scholarly journals Use of a mental health guideline by occupational physicians and associations with return to work in workers sick-listed due to common mental disorders: a retrospective cohort study

2017 ◽  
Vol 40 (22) ◽  
pp. 2623-2631 ◽  
Author(s):  
Karlijn M. van Beurden ◽  
Margot C. W. Joosen ◽  
Berend Terluin ◽  
Jaap van Weeghel ◽  
Jac J. L. van der Klink ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Mental Disorders ◽  
Return To Work ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Common Mental Disorders ◽  
Occupational Physicians ◽  
Health Guideline

scholarly journals Does screening shorten delays to care for post-deployment mental disorders in military personnel? A longitudinal retrospective cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037853
Author(s):  
David Boulos ◽  
Bryan Garber
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Cox Regression ◽  
Cox Proportional Hazards ◽  
Health Concern ◽  
Military Population

ObjectiveTo determine whether post-deployment screening is associated with a shorter delay to diagnosis and care among individuals identified with a deployment-related mental disorder.DesignRetrospective cohort study.SettingCanadian military population.ParticipantsThe cohort consisted of personnel (n=28 460) with a deployment within the 2009 to 2014 time frame. A stratified random sample (n=3004) was selected for medical chart review. We restricted our analysis to individuals who had an opportunity to undergo screening and were subsequently diagnosed with a mental disorder that a clinician indicated was deployment-related (n=1157).InterventionsPost-deployment health screening.Main outcome measureThe outcome was delay to diagnosis and care, the latency from individuals’ deployment return to their mental disorder diagnosis date. Cox proportional hazards regression assessed screening’s influence on this outcome.Results74.4% of the study population had screened. Overall, the median delay to care was 766 days, 578 days among screeners and 928 days among non-screeners—a 350-day difference. Cox regression indicated that screeners had a significantly shorter delay to care (adjusted HR (aHR), 1.43 (95% CI, 1.11 to 1.86)). Screening findings had a substantial influence on delay to care. Identification of a mental health concern, whether a ‘major’ concern (aHR, 3.36 (95% CI, 2.38 to 4.73)) or a ‘minor’ concern (aHR, 1.46 (95% CI, 1.08 to 1.99)), and a recommendation for mental health services follow-up (aHR, 2.35 (95% CI, 1.73 to 3.21)) were strongly associated with shorter delays to care relative to non-screeners.ConclusionsReduced delays to care are anticipated to lead to beneficial outcomes for both the individual and military organisation. We found that screening was associated with a shortened delay to care for mental disorders that were deployment-related. Future work will further explore this screening’s components and optimisation strategies.

scholarly journals Preconception prediction of expectant fathers' mental health: 20-year cohort study from adolescence

BJPsych Open ◽  
2018 ◽  
Vol 4 (2) ◽  
pp. 58-60 ◽  
Author(s):  
Elizabeth Spry ◽  
Rebecca Giallo ◽  
Margarita Moreno-Betancur ◽  
Jacqui Macdonald ◽  
Denise Becker ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Health Problems ◽  
Adolescent And Young Adult ◽  
Future Research ◽  
Expectant Fathers

We examined prospective associations between men's common mental disorders in the decades prior to offspring conception and subsequent paternal antenatal mental health problems. Data came from a prospective intergenerational cohort study which assessed common mental disorder nine times from age 14 to 29 years, and in the third trimester of subsequent pregnancies to age 35 years (N = 295 pregnancies to 214 men). Men with histories of adolescent and young adult common mental disorders were over four times more likely to experience antenatal mental health problems. Future research identifying modifiable perinatal factors that counteract preconception risk would provide further targets for intervention.Declaration of interestNone.

