scholarly journals The relationship between deinstitutionalization and quality of care in longer-term psychiatric and social care facilities in Europe: A cross-sectional study

2017 ◽  
Vol 42 ◽  
pp. 95-102 ◽  
Author(s):  
T. Taylor Salisbury ◽  
H. Killaspy ◽  
M. King
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Service User ◽  
Multilevel Models ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
The Relationship

AbstractBackgroundThe process of deinstitutionalization (community-based care) has been shown to be associated with better quality of life for those with longer-term mental health problems compared to long stay hospitals. This project aimed to investigate the relationship between national progress towards deinstitutionalization and (1) quality of longer-term mental health care (2) service users’ ratings of that care in nine European countries.MethodsQuality of care was assessed in 193 longer-term hospital- and community-based facilities in Bulgaria, Germany, Greece, Italy, the Netherlands, Poland, Portugal, Spain and the UK. Data on users’ ratings of care were collected from 1579 users of these services. Country level variables were compiled from publicly available data. Multilevel models were fit to assess associations with quality of care and service user experiences of care.ResultsSignificant positive associations were found between deinstitutionalization and (1) five of seven quality of care domains; and (2) service user autonomy. A 10% increase in expenditure was associated with projected clinically important improvements in quality of care.ConclusionsGreater deinstitutionalization of mental health mental health services is associated with higher quality of care and better service user autonomy.

scholarly journals Relationship between national mental health expenditure and quality of care in longer-term psychiatric and social care facilities in Europe: cross-sectional study

2017 ◽  
Vol 211 (1) ◽  
pp. 45-49 ◽  
Author(s):  
Tatiana Taylor Salisbury ◽  
Helen Killaspy ◽  
Michael King
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Service User ◽  
Health Expenditure ◽  
Multilevel Models ◽  
Service Users ◽  
Cross Sectional ◽  
National Mental Health ◽  
Mental Health Expenditure

BackgroundIt is not known whether increased mental health expenditure is associated with better outcomes.AimsTo estimate the association between national mental health expenditure and (a) quality of longer-term mental healthcare, (b) service users' ratings of that care in eight European countries.MethodNational mental health expenditure (per cent of health budget spent on mental health) was calculated from international sources. Multilevel models were developed to assess associations with quality of care and service user experiences of care using ratings of 171 facility managers and 1429 service users.ResultsSignificant positive associations were found between mental health spend and (a) six of seven quality of care domains; and (b) service user autonomy and experiences of care.ConclusionsGreater national mental health expenditure was associated with higher quality of care and better service user experience.

The role of occupational meaningfulness and citizenship as mediators between occupational status and recovery: a cross-sectional study among residents with co-occurring problems

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Linda Nesse ◽  
Geir Aamodt ◽  
Marianne Thorsen Gonzalez ◽  
Michael Rowe ◽  
Ruth Kjærsti Raanaas
Keyword(s):  
Quality Of Life ◽  
Community Participation ◽  
Mental Health Problems ◽  
Occupational Status ◽  
Cross Sectional Study ◽  
Supported Housing ◽  
Cross Sectional ◽  
Content Type ◽  
The Relationship

Purpose Engagement in meaningful occupations and being included as full citizens of the community, is essential in everyday life, and may be of considerable relevance for recovery and quality of life. However, persons with co-occurring substance use and mental health problems experience extensive obstacles to engagement in occupations and citizenship. The relationship between objective measures of occupational status and subjective experiences of occupational meaningfulness, citizenship and recovery, is scarcely researched in the context of co-occurring problems. As such, the purpose of this study is to examine associations between occupational status, occupational meaningfulness, citizenship and recovery and quality of life and to examine the roles of occupational meaningfulness and citizenship as possible mediators between occupational status and recovery and quality of life. Design/methodology/approach The study used a cross-sectional design with a sample of 104 residents at supported housing sites across six Norwegian cities. Findings Linear regression analyzes indicated that occupational status was significantly associated with the citizenship domains caring for others and community participation and with the quality of life measure positive affect. Occupational meaningfulness and citizenship were significantly associated with different domains of recovery and quality of life. Furthermore, mediation analyzes showed that the relationship between occupational status and recovery and quality of life was mediated by caring for others and community participation. Originality/value The results suggest that emphasizing opportunities for occupational meaningfulness and citizenship in practice may have positive implications for recovery among persons with co-occurring problems.

