scholarly journals EANDC: An explainable attention network based deep adaptive clustering model for mental health treatments

Author(s):  
Usman Ahmed ◽  
Gautam Srivastava ◽  
Unil Yun ◽  
Jerry Chun-Wei Lin
Author(s):  
David C. Reardon ◽  
Christopher Craver

Pregnancy loss, natural or induced, is linked to higher rates of mental health problems, but little is known about its effects during the postpartum period. This study identifies the percentages of women receiving at least one postpartum psychiatric treatment (PPT), defined as any psychiatric treatment (ICD-9 290-316) within six months of their first live birth, relative to their history of pregnancy loss, history of prior mental health treatments, age, and race. The population consists of young women eligible for Medicaid in states that covered all reproductive services between 1999–2012. Of 1,939,078 Medicaid beneficiaries with a first live birth, 207,654 (10.7%) experienced at least one PPT, and 216,828 (11.2%) had at least one prior pregnancy loss. A history of prior mental health treatments (MHTs) was the strongest predictor of PPT, but a history of pregnancy loss is also another important risk factor. Overall, women with a prior pregnancy loss were 35% more likely to require a PPT. When the interactions of prior mental health and prior pregnancy loss are examined in greater detail, important effects of these combinations were revealed. About 58% of those whose first MHT was after a pregnancy loss required PPT. In addition, over 99% of women with a history of MHT one year prior to their first pregnancy loss required PPT after their first live births. These findings reveal that pregnancy loss (natural or induced) is a risk factor for PPT, and that the timing of events and the time span for considering prior mental health in research on pregnancy loss can significantly change observed effects. Clinicians should screen for a convergence of a history of MHT and prior pregnancy loss when evaluating pregnant women, in order to make appropriate referrals for counseling.


2021 ◽  
Author(s):  
Emily Mazzulla ◽  
Karen M. Fondacaro ◽  
Holly C Weldon ◽  
Marguerite Dibble ◽  
Matthew Price

Objective: After resettlement, an overwhelming number of refugees struggle with Chronic Traumatic Stress (CTS), the persistence of traumatic events (e.g., re-experiencing past trauma; news of on-going war) coupled with daily post-migration stressors (e.g., poverty, lack of transportation). CTS significantly increases the burden of mental health challenges experienced by refugees. Evidence-based mental health treatments often rely on worksheets, mobile applications, websites, or telephone calls to facilitate the management of distress outside of treatment sessions. Language barriers prevent these strategies from being incorporated into mental health treatment for refugees, which results in a significant disparity in care. Treatments delivered via mobile devices can address this barrier through the use of intuitive images that eliminate the need for text or language-based instruction.Methods: A six-week pilot study assessing the effectiveness of group intervention utilizing a language free, culturally relevant mobile health (mHealth) application was conducted in a sample of Somali-Bantu and Nepali-Bhutanese adult refugee men and women (N=18). Paired-samples t-tests were conducted to compare pre- and post-intervention levels of psychosocial distress, anxiety, depression, and traumatic stress, on the Refugee Health Screener (RHS-15) and an investigator generated coping measure.Results: Results indicated significant reduction (p<.001) in symptoms related to traumatic stress, anxiety, depression and somatic complaints in addition to a significant increase (p<.001) in the use of coping skills.Conclusions: The use of a mobile mental health app, in combination with in-person therapy, was effective in reducing mental health symptomology and in increasing the use of coping skills in Somali-Bantu and Nepali-Bhutanese refugees.


