Health Professionals’ Recognition of Co-Occurring Alcohol and Depressive Disorders in Youth: A Survey of Australian General Practitioners, Psychiatrists, Psychologists and Mental Health Nurses Using Case Vignettes

2007 ◽  
Vol 41 (10) ◽  
pp. 830-835 ◽  
Author(s):  
Dan I. Lubman ◽  
Leanne Hides ◽  
Anthony F. Jorm ◽  
Amy J. Morgan
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Disorder ◽  
General Practitioners ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Alcohol Misuse ◽  
Negative Impact ◽  
Mental Health Nurses

Objective: To examine whether health professionals who commonly deal with mental disorder are able to identify co-occurring alcohol misuse in young people presenting with depression. Method: Between September 2006 and January 2007, a survey examining beliefs regarding appropriate interventions for mental disorder in youth was sent to 1710 psychiatrists, 2000 general practitioners (GPs), 1628 mental health nurses, and 2000 psychologists in Australia. Participants within each professional group were randomly given one of four vignettes describing a young person with a DSM-IV mental disorder. Herein is reported data from the depression and depression with alcohol misuse vignettes. Results: A total of 305 psychiatrists, 258 GPs, 292 mental health nurses and 375 psychologists completed one of the depression vignettes. A diagnosis of mood disorder was identified by at least 83.8% of professionals, with no significant differences noted between professional groups. Rates of reported co-occurring substance use disorders were substantially lower, particularly among older professionals and psychologists. Conclusions: GPs, psychologists and mental health professionals do not readily identify co-occurring alcohol misuse in young people with depression. Given the substantially negative impact of co-occurring disorders, it is imperative that health-care professionals are appropriately trained to detect such disorders promptly, to ensure young people have access to effective, early intervention.

scholarly journals Prevalence of DSM-V mental disorders in a cohort of young adults in Ireland

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S271-S271
Author(s):  
Josen McGrane ◽  
Eleanor Carey ◽  
Emmet Power ◽  
Niamh Dooley ◽  
Sean Madden ◽  
...  
Keyword(s):  
Young Adults ◽  
Young People ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Research ◽  
Prevalence Rates ◽  
Dsm V ◽  
Ethical Approval

AimsTo estimate the prevalence of DSM-V mental disorders in a population of Irish emerging adultsBackgroundMental disorders are the leading cause of years lived with disability in youth worldwide. Few studies use gold standard of face to face semi-structured standardized interview tools, and this is a limitation in the estimates of prevalence rates of mental disorder in the extant literature.MethodBriefly, we recruited a representative sample of 212 adolescents and followed them up over ten years. In this wave of the adolescent brain development study, 103 of the initial 212 participants took part, 50 males and 53 females, with a mean age of 20.87 years (SD = 1.3). Psychopathology was assessed in all participants by trained research psychologists and mental health professionals using the Structured Clinical Interview for DSM-V (SCID).Result52.4% of participants had one lifetime mental disorder, the prevalence rates were highest for Major Depressive Episode (25.3%), Social Anxiety (12.6%) and Generalized Anxiety (8.7%). 50.5% had a history of a mental disorder. 27.2% had 1 lifetime diagnosis, 15.5% had 2 and 7.8% had >2.ConclusionRates of mental disorder rapidly increase during emerging adulthood. In a similar Irish study, 55% of young adults met the criteria for lifetime mental disorder. Whilst the rates of mental disorder are high in young people, previous longitudinal research has suggested that many common mental disorders remit by the late twenties. We suggest a need for further research investigating the comparative later functional and economic outcomes of these young people. Research to date is supportive of a need to expand capacity of youth friendly services for prevention and treatment.Ethical ApprovalEthical approval for the study protocols, including interviews and assessments, along with informed consent documents, was granted by the Beaumont Hospital Medical Ethics Committee in 2016.Acknowledgements:1. European Research Council Consolidator Award and Health Research Board Ireland Award to Mary Cannon2. Health Professionals Fellowship from the Health Research Board Ireland to Helen Coughlan.

