scholarly journals Outreach and screening following the 2005 London bombings: usage and outcomes

2010 ◽  
Vol 40 (12) ◽  
pp. 2049-2057 ◽  
Author(s):  
C. R. Brewin ◽  
N. Fuchkan ◽  
Z. Huntley ◽  
M. Robertson ◽  
M. Thompson ◽  
...  
Keyword(s):  
Mental Health ◽  
Terrorist Attack ◽  
Health Needs ◽  
Self Report ◽  
Evidence Based ◽  
Post Traumatic Stress ◽  
Mental Health Needs ◽  
Evidence Based Treatment ◽  
Cognitive Behaviour ◽  
London Bombings

BackgroundLittle is known about how to remedy the unmet mental health needs associated with major terrorist attacks, or what outcomes are achievable with evidence-based treatment. This article reports the usage, diagnoses and outcomes associated with the 2-year Trauma Response Programme (TRP) for those affected by the 2005 London bombings.MethodFollowing a systematic and coordinated programme of outreach, the contact details of 910 people were obtained by the TRP. Of these, 596 completed a screening instrument that included the Trauma Screening Questionnaire (TSQ) and items assessing other negative responses. Those scoring ⩾6 on the TSQ, or endorsing other negative responses, received a detailed clinical assessment. Individuals judged to need treatment (n=217) received trauma-focused cognitive-behaviour therapy (TF-CBT) or eye movement desensitization and reprocessing (EMDR). Symptom levels were assessed pre- and post-treatment with validated self-report measures of post-traumatic stress disorder (PTSD) and depression, and 66 were followed up at 1 year.ResultsCase finding relied primarily on outreach rather than standard referral pathways such as primary care. The effect sizes achieved for treatment of DSM-IV PTSD exceeded those usually found in randomized controlled trials (RCTs) and gains were well maintained an average of 1 year later.ConclusionsOutreach with screening, linked to the provision of evidence-based treatment, seems to be a viable method of identifying and meeting mental health needs following a terrorist attack. Given the failure of normal care pathways, it is a potentially important approach that merits further evaluation.

Mental health needs among Cambodian refugees in Utah

2001 ◽  
Vol 44 (2) ◽  
pp. 179-196 ◽  
Author(s):  
Robert G. Blair
Keyword(s):  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Health Needs ◽  
Easy Access ◽  
Post Traumatic Stress ◽  
Mental Health Needs ◽  
Cambodian Refugees ◽  
Post Traumatic

A total of 124 Cambodian refugees in Utah were interviewed about their mental health and demographic characteristics. Results indicate that 51 percent met the DSM-III-R criteria for major depression and 45 percent for a diagnosis of post-traumatic stress disorder (PTSD). Findings of other mental health diagnoses were less frequent. It was also found that in spite of high rates of psychopathology, utilization of health and mental health services was limited. A number of barriers prevented easy access to such services, particularly for those with PTSD.

scholarly journals Feelings of loneliness and mental health needs and services utilization among Chinese residents during the COVID-19 epidemic

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Li Bao ◽  
Wen-Tian Li ◽  
Bao-Liang Zhong
Keyword(s):  
Mental Health ◽  
Marital Status ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Needs ◽  
Self Report ◽  
Health Concern ◽  
Mental Health Needs ◽  
Services Utilization ◽  
Common Mental Health Problems

