The relationship between mental health and use of urgent care in patients with long term medical conditions. The findings from a 5year programme grant

2014 ◽  
Vol 76 (6) ◽  
pp. 504
Author(s):  
E. Guthrie
Author(s):  
Xue Zhang ◽  
Suhong Zhou ◽  
Rongping Lin ◽  
Lingling Su

Environmental health effects during urbanization have attracted much attention. However, knowledge is lacking on the relationship between long-term cumulative residential environment and health effects on individuals during rapid transformations in urban physical and social space. Taking Guangzhou, China, as a case example, this study analyzed the relationship between long-term exposure to green environments and residents’ mental health under urban spatial restructuring. Based on a household survey in 2016, 820 residents who have lived in Guangzhou for more than 15 years were used as the sample. High-resolution remote sensing images were used to assess the long-term green exposure of residents. The results indicate that long-term green exposure in residential areas had a negative correlation with residents’ mental health (p < 0.05), and the correlation was strongest for the cumulative green environment in the last five years. However, this significant effect was moderated by income and residential location. Green exposure had a positive relationship with mental health for low income groups, and a negative relationship for middle and high income groups. In addition, residents living farther away from the city center were likely to have fewer green environmental health benefits. Residential relocation in a rapidly urbanizing and transforming China has led to the continuous differentiation of residential green environments among different income groups, which has also caused different mental health effects from green exposure. It provides empirical evidence and theoretical support for policymakers to improve the urban environment and reduce environmental health disparities by considering social differences and residential location.


2019 ◽  
Vol 13 (3) ◽  
pp. 451-468 ◽  
Author(s):  
Misia Gervis ◽  
Helen Pickford ◽  
Thomas Hau

The purpose of this study was to investigate counselors’ professional understanding of the long-term psychological consequences of injury in UK football players. Semi-structured interviews were conducted with 11 counselors who were registered to work for the Professional Footballers’ Association (PFA). The interviews examined the counselors’ perception of the relationship between long-term injury and presenting mental health issues, the antecedents to those mental health issues, and recommendations for psychological intervention following injury. The critical finding was the mental health problems regularly presented to PFA counselors were often the psychological and behavioral consequences of long-term injury. Counselors recommended that early and sustained psychological intervention with long-term injured players would act as a preventative measure against future mental health issues.


Author(s):  
Fanlei Kong ◽  
Lingzhong Xu ◽  
Mei Kong ◽  
Shixue Li ◽  
Chengchao Zhou ◽  
...  

This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system in China. A cross-sectional survey using a multi-stage random sampling method was conducted in Shandong Province, China, in 2017. Data were collected from seniors aged over 60 years old through questionnaires by face-to face interviews. A total of 7070 subjects were included in the final database (40.3% male and 59.7% female). A chi-square test analysis and structural equation modeling (SEM) were employed to explore the relationship between SES, mental health, and NLTSS for both male and female elderly people. The SEM analysis showed that mental health was significantly and negatively associated with NLTSS for both male elderly and female elderly, and it was slightly stronger among the male elderly. A significant and negative relationship was observed between SES and NLTSS for both genders, and the association was stronger among the female elderly. SES exerted a positive effect on mental health for both male and female elderly people, and a slightly stronger effect was found among the male elderly. Advice for the development of a LTSS system in China was given based on the above results.


2005 ◽  
Vol 39 (3) ◽  
pp. 175-179 ◽  
Author(s):  
Alex C.N. Holmes ◽  
Mark A. Hodge ◽  
Gail Bradley ◽  
Alan Bluhm ◽  
Jane Hodges ◽  
...  