Association between acute psychiatric bed availability in the Veterans Health Administration and veteran suicide risk: a retrospective cohort study

2021 ◽  
pp. bmjqs-2020-012975
Author(s):  
Peter J Kaboli ◽  
Matthew R Augustine ◽  
Bjarni Haraldsson ◽  
Nicholas M Mohr ◽  
M Bryant Howren ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Suicide Risk ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Bed Occupancy ◽  
Increased Risk

BackgroundVeteran suicides have increased despite mental health investments by the Veterans Health Administration (VHA).ObjectiveTo examine relationships between suicide and acute inpatient psychiatric bed occupancy and other community, hospital and patient factors.MethodsRetrospective cohort study using administrative and publicly available data for contextual community factors. The study sample included all veterans enrolled in VHA primary care in 2011–2016 associated with 111 VHA hospitals with acute inpatient psychiatric units. Acute psychiatric bed occupancy, as a measure of access to care, was the main exposure of interest and was categorised by quarter as per cent occupied using thresholds of ≤85%, 85.1%–90%, 90.1%–95% and >95%. Hospital-level analyses were conducted using generalised linear mixed models with random intercepts for hospital, modelling number of suicides by quarter with a negative binomial distribution.ResultsFrom 2011 to 2016, the national incidence of suicide among enrolled veterans increased from 39.7 to 41.6 per 100 000 person-years. VHA psychiatric bed occupancy decreased from a mean of 68.2% (IQR 56.5%–82.2%) to 65.4% (IQR 53.9%–79.9%). VHA hospitals with the highest occupancy (>95%) in a quarter compared with ≤85% had an adjusted incident rate ratio (IRR) for suicide of 1.10 (95% CI 1.01 to 1.19); no increased risk was observed for 85.1%–90% (IRR 0.96; 95% CI 0.89 to 1.03) or 90.1%–95% (IRR 0.96; 95% CI 0.89 to 1.04) compared with ≤85% occupancy. Of hospital and community variables, suicide risk was not associated with number of VHA or non-VHA psychiatric beds or amount spent on community mental health. Suicide risk increased by age categories, seasons, geographic regions and over time.ConclusionsHigh VHA hospital occupancy (>95%) was associated with a 10% increased suicide risk for veterans whereas absolute number of beds was not, suggesting occupancy is an important access measure. Future work should clarify optimal bed occupancy to meet acute psychiatric needs and ensure adequate bed distribution.

Variables Affecting Return to Work After Spine Surgery in a Non-Workers' Compensation Population: A Retrospective Cohort Study

2017 ◽  
Vol 17 (10) ◽  
pp. S174
Author(s):  
Yu-Po Lee ◽  
Saifal-Deen B. Farhan ◽  
P.D. Kiester ◽  
Charles D. Rosen ◽  
Arif Pendi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Return To Work ◽  
Spine Surgery ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Workers Compensation

scholarly journals Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Karlijn M. van Beurden ◽  
Jac J. L. van der Klink ◽  
Evelien P. M. Brouwers ◽  
Margot C. W. Joosen ◽  
Jolanda J. P. Mathijssen ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Return To Work ◽  
Guideline Adherence ◽  
Self Efficacy ◽  
Common Mental Disorders ◽  
Occupational Physicians

scholarly journals Occupational Therapy in Mental Health via Telehealth during the COVID-19 Pandemic

2021 ◽  
Vol 18 (13) ◽  
pp. 7138
Author(s):  
Antonio José Sánchez-Guarnido ◽  
Esther Domínguez-Macías ◽  
José Antonio Garrido-Cervera ◽  
Roberto González-Casares ◽  
Silvia Marí-Boned ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Mental Disorders ◽  
Occupational Therapy ◽  
Retrospective Cohort ◽  
Face To Face ◽  
Day Hospitals ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions

The COVID-19 pandemic has brought about changes in mental health occupational therapy. Research into these changes and the associated risks of relapse is insufficient. To explore the changes that have taken place in forms of occupational intervention (face-to-face and online) during the pandemic, and to analyze their association with subsequent relapses, a multicenter retrospective cohort study was carried out of 270 patients with mental disorder diagnoses under follow-up in day hospitals during 2020. Our results show that the frequency of face-to-face occupational therapy interventions decreased during lockdown and subsequently recovered. Interventions via telehealth increased during lockdown and have since been continued to a greater extent than before lockdown. Patients who received occupational intervention via telehealth relapsed less in the following six months (10.7% vs. 26.3%; χ2 = 10.372; p = 0.001), especially those who received intervention via videoconferencing (4.2% vs. 22%; χ2 = 5.718; p = 0.017). In conclusion, lockdown subsequent to the COVID-19 outbreak led to a reduction in face-to-face occupational therapy interventions, putting people with prior mental disorders at risk, while the implementation of telehealth tools helped reduce relapses.

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