Abstract Background Due to the implementation of social distancing and quarantine measures, loneliness has been a major public health concern during the COVID-19 pandemic. However, few studies have examined loneliness in Chinese residents during the COVID-19 epidemic, as well as its associations with mental health needs and services utilization. Methods The present study was a cross-sectional survey during the COVID-19 outbreak in China. A total of 7741 adults were invited and completed an online self-administered questionnaire. The Chinese 12-item General Health Questionnaire was used to screen for common mental health problems, loneliness was measured with a single-item self-report question (“How often do you feel lonely in recent days?”), and two standardized questions were used to assess perceived needs for and use of mental health services. Results In total, 24.2 % of the participants felt lonely in recent days. Age of 16–29 years (OR = 1.36, P = 0.020), marital status of never-married (OR = 1.47, P < 0.001), marital status of “others” (re-married, co-habiting, separated, divorced, and widowed) (OR = 1.72, P < 0.001), having infected family members or close relatives (OR = 1.64, P = 0.026), and having infected colleagues, friends, or classmates (OR = 1.62, P < 0.001) were significant correlates of loneliness. Rates of mental health needs (17.4 % vs. 4.9 %, P < 0.001) and services utilization (2.7 % vs. 1.0 %, P < 0.001) were significantly higher in lonely than not lonely participants. After adjusting for socio-demographic and epidemic characteristics and common mental health problems, loneliness was still significantly associated with mental health needs (OR = 2.50, P < 0.001) and services utilization (OR = 1.62, P = 0.020). Conclusions Feelings of loneliness are prevalent among Chinese residents affected by the COVID-19 epidemic and the presence of loneliness is associated with high levels of mental health needs and greater services utilization. Effective measures aiming at preventing or reducing loneliness are potentially beneficial for the mental wellbeing of COVID-19-affected population and reducing the use of the limited mental health service resources during the COVID-19 pandemic.

Evidence Based Practice in Systems of Care for Children with Complex Mental Health Needs

2021 ◽  
pp. 1-19
Author(s):  
Genevieve Graaf ◽  
Sarah Accomazzo ◽  
Kris Matthews ◽  
Amy Mendenhall ◽  
Whitney Grube
Keyword(s):  
Mental Health ◽  
Evidence Based Practice ◽  
Systems Of Care ◽  
Health Needs ◽  
Evidence Based ◽  
Mental Health Needs

scholarly journals The Unique Mental Health Needs of Military Women: A Social Work Call to Action

10.18060/1878 ◽  
2012 ◽  
Vol 13 (1) ◽  
pp. 166-184 ◽  
Author(s):  
Victoria A. Osborne ◽  
L. Ashley Gage ◽  
Abigail J. Rolbiecki
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
National Guard ◽  
Armed Forces ◽  
The United States ◽  
Health Needs ◽  
Post Traumatic Stress ◽  
Mental Health Needs ◽  
Call To Action ◽  
United States Armed Forces

Women involved in all aspects of the United States Armed Forces face mental health needs that are unique from women in the general population. Because the most recent wars in Iraq and Afghanistan are involving more women in combat situations, social workers encounter female clients who are increasingly experiencing post-traumatic stress disorder, substance misuse, and sexual violence. Special attention must be paid particularly to women who serve in the National Guard or Reserves, as they have different concerns than enlisted active duty women. These concerns include less social support and fewer resources upon return from deployment. Thus, it is imperative for social workers in the community to be aware of these military women’s experiences and unique mental health challenges in order to effectively treat their needs.

scholarly journals Single-Session Interventions: Complementing and Extending Evidence-Based Practice

2020 ◽  
Author(s):  
Jenna Sung ◽  
Mallory Dobias ◽  
Jessica L. Schleider
Keyword(s):  
Mental Health ◽  
Quality Care ◽  
Health Needs ◽  
Limited Resources ◽  
Evidence Based ◽  
Single Session ◽  
Mental Health Needs ◽  
Treatment Needs ◽  
Therapeutic Mechanisms ◽  
Increasing Demand

In a time of increasing demand and limited resources, diverse approaches to disseminating evidence-based mental health services are imperative to reduce the overall burden of psychopathology. Unmet treatment needs are especially notable for youth; up to 80% of U.S. youth with mental health needs receive no treatment at all, and few who successfully connect with services receive evidence-supported care. Even among those who do receive quality care, the modal number of sessions clients attend is one, raising the concern that clients may discontinue treatment before engaging in the therapeutic mechanisms that make them effective. Thus, the field of psychotherapy is in a dire need of innovative shifts in intervention research to disrupt the continuously increasing prevalence, incidence, and burden of mental illness. This brief column introduces ways in which "single-session interventions" (SSIs) for psychopathology might forward such shifts in evidence-based mental health practice.

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