Professionals harnessing experiential knowledge in Dutch mental health settings

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Simona Karbouniaris ◽  
Alie Weerman ◽  
Bea Dunnewind ◽  
Jean Pierre Wilken ◽  
Tineke A. Abma
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Experiential Knowledge ◽  
Research Approach ◽  
Content Type ◽  
Action Research Approach ◽  
Mental Health Settings ◽  
Four Levels

Purpose This study aims to explore the perspectives of mental health professionals who are in a process of integrating their own experiential knowledge in their professional role. This study considers implications for identity, dilemmas and challenges within the broader organization, when bringing experiential knowledge to practice. Design/methodology/approach As part of a participatory action research approach, qualitative methods have been used, such as in-depth interviews, discussions and observations during training and project team. Findings The actual use of experiential knowledge by mental health care professionals in their work affected four levels: their personal–professional development; the relation with service users; the relation with colleagues; and their position in the organization. Research limitations/implications Because of its limited context, this study may lack generalisability and further research with regard to psychologists and psychiatrists, as well as perceptions from users, is desirable. Social implications According to this study, social change starts from a bottom-up movement and synchronously should be facilitated by top-down policy. A dialogue with academic mental health professionals seems crucial to integrate this source of knowledge. Active collaboration with peer workers and supervisors is desired as well. Originality/value Professionals with lived experiences play an important role in working recovery-oriented, demonstrating bravery and resilience. Having dealt with mental health distress, they risked stigma and rejections when introducing this as a type of knowledge in current mental health service culture. Next to trainings to facilitate the personal–professional process, investments in the entire organization are needed to transform governance, policy and ethics.

scholarly journals Mental health professionals’ perceptions on patients control of data sharing

2020 ◽  
Vol 26 (3) ◽  
pp. 2011-2029 ◽  
Author(s):  
Julia Ivanova ◽  
Adela Grando ◽  
Anita Murcko ◽  
Michael Saks ◽  
Mary Jo Whitfield ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Information ◽  
Data Sharing ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Health Data ◽  
Structured Interviews ◽  
Timely Access ◽  
The Impact

Integrated mental and physical care environments require data sharing, but little is known about health professionals’ perceptions of patient-controlled health data sharing. We describe mental health professionals’ views on patient-controlled data sharing using semi-structured interviews and a mixed-method analysis with thematic coding. Health information rights, specifically those of patients and health care professionals, emerged as a key theme. Behavioral health professionals identified patient motivations for non-sharing sensitive mental health records relating to substance use, emergency treatment, and serious mental illness (94%). We explore conflicts between professional need for timely access to health information and patient desire to withhold some data categories. Health professionals’ views on data sharing are integral to the redesign of health data sharing and informed consent. As well, they seek clarity about the impact of patient-controlled sharing on health professionals’ roles and scope of practice.

scholarly journals Telepsychiatry Netiquette: Connect, Communicate and Consult

2020 ◽  
Vol 42 (5_suppl) ◽  
pp. 22S-26S
Author(s):  
Mohan Sunil Kumar ◽  
Sharmitha Krishnamurthy ◽  
Nitya Dhruve ◽  
Bettahalasoor Somashekar ◽  
Mahesh R Gowda
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Formal System ◽  
Modern Medicine ◽  
The Difference ◽  
Ease Of Access ◽  
Third Dimension ◽  
Professional Guidelines

Globally, telepsychiatry has been around since the 1950s. It is in the COVID era that it has gained the relevance and much-needed momentum amongst mental health care professionals. Given the restrictions imposed by the global lockdown owing to the fear of contracting the virus, the ease of access and safety offered by telepsychiatry makes it both appealing and “the new normal.” Despite some hesitation from mental health professionals, there is adequate research to support the role of telehealth services in the management of various mental health disorders. As with any formal system, the practice of telepsychiatry is regulated by professional guidelines to show the way forward to both health provider and seeker. The manuscript examines the ways telepsychiatry is redefining our virtual conduct. It emphasizes the evolving “netiquette” needed to navigate online consultations. It also elucidates the challenges faced by health professionals, and possible ways of maneuvering and circumventing the same. Telepsychiatry, a dynamic process which is interactive and personalized, adds a third dimension to the practice of modern medicine. It is here to stay. So, it is not a question of “if” instead “how soon” we can adapt to and get conversant with this revolutionary mode of connection, communication, and consultation, which will make all the difference.

