Unmet physical and mental healthcare needs of children with a history of familial homelessness and unstable housing

2018 ◽  
Vol 27 (2) ◽  
pp. 135-140
Author(s):  
Katelyn K. Jetelina ◽  
Jennifer Reingle Gonzalez ◽  
Michiko Otsuki Clutter ◽  
Corron Sanders ◽  
Sweety Baidhya ◽  
...  
Keyword(s):  
Mental Healthcare ◽  
Unstable Housing ◽  
Healthcare Needs ◽  
History Of

scholarly journals Psychosocial Risk Factors and Other Than Honorable Military Discharge: Providing Healthcare to Previously Ineligible Veterans

2018 ◽  
Vol 183 (9-10) ◽  
pp. e532-e538 ◽  
Author(s):  
Eric B Elbogen ◽  
H Ryan Wagner ◽  
Mira Brancu ◽  
Nathan A Kimbrel ◽  
Jennifer C Naylor ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sleep Problems ◽  
Healthcare Delivery ◽  
Mental Healthcare ◽  
Drug Misuse ◽  
Social Characteristics ◽  
Research Education ◽  
Military Discharge ◽  
History Of ◽  
Potential Factors

Abstract Introduction In response to a strong focus on suicide prevention for all veterans, the Department of Veterans Affairs (VA) recently revised policy to provide emergency mental healthcare for veterans who received Other Than Honorable (OTH) discharges from the military. This current study takes a preliminary step toward identifying demographic, historic, military, clinical, and social characteristics of veterans with OTH discharges. Materials and Methods N = 1,172 Iraq/Afghanistan-era veterans were evaluated between 2005 and 2016 in the multi-site VA Mid-Atlantic Mental Illness, Research, Education and Clinical Center (MIRECC) Study of Post-Deployment Mental Health (PDMH Study). Results Veterans with OTH discharges constituted 2.7% of our sample, approximating the estimated rate in the overall U.S. veteran population. Compared to veterans discharged under honorable conditions, veterans with OTH discharges were more likely to be younger and have greater odds of reporting family history of drug abuse and depression. Further, veterans with OTH discharges reported a lower level of social support and were more likely to be single, endorse more sleep problems, score higher on measures of drug misuse, have a history of incarceration, and meet diagnostic criteria for major depressive disorder. A subsequent matching analysis provided further evidence of the association between OTH discharge and two risk factors: drug misuse and incarceration. Conclusion These findings elucidate potential factors associated with veterans with OTH discharges, particularly substance abuse and criminal justice involvement. Results also indicate higher incidence of risk factors that often accompany suicidal ideation and should be a highlighted component of healthcare delivery to this vulnerable cohort of veterans.

scholarly journals Samhällsvårdens Svarte Petter

2019 ◽  
Vol 26 (1) ◽  
Author(s):  
Ulrika Levander ◽  
Lina Sturfelt
Keyword(s):  
Mental Health ◽  
Residential Care ◽  
Mental Healthcare ◽  
Preventive Actions ◽  
Child Psychiatric ◽  
History Of ◽  
Mental Health Interventions ◽  
Public Responsibility ◽  
Open Question ◽  
Children In Care

Drawing the short straw. Contemporary and historical categorizations of children in foster and residential care with mental health disordersAbout 67 per cent of children placed in residential care in Sweden suffer from mental health disorders. Although the problem has been recognized for decades, the group’s access to sufficient mental healthcare is still lagging. In this article we examine contemporary and historical categorizations of mental health issues among children in foster and residential care. The study examines Swedish commission reports, government bills, and Children’s Acts published between 1902 and 2016 where the issue is discussed. Hereby, ”the history of the present”, and its implications for the targeted group, is analysed and problematized. Our findings show that continuous talk of preventive actions in the name of the all-embracing welfare state repeatedly has downplayed the group’s access to mental health interventions. Ever since the establishment of the child psychiatric field in the 1940s, a discursive battle about the public responsibility for the group is also raging. In the 1970s, coordination is articulated as the grand solution, but the problem still persists. Neither the contemporary child rights perspective nor the latest law regulations of forced coordination for children in care have changed the group’s underprivileged position. Whether the legal turn will finally lead to recognition of the group’s right to adequate mental health care remains an open question.

scholarly journals Understanding and Addressing the Treatment Gap in Mental Healthcare: Economic Perspectives and Evidence From China

2020 ◽  
Vol 57 ◽  
pp. 004695802095056
Author(s):  
Xuezheng Qin ◽  
Chee-Ruey Hsieh
Keyword(s):  
Mental Health ◽  
Public Investment ◽  
Mental Healthcare ◽  
Theoretical Argument ◽  
Treatment Gap ◽  
Treatment Benefit ◽  
Middle Income ◽  
Health Technologies ◽  
Mental Health Awareness ◽  
Healthcare Needs

