Mobile Phones
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…
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.
#12;Introduction What is mental illness? 1.1 Introduction 1.2 Why are students vulnerable? 1.3 What is severe mental illness? 1.4 Treatment and prognosis What is mental health awareness? 2.1 Introduction 2.2 Some facts about mental illness 2.3 Equal opportunities 2.4 Awareness in the educational environment
Thailand, a constitutional monarchy, has undergone a rapid shift in its demography and economy in last two decades. This has put a great burden on the health services, including mental health care of the country. The current emphasis of the Ministry of Public Health is to change its role from health care provider to policymaker and regulator of standards, and to provide technical support to health facilities under its jurisdiction as well as in the private sector. The Department of Mental Health, established in 1994, has laid down a mental health policy that aims to promote mental health care within the community with the help of people's participation in health programmes. Focus has been placed on developing suitable and efficient technology by seeking cooperation both within and outside the Ministry of Public Health. Consequently, the Department of Mental Health has been receiving increasing budgetary allocations. Since there is a paucity of trained manpower, the emphasis is being laid on the utilization of general health care for mental health care. Some of the specific interventions are community services, prison services, psychiatric rehabilitation, and use of media in mental health operations. There have been active efforts towards international cooperation for developing technologies for specific programmes. Private and non-governmental organizations are supported and encouraged to provide mental health care to the marginalized sections of society. Efforts have also been made by the Department of Mental Health to inspect and raise the efficiency of its operations to result in quality service. PMID:15276947
Siriwanarangsan, Porntep; Liknapichitkul, Dusit; Khandelwal, Sudhir K
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. ...
Adolescents' interpersonal skills are associated with fewer teen depressive symptoms and more positive parenting, but little is known about how teens' externalizing problems moderate these relationships. This study examines links among teens' interpersonal skills, parenting, and withdrawn-depressed symptoms in adolescents seeking outpatient psychiatric treatment with elevated or non-elevated externalizing problems. Adolescents (N = 346; 42 % female; 61 % African-American) ages 12-19 years old (M = 14.9; SD = 1.8) and parents completed assessments at baseline and 6 months. At baseline parents and teens reported on teen withdrawn-depressed and externalizing symptoms, and were observed interacting to assess teen interpersonal skills. At 6 months adolescents reported on parenting, and parents and teens reported on teen withdrawn-depressed symptoms. Structural equation modeling tested two models (one with teen reported symptoms and one with parent reported symptoms). Model fit was better for youth with elevated externalizing problems regardless of reporter. For youth with elevated externalizing problems, baseline teen positive interpersonal skills were not directly associated with 6-month withdrawn-depressed symptoms, but more positive parenting was associated with fewer withdrawn-depressed symptoms. In the teen report model, more positive teen interpersonal skills were associated with more positive parenting, and there was a trend for parenting to indirectly account for the relationship between interpersonal skills and withdrawn-depressed symptoms. The findings extend research on the role of externalizing problems in teens' depression risk. Interventions for depression that target interpersonal skills may be particularly effective in youth with elevated externalizing problems. PMID:25698655
Rodriguez, Erin M; Donenberg, Geri R; Emerson, Erin; Wilson, Helen W; Javdani, Shabnam
This study aimed at determining the functional neuroanatomy of mental pain, a hitherto neglected symptom in the study of depression, which according to DSM-IV is stronglylinked with suicide. Mental pain (measured with the Orbach & Mikulincer Mental Pain Scale), suicidal ideation (measured using the Hamilton Rating Scale for Depression), hopelessness (measured using Beck's Hopelessness Scale), and regional cerebral blood flow
Kees van Heeringen; Dirk Van den Abbeele; Myriam Vervaet; Lieslot Soenen; Kurt Audenaert
This document presents timely statistical information on the nation's organized mental health service delivery system. Included are: (1) "Chronic Mental Disorder in the United States" (Howard H. Goldman and Ronald W. Manderscheid); (2) "Specialty Mental Health System Characteristics" (Michael J. Witkin, Joanne E. Atay, Adele S. Fell, and Ronald W.…
National Inst. of Mental Health (DHHS), Rockville, MD.
... Information Update Campaigns & Programs Take Action Campaign for Social Inclusion Publications Mental Health Facts My Story In The News Join our ... and punctuality, as well as motivation, quality of work, and job tenure on ... Institute of Mental Health (NIMH) and the National Alliance for the Mentally ...
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.
Osofsky, Joy D.; Thomas, Kandace
Researchers at University of California, San Diego School of Medicine report that people living with depression, anxiety or other mental health conditions are twice as likely to have tried e-cigarettes and three times as likely to be current users of the controversial battery-powered nicotine-delivery devices, as people without mental health disorders.
Little is known about the mental health status of trafficked women, even though international conventions require that it be considered. This study, therefore, aims at exploring the mental health status, including anxiety, depression and post-traumatic stress disorder (PTSD), of female survivors of human trafficking who are currently supported by local non-governmental organizations (NGOs) in Katmandu, the capital of Nepal, through
Atsuro Tsutsumi; Takashi Izutsu; Amod K. Poudyal; Seika Kato; Eiji Marui
Examines the Dream, as defined by D. J. Levinson, in 90 midlife women by examining Dream Status, Success, Content, and Support, as well as mental health factors of depression, anxiety, and life purpose. Neither early nor current Dream Status was found to be significantly related to mental health. Partial support was found for the hypothesis that…
Drebing, Charles E.; And Others
Over the past 30 years, a number of important changes have occured in the mental health system. This paper examines the origins and effects of these changes, utilizing a political-economic framework. Three main areas are emphasized: the increasing absorption of mental health care into the health care system in general; the ways in which care has been transferred away from
Phil Brown; Elizabeth Cooksey
Background Adolescence is a time of increased health risk behaviours and depressive symptoms and disorders. Most young people with depressive disorders, however, are not under the care of specialist child and adolescent mental health services, and there is increasing interest in identifying alternative appropriate settings which are acceptable for young people and may attract those at high risk for depressive
V. Fernandez; T. Kramer; G. Fong; A. Doig; M. E. Garralda
"Mental health literacy" is the knowledge and beliefs about mental disorders that aid in their recognition, management, or prevention; it is also a determinant of help seeking. As such, it is presumed to be important in community suicide prevention programs. In Australia there have been a number of government, professional, and charitable…
Goldney, Robert D.; Fisher, Laura J.
Depression is associated with profound impairments in social and interpersonal functioning. However, little research has addressed deficits in mentalizing capacity that may underlie these impairments. The aim of this study was, therefore, to investigate the capacity for mentalization in female inpatients with depression in comparison with healthy controls. We assessed 46 inpatients with major depressive disorder with regard to psychiatric diagnoses, severity of depression, cognitive impairment, and verbal intelligence. In addition, 20 healthy controls matched for sex, age, and education were included. Mentalization was scored on the Adult Attachment Interview using the Reflective Functioning Scale. The female inpatients with depression showed a significantly lower capacity for mentalization compared with the healthy controls. Mentalization deficits were not restricted to depression-specific topics. Moreover, deficits in mentalizing capacity were related to illness duration, number of admissions, and cognitive impairment. The results indicate severe impairment in the ability of the female inpatients with depression to identify and interpret mental states of the self and others. Correlations with illness duration and number of admissions suggest that a chronic course of depression results in further mentalizing impairments. The investigation of mentalization may be of particular importance for the development of targeted psychotherapeutic interventions for depression. PMID:23407204
Fischer-Kern, Melitta; Fonagy, Peter; Kapusta, Nestor D; Luyten, Patrick; Boss, Sarah; Naderer, Andrea; Blüml, Victor; Leithner, Katharina
Background Hispanics, particularly those with limited English proficiency, are underrepresented in psychiatric clinical research studies. We developed a bilingual and bicultural research clinic dedicated to the recruitment and treatment of Spanish-speaking subjects in the Predictors of Remission in Depression to Individual and Combined Treatments (PReDICT) study, a large clinical trial of treatment-naļve subjects with major depressive disorder (MDD). Methods Demographic and clinical data derived from screening evaluations of the first 1,174 subjects presenting for participation were compared between the Spanish-speaking site (N=275) and the primary English-speaking site (N=899). Reasons for ineligibility (N=888) for the PReDICT study were tallied for each site. Results Compared to English-speakers, Spanish-speakers had a lower level of education and were more likely to be female, uninsured, and have uncontrolled medical conditions. Clinically, Spanish-speakers demonstrated greater depression severity, with higher mean symptom severity scores, and a greater number of previous suicide attempts. Among the subjects who were not randomized into the PReDICT study, Spanish-speaking subjects were more likely to have an uncontrolled medical condition or refuse participation, whereas English-speaking subjects were more likely to have bipolar disorder or a non-MDD depressive disorder. Conclusion Recruitment of Hispanic subjects with MDD is feasible and may enhance efforts at signal detection, given the higher severity of depression among Spanish-speaking participants presenting for clinical trials. Specific approaches for the recruitment and retention of Spanish-speaking participants are required. PMID:23959771
Rivera, Vivianne Aponte; Dunlop, Boadie W.; Ramirez, Cynthia; Kelley, Mary E.; Schneider, Rebecca; Blastos, Beatriz; Larson, Jacqueline; Mercado, Flavia; Mayberg, Helen; Craighead, W. Edward
Mental health and mental illness are mounting concerns in the United States. It is estimated that by 2020, mental illness will be the second leading cause of mortality in the United States. These rising rates have been attributed to a lack of access to mental health care, lack of knowledge regarding mental health treatment options, and stigma concerning mental health
Elvin Thomaseo Burton
Explored hypothesis that the need for approval and perfectionism evident in patients prior to treatment for depression would have differential interactions with various therapies. Results showed neither factor interacted significantly with different forms of treatment. Perfectionism was seen as a primary disruptive element in short-term treatment…
Blatt, Sidney J.; And Others
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.
The year 1928 marked the beginning of the mental health service in Singapore. From a large asylum which provided mainly custodial care the mentally ill were managed by a handful of expatriate medical pioneers and nurses. Drugs were limited and hospitalisations lasted years. The scene has changed tremendously over the last six decades. Today the Mental Health Service in Singapore is largely provided by the public sector with contributions from private and voluntary organisations. It provides a comprehensive and integrated programme consisting of both hospital-based and community-based treatment programmes with the objectives to promote good mental health for everyone as well as to provide the best possible treatment for those afflicted with mental illnesses of all types. With the rapid development of community-based mental healthcare, several changes have taken place to reflect this trend. Besides introducing a wide range of community support services and greater liaison with primary care givers, the need to educate medical students and doctors, members of the public, people involved in healthcare in the voluntary sector and others about mental health and illness has been recognised to be an important component in the delivery of good mental healthcare. As a step forward the National Mental Health Programme has been launched by the Ministry of Health in 1993 to further improve the mental health service that is currently available (Fig 1). The newly established Institute of Mental Health will serve as the education, training and research arm of the National Mental Health Programme. Together with the new Woodbridge Hospital, mental healthcare in the future will be professionally organised, coordinated and community-orientated. PMID:8266187
Tan, K H
The following article addresses the nature of and problems with the public mental health system in Hawaii. It includes a brief history of Hawaii's public mental health system, a description and analysis of this system, economic factors affecting mental health, as well as a needs assessment of the elderly, individuals with severe mental illness, children and adolescents, and ethnically diverse individuals. In addition to having the potential to increase suicide rates and unnecessarily prolong personal suffering, problems in the public mental health system such as inadequate services contribute to an increase in social problems including, but not limited to, an increase in crime rates (e.g., domestic violence, child abuse), divorce rates, school failure, and behavioral problems in children. The population in need of mental health services in Hawaii is under served, with this inadequacy of services due to economic limitations and a variety of other factors. PMID:15892263
VanderVoort, Debra J
Objective: To identify the prevalence of three mental disorders (Depressive Disorder, Conduct Disorder and Attention-Deficit\\/Hyperactivity Disorder), the prevalence of mental health problems, the health-related quality of life of those with problems, and patterns of service utilisation of those with and without mental health problems, among 4–17-year-olds in Australia. To identify rates of health-risk behaviours among adolescents with mental health problems.Method:
M. G Sawyer; F. M. Arney; P. A. Baghurst; J. J. Clark; B. W. Graetz; R. J. Kosky; B Nurcombe; G. C. Patton; M. R. Prior; B Raphael; J. M. Rey; L. C Whaites; S. R Zubrick
Morocco has a population of some thirty million inhabitants, a very large proportion of whom are young. Mental health and psychiatry are dealt with jointly by the university, public, private, and military sectors. Despite significant progress in the last twenty years, there are still no more than 350 psychiatrists in Morocco (thirty years ago there were fewer than ten...), plus about 60 clinical psychologists, about 400 nurses specializing in psychiatry, and social workers. There are about 1900 psychiatric beds in both specialized hospitals and general hospital psychiatry units located in the main cities. In the teaching sector there are currently four university psychiatry departments, with a total of five full professors, six associate professors and five assistant professors. The National Mental Health Program, launched in 1974 and revised in 1994, was not properly implemented. Several NGOs also work in psychiatry and mental health, including the League for Mental Health and five patient associations. A national survey of the prevalence of mental disorders, completed in 2003 but only made public in 2007, represented a watershed for psychiatry in Morocco: 48.9% of a sample of 5600 persons representative of the general population were found to have a mental disorder, and 26.5% of respondents were depressed. This survey is an invaluable reference for years to come, helping to match mental healthcare provision with real needs. Research activity has also progressed since the early 1980s, as reflected by the number and quality of publications in the different fields, including epidemiology, biological psychiatry, social psychiatry, psychopharmacology and clinical psychopathology. Cultural aspects are a special research focus (suicide and religion, cannabis use, traditional treatments, etc.). International university collaboration has been especially important for Moroccan research. However, despite major progress over the last three decades in the fields of psychiatry and mental health, much remains to be done, notably to bolster child and adolescent psychiatry, and to manage mental illness in small towns and villages, including in the remotest regions. PMID:18225431
Service needs of rural severely mentally ill and strengths of rural communities are addressed. Health care reform policy development at present appears to neglect the seriously mentally ill in general and rural services specifically. Examples of strategies to meet the needs for health care, psychiatric treatment, psychosocial rehabilitation and appropriate housing are described. The advantages and drawbacks of such efforts
Catherine F. Kane; Jacqueline M. Ennis
For people who are living with a mental health condition, it can be most helpful to have access to high-quality and authoritative information. The National Institute of Mental Health provides such information on the publications area of their website, and visitors can make their way through fact sheets, booklets, and Spanish-language versions of these documents here. The topical fact sheets are quite good, and they include titles such as "Suicide in the U.S.: Statistics and Prevention" and "Depression: A Treatable Illness". Moving on, the "Booklets" area includes "Eating Disorders", "Depression", and ten other offerings. Finally, the right-hand side of the site includes news about recent research findings from the Institute.
Background The classical serotonergic psychedelics LSD, psilocybin, mescaline are not known to cause brain damage and are regarded as non-addictive. Clinical studies do not suggest that psychedelics cause long-term mental health problems. Psychedelics have been used in the Americas for thousands of years. Over 30 million people currently living in the US have used LSD, psilocybin, or mescaline. Objective To evaluate the association between the lifetime use of psychedelics and current mental health in the adult population. Method Data drawn from years 2001 to 2004 of the National Survey on Drug Use and Health consisted of 130,152 respondents, randomly selected to be representative of the adult population in the United States. Standardized screening measures for past year mental health included serious psychological distress (K6 scale), mental health treatment (inpatient, outpatient, medication, needed but did not receive), symptoms of eight psychiatric disorders (panic disorder, major depressive episode, mania, social phobia, general anxiety disorder, agoraphobia, posttraumatic stress disorder, and non-affective psychosis), and seven specific symptoms of non-affective psychosis. We calculated weighted odds ratios by multivariate logistic regression controlling for a range of sociodemographic variables, use of illicit drugs, risk taking behavior, and exposure to traumatic events. Results 21,967 respondents (13.4% weighted) reported lifetime psychedelic use. There were no significant associations between lifetime use of any psychedelics, lifetime use of specific psychedelics (LSD, psilocybin, mescaline, peyote), or past year use of LSD and increased rate of any of the mental health outcomes. Rather, in several cases psychedelic use was associated with lower rate of mental health problems. Conclusion We did not find use of psychedelics to be an independent risk factor for mental health problems. PMID:23976938
Krebs, Teri S.; Johansen, Pål-Ųrjan
health problems and promoting personal and social growth.problems and broadly de?ning mental health to encompass the promotion of social andsocial, and emotional development; • Minimize psychosocial and mental health prob- lems; • Identify, correct, or at least minimize problems
Adelman, Howard S; Taylor, Linda
Siting of mental health service facilities has often been subject to public opposition and political struggles. These processes have produced a landscape of mental health provision that is powerfully uneven and concentrated in economically and socially depressed areas. We argue that understanding this landscape requires an examination of the political processes that shape such siting decisions. Although health geographers (most
Joseph Pierce; Deborah G. Martin; Alexander W. Scherr; Amelia Greiner
Examined the frequency and nature of mental health problems and symptoms among a group of 51 inner city male adolescents attending a teen health clinic. Results indicated participants experienced significant mental health problems and symptoms, such as relationship problems, problems with time and money, and symptoms of anger, depression, and…
Smith, Peggy B.; Buzi, Ruth S.; Weinman, Maxine L.
