User Perspectives on Professional Support and Service Use During Psychiatric Medication Discontinuation

2022 ◽  
Author(s):  
Sabrina Darrow ◽  
Morgan Pelot ◽  
Sarah Naeger ◽  
Laysha Ostrow
Keyword(s):  
Service Use ◽  
Professional Support ◽  
Psychiatric Medication ◽  
Medication Discontinuation ◽  
User Perspectives

scholarly journals Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking

2013 ◽  
Vol 23 (2) ◽  
pp. 177-187 ◽  
Author(s):  
N. Rüsch ◽  
M. Müller ◽  
V. Ajdacic-Gross ◽  
S. Rodgers ◽  
P.W. Corrigan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Latent Profile Analysis ◽  
Service Use ◽  
Psychiatric Symptoms ◽  
Mental Health Service Use ◽  
Psychiatric Medication ◽  
Perceived Knowledge ◽  
Professional Help

Aims.To examine stigma- and knowledge-related barriers to help-seeking among members of the general population.Methods.In a representative survey of young to middle-aged Swiss adults (n = 8875), shame about a potential own mental illness, perceived knowledge about and satisfaction with one's mental health, psychiatric symptoms and attitudes towards help-seeking were assessed.Results.A latent profile analysis of all participants yielded two groups with different attitudes towards help-seeking. Relative to the majority, a one-in-four subgroup endorsed more negative attitudes towards seeking professional help, including psychiatric medication, and was characterized by more shame, less perceived knowledge, higher satisfaction with their mental health, younger age, male gender and lower education. Among participants with high symptom levels (n = 855), a third subgroup was reluctant to seek help in their private environment and characterized by high symptoms as well as low satisfaction with their mental health.Conclusions.Shame as an emotional proxy of self-stigma as well as poor subjective mental health literacy may be independent barriers to help-seeking. Interventions to increase mental health service use could focus on both variables and on those individuals with more negative views about professional help, in the general public as well as among people with a current mental illness.

Home Adaptations: User Perspectives on the Role of Professionals

2003 ◽  
Vol 66 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Clare Picking ◽  
Helen Pain ◽  
Clare Picking ◽  
Helen Pain
Keyword(s):  
People With Disabilities ◽  
Housing Tenure ◽  
Professional Support ◽  
Sufficient Information ◽  
Building Process ◽  
User Perspectives ◽  
Purposive Sample ◽  
Professional Intervention ◽  
Do So

People with disabilities often carry much of the responsibility for the process of making adaptations to their homes and look to the professionals involved for support. The study described in this article asked people with disabilities whether they believed that they received appropriate professional support, information and practical help when adapting their homes and sought to learn more about their feelings about the adaptation process. A qualitative research method, using three focus groups in different geographical areas, was carried out with a purposive sample of participants who had received adaptations to their homes and had been assisted by their local authorities. The groups comprised participants from urban and rural populations, who had a mix of housing tenure and a variety of professional support. The findings demonstrated that this method was appropriate as a means of both discovering how people felt about the process and identifying what they found to be the most helpful assistance from the professionals involved. The study suggested that when problems arose or delays were experienced during the building process, an occupational therapist was not the only appropriate professional to provide support because this could be given in a variety of ways by different professionals and helping agencies. The study also suggested that, given sufficient information and choice, some people with disabilities preferred to organise their own adaptations, could manage with minimal professional intervention and should be empowered to do so.

scholarly journals Remote mood monitoring for adults with bipolar disorder: An explorative study of compliance and impact on mental health service use and costs

2017 ◽  
Vol 45 ◽  
pp. 14-19 ◽  
Author(s):  
J. Simon ◽  
K. Budge ◽  
J. Price ◽  
G.M. Goodwin ◽  
J.R. Geddes
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Mental Health Service ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Psychiatric Medication ◽  
Medication Costs

AbstractBackground:Remote monitoring of mood disorders may be an effective and low resource option for patient follow-up, but relevant evidence remains very limited. This study explores real-life compliance and health services impacts of mood monitoring among patients with bipolar disorder in the UK.Methods:Patients with a diagnosis of bipolar disorder who were registered users of the True Colours monitoring system for at least 12 months at study assessment were included in this retrospective cohort study (n = 79). Compliance was measured as the proportion of valid depression and mania scale messages received in comparison to their expected numbers over the first 12 months of monitoring. Mental health service use data were extracted from case notes, costed using national unit costs, and compared 12 months before (pre-TC period) and 12 months after (TC period) patients’ engagement with monitoring. Associations with relevant patient factors were investigated in a multiple regression model.Results:Average compliance with monitoring was 82%. Significant increases in the annual use and costs of psychiatrist contacts and total mental health services were shown for patients newly referred to the clinic during the pre-TC period but not for long-term patients of the clinic. Psychiatric medication costs increased significantly between the pre-TC and TC periods (£ 235, P = 0.005) unrelated to patients’ referral status.Conclusions:Remote mood monitoring has good compliance among consenting patients with bipolar disorder. We found no associations between observed changes in mental health service costs and the introduction of monitoring except for the increase in psychiatric medication costs.