Objectives: The objective of this study was to determine the relationship between accommodation history and management outcome in patients with psychosis. Method: Demographic information, diagnosis and an accommodation history were taken from patients with psychosis accepted for case management by the Inner West Area Mental Health Service over a 12-month period. The patients were followed up 2 years later to determine their continuity of care and discharge outcome. Results: One hundred 42 patients completed the assessments. Forty-eight percent of patients had spent at least 1 day in a homeless setting in the previous 12 months. Twentytwo percent of patients had long-term (between 2 and 12 months) and six percent chronic (more than 12 months) homelessness. The duration of previous homelessness was significantly inversely correlated with the length of engagement with the service, continuity of psychiatric care at discharge or likelihood of transfer to primary care. Previous interstate mobility was significantly associated with discontinuity of care at discharge. Conclusions: A history of homelessness is common in patients with psychosis using inner urban mental health services and is associated with poorer engagement with psychiatric services.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ambra Burls ◽  
Julian Ashton

Purpose Drawing on experience of working in the area of mental health and the environment, key issues are examined, and the theoretical framework is explained, including the benefits to communities and to the local environment of working with nature. Design/methodology/approach The interview gave an opportunity for development of ideas underlying concepts including the natural health service, green health literacy and changes in behaviour during the pandemic. Findings The ways in which people and the environment benefit from interaction with nature are becoming well understood; in a sustainable model, the value of the local environment is appreciated and will benefit from the care of those involved in relevant activities. There is a need for targeted training for health professionals, environment agencies’ staff and the voluntary sectors. Research limitations/implications The economic value of nature as a contributing factor in to mental health is an area for research which could have major influence in policymaking. A meeting of a number of disciplines could further bring together social capital, health economics and ecology. Practical implications Projects that are sustainable in every sense are those which are long term, whose value can be measured in environmental and economic terms. Social implications Working models have been developed that involve people on the fringes of society and people with disabilities; they often become the movers in local organisations. Originality/value This is an extremely wide-ranging assessment of developments in the relationship between mental health and nature.


2020 ◽  
pp. 088626051990027 ◽  
Author(s):  
Øystein Løvik Hoprekstad ◽  
Jørn Hetland ◽  
Bente Wold ◽  
Hilde Torp ◽  
Ståle Valvatne Einarsen

The detrimental effects of exposure to bullying behaviors at work on employees’ mental health have been thoroughly documented. However, few studies have examined whether employees’ prior experiences with bullying may affect the strength of this relationship. The present study tested a model where victimization from bullying in adolescence was expected to (a) predict higher exposure to bullying behaviors at work and higher levels of depressive tendencies in adulthood and (b) strengthen the relationship between exposure to bullying behaviors at work and depressive tendencies (i.e., make employees more vulnerable). The hypotheses were tested using prospective data following a cohort of 536 Norwegian respondents over a time span of 17 years, from adolescence (age of 13) to adulthood (age of 30). Victimization from bullying in junior high school was measured at the age of 13, 14, and 15, and retrospectively at the age of 18. Exposure to bullying behaviors at work was measured at the age of 30, while depressive tendencies were measured at the age of 15 and at the age of 30. As predicted, those who had been bullied more (vs. less) in adolescence tended to have higher scores on depressive tendencies as adults and reported somewhat higher exposure to bullying behaviors at work. However, contrary to our predictions, the relationship between exposure to bullying behaviors at work and depressive tendencies in adulthood was weaker among those who had been bullied more (vs. less) in adolescence. The findings contribute to the scarce literature on the role of employees’ prior victimization experiences and question the notion that prior victimization from bullying produces long-term vulnerability to future experiences of bullying.


2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.


2015 ◽  
Vol 20 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Éva Kállay

Abstract. The last several decades have witnessed a substantial increase in the number of individuals suffering from both diagnosable and subsyndromal mental health problems. Consequently, the development of cost-effective treatment methods, accessible to large populations suffering from different forms of mental health problems, became imperative. A very promising intervention is the method of expressive writing (EW), which may be used in both clinically diagnosable cases and subthreshold symptomatology. This method, in which people express their feelings and thoughts related to stressful situations in writing, has been found to improve participants’ long-term psychological, physiological, behavioral, and social functioning. Based on a thorough analysis and synthesis of the published literature (also including most recent meta-analyses), the present paper presents the expressive writing method, its short- and long-term, intra-and interpersonal effects, different situations and conditions in which it has been proven to be effective, the most important mechanisms implied in the process of recovery, advantages, disadvantages, and possible pitfalls of the method, as well as variants of the original technique and future research directions.


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