Purpose Family support is protective against health risks in sexual minority individuals. However, few studies have focused specifically on transgender youth, who often experience rejection, marginalization, and victimization that place them at risk for poor mental health. This study investigated the relationships among parental support, quality of life, and depression in transgender adolescents. Methods Sixty-six transgender youth presenting for care at Children’s Hospital Los Angeles completed a survey assessing parental support (defined as help, advice and confidante support), quality of life, and depression. Regression analyses assessed the associations between parental support and mental health outcomes. Results Parental support was significantly associated with higher life satisfaction, lower perceived burden of being transgender, and fewer depressive symptoms. Conclusions Parental support is associated with higher quality of life and is protective against depression in transgender adolescents. Interventions that promote parental support may significantly impact the mental health of transgender youth. PMID:24012067
Simons, Lisa; Schrager, Sheree M.; Clark, Leslie F.; Belzer, Marvin; Olson, Johanna
Quality and relevance of domain-specific search: a case study in mental health Thanh Tin Tang.email@example.com, firstname.lastname@example.org Kathy Griffiths and Helen Christensen Centre for Mental Health Research, ANU crawl- ing, mental health, depression 1 Introduction Searching for health information is a common activ
... go for treatment. Treating Depression Your doctor or mental health expert can often treat your depression successfully. Different therapies seem to work for different people. For instance, support groups can provide new coping skills or social support if you are dealing with a major ...
This paper offers tips for working with interpreters in mental health settings. These tips include: (1) Using trained interpreters, not bilingual staff or community members; (2) Explaining "interpreting procedures" to the providers and clients; (3) Addressing the stigma associated with mental health that may influence interpreters; (4) Defining…
Background: This article discusses the importance of screening students in schools for emotional/behavioral problems. Methods: Elements relevant to planning and implementing effective mental health screening in schools are considered. Screening in schools is linked to a broader national agenda to improve the mental health of children and…
Weist, Mark D.; Rubin, Marcia; Moore, Elizabeth; Adelsheim, Steven; Wrobel, Gordon
A description is provided of a course, "Psychiatric-Mental Health Nursing," designed to teach students at Level 3 of a two-year college nursing program about the role of the nurse in a psychiatric setting and about concepts of mental health and psychiatric disorders, using both classroom and clinical instruction. The first section of the course…
Previous studies have identified a low preference for mental health careers among students and practitioners in occupational therapy. Factors implicated include the social stigma of mental health in the community, fieldwork experience, academic preparation, and work setting factors such as role ambiguity and chronicity of clients. Of these factors, fieldwork may be the most important influence. A survey was administered
Anne Cusick; Tracey Demattia; Sharon Doyle
Addressing the mental health needs of youth in the juvenile justice system is a key imperative for all stakeholders interested in preventing and reducing juvenile delinquency. Despite the substantially higher rates of mental health disorders among these youth, services and approaches are fraught with barriers including inadequate assessment, fragmentation, and deficit-based intervention. Comprehensive, system-level reform is necessary to better address
Carol MacKinnon-Lewis; Martha C. Kaufman; James M. Frabutt
In recent years, the mental health community has made great strides in understanding more about the delivery of mental health services, improving efficiency and quality in services, and also about how to build strengths and resilience in the face of lifes stresses. This volume adds to the knowledge base so that the important task of system change…
Manderscheid, Ronald W., Ed.; Henderson, Marilyn J., Ed.
What Is Why Is It Important? ? #12;What Is Infant Mental Health?2 What Is Infant Mental Health? What is infant mental health? Does the term "infant mental health" make you think of a baby on a couch telling his problems to a psychiatrist? So what is infant mental health? Infant mental health reflects
McQuade, D. Tyler
, eatingDepression, anxiety, substance abuse, eating disorders, and other serious mental healthdisorders%), episodicidentified rates of depression (44%), episodic binge drinking (45%), and suicidal thoughtsbinge drinking (45
Rainforth, Emma C.
There are many reasons why discussion of mental illness and its treatment may be cursory in primary care and in emergency situations. Patients and physicians may be uncomfortable discussing mental illness. In the case of depression, they may believe it is a normal response to the challenges of diabetes. Minimization of the illness and the persistent stigma about mental illness might also be reasons. But in many cases, the likely culprit in the muted discussion is the difficulty in accessing mental health care. A recent study showed that over the past decade, barriers to care - especially cost barriers - increased among the uninsured and the privately insured who had serious mental illnesses. The inability to afford care means that patients must rely upon the public mental health care system. Therefore, physicians who are most likely to first recognize mental illness should have a sound understanding of the process for accessing the public mental health system. PMID:25705938
Baker, James G
Seminar in Health and Mental Health Economics Spring 2012 Profs. John topics in health and mental health economics. The main objectives and mental health measurement; (3) prescription drugs and medical devices; (4
Background Non?married persons are known to have poor mental health compared with married persons. Health differences between marital status groups may largely arise from corresponding differences in interpersonal social bonds. However, official marital status mirrors the social reality of persons to a decreasing extent, and living arrangements may be a better measure of social bonds. Little is known about mental health in different living arrangement groups. This study aims to establish the extent and determinants of mental health differences by living arrangement in terms of psychological distress (GHQ) and DSM?IV psychiatric disorders (CIDI). Methods Data were used from the nationally representative cross sectional health 2000 survey, conducted in 2000–1 in Finland. Altogether 4685 participants (80%) aged 30–64 years were included in these analyses; comprehensive information was available on measures of mental health and living arrangements. Living arrangements were measured as follows: married, cohabiting, living with other(s) than a partner, and living alone. Results Compared with the married, persons living alone and those living with other(s) than a partner were approximately twice as likely to have anxiety or depressive disorders. Cohabiters did not differ from the married. In men, psychological distress was similarly associated with living arrangements. Unemployment, lack of social support, and alcohol consumption attenuated the excess psychological distress and psychiatric morbidity of persons living alone and of those living with other(s) than a partner by about 10%–50% each. Conclusions Living arrangements are strongly associated with mental health, particularly among men. Information on living arrangements, social support, unemployment, and alcohol use may facilitate early stage recognition of poor mental health in primary health care. PMID:16698975
Joutsenniemi, Kaisla; Martelin, Tuija; Martikainen, Pekka; Pirkola, Sami; Koskinen, Seppo
Cognition November, 2013 Addiction & Mental Health Learning Events Information & Evaluation Services, Addiction and Mental Health, Edmonton Zone http://www.intranet2.capitalhealth.ca/regional%2. #12;Cognition November, 2013 Addiction & Mental Health Learning Events Information & Evaluation
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 major world religions, such as, Christianity and Hinduism and contributing substantially toward spiritual well-being of a large number of people within and outside Muslim world. Though Sufism started in early days of Islam and had many prominent Sufis, it is in the medieval period it achieved great height culminating in many Sufi orders and their major proponents. The Sufism aims communion with God through spiritual realization; soul being the agency of this communion, and propounding the God to be not only the cause of all existence but the only real existence. It may provide a vital link to understand the source of religious experience and its impact on mental health. PMID:23858257
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 major world religions, such as, Christianity and Hinduism and contributing substantially toward spiritual well-being of a large number of people within and outside Muslim world. Though Sufism started in early days of Islam and had many prominent Sufis, it is in the medieval period it achieved great height culminating in many Sufi orders and their major proponents. The Sufism aims communion with God through spiritual realization; soul being the agency of this communion, and propounding the God to be not only the cause of all existence but the only real existence. It may provide a vital link to understand the source of religious experience and its impact on mental health. PMID:23858257
Nizamie, S Haque; Katshu, Mohammad Zia Ul Haq; Uvais, N A
The World Health Organization predicts that depression will create the second greatest burden of disease by 2020, requiring cost-effective prevention and intervention strategies. The evidence to support the benefits of exercise in offering protection from depression and as an intervention in the treatment of mental illness is growing. The literature is reviewed with 11 prospective longitudinal studies that include measures
Marie E. Donaghy
This study examines the mental health status of Israeli homosexuals in adolescence and early adulthood in comparison to heterosexual controls. We compared 219 homosexuals (136 gay men and 83 lesbian women) with 219 individually matched heterosexuals on indices of depression and subjective well being. In line with the study hypothesis, the results indicated that the homosexual participants reported more depressive
Geva Shenkman; Dov Shmotkin
FeatureandEditorial.Itis thatthediscretecategoriesdefined bytheAmericanPsychiatric Association'sfourthDiagnostic andStatisticalManualofMental Disorders to unravel the biological complexity of neuropsychiatric disorders such as schizophrenia and depressionMental health: maybe human troubles don't fit into set categories SIR
This longitudinal study examined whether impediments to mental health treatment would predict changes in mental health symptoms (posttraumatic stress disorder [PTSD] and depression) in the months following soldiers returning from combat. Three-hundred ten combat veterans completed measures of impediments to treatment and measures of PTSD and depression symptoms at 2, 3, and 4 months following a 15-month combat deployment. Structural equation modeling revealed that greater impediments (a latent variable indexed by stigma, practical barriers, and negative treatment attitudes) at 2 months predicted increased PTSD and depression symptoms from 2-3 months (? = .14) and greater impediments at 3 months predicted increased symptoms from 3-4 months (? = .26). In contrast, evidence was not obtained for the opposite causal direction of symptoms predicting higher levels of impediments at the different periods. Possible mechanisms for the predictive effects of impediments are discussed. PMID:25322883
Wright, Kathleen M; Britt, Thomas W; Moore, DeWayne
Adolescent parenthood is associated with a range of adverse outcomes for young mothers, including mental health problems such as depression, substance abuse, and posttraumatic stress disorder. Teen mothers are also more likely to be impoverished and reside in communities and families that are socially and economically disadvantaged. These circumstances can adversely affect maternal mental health, parenting, and behavior outcomes for their children. In this report, we provide an overview of the mental health challenges associated with teen parenthood, barriers that often prevent teen mothers from seeking mental health services, and interventions for this vulnerable population that can be integrated into primary care services. Pediatricians in the primary care setting are in a unique position to address the mental health needs of adolescent parents because teens often turn to them first for assistance with emotional and behavioral concerns. Consequently, pediatricians can play a pivotal role in facilitating and encouraging teen parents’ engagement in mental health treatment. PMID:24298010
Beers, Lee; Southammakosane, Cathy; Lewin, Amy
Adolescent parenthood is associated with a range of adverse outcomes for young mothers, including mental health problems such as depression, substance abuse, and posttraumatic stress disorder. Teen mothers are also more likely to be impoverished and reside in communities and families that are socially and economically disadvantaged. These circumstances can adversely affect maternal mental health, parenting, and behavior outcomes for their children. In this report, we provide an overview of the mental health challenges associated with teen parenthood, barriers that often prevent teen mothers from seeking mental health services, and interventions for this vulnerable population that can be integrated into primary care services. Pediatricians in the primary care setting are in a unique position to address the mental health needs of adolescent parents because teens often turn to them first for assistance with emotional and behavioral concerns. Consequently, pediatricians can play a pivotal role in facilitating and encouraging teen parents' engagement in mental health treatment. PMID:24298010
Hodgkinson, Stacy; Beers, Lee; Southammakosane, Cathy; Lewin, Amy
The Honourable Dr Graham Jacobs, Minister for Water; Mental Health, launched a new Graduate Certificate in Acute Mental Health at the South Metro Area Health Service (SMAHS) in July.\\u000aA result of collaboration between Ms Debbie Nelson, Nursing Director SMAHS and Dean of The University of Notre Dame Australia’s Fremantle School of Nursing, Professor Selma Alliex, the course has seen
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
King, Richard V; Burkle, Frederick M; Walsh, Lauren E; North, Carol S
This paper correlates economic stress with minority status, resource allocations for mental health programs, and vulnerability to mental disability. Several hypotheses are advanced: 1. A major and recurring psychological pattern of the American national character is prowhite, antiblack paranoia. 2. Mental health fiscal allocations and programmatic determinations in ghetto, lower socioeconomic, minority-populated urban areas are predicated on political and racist considerations, the underlying motivation being to keep minorities at greater risk of mental disability. 3. Economic privation and stress increase vulnerability to mental illness, especially in a minority population for whom health, mental health, educational, and social services are grossly inadequate. 4. Poverty and economic stress combine with health systems that are unresponsive to the needs of blacks and other minorities, resulting in the perpetuation of disabilities and other conditions in blacks that are potentially preventable. 5. Health and mental health resources should be increased rather than diminished during periods of economic stress, especially in the public sector. 6. In order to provide each citizen with access to quality health and mental health care regardless of race and/or economic status, there must be enacted a national health insurance program based on tax-levy monies that will cover all aspects of health and mental health care. 7. Racism and social status will continue to be powerful determinants of the quality of service that white professionals render to black patients and to poor white patients, unless our training institutions mount a massive campaign to train appropriately and to include significant numbers of minority candidates and trainees in the effort. To date this effort is virtually nonexistent. PMID:439171
Butts, Hugh F.
Although numerous authors have associated metal music with social problems such as suicide, self-destruction and Satanism, few studies have been undertaken to examine the mental health of fans of heavy metal music. This study attempts to determine if there is a link between mental health and the enjoyment of this type of music in France. The researchers surveyed 333 fans of metal music. Their mental health was evaluated by the Hospital Anxiety and Depression Scale (HADS), a widely used instrument that measures anxiety and depression. The scores of the sample of metal music fans were then compared to the scores that reveal possible, probable, or severe mental disorders. Qualifying variables included age, gender, status, education, motivation and participation in metal music culture. The results indicated that fans of metal music are mainly young adults (median age = 22.67, SD = 5.29) and tend to be male (87.85 percent). As a whole, metal music fans have levels of anxiety and depression that are similar to and lower than levels in the general population. Specifically, <5 percent of metal music fans surveyed showed pathological symptoms. Subjects that scored higher levels of anxiety and depression were those that had literary and/or arts backgrounds rather than scientific backgrounds, that wrote metal music lyrics, that consumed alcohol and that engaged in the body modification practice of scarification. This study suggests that opponents of metal music should re-examine the basis for their criticism. More scholarly research is needed to better understand the effects of metal music on fans and on society. PMID:19521752
Recours, Robin; Aussaguel, Franēois; Trujillo, Nick
Deaf people with mental illness have to face to a double stigma: mental illness and deafness. Deaf and hard of hearing are a fragile population in term of accessibility to psychiatric care. The approach to the psychiatric clinic of deaf people must face the stigma that permeate the professionals in mental health about deafness. The possibilities to improve the condition of the deaf in the care and reduce stigma in these vulnerable populations are growing more and more last years. PMID:25895217
Cole, P; Cantero, O
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
Yaghmaie, Pouya; Koudelka, Caroline W.; Simpson, Eric L.
Global health has been defined as an area of study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. This article provides an overview of some central issues in global mental health in three parts. The first part demonstrates why mental health is relevant to global health by examining three key principles of global health: priority setting based on the burden of health problems, health inequalities and its global scope in particular in relation to the determinants and solutions for health problems. The second part considers and addresses the key critiques of global mental health: (a) that the "diagnoses" of mental disorders are not valid because there are no biological markers for these conditions; (b) that the strong association of social determinants undermines the use of biomedical interventions; (c) that the field is a proxy for the expansion of the pharmaceutical industry; and (d) that the actions of global mental health are equivalent to "medical imperialism" and it is a "psychiatric export." The final part discusses the opportunities for the field, piggybacking on the surge of interest in global health more broadly and on the growing acknowledgment of mental disorders as a key target for global health action. PMID:24595266
in the definition and maintenance of mental health and "mental illness". We will be exploring what our culture and various cultures of the world have to say about mental health, mental illness, and treatment of mental illness. We will be addressing questions like the following: --What is a mental illness? Do different
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
Psychiatric and neurologic disorders take an enormous toll on society. Alleviating the devastating symptoms and consequences of neuropsychiatric disorders such as addiction, depression, epilepsy, and schizophrenia is a main force driving clinical and basic researchers alike. By elucidating these disease neuromechanisms, researchers hope to better define treatments and preventive therapies. Research suggests that regulation of adult hippocampal neurogenesis represents a promising approach to treating and perhaps preventing mental illness. Here we appraise the role of adult hippocampal neurogenesis in major psychiatric and neurologic disorders within the essential framework of recent progress made in understanding "normal" adult neurogenesis. Topics addressed include the following: the life cycle of an adult hippocampal stem cell and the implications for aging; links between learning and hippocampal neurogenesis; the reciprocal relationship between cocaine self-administration and adult hippocampal neurogenesis; the role of adult neurogenesis in an animal model of depression and response to antidepressant exposure; the impact of neonatal seizures on dentate gyrus neurogenesis; and the contribution of a schizophrenia-susceptibility gene to adult hippocampal neurogenesis. These topics are discussed in light of the regulation of adult neurogenesis, the relationship to normal neurogenesis in adulthood and aging, and, importantly, the manipulation of neurogenesis to promote mental health and treat mental illness. PMID:19005040
Eisch, Amelia J; Cameron, Heather A; Encinas, Juan M; Meltzer, Leslie A; Ming, Guo-Li; Overstreet-Wadiche, Linda S
Psychiatric and neurologic disorders take an enormous toll on society. Alleviating the devastating symptoms and consequences of neuropsychiatric disorders such as addiction, depression, epilepsy and schizophrenia is a main force driving clinical and basic researchers alike. By elucidating these disease neuromechanisms, researchers hope to better define treatments and preventive therapies. Research suggests that regulation of adult hippocampal neurogenesis represents a promising approach to treating and perhaps preventing mental illness. Here we appraise the role of adult hippocampal neurogenesis in major psychiatric and neurologic disorders within the essential framework of recent progress made in understanding “normal” adult neurogenesis. Topics addressed include the life cycle of an adult hippocampal stem cell and the implications for aging; links between learning and hippocampal neurogenesis; the reciprocal relationship between cocaine self-administration and adult hippocampal neurogenesis; the role of adult neurogenesis in an animal model of depression and response to antidepressant exposure; the impact of neonatal seizures on dentate gyrus neurogenesis; and the contribution of a schizophrenia-susceptibility gene to adult hippocampal neurogenesis. These topics are discussed in light of the regulation of adult neurogenesis, the relationship to “normal” neurogenesis in adulthood and aging, and, importantly, the manipulation of neurogenesis to promote mental health and treat mental illness. PMID:19005040
Eisch, Amelia J.; Cameron, Heather A.; Encinas, Juan M.; Meltzer, Leslie A.; Ming, Guo-Li; Overstreet-Wadiche, Linda S.