Author(s):  
Mikaelly Duarte Leite ◽  
Márcia Maria Mont' Alverne de Barros

Resumo: A Rede de Atenção Psicossocial-RAPS é constituída por serviços e dispositivos voltados para a superação da lógica manicomial, priorizando dentre outros aspectos, o exercício da cidadania e inserção social das pessoas com transtornos mentais. Neste cenário, compreende-se que a Residência Multiprofissional em Saúde Mental é relevante para o processo de qualificação dos serviços, no que concerne ao fortalecimento da rede de atenção psicossocial, à integralidade da atenção e qualificação das práticas dos trabalhadores dos serviços de saúde. Objetivou-se nesse estudo, conhecer as concepções da primeira turma da Residência Multiprofissional em Saúde Mental da Paraíba acerca do cuidado em saúde mental prestado na RAPS de João Pessoa e Cabedelo. Trata-se de uma pesquisa descritiva-exploratória, desenvolvida por abordagem qualitativa, realizada com 8 residentes. Utilizou-se uma entrevista semiestruturada, e para sua interpretação, seguiu-se a análise de conteúdo. Os resultados indicaram, a partir dos relatos das residentes, fragilidades concernentes à desvalorização do trabalhador e da saúde mental e condições de trabalho precárias, por exemplo, dificuldades relevantes que estão em discordância com as propostas do novo modelo de atenção psicossocial e da reforma psiquiátrica brasileira. No entanto, os achados da pesquisa também evidenciaram potencialidades da RAPS e contribuições importantes dos residentes nestes serviços, às quais estão em consonância com os pressupostos do cuidado ancorado na atenção psicossocial, como o apontamento de profissionais identificados com a saúde mental e práticas das residentes que favoreceram o empoderamento, autonomia e protagonismo dos usuários. AbstractThe Psychosocial Attention Network (RAPS) consists of services and devices designed to overcome the asylum logic, prioritizing, among other aspects, the exercise of citizenship and social insertion of people with mental disorders. In this scenario, it is understood that the Multiprofessional Residency in Mental Health is relevant to the qualification process of the services, regarding the strengthening of the psychosocial care network, to the integral attention and qualification of the practices of health service workers. The objective of this study was to understand the conceptions of the first group of the Multiprofessional Residency in Mental Health of Paraíba regarding the mental health care provided in the RAPS of João Pessoa and Cabedelo. It is a descriptive-exploratory research, developed in the qualitative approach, carried out with 8 residents. A semi-structured interview was used, and for its interpretation, content analysis was followed. The results indicated, from the residents' reports, weaknesses concerning worker devaluation and mental health and precarious working conditions, for example, relevant difficulties that are in disagreement with the proposals of the new psychosocial care model and the Brazilian psychiatric reform. However, the research findings also highlighted the potential of RAPS and the important contributions of residents in these services, which are in line with the assumptions of care anchored in psychosocial care, such as the assignment of professionals identified with mental health and practices of residents who favored the empowerment, autonomy and protagonism of users.Keywords: Psychosocial Attention Network; Multiprofessional Residence; Mental health.


2018 ◽  

Many digital technologies are designed to be used in adjunct to established mental health treatments, not to replace them. Learn more with this Topic Guide.


2021 ◽  
pp. 199-210
Author(s):  
Steven M. Albert ◽  
Edmund Ricci

Convergence is best approached through a systems science lens because it includes multiple levels of influence and organization and a host of mutually reinforcing elements. Each of these factors requires behavioral and social science research to ensure that convergence is appropriately anchored in the experience of patients and their communities. For example, the continuous assessment of mental state made possible through real-time mobile app recording of voice, movement, and biosignatures will be much less effective if people reject it because of privacy concerns or if this monitoring is not adequately linked to choices for self-care. Patients may need in-person contact with a therapist to choose an appropriate app and in-person boosters to support effective use. Use of the app and its effectiveness accordingly depend on social-behavioral factors. Likewise, the social and behavioral sciences are central for shortening the time between development and translation of mental health treatments and programs. Including the social and behavioral sciences in mental health convergence science suggests the need for broad-scale efforts that link mental health to population science to systems thinking. This effort places mental health within the broader framework of population health and to implementation science for reducing the time from development of a new treatment to its widespread use. The approach has implications for data collection and analysis in that it entails much larger datasets and need for greater computational power.


2016 ◽  
Vol 77 (10) ◽  
pp. 1365-1371 ◽  
Author(s):  
Beth Han ◽  
Wilson M. Compton ◽  
Ramin Mojtabai ◽  
Lisa Colpe ◽  
Arthur Hughes

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