Dentistry students’ views about mental illness and impact of a targeted seminar on knowledge and attitudes: a mixed-method study

2014 ◽  
Vol 9 (3) ◽  
pp. 190-202 ◽  
Author(s):  
Susan Patterson ◽  
Pauline Ford
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorder ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Dental Students ◽  
Content Type ◽  
Knowledge And Attitudes ◽  
People With Mental Illness ◽  
The Impact

Purpose – The purpose of this paper is to inform education of non-mental health professionals who provide care to people with severe mental illness; to describe dentistry students’ knowledge and views about mental illness, including willingness to engage in various social situations with a person hospitalised for mental illness; and to assess and understand the impact of a targeted lecture on views and attitudes. Design/methodology/approach – The paper employed mixed methods to examine dental students’ knowledge and views about mental disorder before and after a seminar covering mental disorder, disadvantage and oral health. Findings from a bespoke questionnaire administered to third-year dental students were triangulated with qualitative data gathered in interviews with a subsample. Findings – Students understood mental disorder broadly, employing diverse causal models. Although knowledge was typically grounded in media stereotypes, attitudes were benevolent and most students reported willingness to provide dental care to affected individuals. The seminar, especially the consumer delivered section, was valued and associated with increased appreciation of the impact of mental disorder on oral health and need for assertive action to promote access to care. However, students reported being reluctant to disclose their own mental health problems for fear of being considered a professional or personal failure. A minority knew how to seek support if a friend talked of suicide. Research limitations/implications – This study highlights the need for further investigation of the knowledge and attitudes of dentistry students pertinent to provision of care to people with mental illness and to examine the links between attitudes and practice. The paper also provides a useful foundation for development of brief educational interventions, particularly the value in integrating the service user perspective, and their evaluation. Research should also examine the impact of mental health education on practice. Practical implications – A single inexpensive educational session, such as the one the paper developed may support reconsideration of often unconscious views of mental illness which might affect practice. Social implications – If people with mental illness are to receive equitable access to health care, non-mental health professionals should be supported to develop knowledge and attitudes which are conducive to inclusive treatment. An education session such as this could be helpful. Originality/value – There is scant literature examining attitudes of dentistry students and no reports of mental health-specific education with this population.

scholarly journals The Endurance of Uncertainty: Antisociality and Ontological Anarchy in British Psychiatry, 1950–2010

2014 ◽  
Vol 27 (1) ◽  
pp. 143-175 ◽  
Author(s):  
Martyn Pickersgill
Keyword(s):  
Mental Health ◽  
Mental Disorder ◽  
Mental Health Professionals ◽  
Antisocial Personality Disorder ◽  
Health Professionals ◽  
Essential Feature ◽  
Antisocial Personality ◽  
Behavioral Correlates ◽  
Psychiatric Institutions ◽  
Health Disorders

ArgumentResearch into the biological markers of pathology has long been a feature of British psychiatry. Such somatic indicators and associated features of mental disorder often intertwine with discourse on psychological and behavioral correlates and causes of mental ill-health. Disorders of sociality – particularly psychopathy and antisocial personality disorder – are important instances where the search for markers of pathology has a long history; research in this area has played an important role in shaping how mental health professionals understand the conditions. Here, I characterize the multiplicity of psychiatric praxis that has sought to define the mark of antisociality as a form of “ontological anarchy.” I regard this as an essential feature of the search for biological and other markers of an unstable referent, positing that uncertainties endure – in part – precisely because of attempts to build consensus regarding the ontology of antisociality through biomedical means. Such an account is suggestive of the co-production of biomarkers, mental disorder, and psychiatric institutions.

scholarly journals A Study of the Diagnostic Practices for Mental Disorders in Ghana

2020 ◽  
Vol 5 (4) ◽  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Medical Conditions ◽  
Diagnostic Quality ◽  
Diagnostic Practices ◽  
Depressive Episodes

