Financing Mental Health and Substance Use Disorder Care Within Physical Health: A Look to the Future

Objective: This study (i) explores differences between a clinical sample of deliberate selfpoisoning (DSP) patients and a community sample who reported previous attempted suicide (AS); and (ii) examines correlates of suicidal behaviour in these groups compared with a community control group (CC) with no suicidal behaviour. Method: The study design was: case–case, case–control and cross-sectional population studies. A clinical sample of DSP (n = 51), a community sample of AS (n = 31) and a community sample with no suicidal behaviour (n = 842) were used, all aged 18–24 years. The DSP and AS groups were compared on several variables and two logistic regression models were developed for risk of (i) DSP and (ii) AS compared to community controls. Results: The adjusted odds ratios for DSP were: female gender (OR = 5.7, CI = 1.7–19.4), anxiety (OR = 7.4, CI = 2.2–25.1), affective (OR = 23.0, CI = 6.9–76.5), or substance-use disorder (OR = 19.2, CI = 5.6–65.4) and greater mental health related disability (OR = 0.5, CI = 0.3–0.7 for 1 SD decrease). For AS the results were: anxiety (OR = 9.4, CI = 1.7–52.8) or substance-use disorder (OR = 3.0, CI = 1.1–8.7) and greater mental health disability (OR = 0.5, CI = 0.4–0.7). Affective disorder was close to significant for the AS group (OR = 4.0, CI = 0.9–17.1). Conclusions: Correlates of DSP/AS were usually more powerful in the clinical group, but showed a similar pattern of psychiatric disorder and disability factors in both groups, supporting a continuum of risk factors across these groups. Interventions based on modifiable risk factors could target the same factors for public health, primary care or hospital populations: anxiety, depression and substance use disorders and mental health related disability.

Download Full-text

Use of androgenic anabolic steroids by patients under treatment for substance use disorder: case series

Jornal Brasileiro de Psiquiatria ◽

10.1590/0047-2085000000160 ◽

2017 ◽

Vol 66 (2) ◽

pp. 120-123 ◽

Cited By ~ 1

Author(s):

Julio Mario Xerfan do Amaral ◽

Marcelo Santos Cruz

Keyword(s):

Mental Health ◽

Substance Use ◽

Case Studies ◽

Substance Use Disorder ◽

Mental Health Professionals ◽

Health Professionals ◽

Anabolic Steroids ◽

Case Series ◽

Structured Interview ◽

Androgenic Anabolic Steroids

ABSTRACT The present study reports several case studies about the use of androgenic-anabolic steroids (AAS) by patients under treatment for substance use disorder (SUD). Ten subjects were interviewed, two women and eight men, ranging from 25 to 43 years old. Regarding treatment regime, eight subjects were inpatients and two, outpatients. ASSIST-WHO and MINI-SUD scales and a semi-structured interview were used as research instruments. Seven subjects reported the use of AAS within fewer than twelve months from the interview date. Mental health professionals did not previously question none of the subjects were about the use of AAS. We discuss the efficacy of the chosen instruments to assess AAS use.

Download Full-text

The impact of online group counselling programs on substance use, mental health, and physical health among adults: A systematic review protocol

10.21203/rs.3.rs-37015/v1 ◽

2020 ◽

Author(s):

Cheryl L Currie ◽

Richard Larouche ◽

M. L. Voss ◽

Erin K. Higa ◽

Rae Spiwak ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Substance Use ◽

Physical Health ◽

Primary Objective ◽

Risk Of Bias ◽

Controlled Trials ◽

Group Counselling ◽

The Impact ◽

Online Group

Abstract Background: COVID-19 has resulted in an increased demand for online mental health services globally. There is emerging evidence for the efficacy for group online interventions that support population-based mental health, but a systematic review is lacking. The primary objective of this rapid systematic review is to summarize the evidence for online group counselling programs for adults. A second objective is to assess, within studies selected for our primary objective, the impact of online group counselling programs that encourage PA on outcomes compared to those that do not.Methods and Design: Randomized controlled trials that assess the impact of online group counselling programs on substance use, mental health, or physical health among community dwelling adults will be searched in MEDLINE, PsycInfo, CINHAL, and the Central Register of Controlled Trials. The review will be structured using PRISMA guidelines. Studies will be synthesized using the Cochrane Handbook and Synthesis Without Meta-Analysis (SWiM) reporting guideline. Quality will be evaluated using GRADE. Risk of bias will be assessed using the Cochrane Risk of Bias tool; with higher quality studies prioritized when drawing conclusions. The role of sex and gender will be considered as well as possible gender biases at all stages of the review.Discussion: This review will examine the effectiveness of online counselling programs that can be delivered to populations in a group format, and thus in a potentially cost-effective way. Findings will inform the decisions of governments, communities, and health care organizations responding to the COVID-19 pandemic in Canada. Systematic review registration: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO: CRD42020187551).

