scholarly journals Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings: a systematic review

2019 ◽  
Vol 29 (12) ◽  
pp. 1621-1633
Author(s):  
Frane Vusio ◽  
Andrew Thompson ◽  
Max Birchwood ◽  
Latoya Clarke
Keyword(s):  
Mental Health ◽  
Young People ◽  
Help Seeking ◽  
Emotional Reactions ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Alternative Models ◽  
Searching Strategy ◽  
Crisis Services ◽  
Inpatient Settings

Abstract Community-based mental health services for children and young people (CYP) can offer alternatives to inpatient settings and treat CYP in less restrictive environments. However, there has been limited implementation of such alternative models, and their efficacy is still inconclusive. Notably, little is known of the experiences of CYP and their parents with these alternative models and their level of satisfaction with the care provided. Therefore, the main aim of this review was to understand those experiences of the accessibility of alternative models to inpatient care, as well as overall CYP/parental satisfaction. A searching strategy of peer-reviewed articles was conducted from January 1990 to December 2018, with updated searches conducted in June 2019. The initial search resulted in 495 articles, of which 19 were included in this review. A narrative synthesis grouped the studies according to emerging themes: alternative models, tele-psychiatry and interventions applied to crisis, and experiences and satisfaction with crisis provision. The identified articles highlighted increased satisfaction in CYP with alternative models in comparison with care as usual. However, the parental experiential data identified high levels of parental burden and a range of complex emotional reactions associated with engagement with crisis services. Furthermore, we identified a number of interventions, telepsychiatric and mobile solutions that may be effective when applied to urgent and emergency care for CYP experiencing a mental health crisis. Lastly, both parental and CYP experiences highlighted a number of perceived barriers associated with help-seeking from crisis services.

scholarly journals MENTAL HEALTH SERVICES DURING THE PANDEMIC: THE EXPERIENCES OF LITHUANIAN PSYCHOLOGISTS

2021 ◽  
Vol 7 ◽  
pp. 217-229
Author(s):  
Rita Vaičekauskaitė ◽  
Jurgita Babarskienė ◽  
Jūratė Grubliauskienė
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Computer Literacy ◽  
Help Seeking ◽  
Qualitative Content Analysis ◽  
Self Care ◽  
Vulnerable Groups ◽  
Mental Health Crisis ◽  
Health Crisis

With the COVID-19 pandemic and its restrictions, many countries face an unprecedented mental health crisis, which is being addressed in various ways, including the use of remote mental health services. Lithuania faced two quarantines: in March-June of 2020 and starting November 2020 up to Spring of 2021.  The aim of this study is to explore the experiences of Lithuanian psychologists providing mental health services during the pandemic.  Using the qualitative content analysis method, the following categories were made: from shock to discovery of new opportunities (differences in two lockdowns, better accessibility of services, help-seeking during the pandemic, and the importance of self-care) and contextual challenges (confidentiality, computer literacy, and blurred home/work boundaries). Implications for addressing psychological service issues are discussed, with an emphasis on self-care, setting boundaries, and finding new ways to enhance mental health via mediated communication as well as to reach out to vulnerable groups.

scholarly journals Young People’s Attitude Toward Positive Psychology Interventions: Thematic Analysis

10.2196/21145 ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. e21145
Author(s):  
Toni Michel ◽  
Franziska Tachtler ◽  
Petr Slovak ◽  
Geraldine Fitzpatrick
Keyword(s):  
Mental Health ◽  
Young People ◽  
Positive Psychology ◽  
Thematic Analysis ◽  
Youth Mental Health ◽  
Personal Factors ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Positive Psychology Interventions ◽  
People’S Attitudes

Background Digital instantiations of positive psychology intervention (PPI) principles have been proposed to combat the current global youth mental health crisis; however, young people are largely not engaging with available resources. Objective The aim of this study is to explore young people’s attitudes toward various PPI principles to find ways of making digital instantiations of them more engaging. Methods We conducted an explorative workshop with 30 young people (aged 16-21 years). They rated and reviewed 29 common PPIs. Ratings and recorded discussions were analyzed using thematic analysis. Results Some interventions were conflicting with young people’s values or perceived as too difficult. Participants responded positively to interventions that fit them personally and allowed them to use their strengths. Conclusions Values, context, strengths, and other personal factors are entangled with young people’s attitudes toward digital instantiations of PPI principles.