School Mental Health: A Federal Perspective David Esquith Director for the Office of Safe Ingrid Donato Branch Chief, Mental Health Promotion, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration (SAMHSA) #12;Health Resources and Services Administration Maternal
Weber, David J.
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 Organizationā??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.
BACKGROUND: Although there have been many population studies of mental health literacy, little is known about the mental health literacy of people who reside in rural areas. This study sought to determine the impact of remoteness on public knowledge of depression and schizophrenia. METHODS: The mental health literacy of residents of major cities, inner regional, and outer-remote (including outer regional,
Kathleen M Griffiths; Helen Christensen; Anthony F Jorm
BACKGROUND: Workplace mental health promotion (WMHP) aims to prevent and effectively manage the social and economic costs of common mental illnesses such as depression. The mental health of managers and employees within small-medium enterprises (SMEs) is a neglected sector in occupational health research and practice, despite the fact that this sector is the most common work setting in most economies.
Angela Martin; Kristy Sanderson; Jenn Scott; Paula Brough
As it approaches its 100th anniversary in 2009, the National Mental Health Association (NMHA) remains the countryā??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 ā??Need Info?ā?¯ 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.
An increasing number of mental health survivors or people who have episodes of mental illness (EOMI) are seeking employment and training as mental health workers (Health Workforce Advisory Committee 2002). Problems for such individuals, as students and in the workforce, will be discussed with special reference to those who are training to complete the New Zealand National Certification in Mental Health Support Work. This article seeks to encourage health professionals to reassess their roles in regard to supported employment for people who have EOMI and to alert them as to the rising number of people who successfully work as trained professionals within mental health areas and have EOMI. The reader is encouraged to reflect on the recovery approach itself and the journey that people who have EOMI encounter when they choose to enter the workforce. This is especially useful to health professionals working in mental health such as consumer groups and nurses. An example of a student who has EOMI is included and the pseudonym "Joe" is applied to this student to protect his identity. PMID:15361174
A common goal of mental health professionals is to increase the degree of integration of mental health within the primary health care system. Achieving interpretation of mental health within the larger health care system requires teaching diagnostic and treatment skills, as well as a value orientation which ascribes greater importance to mental health and mental health problems. Teaching a new value orientation is best introduced early in one's educational career rather than postponing such intervention until post-graduate medical residency programs. Results of a survey are presented which indicate the variable mental health content included in undergraduate health related programs. The goal of greater integration between mental health and health can clearly be furthered by beginning to teach this critical value orientation in undergraduate health programs. PMID:10275387
Mental well-being is as important as physical well-being for sound life of man, and perhaps even more important, since physical illnesses are related in varying degrees to psychological problems. Modern psychology emphasizes essential criteria for mental health and well-being. These include positive relationships with others, productivity and…
Previous research has shown that HIV stigma in India can be characterized by a framework dividing manifestations into enacted (discrimination), vicarious (hearing stories of discrimination), felt normative (perceptions of stigma’s prevalence) and internalized stigma (personal endorsement of stigma beliefs). We examined if this framework could explain associations among stigma, efforts to avoid HIV serostatus disclosure, and depression symptoms in a cohort of 198 HIV-infected individuals from southern India who were followed for one year as part of a study of antiretroviral adherence. Prior studies had suggested that disclosure avoidance was a primary outcome of stigma and that impaired well-being was a primary outcome of disclosure avoidance. Analyses from our longitudinal research revealed that the pattern of associations among stigma, disclosure avoidance, and depression symptoms remained consistent over time. Enacted and vicarious stigmas were correlated with felt normative stigma beliefs. In turn, felt normative stigma was correlated with disclosure avoidance. And enacted stigma, internalized stigma, and disclosure avoidance were all associated with depression symptoms. However, even though the overall framework held together, internalized stigma and depression symptoms dropped significantly over time while other components remained unchanged. These findings suggest that, although HIV stigma may limit disclosure, it does not invariably lead to psychological maladjustment. Amidst ongoing perceptions and experiences of stigma, HIV-positive individuals can achieve significant improvements in their acceptance of the disease and in mental wellbeing. PMID:21218366
Steward, Wayne T.; Chandy, Sara; Singh, Girija; Panicker, Siju Thomas; Osmand, Thomas A.; Heylen, Elsa; Ekstrand, Maria L.
Rural schools often can not provide the same access to mental health service as schools in larger population areas can.. Understanding the implications of these sometimes limited services is important in overcoming barriers to adequate services...
Lee, Steven W.; Lohmeier, Jill H.; Niileksela, Christopher Robert; Oeth, Jessica
background On July 1, 1996, as a cost-containment strategy, Tennessee's expanded Medicaid pro- gram, TennCare, rapidly shifted the provision of mental health services to a fully capi- tated, specialty \\
Wayne A. Ray; James R. Daugherty; Keith G. Meador
courses. HUMAN RESOURCES Employment and Recruitment Labor Relations Compensation and Benefits Public chapter of Public Relations Society of America. Human Resources (Personnel) depart- ments of companiesPSYCHOLOGY HUMAN SERVICES Counseling Advocacy Mental Health Services STRATEGIESAREAS EMPLOYERS
... Industry Manage Your Practice Evidence-Based Practice & Research Ethics Occupational Therapy Assistants Advocacy & Policy Federal Affairs Update ... healthy—while having fun. Patients & Clients For Professionals Ethics Home About Occupational Therapy Patients & Clients Mental Health ...
Explored mental health counselors' and counselor educators' perceptions of the training mental health counselors receive. Qualitative interviews were conducted with 12 mental health counselors or counselor educators. Key issues that emerged from interviews concerned licensure movement, what distinguishes mental health counseling, variability of…
Ginter, Earl J.
meet criteria for mental illness. Unfortunately, the juvenile justice system does not consistently: Juveniles with mental illness problems are not getting the treatment services they need. FurthermoreMental Health Screenings in Juvenile Detention Centers: Predictors of Mental Health Service
Background: Mental health is an important component of the total positive health and is interwoven closely with the physical and physiological dynamics of the human body. Worldwide, about 500 million people are believed to be suffering from neurotic, stress related and psychological problems. In India, surveys on mental morbidity in various parts of the country suggest a prevalence rate of 18-20 per 1000. Materials and Methods: A community-based, cross-sectional descriptive study was carried out amongst married women in the age group 18-45 years in an urban community of South Mumbai. Self-reporting questionnaire of 20 items (SRQ 20) developed by the WHO was administered. Statistical analysis was carried out to estimate the prevalence of psychiatric disturbance. Result: The prevalence of psychiatric disturbance was found to be 27.27% for the total sample. The study results indicate that somatic symptoms were reported more commonly which could be a manifestation of underlying/burgeoning mental disorders. Conclusions: The results imply a high prevalence of 27.27% of psychiatric disturbance in our community. However, defining mental disorder from a clinical standpoint necessitates identification of the dividing line between despair and depression. It is recommended that women be encouraged to approach counsellors and thus enable further diagnosis and management of Common Mental Disorders in the community. PMID:24695680
Tawar, Shabeena; Bhatia, Sanjana Seth; Ilankumaran, Mookkiah
Objectives We examined whether Black Americans and Hispanic Americans experienced greater mental health benefits from religious involvement than White Americans, and whether these benefits would be mediated through three psychosocial factors—social support, meaning and forgiveness. Methods Utilizing data from a probability sample of Chicago-based adults (n=3103), ethnicity-stratified multivariate regression models estimated the association of religiosity with depressive symptoms, anxiety symptoms, and major depressive disorder. Models controlled for potential confounders and psychosocial mediators. Results Contrary to our hypotheses, religiously involved Black Americans and Hispanic Americans did not experience greater mental health benefits than their White counterparts. For White Americans alone, service attendance was inversely related to depressive symptoms, anxiety symptoms, and major depressive disorder. Religious saliency was consistently associated with worse mental health for Hispanic Americans only. However, both meaning and forgiveness conferred mental health benefits for all three groups. Conclusions The benefits of specific aspects of religious involvement vary across ethnicity. Caution is necessary in any effort to bring religion into the health domain. Our findings, if replicated, suggest that initiatives that facilitate a sense of purpose or forgiveness are likely to prove promising in improving mental health, regardless of race or ethnicity. PMID:22296590
Sternthal, Michelle J.; Williams, David R.; Musick, Marc A.; Buck, Anna C.
Objective: This paper considers mental health services resource distribution under the Australian second national mental health plan, with its direction to mental health services to be more inclusive of people with higher prevalence psychiatric disorders. We consider inequalities in mental health in Australia, and describe the performance of the composite census variable employed in the Victorian mental health funding distribution
Graham Meadows; Philip Burgess; Irene Bobevski
Running Head: Mental Health and Welfare Reform MENTAL HEALTH PROBLEMS AMONG SINGLE MOTHERS Pennsylvania State University #12;Mental Health and Welfare Reform/2 MENTAL HEALTH PROBLEMS AMONG SINGLE that having a psychiatric disorder is associated with a 25 percent lower likelihood of working. Mental health
A person's mental health and many common mental disorders are shaped by various social, economic, and physical environments operating at different stages of life. Risk factors for many common mental disorders are heavily associated with social inequalities, whereby the greater the inequality the higher the inequality in risk. The poor and disadvantaged suffer disproportionately, but those in the middle of the social gradient are also affected. It is of major importance that action is taken to improve the conditions of everyday life, beginning before birth and progressing into early childhood, older childhood and adolescence, during family building and working ages, and through to older age. Action throughout these life stages would provide opportunities for both improving population mental health, and for reducing risk of those mental disorders that are associated with social inequalities. As mental disorders are fundamentally linked to a number of other physical health conditions, these actions would also reduce inequalities in physical health and improve health overall. Action needs to be universal: across the whole of society and proportionate to need. Policy-making at all levels of governance and across sectors can make a positive difference. PMID:25137105
Allen, Jessica; Balfour, Reuben; Bell, Ruth; Marmot, Michael
This research tested the idea that a cognitive vulnerability to depression can be concealed by thought suppression and revealed when cognitive demands undermine mental control. Depressive, at-risk, and nondepressive participants unscrambled sentences that could form either positive or depressive statements. Half of the participants also received a cognitive load. The results indicated that without a load, at-risk participants showed little
Richard M. Wenzlaff; Danielle E. Bates
Objectives The authors compared attitudes of the U.S. general public and of mental health professionals about the competence and perceived dangerousness of people with mental health problems and the desire for social distance from them. Factors related to negative attitudes and the desire for social distance also were examined. Methods Vignettes describing individuals meeting DSM-IV criteria for major depression and schizophrenia were included in the 2006 General Social Survey (GSS) and a 2009 study of mental health professionals, and responses were descriptively compared (GSS, N=397 responses to depression vignette, N=373 responses to schizophrenia vignette; 731 mental health professionals responded to both vignettes). Regression analyses examined whether demographic and provider characteristics were associated with perceptions of less competence and perceived dangerousness of the vignette character and with respondents’ desire for social distance. Results Compared with the American public, mental health professionals had significantly more positive attitudes toward people with mental health problems. However, some providers’ conceptions about the dangerousness of people with schizophrenia and provider desire for social distance from clients in work and personal situations were concerning. Younger age, self-identifying as non-Hispanic white, being female, having at least a four-year college degree, being familiar with mental illness, and certain job titles and more years of experience in the mental health field were predictive of more positive conceptions. Conclusions Although mental health professionals held more positive attitudes than the general public about people with mental health problems, strong stereotypes persisted in both groups, especially concerning schizophrenia. This study identified several demographic and provider characteristics that can inform intervention strategies in both groups. PMID:24430508
Stuber, Jennifer P.; Rocha, Anita; Christian, Ann; Link, Bruce G.
This study aims to determine the relationship between psychological, physical, and sexual abuse, and mental health symptoms. Female college students (N = 499) completed anonymous online surveys to report experiences of abuse, as well as symptoms of depression, posttraumatic stress disorder (PTSD), and physical injuries. Five groups of participants were found: no abuse; psychological abuse; physical abuse; psychological and physical abuse; and psychological, physical, and sexual abuse. The multiple abuse groups showed the highest rate of mental health symptoms. In addition, increased frequency of abuse was related to more mental health symptoms and more physical injuries. PMID:22594217
Eshelman, Lee; Levendosky, Alytia A
Immigrants leave their homes for unfamiliar destinations in search of better lives for themselves and their families. Many immigrants experience profound loss and emotional distress as they adjust to life in different societies. Despite these challenges, the prevalence of mental health conditions among immigrants is low, whereas children of immigrants have rates equal to those of native populations. The prevalence of mental health conditions is high among refugees, who comprise a specific subgroup of immigrants who have been displaced forcibly and often have experienced severe trauma. Cultural factors, such as stigma and somatization of emotional symptoms, make it less likely that immigrants and refugees from certain groups will ever present to mental health subspecialists. Strong therapeutic relationships, cultural sensitivity, involvement of family members, judicious use of medications, and knowledge of available community resources are important tools that can aid clinicians who treat immigrants and refugees with mental health conditions. PMID:25127536
Rew, Karl T; Clarke, S Lindsey; Gossa, Weyinshet; Savin, Daniel
This study was designed to identify: (1) predictors of 12-month healthcare service utilization for mental health reasons, framed by the Andersen model, among a population cohort in an epidemiological catchment area; and (2) correlates associated with healthcare service utilization for mental health reasons among individuals with and without mental disorders respectively. Analyses comprised univariate, bivariate, and multiple regression analyses. Being male, having poor quality of life, possessing better self-perception of physical health, and suffering from major depressive episodes, panic disorder, social phobia, and emotional problems predicted healthcare service utilization for mental health reasons. Among individuals with mental disorders, needs factors (psychological distress, impulsiveness, emotional problems, victim of violence, and aggressive behavior) and visits to healthcare professionals were associated with healthcare service utilization for mental health reasons. Among individuals without mental disorders, healthcare service utilization for mental health reasons is strongly associated with enabling factors such as social support, income, environmental variables, and self-perception of the neighborhood. Interventions facilitating social cohesion and social solidarity in neighborhood settings may reduce the need to seek help among individuals without mental disorders. Furthermore, in their capacity as frontline professionals, general practitioners should be more sensitive in preventing, detecting, and treating mental disorders in routine primary care. PMID:25321874
Fleury, Marie-Josée; Ngamini Ngui, André; Bamvita, Jean-Marie; Grenier, Guy; Caron, Jean
This study assessed the screening utility of the 12-item Short-Form Health Survey's (SF-12) mental health component scale (MCS-12) for diagnosable depression and anxiety disorders in a general population sample, and thus, the validity of this scale as a measure of mental health in epidemiological research. Data were from the Australian National Survey of Mental Health and Wellbeing (N=10,504). Diagnoses were
Sarah C. Gill; Peter Butterworth; Bryan Rodgers; Andrew Mackinnon
Only half of older adults with a mental disorder use mental health services, and little is known about the causes of perceived need for mental health care (MHC). We used logistic regression to examine relationships among depression, anxiety, chronic physical illness, alcohol abuse and\\/or dependence, sociodemographics, and perceived need among a national sample of community-dwelling individuals 65 years of age
Melissa M. Garrido; Robert L. Kane; Merrie Kaas; Rosalie A. Kane
Counseling and Mental Health Services Page 1 OUR MISSION The mission of Counseling and Mental Disclosure and Confidentiality The privacy of your mental health information, including all written of all disciplines involved in your treatment. Uses and Disclosures of Your Mental Health Information
Alpay, S. Pamir
To reduce criminal justice involvement of persons with mental disorders, many communities have created mental health courts. Early mental health courts were restricted to persons charged with nonviolent misdemeanors. Recently mental health courts have begun to accept persons charged with felonies and violent crimes. To our knowledge, this is the first study to examine the process and outcomes of a
Dale E. McNiel; Renée L. Binder
for mentally ill people away from long-stay institutions and into the community. Following a government are the challenges posed by mental illness so important that the World Health Organisation states `there can be no health without mental health'? In all parts of the world, mental illness often causes long
HIV-positive women have used spirituality as a resource to enhance their psychological well-being and health-related quality of life (HRQOL). The purpose of this article is to review the literature about depression among HIV-positive women and to describe the positive associations reported among spirituality, mental health, and HRQOL. This article also advocates the development and use of interventions integrated with spirituality. The incorporation of spirituality into traditional mental health practices can optimize healthcare for HIV-positive women who are diagnosed with depression. A case example is presented and spiritual implications are discussed. PMID:16418078
Dalmida, Safiya George
In three experiments we examined depressed individuals' mental control abilities and strategies. Experiment 1 revealed that although depressed college students were initially successful in suppressing negative material, they eventually experienced a resurgence of unwanted negative thoughts. Analysis of subjects' stream-of-consciousness reports indicated that this resurgence was associated with the use of negative thoughts as distracters from the unwanted item. In
Richard M. Wenzlaff; Daniel M. Wegner; David W. Roper
Background: This study aimed to examine the patterns of association between cannabis use, and anxiety and affective disorders, in the\\u000a general population. Method: Data from the Australian National Survey of Mental Health and Well-Being, a representative survey of Australians aged 18\\u000a years and over, were analysed to address the following questions: (1) is there an association between cannabis use, DSM-IV
L. Degenhardt; W. Hall; M. Lynskey
When developing accessible, affordable and effective mental health systems, exchange of data between countries is an important moving force towards better mental health care. Unfortunately, health information systems in most countries are weak in the field of mental health, and comparability of data is low. Special international data collection exercises, such as the World Health Organization (WHO) Atlas Project and the WHO Baseline Project have provided valuable insights in the state of mental health systems in countries, but such single-standing data collections are not sustainable solutions. Improvements in routine data collection are urgently needed. The European Commission has initiated major improvements to ensure harmonized and comprehensive health data collection, by introducing the European Community Health Indicators set and the European Health Interview Survey. However, both of these initiatives lack strength in the field of mental health. The neglect of the need for relevant and valid comparable data on mental health systems is in conflict with the importance of mental health for European countries and the objectives of the 'Europe 2020' strategy. The need for valid and comparable mental health services data is today addressed only by single initiatives, such as the Organisation for Economic Co-operation and Development work to establish quality indicators for mental health care. Real leadership in developing harmonized mental health data across Europe is lacking. A European Mental Health Observatory is urgently needed to lead development and implementation of monitoring of mental health and mental health service provision in Europe. PMID:21657110
Illness Research Association www.miraresearch.org Mental Research Institute httpWeb Sites Related to Mental Health Web Sites Related to Mental Health American Academy of Child://www.psychologicalscience.org/ Canadian Mental Health Association http://www.cmha.ca/ Center for Mental Health Services Research http
de Lijser, Peter
? (Select only ONE choice, a OR b.) a. Adults with Serious Mental Illness (SMI) b. SeriouslyNew York City Department of Health & Mental Hygiene (DOHMH) Mental Health Scholarship Program One in an agency program providing mental health services in contract with the Bureau of Mental Health. Individuals
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 exercise might provide a beneficial adjunct for alcoholism and substance abuse programs; improve self-image, social skills, and cognitive functioning; reduce the symptoms of anxiety; and alter aspects of coronary-prone (Type A) behavior and physiological response to stressors. The effects of physical activity and exercise on mental disorders, such as schizophrenia, and other aspects of mental health are not known. Negative psychological effects from exercise have also been reported. Recommendations for further research on the effects of physical activity and exercise on mental health are made. PMID:3920718
Taylor, C B; Sallis, J F; Needle, R
This review of child disaster mental health intervention studies describes the techniques used in the interventions and the outcomes addressed, and it provides a preliminary evaluation of the field. The interventions reviewed here used a variety of strategies such as cognitive behavioral approaches, exposure and narrative techniques, relaxation, coping skill development, social support, psychoeducation, eye movement desensitization and reprocessing, and debriefing. A diagnosis of posttraumatic stress disorder (PTSD) and/or posttraumatic stress reactions were the most commonly addressed outcomes although other reactions such as depression, anxiety, behavior problems, fear, and/or traumatic grief also were examined. Recommendations for future research are outlined.