Download Full-text

Is Clinical Assessment of Addiction Severity of Individuals with Substance Use Disorder, Using the Addiction Severity Index, A Predictor of Future Inpatient Mental Health Hospitalization? A Nine-Year Registry Study

Journal of Dual Diagnosis ◽

10.1080/15504263.2018.1466086 ◽

2018 ◽

Vol 14 (3) ◽

pp. 187-191 ◽

Cited By ~ 3

Author(s):

Mojgan Padyab ◽

Bengt-Åke Armelius ◽

Kerstin Armelius ◽

Siv Nyström ◽

Björn Blom ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Disorder ◽

Clinical Assessment ◽

Severity Index ◽

Addiction Severity Index ◽

Registry Study ◽

Addiction Severity ◽

Inpatient Mental Health

Download Full-text

A Novel Landscape for Understanding Physical and Mental Health: Body Mapping Research with Youth Experiencing Psychosis

Art/Research International A Transdisciplinary Journal ◽

10.18432/ari29337 ◽

2018 ◽

Vol 3 (2) ◽

pp. 236-261 ◽

Cited By ~ 3

Author(s):

Katherine M. Boydell ◽

Jeffrey Ball ◽

Jackie Curtis ◽

Adèle De Jager ◽

Megan Kalucy ◽

...

Keyword(s):

Mental Health ◽

Early Intervention ◽

Young People ◽

Physical Health ◽

Social Issues ◽

The Body ◽

First Episode ◽

Physical And Mental Health ◽

Body Mapping ◽

The Future

Estimates indicate the lifespan of individuals with psychotic illness is reduced by approximately 15-20 years. Consequently there is a need to address the physical health of those who live with a mental illness, like psychosis. The Bondi Centre provides an integrated model of care to young people with a first episode of psychosis. The Keeping the Body In Mind program focuses on prevention and early intervention of physical health issues and is offered alongside treatment for mental health and social issues as part of routine care. We used body mapping, an arts-based research method, to explore the complexity of this physical health intervention. Our aim was to develop an in-depth understanding of experiences of young clients of the early intervention centre, with a particular focus on the embodied relationship between physical and mental health. Six young people engaged in creating life-sized body maps depicting their experience of the physical intervention program over four 3-hour sessions, followed by an in-depth interview. Analysis of our body maps drew on thematic analysis and narrative inquiry. The narrative trope was one of recovery, highlighting the importance of the link between body and mind, individual and community, and the balance between light and darkness. There was an emphasis on developing feelings of connectedness (to self and others), hope and optimism for the future, a sense of having an identity, and a sense of meaning and empowerment. Recovery was conceptualised as an ongoing process rather than an end product or fixed state. Involvement in the body mapping process was consistently identified as therapeutic, offering an opportunity for reflection on the journey to recovery with a focus on past, present and imagined storylines of the future.

Download Full-text

Newspaper depiction of mental and physical health in Qatar

BJPsych International ◽

10.1192/bji.2020.11 ◽

2020 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Khalid Elzamzamy ◽

Abdulkarim Alsiddiqi ◽

Ali Khalil ◽

Hassan Elamin ◽

Mustafa Abdul Karim ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Physical Health ◽

Health Professionals ◽

General Information ◽

Quality Of Reporting ◽

Daily Newspapers ◽

News Reports ◽

Mental And Physical Health

This study provides an overview of the extent, nature and quality of reporting on mental health compared with physical health in Qatari newspapers. We analysed 1274 news reports from daily newspapers in Qatar. The majority of the articles provided general information and were either positive or neutral in tone, reporting purely on physical health matters. A small proportion made associations with violence or reported on suicide or substance use. Our results highlight the underrepresentation of mental health in Qatari newspapers. A collaboration between media and health professionals is recommended to improve reporting on mental health.

Download Full-text