Midlife Concerns and Caregiving Experiences: Intersecting Life Issues Affecting Mental Health

Author(s):  
Jane E. Myers ◽  
Melanie C. Harper
Keyword(s):  
Author(s):  
Chinedu Hilary Joseph ◽  
◽  
Henrietta Ijeoma Alika ◽  
Anikelechi Ijeoma Genevieve ◽  
T.D. Thobejane

The COVID-19 outbreak is inflicting different societies of the world with an untold and unprecedented hardship. However, the extent of impacts is bound to differ across groups, gender, economies, and countries. Given how the pandemic affects particular groups, this paper focuses on girls/young women and how Covid-19 may further strengthen gender norms and discriminations as risk factors of their mental health. In some societies, right from birth, the life experiences of the female child differ from the male child. At every stage of development, girls are more likely than boys to confront a host of challenges associated with discrimination and norms, which are gender-based. With the effects of the current pandemic evident in reduced access to health care, education, teenage pregnancy, and being vulnerable, young women and girls are more at the receiving end of their impacts. These stand as hindrances to the girl child's mental health because they tend to constitute anxiety, depression, self-harm, or even suicide and weakens her will power to make proper adjustment to life issues. This paper concludes that given that the impacts of COVID-19 are not gender-blind (affecting both genders), therefore the designing policy responses to the current pandemic should not be either. As we all continue to face this overwhelming Covid-19 pandemic, the study recommends that the vulnerable (especially girls and young women) should not be neglected or ignored. This is possible by not forgetting the inequalities that may worsen the conditions of girls because of the crisis.


2021 ◽  
Vol 40 (3) ◽  
pp. 29-41
Author(s):  
Michael F. Hoyt ◽  
Flavio Cannistrà

Single-session thinking and practice are being increasingly recognized as an important component in the landscape of mental health service delivery. At the same time, however, there are some common misunderstandings that may impede applications and further developments. Inspired by Jay Haley's (1969) ironic “The Art of Being a Failure as a Therapist” and others of his articles, the authors describe some ways to avoid successful single-session therapy (SST), including insisting that therapy be only one session; disbelieving that therapy could be only one session; lowering hopeful expectations; avoiding clarifying a specific goal for the session; disregarding real-life issues; insisting on one model of therapy; ignoring context and working against the client's culture; thinking that the only single-session goal should be total resolution of whatever problems have brought the client to therapy; and neglecting implementation, supervision, and administrative support.


2002 ◽  
Vol 36 (6) ◽  
pp. 792-799 ◽  
Author(s):  
Fraser C. Todd ◽  
J. Douglas Sellman ◽  
Paul J. Robertson

Objective: This paper describes qualitative research that was carried out as part of a project aimed at drawing up a series of guidelines for the assessment and management for people with coexisting substance use and mental health disorders, or dual diagnosis [ 1 ]. Method: A core consultation team of 14 experts with experience in the areas of both substance use and mental health in New Zealand was established to advise on the development of eight clinical scenarios. The clinical scenarios were selected to highlight a range of real life issues in the treatment of people with coexisting substance use and mental health disorders and were presented at 12 focus groups around New Zealand. The 261 participants of the focus groups were asked to comment on what was optimal management for each of the scenarios and to identify barriers to optimal care in their region. Written notes were analysed for recurring and strongly stated themes and these comprise the results of the study. Results: While there was marked regional variation in treatment approaches and service structures, many of the barriers to optimal care that were identified were common to all regions. The results are considered under the headings of systems issues, clinical issues and attitudes. Conclusions: A wide variety of barriers that impede the delivery of optimal care have been identified. These range from the attitudes of individual clinicians to the structure of the systems within which they work. A system of key principles and processes for organizing treatment in a way which helps overcome these barriers is proposed.


1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 66-68 ◽  
Author(s):  
Paul Trott ◽  
Ilse Blignault

We conducted a simple comparison of the costs associated with delivering a mental health service by telepsychiatry and by conventional methods. The telepsychiatry rural outreach service was delivered to a mining town 900km from the regional hospital in Townsville. When the telemedicine service was well established, 40 cases a month were seen for general adult psychiatry, four for child and adolescent mental health, four for psychology and two for forensic services. Costs and quality-of-life issues were considered. The savings to the health authority were estimated to be $85,380 in the first year and $112,790 in subsequent years, not allowing for maintenance and equipment upgrading. We also estimated a 40%reduction in patient transfers due to the introduction of telemedicine. Based on the previous year's figures of 27 transfers at $8920 each, this would produce an annual saving of $96,336 for the Royal Flying Doctor Service. The results of the study showed considerable savings from reduced travel by patients and health-care workers.


2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


2005 ◽  
Vol 14 (3) ◽  
pp. 15-19 ◽  
Author(s):  
Melanie Fried-Oken ◽  
Lisa Bardach

2020 ◽  
Vol 5 (4) ◽  
pp. 959-970
Author(s):  
Kelly M. Reavis ◽  
James A. Henry ◽  
Lynn M. Marshall ◽  
Kathleen F. Carlson

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475


Sign in / Sign up

Export Citation Format

Share Document