Pfefferbaum, Betty; Sweeton, Jennifer L.; Newman, Elana; Varma, Vandana; Nitiéma, Pascal; Shaw, Jon A; Chrisman, Allan K.; Noffsinger, Mary A
... quickly from depression. Magnesium can be found in foods such as leafy green vegetables, nuts and avocados.Folic acid and vitamin B-12 are B vitamins that play an important role in metabolism (the pace of your body’s processes) and production of blood cells. They also are related to ...
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 Significance for public health The present study is an original study on the self rated physical, mental and overall health measures. Because of the wide range of associations with other health indicators, and the simplicity with which they are collected, self-rated health measures are widely used in large population surveys. The present study questions the automatic assumption that the self rated mental health functions as a proxy measure of psychiatric morbidity, and suggests that the self rated mental health is more closely related to subjective well-being. The results show that self rated mental health predicts self rated general health better than self rated physical health. PMID:25553310
Levinson, Daphna; Kaplan, Giora
... ethnicity can influence the way we think about mental illness and mental health services. For example, among some ... vulnerable to the stresses of immigration and acculturation. Mental illness is common and many individuals, including many Latinos, ...
Five papers cover recent developments in rural mental health nursing. "Rural Mental Health Care: A Survey of the Research" (Karen Babich) chronicles recent interest in understanding the rural population's character and the nature of mental health services needed by and provided to rural America. Lauren Aaronson ("Using Health Beliefs in a Nursing…
Babich, Karen S., Comp.
Background: Nowadays, depression is one of the most prevalent mental diseases to which some individuals like mothers of mentally retarded children are more vulnerable due to their (children’s) special condition. Therefore, the present study aimed to investigate the level of depression and its related factors in these mothers. Materials and Methods: This cross-sectional study was conducted on 120 qualified mothers with mentally retarded children who were from exceptional children girls’ schools in Isfahan. The subjects filled personal characteristics and Beck depression inventory assessment, and their level of depression and its association with some baseline factors were analyzed through descriptive statistics in SPSS. Results: Results showed that 75% of the mothers experienced various levels of depression, of whom 25.8% suffered from minor depression, 24.2% from moderate depression, and 25% suffered from major depression. The results obtained showed that there was a significant direct association between the intensity of depression and students’ age, mothers’ age, fathers’ age, the number of children, and the length of parents’ marriage and a reverse association between the intensity of depression and subjects’, fathers’, and mothers’ education (P = 0.004). No association was observed between mothers’ occupation and the intensity of depression. Meanwhile, there was a negative significant association between fathers’ occupation and mothers’ depression (P = 0.02). About 33.3% of the mothers did not believe that their spouses’ and families’ psychological and mental support was adequate. Conclusions: The present study showed that mothers of mentally retarded children are predisposed to depression. With regard to the important role of mothers in the family and, consequently, the risk of impaired health of the family members, especially these children's health, prevention and diagnosis of depression and treatment of these mothers seem to be essential. Adequate support to these mothers plays a key role in reduction of the risk of their depression. PMID:25709693
Shirani, Newsha; Taebi, Mahboubeh; Kazemi, Ashraf; Khalafian, Marzieh
Despite mental disorders being the dominant health issue confronting young people, youth mental health is yet to be recognised as a discrete, unified program area; responsibility for young people's mental health is currently split across multiple levels of government. • Public specialist mental health services have followed a paediatric-adult split in service delivery, mirroring general and acute health care. The
Patrick D McGorry
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…
Dixon, Decia Nicole
by The Calgary Psychodynamic Psychotherapy Education Foundation. October 6- 12 Mental Illness Awareness Week http://camimh.ca/mental-illnessCognition October, 2013 Addiction & Mental Health Learning Events Information & Evaluation Services, Addiction and Mental Health, Edmonton Zone http://www.intranet2.capitalhealth.ca/regional%2
Discussions of aging and mental health widely assume that ageism among mental health providers is an important factor limiting access to mental health services for older adults. Given the widespread citation of ageism as a problem, we critically review the history of the ageism construct, and evidence for its existence in both mental health and medical professionals. There is surprisingly
Claire Robb; Hongbin Chen; William E. Haley
Introduction: Burnout can create problems in every aspect of individual’s’ 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 Maslach’s 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
Papathanasiou, Ioanna V.
Purpose – The purpose of this paper is to propose that the study, and the promotion, of recovery can be augmented by adopting the model of mental health as a complete state. Design\\/methodology\\/approach – A literature review of the last two decades was undertaken and pathways to complete mental health in recovery are proposed. Findings – More work is needed
Helene L. Provencher; Corey L. M. Keyes
Mental disorders are highly prevalent and cause considerable suffering and disease burden. To compound this public health problem, many individuals with psychiatric disorders remain untreated although effective treatments exist. We examine the extent of this treatment gap. We reviewed community-based psychiatric epidemiology studies that used standardized diagnostic instruments and included data on the percentage of individuals receiving care for schizophrenia and other non-affective psychotic disorders, major depression, dysthymia, bipolar disorder, generalized anxiety disorder (GAD), panic disorder, obsessive-compulsive disorder (OCD), and alcohol abuse or dependence. The median rates of untreated cases of these disorders were calculated across the studies. Examples of the estimation of the treatment gap for WHO regions are also presented. Thirty-seven studies had information on service utilization. The median treatment gap for schizophrenia, including other non-affective psychosis, was 32.2%. For other disorders the gap was: depression, 56.3%; dysthymia, 56.0%; bipolar disorder, 50.2%; panic disorder, 55.9%; GAD, 57.5%; and OCD, 57.3%. Alcohol abuse and dependence had the widest treatment gap at 78.1%. The treatment gap for mental disorders is universally large, though it varies across regions. It is likely that the gap reported here is an underestimate due to the unavailability of community-based data from developing countries where services are scarcer. To address this major public health challenge, WHO has adopted in 2002 a global action programme that has been endorsed by the Member States. PMID:15640922
Kohn, Robert; Saxena, Shekhar; Levav, Itzhak; Saraceno, Benedetto
MedLinePlus is a joint collaboration between the U.S. National Library of Medicine and the National Institutes of Health which has received strong marks during the past few years for providing high-quality health-related materials to the Web-browsing public. This particular area of the MedLinePlus site is devoted to providing materials about mental health. Here visitors can learn about various related topics by browsing through the top-level sections that include Alternative Therapy, Coping, and Nutrition. Within each area, visitors will be directed to links provided by a host of sources, including the Mayo Foundation, the Surgeon General, the American Psychiatric Association, and a number of other reputable institutions. The News section is also a fine way to keep abreast of recent developments in the field of mental health, as it culls news releases from some of the major international press agencies.
This study adapted Andersen's Health Belief Model to examine the predictors of mental health services utilization among Korean American (KA) immigrants. A cross-sectional survey was used to gather data on 363 KA immigrants 18 years and older residing in New York City. Predisposing factors included gender, age, marital status, education, length of stay in the US, and religion; the need factor was depression; and enabling factors included health insurance, English proficiency, income, and perceived need for help. Approximately 8.5 % of participants reported having utilized mental health services, while 23 % reported having depressive symptoms. Shorter duration of residence in the US, lower income, and the presence of perceived need for help were significantly related to use of mental health services. The perceived need for help mediated the relationship between depression and mental health service utilization. Failure to perceive the need for psychological help continues to be a major reason that KA immigrants do not use mental health services. PMID:23417654
Park, So-Youn; Cho, Sunhee; Park, Yeddi; Bernstein, Kunsook S.; Shin, Jinah K.
Legislation passed in 1993 makes sweeping administrative structural changes in Georgia's mental health system. Underlying these changes is the core value that consumers and families should be empowered to participate in the design, contracting, and evaluation of services. The key structural component is the creation of regional boards, comprised of at least 50% consumers and family members, which have the
Richard L. Elliott; Martin D. Cohen; David L. Evans
This booklet gives detailed accounts of mental health programs in operation around the nation. A total of nine different types of activities is included. "Helping Children" describes a program whereby students from nearby colleges give troubled children, at home, an experience in friendship by serving as big brothers or sisters. "Helping the…
National Inst. of Mental Health (DHEW), Bethesda, MD.
Mental health disparities refer to the disproportionate amount of psychopathology found among persons of disadvantageous social standing, such as persons of low socioeconomic status (SES). Although social and self selection cannot entirely be ruled out as explanations for these differences, the accumulation of evidence supports a social causation…
Aneshensel, Carol S.
Purpose – This paper aims to describe the origin, development and increasing application of the Recovery Star within the UK. Design\\/methodology\\/approach – The mental health Recovery Star is an holistic and personalised outcomes measurement and recovery-focused key working tool and it was designed primarily for people of working age. The author describes its origin, development, and increasing application within the
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.
This paper examines the concept of catastrophic experience, its relationship to the range of acute and prolonged stressors to which women may be exposed and the broad impacts on their mental health and well-being. It identifies catastrophe in terms of multiple accumulated stresses including death, loss, victimization, demoralization, shame, stigmatization, helplessness and identity. Catastrophic experiences include personal violence in domestic
Beverley Raphael; Mel Taylor; Virginia McAndrew
Cognition December, 2013 Addiction & Mental Health Learning Events Information & Evaluation Services, Addiction and Mental Health, Edmonton Zone http://www.intranet2.capitalhealth.ca/regional%2, Addictions and Related Disorders conference in Richmond, BC. http://conference2013.jackhirose
... 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, “ ...
Aim To identify mental health needs in local communities, and provide and evaluate nurse-led services to promote community mental health in Karachi, Pakistan. Method Using an action research approach, mental health nurses implemented activities to promote mental health and psychiatric rehabilitation in 15 urban communities in Karachi. The activities were planned and implemented in collaboration with a community-based social welfare organisation. Findings Community mental health interventions were implemented by a multidisciplinary team including nursing educators and postgraduate nursing students. Positive transformation of the mental health of clients in the community was found. Conclusion The challenges in identifying, diagnosing and rehabilitating clients with mental health needs in the community in Pakistan is acknowledged, and the benefits of enhanced support for clients and their families provided by community mental health nurses are described. PMID:25627534
Ali, Gulnar; Lalani, Nasreen S; Charania, Nadia Ali Muhammad Ali
\\u000a Social capital is a compound and complex construct, an umbrella term under which social cohesion, social support, social integration\\u000a and\\/or participation are often lumped together. Beyond its growing appeal to policy makers, practitioners and researchers\\u000a in public health in general and mental health in particular, social capital is now also an integral part of broad-based discussions\\u000a on social-ecological resilience, ecosystem
Astier M. Almedom; Douglas Glandon
Current efforts in the development of improved systems of care for the chronically mentally ill represent yet another phase in the evolution of mental health policy in this country. As described in the literature (Goldman and Morrissey 1985), the history of public policy on behalf of the mentally ill reflects a cyclical pattern of institutional reforms. Each cycle is marked
A. Anthony Arce; Michael J. Vergare
Responses from 334 of 803 Department of Veterans Affairs mental health professionals indicated that they spend 30% of their time with older veterans; one-third had no geriatric training; and three-fourths would like more training in such areas as dementia, depression, grief, substance abuse, and legal and ethical issues. (Contains 19 references.)…
Molinari, Victor; Kier, Frederick J.; Kunik, Mark E.
Self-efficacy beliefs are central to mental health. Because adolescents' neighborhoods shape opportunities for experiences of control, predictability, and safety, we propose that neighborhood conditions are associated with adolescents' self-efficacy and, in turn, their internalizing problems (i.e., depression/anxiety symptoms). We tested these…
Dupere, Veronique; Leventhal, Tama; Vitaro, Frank
Recent research on the mental health of college students conducted by Daniel Eisenberg, principal investigator in the multiyear Healthy Minds study, indicates that as many as one in five college students may suffer from depression, generalized anxiety disorder, or a panic disorder. Although it's too early to assess the effect of the economic…
Speer, Nicole; McFaul, Mimi; Mohatt, Dennis
Objective: To examine whether involvement in committed dating relationships is associated with university students’ mental health (depressive symptoms and problem alcohol use, including binge drinking), and whether these associations differ by gender. Participants: A sample of 889 undergraduate students aged 18 to 25. Methods: Self-report measures…
Whitton, Sarah W.; Weitbrecht, Eliza M.; Kuryluk, Amanda D.; Bruner, Michael R.
Little research has explored linkages between work conditions and mental health in working-class employed parents. The current study aims to address this gap, employing hierarchical linear modeling techniques to examine how levels of and changes in job autonomy, job urgency, supervisor support, and coworker support predicted parents' depressive…
Perry-Jenkins, Maureen; Smith, JuliAnna Z.; Goldberg, Abbie E.; Logan, Jade
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
Bracke, Piet; van de Straat, Vera; Missinne, Sarah
Background: Although the mental health care is a substantial component of the health system in the Czech Republic, there is a lack of information and research on mental health expenditures. Determining the level and profile of mental health expenditures is the first step in achieving awareness of the cost of mental illness to society. Aims of the Study: To describe
population that you work with in your program? (Select only ONE) Adults with Serious Mental Illness (SMINew York City Department of Health & Mental Hygiene (DOHMH) Mental Health Scholarship Program One in an agency program providing mental health services in contract with the New York City Department of Health
BACKGROUND: While the mental health situation for most people in low and middle-income countries is unsatisfactory, there is a renewed commitment to focus attention on the mental health of populations and on the scaling up of mental health services that have the capacity to respond to mental health service needs. There is general agreement that scaling up activities must be
This revised edition offers an interdisciplinary analysis of the developmental, clinical, and social aspects of mental health from birth to age 3. Chapters are organized into five areas, covering the context of mental health, risk and protective factors, assessment, psychopathology, intervention, and applications of infant mental health. The…
Zeanah, Charles H., Jr., Ed.
Cognition April, 2014 Addiction & Mental Health Learning Events Information & Evaluation Services, Addiction and Mental Health, Edmonton Zone http://insite.albertahealthservices.ca/9250.asp Contact Daniel://edmonton.cmha.ca/programs_services/asist-tuneup/ Provided by CMHA #12;Cognition April, 2014 Addiction & Mental Health Learning Events Information
Insomnia is strongly associated with certain mental health problems in the general population. However, there is little research examining this relation in young adults—an age group where many mental health problems first present. This study examined relations between insomnia and mental health symptoms in a college population (N = 373; 60.9% women; mean age of 21 years). Insomnia was assessed
Daniel J. Taylor; Christie E. Gardner; Adam D. Bramoweth; Jacob M. Williams; Brandy M. Roane; Emily A. Grieser; Jolyn I. Tatum
Recent developments, including experience related to the development of WHO's World Health Report 2001, the WHO Atlas and the DCP Project related to Mental, Neurological, Developmental and Substance Abuse Disorders, indicate why advancing the interests of mental health is now so compelling. In order to deliver a high standard of mental health treatment and care WHO emphasizes the adoption of
The last decade has brought important advances in the area of children's mental health, including a concerted focus on building a scientific base for un- derstanding the mental health difficulties that our most vulnerable members of society experience and examining the impact of services that potentially reduce child mental health needs (1,2). Serious concern remains, however, as to whether the
Mary M. McKay; William M. Bannon Jr
Examines the significant events in the history of mental health care that have contributed to the development of a specialty within the counseling profession referred to as mental health counseling. Discusses the development of credentials for the specialty and the issues currently facing mental health counseling, and offers a perspective on…
Smith, Howard B.; Robinson, Gail P.
