Screening for poor mental health functioning in a US inner-city emergency department

2008 ◽  
Vol 23 ◽  
pp. S271
Author(s):  
B.M. Booth ◽  
F.C. Blow ◽  
M.A. Walton ◽  
S.T. Chermack ◽  
K. Barry ◽  
...  
2021 ◽  
pp. 140349482110454
Author(s):  
Jaakko Harkko ◽  
Hertta Ranta ◽  
Tea Lallukka ◽  
Hilla Nordquist ◽  
Minna Mänty ◽  
...  

Background: The associations between adverse working conditions and mental disorders are well established. However, associations between adverse working conditions and poor mental health functioning is a less explored area. This study examines these associations among younger public sector employees of the City of Helsinki, Finland. Methods: We use data from the Young Helsinki Health Study with a representative sample of the employees of the City of Helsinki, aged 19–39 years ( n=4 217). Mental health functioning was measured with mental composite summary of the Short Form 36. Working conditions included factors related to both the psychosocial (job control and job demands) and the physical work environment (physical workload). To examine the associations, we used logistic regression models with adjustments for socio-demographics, other working conditions and health-related covariates. Results: After adjustment for sociodemographic characteristics, poor health, health behaviours and other occupational exposures, high job demands (OR=1.69; 95% CI=1.45–1.97) and low job control (OR=1.65; 95% CI=1.40–1.94) were associated with poor mental health functioning. High physical workload was not associated with the outcome (OR=0.87; 95% CI=0.72–1.05) after the adjustments. Conclusions: Adverse psychosocial working conditions were associated with mental health functioning, whereas physical working conditions were not. As impaired functioning is likely to cause health-related lost productivity and can lead to work disability, further research and interventions with a balanced approach focusing on both psychosocial working conditions and mental health functioning are recommended.


2010 ◽  
Vol 38 (3) ◽  
pp. 358-372 ◽  
Author(s):  
Brenda M. Booth ◽  
Maureen A. Walton ◽  
Kristin L. Barry ◽  
Rebecca M. Cunningham ◽  
Stephen T. Chermack ◽  
...  

2020 ◽  
Author(s):  
Anthony D Mancini

In this commentary, I argue that the mental health impact of COVID-19 will show substantial variation across individuals, contexts, and time. Further, one key contributor to this variation will be the proximal and long-term impact of COVID-19 on the social environment. In addition to the mental health costs of the pandemic, it is likely that a subset of people will experience improved social and mental health functioning.


2014 ◽  
Vol 16 (2) ◽  
pp. 93-101
Author(s):  
Michael J. Lambert ◽  
Gianluca Lo Coco

While highly effective, psychotherapy outcome studies suggest 5?14% of clients worsen while in treatment and that therapists are unable to identify a substantial portion of such cases. Methods to systematically track client mental health functioning over the course of treatment and adjust treatment through the use of problem-solving tools are described. We summarize meta-analyses of the effects of a feedback system indicating that the number of psychotherapy patients who deteriorate can be cut in half. We conclude with a series of practice implications, including that clinicians seriously consider making formal methods of collecting client feedback a routine part of their daily practice.


2018 ◽  
Vol 48 (2) ◽  
pp. 149-168 ◽  
Author(s):  
Krista J. Van Slingerland ◽  
Natalie Durand-Bush ◽  
Scott Rathwell

We examined the level and prevalence of mental health functioning (MHF) in intercollegiate student-athletes from 30 Canadian universities, and the impact of time of year, gender, alcohol use, living situation, year of study, and type of sport on MHF. An online survey completed in November 2015 (N = 388) and March 2016 (n = 110) revealed that overall, MHF levels were moderate to high, and more student-athletes were flourishing than languishing. MHF levels did not significantly differ across time based on gender, alcohol use, living situation, year of study, and type of sport. Eighteen percent reported a previous mental illness diagnosis and yet maintained moderate MHF across time. These findings support Keyes’ (2002) dual-continua model, suggesting that the presence of mental illness does not automatically imply low levels of well-being and languishing. Nonetheless, those without a previous diagnosis were 3.18 times more likely to be flourishing at Time 1 (November 2015).  


Author(s):  
Michael J. Lambert

This chapter makes a case for the value of tracking mental health functioning over the course of psychotherapy. The need for progress monitoring in psychotherapy arises from the fact that about 8% of clients worsen during treatment, and clinicians have a difficult time identifying such treatment failures. A tracking measure (Outcome Questionnaire-45 [OQ-45]) consisting of 45 self-report items used to rate symptoms, interpersonal problems, and social role dysfunction is described and recommended for use in private practice with adults. The consequences for clients identified as at-risk cases in several clinical trials are presented. The data show that by using these outcome measures, deterioration rates can be substantially reduced and positive outcomes are doubled.


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