Client Contact in Self-Help Therapy for Anxiety and Depression: Necessary But Can Take a Variety of Forms Beside Therapist Contact

2012 ◽  
Vol 29 (2) ◽  
pp. 63-76 ◽  
Author(s):  
France Talbot
Keyword(s):  
Mental Health ◽  
Health Service Delivery ◽  
Anxiety And Depression ◽  
Mental Health Service Delivery ◽  
Large Numbers ◽  
Cognitive Behavioural ◽  
Multiple Trials ◽  
Meta Analyses ◽  
The Cost ◽  
The Impact

Self-administered therapies (SATs) have been promoted as a way to increase access to evidence-based mental health services. Recent meta-analyses and literature reviews suggest that SATs with clinical guidance are more effective than SATs with no contact for the treatment of anxiety and depression. However, little attention has been paid to the role of nonguidance contact, contact that does not involve the provision of assistance in the application of specific therapy techniques such as emails to encourage treatment adherence. The present article examines the impact of nonguidance contact on the outcomes of SATs for anxiety and depression. Electronic databases were searched to identify studies conducted over the past two decades by independent research teams that have tested cognitive-behavioural SATs over multiple trials. Findings suggest that the involvement or guidance of a therapist is not essential for SATs to produce significant benefits as long as nonguidance contact is provided. It is suggested that even very minimal levels of nonguidance contact increase SAT's outcomes by motivating treatment engagement and improving adherence. The benefit of SATs that can be accessed directly by large numbers of individuals and that do not require therapist involvement to ensure efficacy can potentially significantly increase the cost effectiveness and quality of mental health service delivery.

scholarly journals COVID-19 Pandemic: Influence of Relationship Status on Stress, Anxiety, and Depression in Canada

2021 ◽  
pp. 1-26
Author(s):  
Nnamdi Nkire ◽  
Izu Nwachukwu ◽  
Reham Shalaby ◽  
Marianne Hrabok ◽  
Wesley Vuong ◽  
...  
Keyword(s):  
Mental Health ◽  
Text Messaging ◽  
Online Survey ◽  
Mental Health Problems ◽  
Behavioural Therapy ◽  
Relationship Status ◽  
Anxiety And Depression ◽  
Cognitive Behavioural ◽  
Patient Health ◽  
The Impact

ABSTRACT Objective: To examine the impact of relationship status on levels of stress, anxiety, and depression during the COVID-19 pandemic, to identify the relationship groups who are at greater risk, thereby facilitating channelling of appropriate support to these individuals. Methods: The sample was drawn from individuals who subscribed to the Text4Hope program, a cognitive behavioural therapy inspired text messaging service developed to support Albertans during the COVID-19 pandemic. A survey link was sent to the subscribers to ascertain their relationship status and assess psychopathology using the Perceived Stress Scale-10(PSS-10), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire-9 (PHQ-9). Data analysis was carried out using SPSS-26 for descriptive statistics. Results: Within the first six weeks of the pandemic, 8,267 of 44,992 subscribers responded to the online survey giving a response rate of 19.4%. Mean scores on the PSS, GAD-7, and PHQ-9 were highest among those who were single and lowest amongst those who were widowed. Overall, mean scores on the PHQ-9 were higher in groups self-identified as separated or divorced in comparison to those with partners including the categories of married or cohabiting. Conclusions: Relationship status during the COVID-19 pandemic has an influence on the mental health of individuals. Our findings highlight relationship groups at risk of mental health problems during the pandemic and for whom treatments and mitigation should be targeted.

scholarly journals An observational study of the impact of COVID-19 and the rapid implementation of telehealth on community mental health center providers

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Marisa Sklar ◽  
Kendal Reeder ◽  
Kristine Carandang ◽  
Mark G. Ehrhart ◽  
Gregory A. Aarons
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Center ◽  
Health Service Delivery ◽  
Community Mental Health Service ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Service Delivery ◽  
Provider Perspectives ◽  
The Impact

