The need and some specific suggestions for a standardized training program for a new professional: The child mental health specialist

1974 ◽  
Vol 3 (3) ◽  
pp. 177-187 ◽  
Author(s):  
Norbert I. Rieger ◽  
Alcon G. Devries
Keyword(s):  
Mental Health ◽  
Training Program ◽  
Child Mental Health ◽  
Mental Health Specialist ◽  
Health Specialist

The child mental health specialist: A new profession.

1974 ◽  
Vol 44 (1) ◽  
pp. 150-158 ◽  
Author(s):  
Norbert I. Rieger ◽  
Alcon G. Devries
Keyword(s):  
Mental Health ◽  
Child Mental Health ◽  
Mental Health Specialist ◽  
Health Specialist

A Study of Patient's Perspective of Schizophrenia Using Emic Perspective

2017 ◽  
Vol 41 (S1) ◽  
pp. s249-s249
Author(s):  
D. Sanyal ◽  
D. Das
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Cultural Perspective ◽  
Faith Healer ◽  
Mental Health Specialist ◽  
Health Specialist ◽  
Help Seeking Behaviour ◽  
Competing Interest ◽  
Emic Perspective

IntroductionKnowledge about how patients perceive mental illness and how it possibly influences help seeking behaviour is important in development of proper plan for mental health reform.ObjectiveThis study planned to study disease related perception, first help seeking behaviour and stigma among schizophrenia patients admitted at a hospital.Aims(1) To know about patient's view regarding the problems; (2) attempt to predict help seeking behaviour.MethodsFifty-one patients suffering from schizophrenia according to DSM-5 and fit to be interviewed were assessed using EMIC (Explanatory Model Interview Catalogue) to get emic (insider or person's own cultural) perspective of disease related perception, help seeking behaviour and stigma.ResultsTerms used to describe their illness included “depression” (21.6%), “mental” (17.6%) “matha kharap” (9.8%). Most common perceived cause was stress (25.5%) and sorcery (23.5). Mental health specialist was visited by 27.5% Faith healer consultation was high (29.4%). Stigma score was higher with marriage related issues and social isolation. Using exhaustive CHAID analysis, it was found that patients with negative themes as disease name like “matha kharap” (loosely meaning crazy) are more likely to visit faith healers, while patients naming the condition with some medical related term like depression were more likely to visit mental health specialist.ConclusionClearly perception of patients regarding mental illness and its causation varies greatly from the way psychiatrists’ viewpoint and this perception is likely to influence help seeking behaviour. Understanding these issues is likely to enable better patient awareness and proper formulation of plans to address mental health issues.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Awareness of Depression Among Patients with Hematological Conditions in Saudi Arabia: Physicians' Perspective and Attitudes

Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 14-14
Author(s):  
Anwar A. Sayed
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
P Value ◽  
Years Of Experience ◽  
Female Physicians ◽  
Psychological Burden ◽  
Mental Health Specialist ◽  
Significant Difference ◽  
Health Specialist ◽  
The Impact