STAFF GUIDELINES FOR HANDLING STUDENT MENTAL HEALTH DIFFICULTIES MARCH 2007 #12;1 1. INTRODUCTION This document seeks to give basic advice to staff who may encounter students with mental health difficulties and guidance mechanisms in respect of mental health. These guidelines do not give detailed medical advice
Postdoctoral Fellowships National Institute of Mental Health Intramural Research Program Bethesda, Maryland, USA The National Institute of Mental Health (NIMH), Section on Neuroadaptation and Protein; National Institute of Mental Health; 10 Center Drive, Room 2D54; Bethesda, MD 20892-1298, USA or via e
Bandettini, Peter A.
Johnson & Johnson Dartmouth Community Mental Health Program Program Description Mission The mission of the Johnson & Johnson - Dartmouth Community Mental Health Program is to increase access-based guidelines, initially in a small number of sites (typically 3-4 community mental health centers
Myers, Lawrence C.
Mental Health Consultation in Child Care and Early Childhood Settings Opportunities to Expand Department of Children & Families Children's Mental Health Program June 30, 2006 Florida State University-922-1300 · www.cpeip.fsu.edu #12;Mental Health Consultation in Child Care and Early Childhood Settings
McQuade, D. Tyler
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…
Yuan, Anastasia S. Vogt
Fifteen in-depth interviews were conducted to explore young people's experiences of mental health care in Australia with the aim of informing the headspace National Youth Mental Health Foundation. The interviews revealed that significant numbers of respondents had been aware of their mental health problems for several years before seeking help and…
Cohen, Anjalee; Medlow, Sharon; Kelk, Norm; Hickie, Ian; Whitwell, Bradley
The essays collected in this book examine the effects of ethnicity on the mental health of adolescents. A dual set of issues emerges throughout the volume: the importance of adolescent mental health in contributing to adult well-being, and the necessity of understanding ethnicity in studying and treating mental health problems. The book is divided…
Stiffman, Arlene Rubin, Ed.; Davis, Larry E., Ed.
A PROFILE OF KENTUCKY MEDICAID MENTAL HEALTH DIAGNOSES, 2000-2010 #12; #12; i A Profile of Kentucky Medicaid Mental Health Diagnoses, 20002010 BY Michael T. Childress have received a mental or behavioral health diagnosis from 2000 to 2010. A Profile of Kentucky
Hayes, Jane E.
Develops 4 themes in discussing community control of mental health services: (a) the community mental health movement is considered from the viewpoint of social history; (b) the movement is discussed in terms of its underlying professional ideology; (c) some of the shifts which have taken place in the field that go beyond the traditional framework of mental health are considered;
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…
Congress of the U.S., Washington, DC. Office of Technology Assessment.
Homicide survivors are at increased risk for mental health problems, including depression, posttraumatic stress disorder, and complicated grief. Therefore, improving access to community and mental health resources is critical for this population. The atuhors sought to examine barriers to accessing services and service satisfaction among 47 homicide survivors. Over half of the sample met criteria for a mental disorder, with depression being the most prevalent problem. Frequently endorsed barriers to care included financial barriers, inadequate information, and health-related problems. However, participants who engaged in services were generally satisfied with those services. Only depression was uniquely associated with worse overall service satisfaction. PMID:24766188
Williams, Joah L; Rheingold, Alyssa A
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
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, due to 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
Golberstein, Ezra; Whitlock, Janis L.; Downs, Marilyn F.
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
Bottino, Sara Mota Borges; Bottino, Cįssio M C; Regina, Caroline Gomez; Correia, Aline Villa Lobo; Ribeiro, Wagner Silva
In Western countries, community-based mental health services are now becoming the preferred model for delivery of psychiatric care, in contrast to the more traditional men- tal hospital-based services. The World Health Organization (WHO) is a proponent of such an approach, not only in the high- and middle-income countries of the West, but also in low-income developing countries (1). In the
ATALAY ALEM; LARS JACOBSSON; CHARLOTTE HANLON
The National Research Council and the Institute of Medicine have called for making the healthy mental, emotional, and behavioral development of young people a national priority. The Substance Abuse and Mental Health Services Administration (SAMHSA) in the US Department of Health and Human Services is uniquely positioned to help develop national mental health policies that promote mental health and prevent mental illnesses. In this article I describe the role of mental health in overall health, I make the case for a public health approach to mental health promotion and mental illness prevention, and I outline a strategy to promote individual, family, and community resilience. I also describe how SAMHSA works to achieve these goals. Ultimately, true health reform will not succeed without a comprehensive, committed focus on the mental health needs of all Americans. PMID:20966366
The purpose of this study was to identify if health professionals report an increase in mental health preparedness abilities with having only two mental health components as part of a 2-day preparedness training conference. At each of three...
Ablah, Elizabeth; Hawley, Suzanne; Konda, Kurt M.; Wolfe, Deborah; Cook, David J.
BACKGROUND: Common mental health problems are mainly treated in primary care settings and collaboration with mental health services is needed. Prior to re-organisation of the mental health care offer in a geographical area, a study was organized: 1) to evaluate GPs' opinions on their day-to-day practice with Patients with Mental Health Problems (PMHP) and on relationships with Mental Health Professionals
Nadia Younes; Isabelle Gasquet; Pierre Gaudebout; Marie-Pierre Chaillet; Viviane Kovess; Bruno Falissard; Marie-Christine Hardy Bayle
Mental health parity laws require insurers to extend comparable benefits for mental and physical health care. Proponents argue that by placing mental health services alongside physical health services, such laws can help ensure needed treatment and destigmatize mental illness. Opponents counter that such mandates are costly or unnecessary. The authors offer a sociological account of the diffusion and spatial distribution of state mental health parity laws. An event history analysis identifies four factors as especially important: diffusion of law, political ideology, the stability of mental health advocacy organizations and the relative health of state economies. Mental health parity is least likely to be established during times of high state unemployment and under the leadership of conservative state legislatures. PMID:24353902
Hernandez, Elaine M.; Uggen, Christopher
The Healthy Child Programme (HCP) focuses on the care offered to pregnant women and children in the first five years of life. It is delivered by a range of professionals, with the health visitor as lead. Effective delivery of the HCP depends on services for children and families being fully integrated, and partnership working between different agencies on a local level seems to be the key to success. This article focuses on how effective implementation of the HCP facilitates the recognition and care of women with anxiety, mild to moderate depression and other perinatal mental disorders during both the antenatal period and after the birth. PMID:24669519
Depression and anxiety are of the most commonly occurring mental health disorders in the United States. Despite a variety of efficacious interventions for depression and anxiety, it is clear that ethnic minorities experience mental health care disparities in their access to mental health services and the quality of treatment they receive. Research indicates that Latino heterogeneity impacts access to depression and anxiety treatment. In addition, Brazilians are becoming an increasingly visible minority within the United States and are often depicted as Latinos. The current study sought to understand the role of acculturation and stigma in mental health symptom endorsement and treatment seeking among Puerto Ricans, immigrant Latinos, and Brazilians. A total of 250 self-identified Latinos and Brazilians were interviewed about their mental health symptom and treatment experience, acculturation, and stigma toward mental illness. Results indicated considerable variability across the three groups, with Puerto Ricans endorsing higher rates of depression and anxiety, as well as higher rates of treatment seeking, than either the immigrant Latinos or the Brazilians. Acculturation played a differential role in the endorsement of anxiety treatment seeking for Brazilians. Finally, although the three groups differed in the extent to which they experienced stigma about mental health issues, stigma did not predict symptom endorsement or treatment-seeking behavior for any of the three groups. These findings underscore the importance of attending to both between-groups and within-group differences in the mental health and mental health treatment experiences of different ethnic groups. PMID:24491125
Sįnchez, Mónica; Cardemil, Esteban; Adams, Sara Trillo; Calista, Joanne L; Connell, Joy; Depalo, Alexandra; Ferreira, Juliana; Gould, Diane; Handler, Jeffrey S; Kaminow, Paula; Melo, Tatiana; Parks, Allison; Rice, Eric; Rivera, Ismael
This paper explores the relationship between rural places and mental health. It begins with a definition of mental health and an outline of the data that have led to the current concern with promoting positive mental health. We then consider aspects of rural life and place that contribute to positive mental health or increase the likelihood of mental health problems. Issues identified include environment, place, gender identity, violence and dispossession and the influence of the effects of structural changes in rural communities. The paper concludes with a discussion of some of the determinants of resilience in rural places, including social connectedness, valuing diversity and economic participation. PMID:11249401
Wainer, J; Chesters, J
illness". We will be exploring what our culture and various cultures of the world have to say about mental health, mental illness, and treatment of mental illness. We will be addressing questions like the following: --What is a mental illness? Do different cultures define it differently? What is meant by culture
illness". We will be exploring what our culture and various cultures of the world have to say about mental health, mental illness, and treatment of mental illness. We will be addressing questions like the following: --What is a mental illness? Do different cultures define it differently? What is meant by culture
The prevalence of 3 mental disorders (Depressive Disorder, Conduct Disorder and Attention-Deficit\\/Hyperactivity Disorder),\\u000a the prevalence of mental health problems, and rates of health-risk behaviours among those with problems, along with patterns\\u000a of service utilisation, are reported for 1490 adolescents aged 13–17 years in Australia. Mental disorders were assessed using\\u000a the Diagnostic Interview Schedule for Children Version IV completed by parents.
M. G. Sawyer; L. R. Miller-Lewis; J. J. Clark
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 uneven results. Policies must reflect the desire, determination, and commitment of policy-makers to take mental health seriously and look after people's mental health needs. This paper describes the development of mental health policies in Latin American countries, focusing on published data in peer-reviewed journals, and legislative change and its implementation. It presents a brief history of mental health policy developments, and analyzes the basis and practicalities of current practice. PMID:10885167
Alarcón, R. D.; Aguilar-Gaxiola, S. A.
Caregivers of older persons with severe mental illness (SMI) contend with the double challenge of providing assistance related to both the psychiatric condition and older age of their family member. Study explored factors influencing negative psychological outcomes experienced by caregivers (n = 96) of older adults with SMI. One-quarter of caregivers scored at or above the clinical point for depression. Low income, care recipient gender, poor health, problems dealing with care recipient's symptoms and the interaction of health and problems dealing with symptoms were associated with higher rates of depression. Implications for service provision and future research are discussed. PMID:25357014
Cummings, Sherry M; Kropf, Nancy P
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…
Burke, M. M.; Griggs, M.; Dykens, E. M.; Hodapp, R. M.
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.
Social networks, social capital, and mental health While traditionally most studies of the effects networks are relevant to the epidemiology of mental health, and found that depressive symptoms can spread individuals. In this project we adopt and further extend this network- based perspective on mental health
Depression and the Ironic Effects of Thought Suppression: Therapeutic Strategies for ImprovingMental. In this article, we examine the role of mental control in depression. We focus on the problems associ- ated. An examination of depressed individuals' mental lives reveals a preponderance ofnegative thoughts (forreviews
This research explored the effectiveness of narrative advertising and argument advertising in increasing mental illness (depression) literacy. Results showed that narrative advertising was more effective than argument advertising at engaging participants in experiential immersion, resulting in greater sympathy toward those suffering from depression. In addition, narrative advertising better involved participants in issue elaboration and increased willingness to seek professional help.
This Kids Count report examines issues related to children's mental health in Virginia. The report discusses the effects of children's mental illness, presents risk and protective factors, and describes the incidence of children's mental health problems. Information specific to Virginia is presented, including the prevalence of youth suicide,…
Nimmo, Margaret L.
Mental and substance use disorders are leading contributors to the burden of disease among young people in Australia, but young people experience a range of barriers to accessing appropriate treatment for their mental health concerns. The development of early intervention services that provide accessible and effective mental health care has the…
Wade, Darryl; Johnston, Amy; Campbell, Bronwyn; Littlefield, Lyn
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
Harry Minas; Alex Cohen
Mental health care is undergoing many changes that affect families, which continue to provide much of the day-to-day care for mentally ill persons. This article reviews the history of mental health care in the United States from 1940 to the present as it has changed from a system of programs providing institutional care to a system of programs providing community
Mary Ann Camann
Mental illness is an issue for a number of families reported to child protection agencies. Parents with mental health problems are more vulnerable, as are their children, to having parenting and child welfare concerns. A recent study undertaken in the Melbourne Children's Court (Victoria, Australia) found that the children of parents with mental health problems comprised just under thirty percent
Discusses the original dreams of the founders of the American Mental Health Counselors Association; looks at history and comments on the state of mental health counseling as it has struggled to evolve as a profession. Urges those in the counseling profession to consider an acquisitions and mergers corporate mentality to ensure and enhance the…
Beck, Edward S.
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
Dodds, Peter R; Anderson, Caitlyn O; Dodds, Jon H
We evaluated the impact of brief structured suicidal ideation (SI) assessments on mental health care among new-to-care Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) veterans. National datasets provided military, demographic, and clinical information. For all new-to-care OEF/OIF veterans administered depression screens (PHQ-2: Patient Health Questionnaire-2) and structured SI assessments in primary care or ambulatory mental health settings of three Veterans Affairs (VA) Medical Centers between April 2008 and September 2009 (N=465), generalized estimating equations were used to examine associations between SI and number of subsequent-year specialty mental health visits and antidepressant prescriptions. Approximately one-third of the veterans reported SI. In multivariate models, PTSD and anxiety diagnoses, severe depression symptoms, being married, and SI assessment by a mental health clinician were associated with more mental health visits in the subsequent year. Depression, PTSD, and anxiety diagnoses, and SI assessment by a mental health clinician were associated with receiving antidepressants. Presence of SI did not significantly affect subsequent year mental health utilization when adjusting for diagnostic and clinician variables, but inaugural visits involving mental health clinicians were consistently associated with subsequent mental health care. PMID:24726814
Denneson, Lauren M; Corson, Kathryn; Helmer, Drew A; Bair, Matthew J; Dobscha, Steven K
Depression is characterized by a large risk of relapse\\/recurrence. Mindfulness-based cognitive therapy (MBCT) is a recent non-drug psychotherapeutic intervention to prevent future depressive relapse\\/recurrence in remitted\\/recovered depressed patients. In this randomized controlled trial, the authors investigated the effects of MBCT on the relapse in depression and the time to first relapse since study participation, as well as on several mood
K. A. Godfrin; C. van Heeringen
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
Sharma, Pulkit; Charak, Ruby; Sharma, Vibha
coursework including the Principles and Practice of Clinical Research, Neurobiology of Mental Illness, GrantNational Institutes of Health National Institute of Mental Health Department of Health and HumanNational Institute of Mental Health Division of Intramural Research Programs http://intramural.nimh.nih.gov/ [NIMH
Baker, Chris I.
Mental Health Resources on UAA Campus Student Health and Counseling Center Psychological Services Health Education YES YES YES Mental Health Screening Events YES NO YES Situational Crisis Management YES Counseling YES YES YES Children and Adolescent Counseling NO YES NO Medication Management YES NO NO Mental
An Integrated Web-Based Mental Health Intervention of Assessment-Referral-Care to Reduce Stress, Anxiety, and Depression in Hospitalized Pregnant Women With Medically High-Risk Pregnancies: A Feasibility Study Protocol of Hospital-Based Implementation
Background At prevalence rates of up to 40%, rates of depression and anxiety among women with medically complex pregnancies are 3 times greater than those in community-based samples of pregnant women. However, mental health care is not a component of routine hospital-based antenatal care for medically high-risk pregnant women. Objective The purpose of this study is to evaluate the effectiveness and feasibility of the hospital-based implementation of a Web-based integrated mental health intervention comprising psychosocial assessment, referral, and cognitive behavioral therapy (CBT) for antenatal inpatients. Methods This study is a quasi-experimental design. Pregnant women are eligible to participate if they are (1) <37 weeks gestation, (2) admitted to the antenatal inpatient unit for >72 hours, (3) able to speak and read English or be willing to use a translation service to assist with completion of the questionnaires and intervention, (4) able to complete follow-up email questionnaires, (5) >16 years of age, and (6) not actively suicidal. Women admitted to the unit for induction (eg, <72-hour length of stay) are excluded. A minimum sample of 54 women will be recruited from the antenatal high-risk unit of a large, urban tertiary care hospital. All women will complete a Web-based psychosocial assessment and 6 Web-based CBT modules. Results of the psychosocial assessment will be used by a Web-based clinical decision support system to generate a clinical risk score and clinician prompts to provide recommendations for the best treatment and referral options. The primary outcome is self-reported prenatal depression, anxiety, and stress symptoms at 6-8 weeks postrecruitment. Secondary outcomes are postpartum depression, anxiety, and stress symptoms; self-efficacy; mastery; self-esteem; sleep; relationship quality; coping; resilience; Apgar score; gestational age; birth weight; maternal-infant attachment; infant behavior and development; parenting stress/competence at 3-months postpartum; and intervention cost-effectiveness, efficiency, feasibility, and acceptability. All women will complete email questionnaires at 6-8 weeks postrecruitment and 3-months postpartum. Qualitative interviews with 10-15 health care providers and 15-30 women will provide data on feasibility and acceptability of the intervention. Results The study was funded in September, 2014 and ethics was approved in November, 2014. Subject recruitment will begin January, 2015 and results are expected in December, 2015. Results of this study will determine (1) the effectiveness of an integrated Web-based prenatal mental health intervention on maternal and infant outcomes and (2) the feasibility of implementation of the intervention on a high-risk antenatal unit. Conclusions This study will provide evidence and guidance regarding the implementation of a Web-based mental health program into routine hospital-based care for women with medically high-risk pregnancies. PMID:25595167
Janes-Kelley, Selikke; Tyrrell, Janie; Clark, Lorna; Hamza, Deena; Holmes, Penny; Parkes, Cheryl; Moyo, Nomagugu; McDonald, Sheila; Austin, Marie-Paule
Mental Health Continuum Healthy Reacting Injured Illness Calm, steady Normal mood fluctuations Fit, fed, rested In control (physically, mentally, emotionally) Performing well Behaving ethically or withdrawing Neglecting hygiene Healthy Reacting Injured Illness Get to know your staff Foster healthy work
Eight cases of early onset bipolar affective disorder in adolescents with mental impairment are described, focusing on age of onset; common characteristics such as rapid cycling, mixed affective states, and lithium resistance; and the likelihood that cerebral dysfunction might cause a secondary form of bipolar disorder. (JDD)
Berney, T. P.; Jones, P. M.