Abstract Background The COVID-19 pandemic has remarkably altered community mental health service delivery through the rapid implementation of telehealth. This study reports provider perspectives on the impact that COVID-19 and the transition to telehealth had on their work and their ability to deliver evidence-based practices (EBPs). Methods Providers (n = 93) completed online surveys with quantitative measures and open-ended items exploring their reactions to COVID-19 and to the transition to providing services via telehealth. Results Perceptions of personal risk and rumination around COVID-19 were low, while telehealth was viewed positively by providers. Three major themes emerged regarding the major impacts of COVID-19 on work: (1) the altered nature of interactions between patient/client and provider due to telehealth implementation, (2) changes in provider expectations regarding productivity, and (3) challenges maintaining work-life balance. In regard to the major impacts of COVID-19 on EBP delivery, three themes emerged: (1) increased difficulty delivering certain therapies via telehealth, (2) potential limitations to session confidentiality, and (3) challenge of engaging children in telehealth. Conclusions In the context of the COVID-19 pandemic, community mental health providers continued to engage with clients and deliver EBPs while navigating a number of changes related to the rapid transition to and implementation of telehealth. This study highlights the need for further work on what supports providers need to effectively engage with clients and deliver EBPs via telehealth, and has implications for how telehealth is sustained or de-implemented post-COVID-19.

scholarly journals Dignity of Older Persons With Mental Health Conditions: Why Should Clinicians Care?

2021 ◽  
Vol 12 ◽  
Author(s):  
Debanjan Banerjee ◽  
Kiran Rabheru ◽  
Gabriel Ivbijaro ◽  
Carlos Augusto de Mendonca Lima
Keyword(s):  
Mental Health ◽  
Older People ◽  
Mental Health Professionals ◽  
Social Inclusion ◽  
Clinical Care ◽  
Mental Healthcare ◽  
Health Service Delivery ◽  
Steady Increase ◽  
Mental Health Service Delivery ◽  
The Impact

With a steady increase in population aging, the proportion of older people living with mental illness is on rise. This has a significant impact on their autonomy, rights, quality of life and functionality. The biomedical approach to mental healthcare has undergone a paradigm shift over the recent years to become more inclusive and rights-based. Dignity comprises of independence, social inclusion, justice, equality, respect and recognition of one's identity. It has both subjective and objective components and influences life-satisfaction, treatment response as well as compliance. The multi-dimensional framework of dignity forms the central anchor to person-centered mental healthcare for older adults. Mental health professionals are uniquely positioned to incorporate the strategies to promote dignity in their clinical care and research as well as advocate for related social/health policies based on a human rights approach. However, notwithstanding the growing body of research on the neurobiology of aging and old age mental health disorders, dignity-based mental healthcare is considered to be an abstract and hypothetical identity, often neglected in clinical practice. In this paper, we highlight the various components of dignity in older people, the impact of ageism and mental health interventions based on dignity, rights, respect, and equality (including dignity therapy). It hopes to serve as a framework for clinicians to incorporate dignity as a principle in mental health service delivery and research related to older people.

scholarly journals An Observational Study of the Impact of COVID-19 and the Transition to Telehealth on Community Mental Health Center Providers

2020 ◽  
Author(s):  
Marisa Sklar ◽  
Kendal Reeder ◽  
Kristine Carandang ◽  
Mark G Ehrhart ◽  
Gregory A Aarons
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Center ◽  
Health Service Delivery ◽  
Community Mental Health Service ◽  
Health Providers ◽  
Mental Health Service Delivery ◽  
Provider Perspectives ◽  
Ebp Implementation ◽  
The Impact

