A systematic review to investigate dramatherapy group work with working age adults who have a mental health problem

2018 ◽  
Vol 61 ◽  
pp. 1-9 ◽  
Author(s):  
Jane Bourne ◽  
Madeline Andersen-Warren ◽  
Simon Hackett
Author(s):  
Beate Muschalla

Abstract. Work anxiety is a common mental health problem that is often overlooked and often causes long periods of sick leave. This is the first representative survey on the distribution of work-phobic anxiety in Germany. Of the 2,030 working-age participants (18 – 67 years), 7 % had increased work-phobic anxiety of a moderate (5 % with scores >1.5 – 2.5 on a scale from 0 – 4) or high (2 % with scores >2.5 – 4) degree. People with high levels of work-phobic anxiety reported the longest sick leave durations during the past 12 months (8 weeks) and the most periods of unemployment in their professional lives. The three groups were similar in age, sex, and partnership status. People with high work-phobic anxiety perceived themselves least competent in almost all dimensions of psychological capacity. Occupational health must consider work-phobic anxiety as a specific mental health problem closely linked to work-ability problems.


2021 ◽  
Author(s):  
Harriet Hiscock ◽  
Marquelle Goods ◽  
Marquelle Goods

UNSTRUCTURED Introduction: Many children with a mental health problem do not receive professional help. Despite frequent use of digital health interventions (DHI) such as websites or online service navigation platforms for child mental health, their effects on parent’s mental health knowledge, help-seeking or uptake of professional services for their child are unclear. Methods: Systematic review and narrative synthesis to describe whether DHIs improve the above parental outcomes and whether they are cost-effective. CINAHL, EMBASE, Medline OVID, PsycInfo and PubMed were searched from 2000-2020. Studies were included if they evaluated quantitative changes in mental health literacy, help-seeking or uptake of services by parents of children with a mental health problem. Data extraction: Theoretical framework, sample size, participant demographics, recruitment, intervention, DHI usage, results and health economic measures. Results: From 11,379 search results, five studies met inclusion criteria. One randomized controlled trial found reduced uptake of services after using a DHI coupled with a telephone coach for a child’s behavioral problem. Two of three studies found statistically significant improvement in mental health literacy for attention-deficit/hyperactivity disorder but had no control group. One study found non-significant improvement in mental health literacy and help-seeking attitudes for anxiety and depression compared to an active control. No studies reported on cost-effectiveness. All studies were rated at least high or serious risk of bias. Discussion: Despite their use, there is no high-quality evidence that DHIs can improve parents’ mental health literacy, help-seeking or uptake of services. Limitations include a single reviewer screening articles and overall low-quality studies. More research is needed to evaluate DHIs using rigorous study designs, consistent measures and cost analyses.


2020 ◽  
pp. 103985622097005
Author(s):  
Oliver Smith ◽  
Jessica Bergmann ◽  
Ulrich Schall

Objective: General practitioners (GPs) are key health professionals for referrals to mental health specialists. Youth mental health issues are particularly challenging, requiring a competent assessment and understanding of appropriate referral pathways. We surveyed local GPs about their understanding of youth mental health problems and needs to competently look after young patients. Methods: GPs working in the Hunter region were contacted via email, fax and post over a 6-month period in 2019. Results: Seventy-five GPs participated. They reported 577 of 1698 (34%) of young people seen 2 weeks prior to being surveyed presented with a mental health problem. Predominantly, referrals were to private practice psychologists and Headspace. Almost a third (31%) reported having limited understanding of ‘at-risk mental state’ and are ‘not always comfortable’ when facing a young person with a mental health problem. Nearly all (95%) expressed interest in attending specialised training. GPs identified treatment costs, scarce access to psychiatrists and limited patient engagement as the main obstacles to help young people. Conclusions: Effective treatment of a mental health problem relies on early identification. GPs are seeing young people on a regular basis but don’t feel well equipped for this task and are keen to up-skill, which needs to be addressed by targeted training.


Psychiatry ◽  
2004 ◽  
Vol 67 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Simon Wessely

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