Background: Mental disorders are common in all countries and cause immense suffering. Both gender and low socioeconomic status have been related to depression and other common mental disorders, but their possible relationship to mental health literacy remains uncertain.Aim: The aim of this study was to determine the gender differences in knowledge, attitudes and practices towards mental illness in a sample
Abdulbari Bener; Suhaila Ghuloum
The economic depression of the 1930s represented the most important economic and social crisis of its time. Surprisingly, its effect on health did not show in available morbidity and mortality rates. In 1932, the League of Nations Health Organisation embarked on a six-point program addressing statistical methods of measuring the effect and its influence on mental health and nutrition and establishing ways to safeguard public health through more efficient health systems. Some of these studies resulted in considerations of general relevance beyond crisis management. Unexpectedly, the crisis offered an opportunity to reconsider key concepts of individual and public health. PMID:19230333
Nursing home assistants have physically and emotionally challenging jobs, and they often work demanding schedules in order to provide 24-h care. While the physical effects of demanding work schedules have been studied, little is known about the impact on mental health. This study explored the relationship between demanding scheduling variables and mental health indicators of depression, anxiety and somatization. A
Jeanne Geiger-brown; Carles Muntaner; Jane Lipscomb; Alison Trinkoff
Objective To describe the mental health service use of Haitian, African American, and non-Latino White youth in a community mental health setting. Groups are compared on adherence to treatment guidelines for attention-deficit/hyperactivity disorder (ADHD) and depressive disorders. Design Retrospective review of outpatient mental health charts (n=252) from five community sites in an urban area of the Northeastern United States. We recorded total number and treatment type of sessions during the first six months of treatment. Guideline-adherent treatments were compared and predicted after controlling for clinical need. Results Most Haitian and African American youth stopped treatment by six months, with the majority attending less than eight sessions. One third of Haitian and African American patients attended just one session. Haitians patients who presented with less severe symptoms and dysfunction were more likely to have single-session treatments. Guideline-adherent treatment for ADHD and depression was less likely for Haitians. Older patients were more likely to receive adequate depression treatment. Haitian youth were relatively underinsured, had more family separations documented, and received Adjustment Disorder diagnoses more often. Conclusions Haitian youth use outpatient mental health services in similar proportion to African American youth, and at lower rates than White youth. Guideline-adherent treatment for ADHD and depression is limited by low retention in care for Black youth. Low insurance coverage is likely an important contributor to reduced use of services, especially for Haitians. These findings are discussed in the context of providing culturally sensitive mental health care to diverse communities. PMID:22050537
Carson, Nicholas J.; Stewart, Mark; Lin, Julia Y.; Alegria, Margarita
The relationship between social class and mental illness stigma has received little attention in recent years. At the same time, the concept of mental health literacy has become an increasingly popular way of framing knowledge and understanding of mental health issues. British Social Attitudes survey data present an opportunity to unpack the relationships between these concepts and social class, an important task given continuing mental health inequalities. Regression analyses were undertaken which centred on depression and schizophrenia vignettes, with an asthma vignette used for comparison. The National Statistics Socio-economic Classification, education and income were used as indicators of class. A number of interesting findings emerged. Overall, class variables showed a stronger relationship with mental health literacy than stigma. The relationship was gendered such that women with higher levels of education, especially those with a degree, had the lowest levels of stigma and highest levels of mental health literacy. Interestingly, class showed more of an association with stigma for the asthma vignette than it did for both the depression and schizophrenia vignettes, suggesting that mental illness stigma needs to be contextualised alongside physical illness stigma. Education emerged as the key indicator of class, followed by the National Statistics Socio-economic Classification, with income effects being marginal. These findings have implications for targeting health promotion campaigns and increasing service use in order to reduce mental health inequalities. PMID:25323051
An integrative review of literature was undertaken to examine the impact of children's mental health on their school success. The literature confirmed a confluence of problems associated with school performance and child and adolescent mental health. Poor academic functioning and inconsistent school attendance were identified as early signs of emerging or existing mental health problems during childhood and adolescence. Among the goals of school nursing is to provide a process for identification and resolution of students' health needs as they affect educational achievement. Thus, it is within the scope of practice and goals of school nursing to also address children's mental health needs, as they affect school performance. This review of literature supports the conclusion that school nursing is well positioned to respond to the need for mental health promotion, illness prevention, and early intervention related to children's mental health. PMID:15283617
DeSocio, Janiece; Hootman, Janis
Research findings indicate that many urban trauma exposed individuals do not access needed mental health care; therefore, it is critical to identify factors associated with the use of mental health services for this group. This study used a mixed methods approach to examine predictors of mental health service use and barriers to care. Quantitative findings showed that adults who did not report current mental health service use were significantly more male and Black with a lower education and income. After controlling for covariates, individuals with lower trauma exposure (OR = 0.7, 95% CI = 0.5, 0.9) and higher depression symptom scores (OR = 1.0, 95% CI = 1.0, 1.1) were significantly more likely to report current mental health service use. Qualitative findings indicated that fear, low mental health literacy, helplessness, and psychosocial issues were identified as barriers to mental health treatment. Implications for treatment and future research are discussed. PMID:24566510
Ghafoori, Bita; Barragan, Belen; Palinkas, Lawrence
International studies have shown that the prevalence of mental illness, and the fundamental contribution it make to the overall disease burden, is greatest in children and young people. Despite this high burden, adolescents and young adults are the least likely population group to seek help or to access professional care for mental health problems. This issue is particularly problematic given that untreated, or poorly treated, mental disorders are associated with both short- and long-term functional impairment, including poorer education and employment opportunities, potential comorbidity, including drug and alcohol problems, and a greater risk for antisocial behavior, including violence and aggression. This cycle of poor mental health creates a significant burden for the young person, their family and friends, and society as a whole. Australia is enviably positioned to substantially enhance the well-being of young people, to improve their engagement with mental health services, and – ultimately – to improve mental health. High prevalence but potentially debilitating disorders, such as depression and anxiety, are targeted by the specialized youth mental health service, headspace: the National Youth Mental Health Foundation and a series of Early Psychosis Prevention and Intervention Centres, will provide early intervention specialist services for low prevalence, complex illnesses. Online services, such as ReachOut.com by Inspire Foundation, Youthbeyondblue, Kids Helpline, and Lifeline Australia, and evidence-based online interventions, such as MoodGYM, are also freely available, yet a major challenge still exists in ensuring that young people receive effective evidence-based care at the right time. This article describes Australian innovation in shaping a comprehensive youth mental health system, which is informed by an evidence-based approach, dedicated advocacy and, critically, the inclusion of young people in service design, development, and ongoing evaluation to ensure that services can be continuously improved. PMID:25473320
Burns, Jane; Birrell, Emma
Objectives: To describe the mental health of lesbians in New Zealand, and to document their accounts of their experience of mental health services.Method: This is a descriptive cross-sectional study. A postal questionnaire, the Lesbian Mental Health Survey, was distributed via lesbian newsletters to 1222 women throughout New Zealand. Mental health measures included the General Health Questionnaire (GHQ-28), Interview Schedule for
Sarah Welch; Sunny C. D. Collings; Phillippa Howden-Chapman
Purpose Cross sectional and retrospective studies have highlighted the long-term negative effects of maternal depression on offspring physical, social, and emotional development, but longitudinal research is needed to clarify the pathways by which maternal depression during pregnancy and early childhood affects offspring outcomes. The current study tested one developmental pathway by which maternal depression during pregnancy might negatively impact offspring mental health in young adulthood, via poor physical health in early childhood. Methods The sample consisted of 815 Australian youth and their mothers who were followed for 20 years. Mothers reported on their own depressive symptoms during pregnancy and offspring early childhood. Youth completed interviews about health-related stress and social functioning at age 20, and completed a questionnaire about their own depressive symptoms two to five years later. Results Path analysis indicated that prenatal maternal depressive symptoms predicted worse physical health during early childhood for offspring, and this effect was partially explained by ongoing maternal depression in early childhood. Offspring poor physical health during childhood predicted increased health-related stress and poor social functioning at age 20. Finally, increased health-related stress and poor social functioning predicted increased levels of depressive symptoms later in young adulthood. Maternal depression had a significant total indirect effect on youth depression via early childhood health and its psychosocial consequences. Conclusions Poor physical health in early childhood and its effects on young adults’ social functioning and levels of health related stress are one important pathway by which maternal depression has long-term consequences for offspring mental health. PMID:24060574
Hammen, Constance; Brennan, Patricia; Najman, Jake
This article summarizes the conception and diagnosis of the mental health continuum, the findings supporting the two continua model of mental health and illness, and the benefits of flourishing to individuals and society. Completely mentally healthy adults--individuals free of a 12-month mental disorder and flourishing--reported the fewest missed…
Keyes, Corey L. M.
public interest and scientific investigation, reflecting an increased public awareness of mental illness plus incidence of mental illness (due in part to our aging population). The proposed programsNeuroscience and Mental Health Page 1 New program proposal: Neuroscience and Mental Health Ā· B
Controlled trials have established the efficacy of cognitive-behavior therapy (CBT) for depression. However, the relative effectiveness of individual versus group treatment formats in real-world settings is less well established. The current study evaluated the effectiveness of group CBT (n=157) compared to individual CBT (n=77) for depressed outpatients in a naturalistic setting. Symptom improvements for depression, anxiety, and quality of life
Mark A. Craigie; Paula Nathan
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... 2010-10-01 false Agreement with State mental health authority or mental institutions. 431.620 Section 431.620...Agencies § 431.620 Agreement with State mental health authority or mental institutions. (a)...
... 2012-10-01 false Agreement with State mental health authority or mental institutions. 431.620 Section 431.620...Agencies § 431.620 Agreement with State mental health authority or mental institutions. (a)...
... 2013-10-01 false Agreement with State mental health authority or mental institutions. 431.620 Section 431.620...Agencies § 431.620 Agreement with State mental health authority or mental institutions. (a)...
... 2011-10-01 false Agreement with State mental health authority or mental institutions. 431.620 Section 431.620...Agencies § 431.620 Agreement with State mental health authority or mental institutions. (a)...
Background Floods are the most common type of global natural disaster. Floods have a negative impact on mental health. Comprehensive evaluation and review of the literature are lacking. Objective To systematically map and review available scientific evidence on mental health impacts of floods caused by extended periods of heavy rain in river catchments. Methods We performed a systematic mapping review of published scientific literature in five languages for mixed studies on floods and mental health. PUBMED and Web of Science were searched to identify all relevant articles from 1994 to May 2014 (no restrictions). Results The electronic search strategy identified 1331 potentially relevant papers. Finally, 83 papers met the inclusion criteria. Four broad areas are identified: i) the main mental health disorders—post-traumatic stress disorder, depression and anxiety; ii] the factors associated with mental health among those affected by floods; iii) the narratives associated with flooding, which focuses on the long-term impacts of flooding on mental health as a consequence of the secondary stressors; and iv) the management actions identified. The quantitative and qualitative studies have consistent findings. However, very few studies have used mixed methods to quantify the size of the mental health burden as well as exploration of in-depth narratives. Methodological limitations include control of potential confounders and short-term follow up. Limitations Floods following extreme events were excluded from our review. Conclusions Although the level of exposure to floods has been systematically associated with mental health problems, the paucity of longitudinal studies and lack of confounding controls precludes strong conclusions. Implications We recommend that future research in this area include mixed-method studies that are purposefully designed, using more rigorous methods. Studies should also focus on vulnerable groups and include analyses of policy and practical responses. PMID:25860572
Fernandez, Ana; Black, John; Jones, Mairwen; Wilson, Leigh; Salvador-Carulla, Luis; Astell-Burt, Thomas; Black, Deborah
Depression is widely prevalent among women in the child-bearing age, especially during the antenatal and postnatal period. Globally, post-partum depression has been reported in almost 10% to 20% of mothers, and it can start from the moment of birth, or may result from depression evolving continuously since pregnancy. The presence of depression among women has gained a lot of attention not only because of the rising incidence or worldwide distribution, but also because of the serious negative impact on personal, family and child developmental outcomes. Realizing the importance of maternal depression on different aspects-personal, child, and familial life, there is a crucial need to design a comprehensive public health policy (including a mental health strategy), to ensure that universal psychosocial assessment in perinatal women is undertaken within the primary health care system. To conclude, depression during pregnancy and in the postnatal period is a serious public health issue, which essentially requires continuous health sector support to eventually benefit not only the woman, but also the family, the community, and health care professionals. PMID:25552868
Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh
Although the field of neuroscience is booming, a challenge for researchers in mental health disciplines is the integration of basic research findings into applied clinical approaches leading to effective therapies. Recently the National Institute of Mental Health called for translational research grants to encourage collaboration between neuroscientists and mental health professionals. In order for this “clinical neuroscience” to emerge and thrive, an important first step is the provision of appropriate course offerings so that future neuroscience researchers and mental health practitioners will have a common neurobiological base from which to make informed decisions about the most efficacious treatments for mental illnesses. Accordingly, an integrative course, Clinical Neuroscience, was developed to address these issues. After reviewing the historical origins of this emerging discipline, students are exposed to fundamental overviews of neuroanatomy, neurochemistry, and neural development before approaching the neurobiological components of several disorders (e.g., schizophrenia, depression, Tourette’s syndrome, drug abuse, obsessive compulsive disorder). Finally, the maintenance of mental health is emphasized as topics such as psychoneuroimmunology, coping with stress, and eating regulation are discussed. Important themes emphasized in this course include (1) the consideration of only empirically based evidence, (2) the view that mental illness represents a disruption of neurobiological homeostasis, (3) the acknowledgement that, because the brain is a plastic organ, the clinical relevance of environmental and behavioral influences is difficult to overestimate, and (4) the recognition of the value of ecologically relevant animal models in the investigation of various aspects of mental illness. Because of the importance of stress maintenance in mental health, exercises have been developed to increase students’ awareness of their own coping strategies. Finally, several books and movies are incorporated to provide additional points of view of the topics discussed in the course. PMID:23494100
Lambert, Kelly G.
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
White, J H
Accounting for the endogenous relationship between health and hours worked, the goal of this study was to estimate the effect of mental health on the working hours of nursing professionals. The impact of hours worked on mental health was also investigated. The data was based on the Work Outcomes Research Cost-benefit (WORC) survey conducted in Australia during 2005 and 2006.
Nerina Vecchio; Paul Scuffham
Drug-involved offenders report high rates of mental health problems that can negatively impact criminal justice outcomes.\\u000a Yet, relatively little attention has been given to the mental health issues of drug court offenders. Therefore, this study\\u000a examined 449 participants in a Delaware drug court and investigated relationships between mental health, gender, and program\\u000a completion. Bivariate results indicated that gender was related
Alison R. Gray; Christine A. Saum
Mental health promotion is attracting attention as health authorities become increasingly concerned with the rise in mental illnesses. However, there is little to guide health professionals in communicating to individuals and community groups what mental health promotion – in the sense of strengthening people's mental health and mental illness prevention – is about, or to guide population-wide interventions. The Act–Belong–Commit
Robert J. Donovan; Ray James; Geoffrey Jalleh; Colby Sidebottom
BACKGROUND: Research in the field of psychoneuroimmunology (PNI) has revealed that depression is associated with inflammation manifested by increased levels of proinflammatory cytokines. DISCUSSION: The old paradigm described inflammation as simply one of many risk factors for depression. The new paradigm is based on more recent research that has indicated that physical and psychological stressors increase inflammation. These recent studies
The relationship between therapeutic alliance and treatment outcome was examined for depressed outpa- tients who received interpersonal psychotherapy, cognitive-behavior therapy, imipramine with clinical management, or placebo with clinical management. Clinical raters scored videotapes of early, middle, and late therapy sessions for 225 cases (619 sessions). Outcome was assessed from patients' and clinical evaluators' perspectives and from depressive symptomatology. Therapeutic alliance
Janice L. Krupnick; Stuart M. Sotsky; Sam Simmens; Janet Moyer
The mental health of men is an important issue with significant direct and indirect costs emerging from work-related depression and suicide. Although the merits of men's community-based and workplace mental health promotion initiatives have been endorsed, few programs are mandated or formally evaluated and reported on. Conspicuously absent also are gender analyses detailing connections between masculinities and men's work-related depression and suicide on which to build men-centered mental health promotion programs. This article provides an overview of four interconnected issues, (a) masculinities and men's health, (b) men and work, (c) men's work-related depression and suicide, and (d) men's mental health promotion, in the context of men's diverse relationships to work (including job insecurity and unemployment). Based on the review, recommendations are made for advancing the well-being of men who are in as well as of those out of work. PMID:23727792
Oliffe, John L; Han, Christina S E
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 interventions, safeguard patients' rights, and ensure equity. PMID:10885166
Gureje, O.; Alem, A.