Psychiatric Crisis Services in Three Communities

2010 ◽  
Vol 29 (S5) ◽  
pp. 73-86 ◽  
Author(s):  
Cheryl Forchuk ◽  
Elsabeth Jensen ◽  
Mary-Lou Martin ◽  
Rick Csiernik ◽  
Heather Atyeo
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Public Transportation ◽  
Urban Areas ◽  
Health Workers ◽  
Mental Health Crisis ◽  
Mental Health Team ◽  
Health Crisis ◽  
Health Team ◽  
Crisis Services

This study compared communities with three models of crisis service: (a) police as part of a specialized mental health team, (b) mental health worker as part of a specialized police team, and (c) informal relationship between police and mental health crisis service. Rural and urban areas were examined and compared. Data included focus groups and participant observation. Analysis revealed that while all communities valued their crisis services, all identified limitations in responsiveness, access, and systems-related issues. Quick access to psychiatric beds was important to services. Rural communities had no public transportation, and an important police role was safe transportation. In rural communities, mental health workers were generalists because they had to be able to address situations on their own. In urban areas, transportation was more readily available, and more specialization developed among mental health team members.

What Twitter Can Tell Us About User Experiences of Crisis Text Lines: A Qualitative Study (Preprint)

2021 ◽  
Author(s):  
Alanna Coady ◽  
Keeley Lainchbury ◽  
Rebecca Godard ◽  
Susan Holtzman
Keyword(s):  
Mental Health ◽  
Text Messaging ◽  
Mental Health Problems ◽  
Health Problems ◽  
Research Literature ◽  
Mental Health Crisis ◽  
User Experiences ◽  
Health Crisis ◽  
Crisis Services ◽  
Communication Modalities

BACKGROUND Mental health problems are the leading cause of disability worldwide. Despite the prevalence and cost of mental illness, there are insufficient health services to meet this demand. Crisis hotlines have a number of advantages for addressing mental health challenges and reducing barriers to support. Further, mental health crisis services have recently expanded beyond telephone hotlines to include other communication modalities such as crisis chat and text messaging services, largely in response to the increased use of mobile phones and text messaging for social communication. OBJECTIVE Despite the high uptake of crisis text line services (CTLs) and rising mental health problems worldwide, CTLs remain understudied. Thus the current study aimed to address an urgent need to evaluate user experiences with text-based crisis services. METHODS The current study explored user experiences of CTLs by accessing users’ publicly available Twitter posts that describe personal use and experience with CTLs. Data were qualitatively analysed using inductive thematic analysis. RESULTS Six main themes were identified from 776 tweets: (1) approval of CTLs, (2) helpful counselling, (3) invalidating or unhelpful counselling, (4) problems with how the service is delivered, (5) features of the service that facilitate accessibility, and (6) indication that the service suits multiple needs. CONCLUSIONS Overall, there was strong evidence to support the value of text-based crisis support, as many users reported positive experiences of effective counselling that provided helpful coping skills, de-escalation, and reduction of harm. Results also identified areas in need of improvement, particularly ensuring more timely service delivery and effective communication of empathy and support. Text-based services may require targeted training to apply methods that effectively convey empathy in this medium. Moving forward, CTL services will require systematic attention in the clinical research literature to ensure their continued success and popularity among users.

scholarly journals P30 #CrisisTeamFail: twitter analysis to enrich understandings of mental health crisis services

2019 ◽  
Author(s):  
Natasha Chilman ◽  
Nicola Morant ◽  
Bryn Lloyd-Evans ◽  
Jane Wackett ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Crisis Services ◽  
Twitter Analysis

scholarly journals Mental Health among Canadian Postsecondary Students: A Mental Health Crisis?

2019 ◽  
Vol 65 (1) ◽  
pp. 30-35
Author(s):  
Kathryn Wiens ◽  
Asmita Bhattarai ◽  
Ashley Dores ◽  
Pardis Pedram ◽  
Jeanne V. A. Williams ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Odds Ratio ◽  
Help Seeking ◽  
Canadian Community Health Survey ◽  
Mental Health Status ◽  
Postsecondary Students ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Meta Analyses

Objective: Recent reports express concerns about a mental health crisis among postsecondary students. These assertions, however, often arise from surveys conducted in postsecondary settings that lack the broader context of a referent group. The objectives of this study were (1) to assess the mental health status of postsecondary students 18 to 25 years old from 2011 to 2017 and (2) to compare the mental health status of postsecondary students to nonstudents. Methods: Prevalence was estimated for a set of mental health outcomes using seven annual iterations of the Canadian Community Health Survey (2011 to 2017). Logistic regression was used to derive odds ratio estimates comparing mental health status among postsecondary students and nonstudents, adjusting for age and sex. Random effects metaregression and meta-analyses techniques were used to evaluate trends in prevalence and odds ratio estimates over time. Results: Over the study period, the prevalence of perceived low mental health, diagnosed mood and anxiety disorders, and past-year mental health consultations increased among female students, whereas binge drinking decreased among male students. With the exception of perceived stress, the odds of experiencing each mental health outcome were lower among postsecondary students compared to nonstudents. Conclusions: These findings do not support the idea that postsecondary students have worse mental health than nonstudents of similar age. The perception of a crisis may arise from greater help-seeking behavior, diminishing stigma, or increasing mental health literacy. Regardless, the observance of these trends provide an opportunity to address a previously latent issue.

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