Retrospective Accounts of the Process of Using and Discontinuing Psychiatric Medication

2018 ◽  
Vol 29 (2) ◽  
pp. 198-210 ◽  
Author(s):  
Shimon Katz ◽  
Hadass Goldblatt ◽  
Ilanit Hasson-Ohayon ◽  
David Roe
Keyword(s):  
Data Analysis ◽  
Life Stories ◽  
Psychiatric Hospitalization ◽  
Narrative Approach ◽  
Psychiatric Medication ◽  
Meaningful Life ◽  
Medication Discontinuation ◽  
Perceived Impacts ◽  
Perceived Impact

Refusal to take psychiatric medication as prescribed is often considered negative, harmful, and even reflective of a sign of one’s illness. However, recent research from diverse sources has challenged this axiom. The current study investigated the reasons, processes, experiences, and perceived impacts of medication discontinuation. The study was carried out using the narrative approach to life stories method. Participants were 12 women and 9 men who had discontinued their prescribed medication following psychiatric hospitalization. Four main themes were revealed in the data analysis: (a) the experience with medication, (b) the process of discontinuing medication, (c) elements that helped achieve successful medication discontinuation, and (d) the perceived impact of medication discontinuation. Our findings challenge the widespread notion that discontinuing psychiatric medication is necessarily negative and suggest that, for some, it is a legitimate and meaningful life choice.

A Typology of Caregiving Situations and Service Use in Family Carers of Older People in Six European Countries

GeroPsych ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Mirko Di Rosa ◽  
Christopher Kofahl ◽  
Kevin McKee ◽  
Barbara Bień ◽  
Giovanni Lamura ◽  
...  
Keyword(s):  
Health Services ◽  
Older People ◽  
Support Services ◽  
Family Caregiving ◽  
Service Use ◽  
European Countries ◽  
Limited Resources ◽  
Family Carers ◽  
Policy Initiatives ◽  
Typology Of Care

This paper presents the EUROFAMCARE study findings, examining a typology of care situations for family carers of older people, and the interplay of carers with social and health services. Despite the complexity of family caregiving situations across Europe, our analyses determined the existence of seven “caregiving situations,” varying on a range of critical indicators. Our study also describes the availability and use of different support services for carers and care receivers, and carers’ preferences for the characteristics of support services. Our findings have relevance for policy initiatives in Europe, where limited resources need to be more equitably distributed and services should be targeted to caregiving situations reflecting the greatest need, and organized to reflect the preferences of family carers.

Suicide Prevention Through Online Gatekeeping Using Search Advertising Techniques

Crisis ◽  
2015 ◽  
Vol 36 (4) ◽  
pp. 267-273 ◽  
Author(s):  
Hajime Sueki ◽  
Jiro Ito
Keyword(s):  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Help Seeking ◽  
Service Use ◽  
Web Search ◽  
Suicide Attempts ◽  
Consultation Service ◽  
Search Advertising ◽  
Internet Users ◽  
History Of

Abstract. Background: Nurturing gatekeepers is an effective suicide prevention strategy. Internet-based methods to screen those at high risk of suicide have been developed in recent years but have not been used for online gatekeeping. Aims: A preliminary study was conducted to examine the feasibility and effects of online gatekeeping. Method: Advertisements to promote e-mail psychological consultation service use among Internet users were placed on web pages identified by searches using suicide-related keywords. We replied to all emails received between July and December 2013 and analyzed their contents. Results: A total of 139 consultation service users were analyzed. The mean age was 23.8 years (SD = 9.7), and female users accounted for 80% of the sample. Suicidal ideation was present in 74.1%, and 12.2% had a history of suicide attempts. After consultation, positive changes in mood were observed in 10.8%, 16.5% showed intentions to seek help from new supporters, and 10.1% of all 139 users actually took help-seeking actions. Conclusion: Online gatekeeping to prevent suicide by placing advertisements on web search pages to promote consultation service use among Internet users with suicidal ideation may be feasible.

Barriers to mental health service use in Asian American and European American college students.

2020 ◽  
Vol 11 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Christina B. Gee ◽  
Gagan S. Khera ◽  
Alyssa T. Poblete ◽  
Barunie Kim ◽  
Syeda Y. Buchwach
Keyword(s):  
Mental Health ◽  
College Students ◽  
Mental Health Service ◽  
Health Service ◽  
Asian American ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
European American
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