The purpose of this paper is to describe a participatory action research process on the development of a professional practice model of mental health nurses in mental health promotion in a comprehensive school environment in the city of Oulu, Finland. The developed model is a new method of mental health promotion for mental health nurses working in comprehensive schools. The professional practice model has been developed in workshops together with school staff, interest groups, parents and students. Information gathered from the workshops was analysed using action research methods. Mental health promotion interventions are delivered at three levels: universal, which is an intervention that affects the whole school or community; selective, which is an intervention focusing on a certain group of students; and indicated, which is an individually focused intervention. All interventions are delivered within the school setting, which is a universal setting for all school-aged children. The interventions share the goal of promoting mental health. The purposes of the interventions are enhancing protective factors, reducing risk factors relating to mental health problems and early identification of mental health problems as well as rapid delivery of support or referral to specialized services. The common effect of the interventions on all levels is the increase in the experience of positive mental health. PMID:24612241
Onnela, A M; Vuokila-Oikkonen, P; Hurtig, T; Ebeling, H
Little research has been conducted on the prevalence of physical health problems in Cambodian refugees and the relationship between their mental and physical health. We identified the relationship between mental and physical health problems and barriers to healthcare access in Cambodian refugee adults. We used a cross-sectional survey design with a snowball sample of 136 Cambodian refugee adult residents of Connecticut and Western Massachusetts. 61% reported being diagnosed with three or more physical conditions and 73% with depression, posttraumatic stress disorder (PTSD) or both. Language and transportation problems were the primary barriers to accessing care. Participants with probable comorbid PTSD and depression had 1.850 times more physical health problems than those without either condition (p > .001; CI 1.334-2.566). Age moderated this relationship. Participants who had been diagnosed with both depression and PTSD reported a consistent number of health conditions across the age span while those who had no mental health conditions or only one of the two reported fewer health conditions when they were younger and more when they were older. These two groups were significantly different from the group reporting both. There is a significant relationship between chronic comorbid mental and physical health diseases affecting Cambodian refugees resettled in the US Having comorbid depression and PTSD puts Cambodian refugees at risk for physical health problems no matter their age. It is vital that those treating Cambodian genocide survivors identify and treat their prevalent comorbid health conditions. Language and transportation barriers must be addressed to improve access to mental and physical health care in this population. PMID:24651944
Berthold, S Megan; Kong, Sengly; Mollica, Richard F; Kuoch, Theanvy; Scully, Mary; Franke, Todd
The World Federation for Mental Health was founded as an international apolitical organization concerned with quality of life rather than merely the absence or prevention of mental illness. An examination of the manner and extent to which mental problems arise in different cultural settings can provide data needed to understand the relationship…
The present study examines the effect of war and domestic violence on the mental health of child soldiers in a sample consisting of 330 former Ugandan child soldiers (age: 11-17 years, female: 49%). All children had experienced at least 1 war-related event and 78% were additionally exposed to at least 1 incident of domestic violence. Prevalences of posttraumatic stress disorder and major depressive disorder were 33%, and 36%, respectively. Behavioral and emotional problems above clinical cutoff were measured in 61%. No gender differences were found regarding mental health outcomes. War experience and domestic violence were significantly associated with all mental health outcomes. The authors' findings point to the detrimental effects of domestic violence in addition to traumatizing war experiences in child soldiers. PMID:21053376
Klasen, Fionna; Oettingen, Gabriele; Daniels, Judith; Adam, Hubertus
This article introduces and defines the concept of primary mental health care, a model for the delivery of community-based, comprehensive psychiatric-mental health nurs ing care. The primary mental health care model incorporates professional role re sponsibilities, role functions, and intervention activities for psychiatric-mental health nurses at the basic and advanced levels of practice. Use of this model will enable psychiatric
Judith Haber; Carolyn V. Billings
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
Ducat, Lee; Rubenstein, Arthur; Philipson, Louis H; Anderson, Barbara J
Historically, state mental health authorities have dominated public mental health services, operating with fixed resources and responsible for a large population. A good public mental health system has many of the attributes of a well-managed private mental health system. Unfortunately, public systems are not flexible enough to contract creatively with multiple providers; they lack many of the tools of modern managed care. As a consequence, state mental health authorities have begun to contract with private managed care firms to assist them in managing their health care reform efforts, particularly reform of Medicaid. This paper examines the forces shaping managed behavioral health care in the public sector and describes strategies for managing care, such as contracting, utilization review, and monitoring. PMID:7498902
Essock, S M; Goldman, H H
This paper provides an overview of mental health services in Korea. In order to understand the historical background of mental health service system development in Korea, this paper first provides a brief description on the history of the Korean mental health services, including a notably recent transition of mental health policy from long-term hospitalization to community-based mental health services. This
Sang Kyoung Kahng; Hyemee Kim
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
Various attempts to define the concept of “mental health” are examined. Value judgments permeate much mental health literature. Their use militates against obtaining an objective definition, capable of universal application. The acceptance of a definition including a value judgment implies taking an attitude toward a particular society and its social ideals. Present limits of competence only allow us to describe “mental health” conceptually. Such “untechnical” proposals are liable to be confused with “technical” (“scientific”) propositions. Multiple criteria are likely to be helpful in improving our concept of “mental health”. The intrusion of morals into the world of health is discussed as part of the contemporary intellectual dilemma of determined human behaviour versus human responsibility and the reality of moral values. It is suggested that “mental health” might consist simply of an individual's possession of insight into his own personality, combined with an honest recognition and acceptance of his condition. PMID:14145470
Tucker, D. K.; le Riche, W. Harding
This Issue Depression Awareness Day Health Screenings on Campus Food Day Open Enrollment Plan Name Changes Depression Awareness Day Newsletter Fall 2012 Upcoming Events Oct 9 Ā New Employee Benefits Orientation Oct 9 Ā UC Focus on Your Future* Oct 11 Ā EAP Webinar: UC Depression Awareness Day Oct 11
On October 29, 2012, Hurricane Sandy made landfall in the most densely populated region in the US. In New Jersey, thousands of families were made homeless and entire communities were destroyed in the worst disaster in the history of the state. The economic impact of Sandy was huge, comparable to Hurricane Katrina. The areas that sustained the most damage were the small- to medium-sized beach communities along New Jersey's Atlantic coastline. Six months following the hurricane, we conducted a random telephone survey of 200 adults residing in 18 beach communities located in Monmouth County. We found that 14.5% (95% CI = 9.9-20.2) of these residents screened positive for PTSD and 6.0% (95% CI = 3.1-10.2) met criteria for major depression. Altogether 13.5% (95% CI = 9.1-19.0) received mental health counseling and 20.5% (95% CI = 15.1-26.8) sought some type of mental health support in person or online, rates similar to those reported in New York after the World Trade Center disaster In multivariate analyses, the best predictors of mental health status and service use were having high hurricane exposure levels, having physical health limitations, and having environmental health concerns. Research is needed to assess the mental health status and service use of Jersey Shore residents over time, to evaluate environmental health concerns, and to better understand the storm's impact among those with physical health limitations. PMID:24558743
Boscarino, Joseph A; Hoffman, Stuart N; Kirchner, H Lester; Erlich, Porat M; Adams, Richard E; Figley, Charles R; Solhkhah, Ramon
Background: The study examines the associations of parent, teacher and self-report evaluations of child psychopathology, help-seeking\\u000a variables and family factors with the use of child mental health services. Method: The study comprised an 8-year follow-up of the Epidemiological Child Psychiatry Study in Finland. Children were evaluated\\u000a at age 8 with Rutter parent and teacher scales and with the Child Depression
A. Sourander; L. Helstelä; T. Ristkari; K. Ikäheimo; H. Helenius; J. Piha
Little is known about the mental health status of trafficked women, even though international conventions require that it be considered. This study, therefore, aims at exploring the mental health status, including anxiety, depression and post-traumatic stress disorder (PTSD), of female survivors of human trafficking who are currently supported by local non-governmental organizations (NGOs) in Katmandu, the capital of Nepal, through comparison between those who were forced to work as sex workers and those who worked in other areas such as domestic and circus work (non-sex workers group). The Hopkins Symptoms Checklist-25 (HSCL-25) was administered to assess anxiety and depression, and the PTSD Checklist Civilian Version (PCL-C) was used to evaluate PTSD. Both the sex workers' and the non-sex workers' groups had a high proportion of cases with anxiety, depression, and PTSD. The sex workers group tended to have more anxiety symptoms (97.7%) than the non-sex workers group (87.5%). Regarding depression, all the constituents of the sex workers group scored over the cut-off point (100%), and the group showed a significantly higher prevalence than the non-sex workers (80.8%). The proportion of those who are above the cut-off for PTSD was higher in the sex workers group (29.6%) than in the non-sex workers group (7.5%). There was a higher rate of HIV infection in the sex workers group (29.6%) than in the non-sex workers group (0%). The findings suggest that programs to address human trafficking should include interventions (such as psychosocial support) to improve survivors' mental health status, paying attention to the category of work performed during the trafficking period. In particular, the current efforts of the United Nations and various NGOs that help survivors of human trafficking need to more explicitly focus on mental health and psychosocial support. PMID:18276050
Tsutsumi, Atsuro; Izutsu, Takashi; Poudyal, Amod K; Kato, Seika; Marui, Eiji
This grass-roots level mental health awareness programme considerably increased use of community-based mental health services\\u000a in a part of Nigeria where knowledge about treatability of mental illness was limited. The benefits of the programme were\\u000a sustained for a significant period after the initial awareness programme. In order for attitude changes to be reinforced,\\u000a similar awareness programmes must be repeated at
Julian Eaton; Ahamefula O. Agomoh
The current and lifetime comorbidity of depressive (i.e., major depressive disorder and dysthymia) with other common mental disorders was examined in community samples of older adolescents (n = 1,710) and adults (n = 2,060) . Current and lifetime histories of depression in the adolescents were highly comorbid with several other mental disorders. The adults had a lower but statistically significant
Paul Rohde; Peter M. Lewinsohn; John R. Seeley
This study describes Australian media portrayal of mental illnesses, focusing on depression. A random sample of 1,123 items was selected for analysis from a pool of 13,389 nonfictional media items about mental illness collected between March 2000 and February 2001. Depression was portrayed more frequently than other mental illnesses. Items about…
Francis, Catherine; Pirkis, Jane; Blood, R. Warwick; Dunt, David; Burgess, Philip; Morley, Belinda; Stewart, Andrew
On the basis of current epidemiological and clinical research, this article describes how mental health symptoms are associated with heart disease, a major chronic condition that occurs primarily in middle and late life. The article describes the culturally and historically important link between heart and mind. It then describes depression and…
Ai, Amy L.; Rollman, Bruce L.; Berger, Candyce S.
Background Mental health literacy is a prerequisite for early recognition and intervention in mental disorders. The aims of this paper are to determine whether a sample of university students recognise different symptoms of depression and schizophrenia and to reveal factors influencing correct recognition. Methods Bivariate and correspondence analyses of the results from an online survey among university students (n = 225). Results Most participants recognised the specific symptoms of depression. The symptoms of schizophrenia were acknowledged to a lower extent. Delusions of control and hallucinations of taste were not identified as symptoms of schizophrenia. Repeated revival of a trauma for depression and split personality for schizophrenia were frequently mistaken as symptoms of the respective disorders. Bivariate analyses demonstrated that previous interest in and a side job related to mental disorders, as well as previous personal treatment experience had a positive influence on symptom recognition. The correspondence analysis showed that male students of natural science, economics and philosophy are illiterate in recognising the symptoms depression and schizophrenia. Conclusion Among the educational elite, a wide variability in mental health literacy was found. Therefore, it's important for public mental health interventions to focus on the different recognition rates in depression and schizophrenia. Possibilities for contact must be arranged according to interest and activity (e.g., at work). In order to improve mental health literacy, finally, education and/or internship should be integrated in high school or apprenticeship curricula. Special emphasis must be given towards the effects of gender and stereotypes held about mental illnesses. PMID:15882465
Lauber, Christoph; Ajdacic-Gross, Vladeta; Fritschi, Nadja; Stulz, Niklaus; Rössler, Wulf
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…
Hiott, Ann E.; Grzywacz, Joseph G.; Davis, Stephen W.; Quandt, Sara A.; Arcury, Thomas A.
Presented is a speech by Bertram Brown, director of the National Institute of Mental Health, on the effects of decreased federal funding of mental health research. Brown notes that there has been a 56% slash in the purchasing power of the research grant program when inflation is accounted for. It is suggested that causes of the dwindling support…
Brown, Bertram S.
The author, a superintendent of schools, discusses a rising tide of social and emotional needs among school children as educators struggle with the issue of whether to deal with students' mental health issues. Readers are asked to consider this statement from "Children's Mental Health: Developing a National Action Agenda," a report prepared by the…
An integrative review of literature was undertaken to examine the impact of children's mental health on their school success. The literature confirmed a confluence of problems associated with school performance and child and adolescent mental health. Poor academic functioning and inconsistent school attendance were identified as early signs of…
DeSocio, Janiece; Hootman, Janis
Objective: This paper describes the informational and treatment opportunities offered by the Worldwide Web (WWW) and comments on the advantages, disadvantages and potential dangers of its role in mental health and mental health research.Method: Two perspectives are taken: (i) the impact of the Web from the point of view of the clinician (the practitioner view) and (ii) the impact of
Helen Christensen; Kathleen Griffiths
Although schools are not traditionally designed to provide intensive mental health services to children, they are in a position to create systems that foster mental health. By creating school-wide systems in which students are academically, behaviorally and socially successful, schools can integrate those essential protective factors shown to…
Trussell, Robert P.
Mothers are one of the fastest growing segments of the homeless population in the United States. Although mental health problems often contribute to homelessness, little is known about the factors that affect mothers' mental health. To help identify protective factors, this longitudinal study examined the relationship between spirituality and…
Hodge, David R.; Moser, Stephanie E.; Shafer, Michael S.
0 Psychiatric Mental Health Nurse Practitioner Clinical Courses Student Preceptor Guide Revised 1..............................................................................................................................................28 #12;2 TO: Psychiatric Mental Nurse Practitioner (PMH) Students, Preceptors, and Clinical Faculty Concentration Coordinator, Department of Advanced Practice & Doctoral Studies The University of Tennessee Health
This study of social workers in mental health services reports on practitioners' descriptions of what they do as they perform their occupational roles and compares these descriptions with the social work role appropriate for community mental health practice. Subgroup comparisons are made-between those with the professional degree (MSW) and those without. A reported source of role strain for the group
B. Jeanne Mueller; Bernard J. James
As someone who has been involved in college mental health in three different roles, the author would say those who work in this field inhabit a strange space. College mental health centers are generally seen as somewhat peripheral to the core mission of universities by upper administration. Counseling centers do not reside within academic…
This paper is the first of a two-part series on financing early childhood mental health services. It discusses the need for a systemic approach to financing early childhood mental health services and supports and presents a matrix to assist states and communities in the design of comprehensive financing systems. The vertical axis of the matrix…
Wishmann, Amy; Kates, Donald; Kaufmann, Roxane
It is the position of the National Association of School Nurses (NASN) that mental health is as critical to academic success as physical well-being. School nurses play a vital role in the school community by promoting positive mental health development in students through school/community-based programs and curricula. As members of…
National Association of School Nurses (NJ1), 2008
A chronicle of the developmental thrust of psychiatry into the community mental health movement; its rise and fall in popularity, and the subsequent doubts raised about the power of social environment and mental health experts as manipulators of that environment to serve as unique forces for the betterment of society as a whole. (EH)
Musto, David F.
Background The economic and moral implications of family burden are well recognised. What is less understood is whether or how family health and family burden relate to personal mental health. This study examines family health and perceived family burden as predictors of personal mental health, taking personal and sociodemographic factors into consideration. Methods Data used was from the National Comorbidity Study Replication (NCS-R), namely the random 30% of participants (N?=?3192) to whom the family burden interview was administered. Measures of family burden and mental health were considered for analysis. Results Binary logistic regressions were used as means of analyses. Perception of family burden was associated with an increased vulnerability to personal mental health problems, as was the presence of mental health difficulties within the family health profile. Which member of the family (kinship) was ill bore no relation to prediction of personal mental health. Personal and socio-demographic factors of sex, age, marital status, education and household income were all predictive of increased vulnerability to mental health problems over the last 12 months. Conclusions Certain elements of family health profile and its perceived burden on the individuals themselves appears related to risk of personal incidence of mental health problems within the individuals themselves. For moral and economic reasons, further research to understand the dynamics of these relationships is essential to aid developing initiatives to protect and support the mental health and wellbeing of relatives of ill individuals. PMID:23517472
Released on December 13, the first Surgeon General's report on mental health reveals that nearly half of all Americans who have a severe mental illness fail to seek treatment. The 500-page publication was developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the National Institute of Mental Health (NIMH) under the guidance of the Surgeon General. It notes that "disorders such as depression, schizophrenia and eating disorders are real illnesses that, if untreated, can be as disabling and serious as cancer and heart disease in terms of premature death and lost productivity." The report takes a life-span approach, considering vulnerability to distinct forms of mental and behavioral disorders at different stages of life as well as the impact of gender, culture, and age on the diagnosis, course, and treatment of mental illness. Users can read the full text of the report and the accompanying tables and figures in HTML or .pdf formats at the Virtual Office of the Surgeon General or one of three mirror sites. For more on the report, please see the In The News section from this week's Scout Report for Social Sciences.