Introduction: Benign hematological disorders (BHDs) such as anemias and sickle cell disease have a major burden of disease in Saudi Arabia (SA). Their prevalence is estimated to exceed 50% of the total population. and they are responsible for one fifth of total hospital admissions. Although treatable, most of these hematological conditions are of chronic nature and remain without a cure. The chronicity of these conditions poses a great risk of developing depression among patients, especially among those who experience symptoms. The development of depression, besides its own social and psychological burden on patients, it further worsens the impact of these BHDs as it negatively affects patients' compliance and adherence to treatment leading to worse prognosis. One of the biggest challenges in managing depression, among those with BHDs, is its detection by the treating physician. This study aims to examine physicians' perception and attitude towards depression among their patients. Methods: A cross-sectional study, in which an anonymized survey was distributed to 29 physicians who are working in SA who treat BHDs. Physicians who cannot read English, are no longer practising or not dealing with patients with hematological conditions were excluded from the study. The survey had 2 sections to assess physicians' knowledge of depression and their attitudes towards it e.g. willingness to attend mental health training, discussion in current practice and updating working guidelines. A knowledge score (K score) and an attitude score (A score) were calculated based on their survey responses to a maximum of 16 and 4, respectively. The distribution of K and A scores were determined using Shapiro Wilk Test. Multivariate analysis was used to compare K and A scores according to the independent physicians' variants. Correlations were determined using two-tailed Pearson's correlation coefficient. Statistical significance was denoted at a P value less than 0.05. This study was approved by Taibah University College of Medicine Research Ethics Committee. Results: Twenty-nine physicians were enrolled in this study, of which 27% were female (n=8). The median physicians' age was 27 years (range 24 - 50 years old). Female physicians were significantly older than male physicians, and subsequently their years of experience was significantly longer (P value < 0.0001). The physicians' specialties included Family Medicine (n=10), Internal Medicine (n=10), Pediatrics (n=2) and others (n=7). All but one physician completed their medical education in SA, and only 2 physicians completed their training outside SA. Sixteen physicians have referred patients to a mental health specialist in the last 3 years, of which only 2 female physicians (25% of the total female physicians) as compared to 14 male physicians (~67%).The median K and A scores for the cohort was 9 (out of 16) and 2.5 (out of 4), respectively. There was no significant difference between the K score of the male and female physicians, however, female physicians had significantly lower A score. Using 2-way ANOVA to assess if physicians' gender and their referral of patients to mental health specialists affect any of the scores, it was found that gender significantly influence A score (P value < 0.05). There was no statistical difference in K and A scores between physicians based on their place of work, the number of patients seen daily or whether they referred a patient to a mental health specialist in the last 3 years. Both K and A scores correlated negatively with physicians' years of experience, however, only A scores correlated significantly with years of experience (r=-0.4, P value < 0.01). Upon further grouping of physicians based on their years of experience (<1 year; 1-5 years and > 5 years), physicians with less than 1 year of experience had the highest K and A scores compared to the rest of the cohort. Conclusion: This study demonstrates that early career physicians are more knowledgeable and have a better attitude towards depression, predominantly among male physicians. These findings indicate that undiagnosed depression among patients with BHDs can be attributed to physicians' knowledge and attitude towards depression. Training programs and practice guidelines should prepare physicians to adopt a holistic approach in dealing with patients with BHDs and actively screen for depression among their patients. Disclosures No relevant conflicts of interest to declare.

Mental health specialist video consultations versus treatment as usual in patients with depression or anxiety disorders in primary care: study protocol for an individually randomised superiority trial (the PROVIDE-C trial)

2021 ◽  
Author(s):  
Markus W. Haun ◽  
Justus Tönnies ◽  
Regina Brinster ◽  
Dorothea Weber ◽  
Michel Wensing ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cost Effectiveness ◽  
Anxiety Disorders ◽  
Specialist Care ◽  
Treatment As Usual ◽  
Mental Health Specialist ◽  
Health Specialist ◽  
Superiority Trial ◽  
Versus Treatment

Abstract Background: The majority of people with mental disorders, including those with severe and chronic disorders, are treated solely by their general practitioner (GP). Nevertheless, specialised mental health care may be required for specific patients. Notably, the accessibility of mental health specialist care is mainly complicated by (a) long waiting times for an appointment with specialists, (b) long travel distances to specialists, particularly in rural and remote areas and (c) patients’ reservations about mental health specialist care (including fear of being stigmatised by seeking such care). To mitigate those barriers, technology-based integrated care models have been proposed. The purpose of this study is to examine the effectiveness and cost-effectiveness of a mental health specialist video consultations model versus treatment as usual in patients with depression or anxiety disorders in primary care. Methods: In an individually randomised, prospective, two-arm superiority trial with parallel group design, N = 320 patients with anxiety and/or depressive disorder will be recruited in general practices. The intervention includes a newly developed treatment model based on video consultations with focus on diagnostics, treatment planning, and short-term intervention by mental health specialists. We will systematically compare the effectiveness, cost-effectiveness, and adverse effects of this new model with usual care by the GP: The primary outcome is the absolute change in the mean depressive and anxiety symptom severity measured on the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS) from baseline to 6 months after baseline assessment. Follow-up in both groups will be conducted by blinded outcome assessors at 6 months and 12 months after baseline. The main analysis will be based on the intention-to-treat principle. We will optimise the likelihood of treatment effectiveness by strict inclusion criteria for patients, enhanced intervention integrity, and conducting a process evaluation. Discussion: To the best of our knowledge, this is the first confirmatory study on a video-based, integrated care model for the treatment of anxiety and depressive disorders in GP patients in Germany. Trial registration: ClinicalTrials.gov, United States National Institutes of Health (NCT04316572, https://clinicaltrials.gov/ct2/show/NCT04316572). Prospectively registered on 20 March 2020.

A Model Training Program for Child Mental Health Specialists

1977 ◽  
Vol 28 (9) ◽  
pp. 690-693
Author(s):  
Norbert I. Rieger ◽  
Alcon G. Devries
Keyword(s):  
Mental Health ◽  
Training Program ◽  
Child Mental Health ◽  
Model Training
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