Abstract Background: The COVID-19 pandemic has swiftly and remarkably altered community mental health service delivery and evidence-based practice (EBP) implementation. This study reports provider perspectives on the impact that COVID-19 had on their work and EBP implementation. Methods: Providers (n = 93) completed online surveys with quantitative measures and open-ended items targeting their responses and/or reactions to COVID-19, and to the transition to providing services via telehealth.Results: Perceptions of personal risk and rumination around COVID-19 were low, while telehealth was viewed positively by providers. Three major themes emerged regarding the major impacts of COVID-19 on work: 1) the altered nature of interactions between patient/client and provider, 2) changes in provider expectations regarding productivity, and 3) challenges maintaining work-life balance. In regard to the major impacts of COVID-19 on EBP implementation, three themes emerged: 1) increased difficulty delivering certain therapies via telehealth, 2) potential limitations to session confidentiality, and 3) challenge of engaging children in telehealth. Conclusions: In the context of the COVID-19 pandemic, community mental health providers continued to engage with clients and implement EBPs while navigating a number of changes related to the transition to telehealth. This study highlights the need for further work on what supports providers need to effectively engage with clients and deliver EBPs via telehealth and has implications for how telehealth is sustained or de-implemented in response to COVID-19.

‘Victoria on the Move’: Mental Health Services in a Decade of Transition 1992-2002

2003 ◽  
Vol 11 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Graham Meadows ◽  
Bruce Singh
Keyword(s):  
Mental Health ◽  
Health Services ◽  
State Government ◽  
Public Mental Health ◽  
Implementation Process ◽  
Health Service Delivery ◽  
Mental Health Service Delivery ◽  
Health Strategy ◽  
National Mental Health ◽  
The Cost

Objective: Australia adopted a national mental health strategy in the early 1990s and each State has had to go through its own implementation process in the intervening years. The present paper describes the process of reform in services in Victoria, and ventures explanations as to why the process may have been more comprehensive and successful than in other States. Conclusions: Victoria adopted a Statewide ‘framework’, defining structural elements of area-based services, with rational resource distribution. A transitional process involving a population health approach and relatively rigid implementation of a tightly specified service framework, within a political environment that favoured strong health services management, was successful in achieving desired structural reforms in this State. This was undoubtedly at the cost of promoting a model of public mental health service delivery that is generally rationed so as to accept only a restricted range of types of referral. New initiatives from the current State government are explicitly targeted to correcting this situation.

Mental Health Service Delivery in Rural Areas: Organizational and Clinical Issues

1997 ◽  
Author(s):  
Morton O. Wagenfeld ◽  
◽  
J. Dennis Murray ◽  
Dennis F. Mohatt ◽  
Jeanne C. DeBruyn
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Rural Areas ◽  
Health Service Delivery ◽  
Clinical Issues ◽  
Mental Health Service Delivery

scholarly journals Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

2021 ◽  
Vol 18 (4) ◽  
pp. 2093
Author(s):  
Tina Vilovic ◽  
Josko Bozic ◽  
Marino Vilovic ◽  
Doris Rusic ◽  
Sanja Zuzic Furlan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Depression Scale ◽  
Family Physicians ◽  
Knowledge Score ◽  
Well Being ◽  
Anxiety And Depression ◽  
Event Scale ◽  
The Impact

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

Impact of PlayerUnknown’s Battlegrounds (PUBG) on mental health

2021 ◽  
pp. 002581722098181
Author(s):  
Shweta Sunil ◽  
Manoj Kumar Sharma ◽  
Nitin Anand
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Professionals ◽  
Online Gaming ◽  
Anxiety And Depression ◽  
Self Harm ◽  
Aggressive Behaviours ◽  
Causal Patterns ◽  
The Impact

Online gaming has become a concern for health professionals due to its dysfunctional effects. This study aimed to conceptualise and summarise the impact that gaming platforms like PUBG can have on an individual’s mental health. A systematic review was conducted using the PRISMA model. A total of five papers were shortlisted and reviewed for the purpose of this study. The results indicated the use of gaming platforms like PUBG by players to address and cope with anxiety and depression, and it also highly influences the presence of other concerns like ADHD and suicidality, self-harm and aggressive behaviours. While the literature points to the detrimental effects of PUBG, this study highlights the importance of undertaking more research to establish the causal patterns in PUBG use and how to address the issues posed from both psychological and legal perspectives.

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