Introduction: A lack of awareness of the diagnosis of mental disorders exists in the Ghanaian community due to the general misconceptions about mental health. One major challenge in diagnosing mental disorders is that no blood test or scan can be performed to confirm a particular mental disorder, unlike other medical conditions such as cancer, malaria, diabetes, and hepatitis. A stepwise progressive observation and assessment to rule out all possible medical conditions that might be associated with a mental disorder is essential to enhance the quality of diagnosis and treatment. This study focuses on describing the diagnostic practices of mental disorders to educate the public, create awareness, and to improve diagnosis in Ghana. Objective: This paper aims to describe the current diagnostic practices used to diagnose mental disorders to understand the impact of the diagnosis of mental disorders and to provide evidence for mental health policy and planning to improve diagnostic practice in psychiatry in Ghana. Methods: We collected and described data on the diagnosis of mental disorders from 30 mental health professionals aged 20 years and above who were purposively selected from six hospitals. We carried out in-person structured interviews with all participants at their various hospital premises. Results: Stages of diagnosing mental disorders can be single, dual, or multiple. Proportions representing the patterns of diagnosis of the most common types of mental disorders in the population included 73.3% for mania without psychotic syndrome, and 63.3% for hebephrenic schizophrenia. Moderate depressive episodes, bipolar affective disorder with mild or moderate depression, and organic delusion (schizophrenia-like) disorder achieved the same results (56.7%). Phobic anxiety disorder and schizoid personality disorder were also reported by the same proportions (46.7%). Also, symptomatic epilepsy and epileptic syndrome was reported by (43.3%) and 40% for mood disorder due to known physiological condition with manic symptoms. Persistent delusional disorder as well as dementia with behavioral disturbance and dementia with depression and anxiety were reported by the same proportions (36.7%), and 33.3% for psychoactive substance abuse with psychoactive sub-induced anxiety disorder. The level of diagnostic quality in the psychiatric hospitals was higher than in the primary health centers (83.3% vs 63.3%). The most suitable intervention to improve diagnostic quality (40%) was associated with diagnostic education. Most participants (56.7%) assigned a moderate rating to the effectiveness of the interventions to improve diagnostic practices. Conclusion: We plan to use our findings to solicit support from mental health stakeholders to provide comprehensive public education involving basic and specific knowledge on the diagnosis of mental disorders. We recommend that any national programme would need to have sustainable long-term policies to encourage and motivate mental health professionals to participate in diagnostic activities and to pay more attention to patients. Incorporating mental health education into the school curriculum is also important.

scholarly journals Attitude of Non-Mental Health Professionals Towards Mental Illness in a Tertiary Care Center

2019 ◽  
Vol 2 (02) ◽  
pp. 23-28
Author(s):  
Nishad P. M. A. ◽  
Dilshana N. B. ◽  
Anil Kakunje ◽  
Ravichandra K. ◽  
Kamran Chisty
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Psychiatric Illness ◽  
Positive Attitude ◽  
Care Center ◽  
Tertiary Care ◽  
Primary Objective

BACKGROUND Mental and behavioral disorders are major health problems. Stigma can prevent the care and treatment of the mentally ill. There is a gross underestimation of psychiatric comorbidities among patients by non-mental health professionals. A positive attitude of these health professionals has a crucial role in the treatment of patients suffering from psychiatric illness. The primary objective of the study is to study the attitude of various nonmental health professionals towards mental illness. METHODS It is a crosssectional descriptive study, conducted in a private medical college in Mangalore, Karnataka in India. The study had 76 participants consisting of doctors and nurses. Instruments used were a semi-structured demographic proforma and Mental illness: Clinicians Attitude Scale - Version 4 (MICA-4). MICA-4 is a 16- item scale used for assessing attitude towards mental illness. RESULTS The total number of subjects included was 76 among which doctors constituted 57 and nurses 19. As the experience and age of the participants increased, a shift to the positive attitude towards psychiatric illness was noted. Specialist doctors had a higher positive attitude compared to non-specialist medical graduates and nurses. CONCLUSIONS It is essential to have structured training in psychiatry for all health care professionals.

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