Background The objective of this international comparative study is to describe and compare the mental health policies in seven countries of Eastern Europe that share their common communist history: Bulgaria, the Czech Republic, Hungary, Moldova, Poland, Romania, and Slovakia. Methods The health policy questionnaire was developed and the country-specific information was gathered by local experts. The questionnaire includes both qualitative and quantitative information on various aspects of mental health policy: (1) basic country information (demography, health, and economic indicators), (2) health care financing, (3) mental health services (capacities and utilisation, ownership), (4) health service purchasing (purchasing organisations, contracting, reimbursement of services), and (5) mental health policy (policy documents, legislation, civic society). Results The social and economic transition in the 1990s initiated the process of new mental health policy formulation, adoption of mental health legislation stressing human rights of patients, and a strong call for a pragmatic balance of community and hospital services. In contrast to the development in the Western Europe, the civic society was suppressed and NGOs and similar organizations were practically non-existent or under governmental control. Mental health services are financed from the public health insurance as any other health services. There is no separate budget for mental health. We can observe that the know-how about modern mental health care and about direction of needed reforms is available in documents, policies and programmes. However, this does not mean real implementation. Conclusions The burden of totalitarian history still influences many areas of social and economic life, which also has to be taken into account in mental health policy. We may observe that after twenty years of health reforms and reforms of health reforms, the transition of the mental health systems still continues. In spite of many reform efforts in the past, a balance of community and hospital mental health services has not been achieved in this part of the world yet. PMID:24467832
Journal of Mental Health Nursing. Zarkin, Bray, Aldridge,perspective. Issues in Mental Health Nursing. 2007;28:1320-Mental Health Services except substance related disorders, life transition problems, skilled nursing
California Health Benefits Review Program (CHBRP)
International Journal of Mental Health Nursing. Zuvekas SH,perspective. Issues in Mental Health Nursing. 2007;28:1320-Mental Health Services except substance related disorders, life transition problems, skilled nursing
California Health Benefits Review Program (CHBRP)
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...2013-10-01 false Comprehensive mental health program. 441.106 Section... § 441.106 Comprehensive mental health program. (a) If the plan...and implementing a comprehensive mental health program. (b) The program...
...2011-10-01 false Outpatient mental health treatment limitation. 410...Benefits § 410.155 Outpatient mental health treatment limitation. (a...liability amounts for outpatient mental health services subject to the...
...2011-10-01 false Comprehensive mental health program. 441.106 Section... § 441.106 Comprehensive mental health program. (a) If the plan...and implementing a comprehensive mental health program. (b) The program...
...2014-10-01 false Outpatient mental health treatment limitation. 410...Benefits § 410.155 Outpatient mental health treatment limitation. (a...liability amounts for outpatient mental health services subject to the...
...0720-AB55] TRICARE: Certified Mental Health Counselors AGENCY: Office of...would allow licensed or certified mental health counselors to be able to independently...current TRICARE requirements, mental health counselors (MHCs) are...
...2010-10-01 false Comprehensive mental health program. 441.106 Section... § 441.106 Comprehensive mental health program. (a) If the plan...and implementing a comprehensive mental health program. (b) The program...
REPORT OF THE PROVOSTIAL ADVISORY COMMITTEE ON STUDENT MENTAL HEALTH October 2014 The University of Toronto Student Mental Health Strategy and Framework #12;Report of the Provostial Advisory Committee on Student Mental Health 1 TABLE OF CONTENTS Executive Summary
...2014-10-01 false Comprehensive mental health program. 441.106 Section... § 441.106 Comprehensive mental health program. (a) If the plan...and implementing a comprehensive mental health program. (b) The program...
...2012-10-01 false Comprehensive mental health program. 441.106 Section... § 441.106 Comprehensive mental health program. (a) If the plan...and implementing a comprehensive mental health program. (b) The program...
...2012-10-01 false Outpatient mental health treatment limitation. 410...Benefits § 410.155 Outpatient mental health treatment limitation. (a...liability amounts for outpatient mental health services subject to the...
... 2010-07-01 false Mental health services. 17.98...Outpatient Treatment § 17.98 Mental health services. ...persons who were receiving mental health services in...occurs when in the course of an illness the provider of care...
... 2014-07-01 false Mental health services. 17.98...Outpatient Treatment § 17.98 Mental health services. ...persons who were receiving mental health services in...occurs when in the course of an illness the provider of care...
... 2013-07-01 false Mental health services. 17.98...Outpatient Treatment § 17.98 Mental health services. ...persons who were receiving mental health services in...occurs when in the course of an illness the provider of care...
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... 2011-07-01 false Mental health services. 17.98...Outpatient Treatment § 17.98 Mental health services. ...persons who were receiving mental health services in...occurs when in the course of an illness the provider of care...
Master of Education Degree Program Clinical Mental Health Counseling information about field experiences in the clinical mental health counseling program students develop requisite counseling skills and direct knowledge of mental health
Duchowski, Andrew T.
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. PMID:16135246
There are over 3 million truck drivers employed in the commercial transportation and material moving occupations, one of the largest occupational groups in the United States. Workers in this large and growing occupational segment are at risk for a range of occupational health-induced conditions, including mental health and psychiatric disorders due to high occupational stress, low access and use of health care, and limited social support. The purpose of this study was to explore male truck drivers' mental health risks and associated comorbidities, using a cross-sectional and quantitative design. Data were collected from a random sample of 316 male truckers between the ages of 23 and 76 at a large truck stop located within a 100-mile radius of Greensboro, North Carolina, USA, using a self-administered 82-item questionnaire. Surveyed truckers were found to have significant issues affecting their mental health, such as loneliness (27.9%), depression (26.9%), chronic sleep disturbances (20.6%), anxiety (14.5%), and other emotional problems (13%). Findings have potential to help researchers develop interventions to improve the emotional and occupational health of truck drivers, a highly underserved population. Mental health promotion, assessment, and treatment must become a priority to improve the overall trucking environment for truckers, the transportation industry, and safety on US highways. PMID:22757596
Shattell, Mona; Apostolopoulos, Yorghos; Collins, Chad; Sönmez, Sevil; Fehrenbacher, Caitlin
Objective: This pilot study examined the effect of structural family therapy (SFT) on children's impairment and depressive symptomatology and mothers' depressive symptomatology and anxiety for 31 families served by a community mental health clinic. Method: A one group predesign/postdesign, with a baseline and two follow-up time points,…
Weaver, Addie; Greeno, Catherine G.; Marcus, Steven C.; Fusco, Rachel A.; Zimmerman, Tina; Anderson, Carol
We studied the validity of the assessment of posttraumatic stress disorder (PTSD) and depression within the context of an epidemiological mental health survey among war-affected adolescents and young adults in northern Uganda. Local language versions of the Posttraumatic Diagnostic Scale (PDS) and the Depression section of the Hopkins Symptom…
Ertl, Verena; Pfeiffer, Anett; Saile, Regina; Schauer, Elisabeth; Elbert, Thomas; Neuner, Frank
We applied nonlinear and chaos analysis to fingertip pulse wave data. The largest Lyapunov exponent, a measure of the ``divergence'' of the trajectory of the attractor in phase space, was found to be a useful index of mental health in humans, particularly for the early detection of dementia and depressive psychosis, and for monitoring mental changes in healthy persons. Most
Mayumi Oyama-Higa; Tiejun Miao; Huaichang Cheng; Yuan Guang Tang
The number of students on university and college campuses that are struggling with depression, anxiety, suicidal thoughts, and psychosis across North America is rising (Gallagher, 2008). This intensification of students' psychological needs has become a mental health crisis. The age at which many mental disorders manifest themselves is…
Kruisselbrink Flatt, Alicia
The objective of this study was to evaluate community-based outpatient mental health services for young adults. Participants\\u000a were interviewed at ages 21, 24, 27, and 30. Outcomes included: (1) symptoms of depression, generalized anxiety, social phobia,\\u000a dysthymia and post traumatic stress individually and as a global scale; and (2) a dichotomous diagnosis variable inclusive\\u000a of all above disorders. Treatment was
Richard A. Van Dorn; Rick Kosterman; James Herbert Williams; Kristen Chandler; M. Scott Young; Richard F. Catalano; J. David Hawkins
Enhancement of mental health literacy is a mental health promotion strategy that may be effective at destigmatizing mental illness and increasing self-seeking behavior. Transitions is a mental health literacy program intended to heighten students' awareness and discussion of mental health problems and promote help-seeking behaviors. Transitions…
Potvin-Boucher, Jacqueline; Szumilas, Magdalena; Sheikh, Tabinda; Kutcher, Stan
Although understanding of the subsistence patterns, service utilization, and HIV-risk behaviors of homeless youths and young adults is increasing, relatively little is known about the epidemiology of mental health problems in this group or the relationships between mental health problems and substance use. This study measured symptoms of depression, low self-esteem, ADHD, suicidality, self-injurious behavior (SIB), and drug and alcohol
Jennifer B. Unger; Michele D. Kipke; Thomas R. Simon; Susanne B. Montgomery; Christine J. Johnson
This study assessed the relationship of depression, anxiety, and hostility to physical health in a multicultural student population\\u000a (N=106). When controlling for a variety of demographic and health risk factors (viz., age, sex, body mass, smoking, alcohol,\\u000a salt, caffeine, and exercise), hostility, depression, and anxiety were related to higher reported incidences of physical symptoms\\u000a and somatic illness. Depression and hostility
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…
Smith, Allison L.; Cashwell, Craig S.
This paper summarizes the current situation of mental health services in the Arab world. Out of 20 countries for which information is available, six do not have a mental health legislation and two do not have a mental health policy. Three countries (Lebanon, Kuwait and Bahrain) had in 2007 more than 30 psychiatric beds per 100,000 population, while two (Sudan and Somalia) had less than 5 per 100,000. The highest number of psychiatrists is found in Qatar, Bahrain and Kuwait, while seven countries (Iraq, Libya, Morocco, Somalia, Sudan, Syria and Yemen) have less than 0.5 psychiatrists for 100,000 population. The budget allowed for mental health as a percentage from the total health budget, in the few countries where information is available, is far below the range to promote mental health services. Some improvement has occurred in the last decade, but the mental health human resources and the attention devoted to mental health issues are still insufficient. PMID:22295010
Okasha, Ahmed; Karam, Elie; Okasha, Tarek
The Extended Hours Community Mental Health Nursing Service is an innovative service introduced within Milton Keynes following the success of an earlier project. The service operates every day and provides an on-call Community Mental Health Nurse (CMHN) who is available 1700-0100 h for people aged 17 years and over, in support of other health services.The function of the service is
This cross-sectional retrospective study examined self-perceived changes in importance of religious beliefs (RBs) following the attacks of September 11, 2001, and assessed their associations with complicated grief (CG), posttraumatic stress disorder (PTSD), and major depressive disorder (MDD). Data were collected from 608 participants 2.5 to 3.5 years after the attacks. Whereas the majority of the participants reported no change in
Gretchen Seirmarco; Yuval Neria; Beverly Insel; Dasha Kiper; Ali Doruk; Raz Gross; Brett Litz
According to the American Psychiatric Association, college can be an exciting time, though for some it can be overwhelming and stressful. Depression, anxiety, substance use, and eating disorders are common mental health issues on college campuses. The 2010 American College Health Association National College Health Assessment found that 28 percent…
Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2011
The impact of diatheses, stress, and their interaction on depressed mood was evaluated to determine the appropriateness of cognitive diathesis-stress models of depression for adults with mental retardation. We also tested hopelessness as a mediator in the prediction of depressed mood to evaluate the hopelessness theory of depression. Seventy-three…
Esbensen, Anna J.; Benson, Betsey A.
Previous studies have shown a link between mental health functioning and involvement in HIV risk practices. The present research examines how well one specific group of men who have sex with other men (MSM) fare in terms of their mental health functioning, and then focuses on how mental health functioning relates to HIV risk practices in this population. The study was based on a national random sample of 332 MSM who use the Internet to seek men with whom they can engage in unprotected sex. Data collection was conducted via telephone interviews between January 2008 and May 2009. Depression is more common among men in this population than in the adult male population-at-large. All other measures of mental health functioning that were examined (self-esteem, impulsivity, current life satisfaction, optimism about the future) indicated low rates of mental health problem. Contrary to expectations, in nearly all instances, mental health functioning was not related to HIV risk practices. More work needs to be done to understand the causes of depression among these men, and to assess how, if at all, depression relates to risk practices in this population. These findings suggest that factors other than mental health problems must be considered if one wishes to understand HIV risk taking in this population. PMID:25478130
Purpose To assess the impact of mental health visits (MHV) on the cost of care for Veterans with diabetes and comorbid mental health conditions. Methods A national cohort of 120,852 Veterans with diabetes and at least one mental health diagnosis (i.e., substance abuse, depression or psychoses) in 2002 was followed through 2006. Outcomes were pharmacy, inpatient and outpatient costs in 2012 dollars. Results Least-square covariate adjusted estimates from the joint model of total VA costs of the number of MHV using December 31, 2012 value dollars indicate that relative to those with fewer MHV, those with 3+ MHV had the lowest mean inpatient cost ($21,406), but the highest mean outpatient and pharmacy cost ($9,727 and $2,015, respectively). If all Veterans who received zero MHV actually received 3+ MHV, we estimate through simulated scenarios that between $32,272,329 and $181,460,247 in inpatient costs would be saved. However, these savings would be offset by additional expenditures of between $1,166,017,547 and $1,166,224,787 in outpatient costs and between $151,604,683 and $161,439,632 in pharmacy costs. Conclusions Among Veterans with diabetes and comorbid mental disorders having three or more mental health visits is associated with marginally decreased inpatient cost, but these potential savings seem to be offset by increased outpatient and pharmacy costs. PMID:25083903
Egede, Leonard E.; Gebregziabher, Mulugeta; Zhao, Yumin; Dismuke, Clara E.; Walker, Rebekah J.; Hunt, Kelly J.; Axon, R. Neal
Sexual assault increases the risk for psychopathology. Despite the availability of effective interventions, relatively few victims who need treatment receive care in the months following an assault. Prior work identified several factors associated with utilizing care, including ethnicity, insurance, and posttraumatic stress disorder (PTSD) symptoms. Few studies, however, have examined predictors of treatment utilization prospectively from the time of assault. The present study hypothesized that White racial status, younger age, being partnered, having health insurance, having previously received mental health treatment, and having more PTSD and depression symptoms would predict utilization of care in the 6 months postassault. This was examined in a sample of 266 female sexual assault victims with an average age of 26.2 years, of whom 62.0% were White and 38.0% were African American assessed at 1.5 and 6 months postassault. Available information on utilizing care varied across assessments (1.5 months, n = 214; 3 months, n = 126; 6 months, n = 204). Significant predictors included having previously received mental health treatment (OR = 4.09), 1 day depressive symptoms (OR = 1.06), and having private insurance (OR = 2.24) or Medicaid (OR = 2.19). Alcohol abuse and prior mental health care were associated with a substantial increase in treatment utilization (OR = 4.07). The findings highlight the need to help victims at risk obtain treatment after sexual assault. PMID:24852357
Price, Matthew; Davidson, Tatiana M.; Ruggiero, Kenneth J.; Acierno, Ron; Resnick, Heidi S.
OBJECTIVE To examine public school teachers’ perceptions about general health and mental health, and the way in which they obtained this information. METHODS Qualitative research was conducted with 31 primary and secondary school teachers at a state school in the municipality of Sao Paulo, SP, Southeastern Brazil, in 2010. The teachers responded to a questionnaire containing open-ended questions about mental health and general health. The following aspects were evaluated: Teachers’ understanding of the terms “health and “mental health,” the relevance of the need for information on the subject, the method preferred for obtaining information, their experience with different media regarding such matters, and perceptions about the extent to which this available information is sufficient to support their practice. The data were processed using the Qualiquantisoft software and analyzed according to the Discourse of the Collective Subject technique. RESULTS From the teachers’ perspective, general health is defined as the proper physiological functioning of the body and mental health is related to the balance between mind and body, as a requirement for happiness. Most of the teachers (80.6%) showed great interest in acquiring knowledge about mental health and receiving educational materials on the subject. For these teachers, the lack of information creates insecurity and complicates the management of everyday situations involving mental disorders. For 61.3% of the teachers, television is the medium that provides the most information on the topic. CONCLUSIONS The data indicate that there is little information available on mental health for teachers, showing that strategies need to be developed to promote mental health in schools.
Soares, Amanda Gonēalves Simões; Estanislau, Gustavo; Brietzke, Elisa; Lefčvre, Fernando; Bressan, Rodrigo Affonseca
Seven models for conceptualizing positive mental health are reviewed: mental health as above normal, epitomized by a DSM-IV’s 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. Safeguards for the study of mental health are suggested, including the need to define mental health in terms that are culturally sensitive and inclusive, and the need to empirically and longitudinally validate criteria for mental health. PMID:22654934
VAILLANT, GEORGE E.
Background Urban parks have received attention in recent years as a possible environmental factor that could encourage physical activity, prevent obesity, and reduce the incidence of chronic conditions. Despite long hypothesized benefits of parks for mental health, few park studies incorporate mental health measures. Aims of the Study To test the association between proximity to urban parks and psychological distress. Methods Cross-sectional analysis of individual health survey responses. Data were collected for a study of capital improvements of neighborhood parks in Los Angeles. A survey was fielded on a sample of residential addresses, stratified by distance from the park (within 400m, 800m, 1.6 km, and 3.2km; N=1070). We use