scholarly journals Associations Between Fear of COVID-19, Mental Health, and Preventive Behaviours Across Pregnant Women and Husbands: An Actor-Partner Interdependence Modelling

2020 ◽  
Author(s):  
Daniel Kwasi Ahorsu ◽  
Vida Imani ◽  
Chung-Ying Lin ◽  
Toomas Timpka ◽  
Anders Broström ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Pregnant Women ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Dyadic Relationships ◽  
Cross Sectional ◽  
Suicidal Intention ◽  
Cross Sectional Design

Abstract The present cross-sectional study examined the actor-partner interdependence effect of fear of COVID-19 among Iranian pregnant women and their husbands and its association with their mental health and preventive behaviours during the first wave of the COVID-19 pandemic in 2020. A total of 290 pregnant women and their husbands (N = 580) were randomly selected from a list of pregnant women in the Iranian Integrated Health System and were invited to respond to psychometric scales assessing fear of COVID-19, depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. The findings demonstrated significant dyadic relationships between husbands and their pregnant wives' fear of COVID-19, mental health, and preventive behaviours. Pregnant wives’ actor effect of fear of COVID-19 was significantly associated with depression, suicidal intention, mental quality of life, and COVID-19 preventive behaviours but not anxiety. Moreover, a husband actor effect of fear of COVID-19 was significantly associated with depression, anxiety, suicidal intention, mental quality of life, and COVID-19 preventive behaviours. Additionally, there were significant partner effects observed for both the pregnant wives and their husbands concerning all outcomes. The present study used a cross-sectional design and so is unable to determine the mechanism or causal ordering of the effects. Also, the data are mainly based on self-reported measures which have some limitations due to its potential for social desirability and recall biases. Based on the findings, couples may benefit from psychoeducation that focuses on the effect of mental health problems on pregnant women and the foetus.

scholarly journals Multiple Victimization Experiences, Resources, and Co-Occurring Mental Health Problems Among Substance-Using Adolescents

2012 ◽  
Vol 27 (5) ◽  
pp. 744-763 ◽  
Author(s):  
Bushra Sabri ◽  
Johns Hopkins University ◽  
Carol Coohey ◽  
Jacquelyn Campbell
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Mental Health Problems ◽  
Screening Program ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Social Resources ◽  
Mental Health Needs ◽  
Cross Sectional ◽  
The Relationship

This study examined the relationship between multiple types of victimization experiences, psychological and social resources, and co-occurring mental health problems among substance-using adolescents. Data for this cross-sectional study were obtained from a multisite research project in which adolescents ages 11–18 years participated in a comprehensive screening program for substance misuse. Multiple types of victimization, low self-efficacy beliefs, lack of support for victimization issues, and available sources of emotional support were positively related to co-occurring mental health problems. These findings suggest that treatment planning and interventions may focus on helping adolescents cope effectively with their victimization experiences and addressing their mental health needs. Particular emphasis may be placed on enhancing self-efficacy and social skills so that adolescents may benefit from their available sources of social support.

scholarly journals A Cross-Sectional Study of the Relationship Between Mental Health Problems and Overweight and Obesity in Adolescents

2020 ◽  
Vol 8 ◽  
Author(s):  
Asborg Aanstad Bjertnaes ◽  
Ingrid Nesdal Fossum ◽  
Ingvild Oma ◽  
Kjersti Sletten Bakken ◽  
Tor Arne ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Overweight And Obesity ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

THE RELATIONSHIP BETWEEN LOCUS OF CONTROL AND MENTAL HEALTH STATUS AMONG BACCALAUREATE NURSING STUDENTS IN TURKEY

2008 ◽  
Vol 36 (7) ◽  
pp. 919-930 ◽  
Author(s):  
Özgül Karayurt ◽  
Aklime Dicle
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Locus Of Control ◽  
Nursing Students ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Nursing Program ◽  
Cross Sectional ◽  
The Relationship

In this descriptive cross-sectional study we explored the relationship between locus of control (LOC) and mental health status of students enrolled in a four year Bachelor of Science in Nursing program that uses problem-based learning. There was a significant, positive, moderate relationship between the general health and LOC scores. First- and second-year students had lower internal LOC and were at higher risk of mental health problems, compared to third- and fourth-year students, suggesting that they require increased support from faculty staff as they make the transition from school to university and a new style of learning. The nursing faculty needs to use strategies to enhance internal LOC in students.

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