A common challenge faced by the healthcare systems in many low- and middle-income countries is the substantial unmet mental healthcare needs, or the large gap between the need for and the provision of mental healthcare treatment. This paper investigates the potential causes of this treatment gap from the perspective of economics. Specifically, we hypothesize that people with mental illness face 4 major hurdles in obtaining appropriate healthcare, namely the high nonmonetary cost due to stigma, the high out-of-pocket payment due to insufficient public funds devoted to mental health, the high time costs due to low mental healthcare resource availability, and the low treatment benefit due to slow technology diffusion. We use China as a study setting to show country-specific evidence. Our analysis supports the above theoretical argument on the 4 barriers to access, which in turn sheds light on the effective approaches to mitigate the treatment gap. Four policy options are then discussed, including an information campaign for mental health awareness, increasing public investment in primary mental healthcare resources, transforming the healthcare system towards an integrated people-centered system and capitalizing on e-health technologies.

scholarly journals Peritraumatic distress and perceived mental healthcare needs among residents of a community housing during COVID-19

2020 ◽  
Vol 7 (2) ◽  
pp. 14-22
Author(s):  
Priscilla Samson ◽  
Jay Narayan Shah
Keyword(s):  
Mental Health ◽  
Strong Predictor ◽  
Mental Healthcare ◽  
Cross Sectional Study ◽  
Kathmandu Valley ◽  
Gated Community ◽  
Cross Sectional ◽  
Exact Test ◽  
Healthcare Needs ◽  
Peritraumatic Distress

Introduction: The consequences of lockdown, quarantine, and uncertainties of COVID-19 pandemic has not only caused physical sufferings but affected the mental health of the people around the globe. Peritraumatic distress is a strong predictor of posttraumatic stress disorder that may further lead to depression and suicidal risk. Thus, the aim of this study was to assess peritraumatic distress and perceived mental healthcare needs among the residents of a gated community in Kathmandu Valley. Method: This was a quantitative online cross-sectional study conducted during June 2020 among adult residents of a gated community in Kathmandu Valley, Nepal. COVID-19 peritraumatic distress index and perceived mental healthcare questionnaire were used to find out peritraumatic distress and mental healthcare needs of the residents. Ethical approval was obtained. Statistical analysis of data was done using SPSS. Result: A total of 45 residents returned the completed forms. Male were 62.2%, 53.3% belonged to 36 to 55 years and 46.7% had at least one comorbidity. Mild to moderate peritraumatic distress was found among 17.82%. Fisher’s exact test showed no association between age, gender, presence of comorbidity and peritraumatic distress (p > 0.05). Perceived mental healthcare needs were felt by more than 91% of the participants. Conclusion: One sixth of the participants had mild to moderate level of peritraumatic distress. Almost all the participants felt they have mental healthcare needs. Study highlights the need for counseling for distress and mental health during COVID-19 pandemic.

scholarly journals Is It Possible to Become a Nurse in a Refugee Camp?

2019 ◽  
Vol 16 (18) ◽  
pp. 3414
Author(s):  
Olga María López-Entrambasaguas ◽  
Jose Manuel Martínez-Linares ◽  
Manuel Linares-Abad ◽  
María José Calero-García
Keyword(s):  
Nursing Education ◽  
Mineral Resources ◽  
Refugee Camps ◽  
Economic Interests ◽  
Western Sahara ◽  
Origin And Evolution ◽  
Healthcare Needs ◽  
Spanish Colonization ◽  
History Of ◽  
Nursing Professionals

The history of the Western Sahara has been marked by several events that have contributed to the protracted refugee situation in which the Sahrawi people have found themselves since 1975: the Spanish colonization and the subsequent decolonization process, the armed struggles between the indigenous population and the states of Morocco and Mauritania to occupy Western Saharan territory, assassinations and repression of the Sahrawi population, and the economic interests of external agents with regards to mineral resources. Twenty-five years ago, in the hostile environment of the Sahrawi refugee camps, a nursing school was founded. Essentially depending on foreign aid, this school has been responsible for training nursing professionals to meet the healthcare needs of the population. The aim of this paper is to provide an approach to the origin and evolution of nursing education for the Sahrawi refugee camps. The Sahrawi are the only refugee camps in the world to host such nursing schools.

Association Between History of Sexual Trauma and Unstable Housing [14M]

2019 ◽  
Vol 133 (1) ◽  
pp. 144S-144S
Author(s):  
Jennifer Leigh ◽  
Savannah Pearson-Ayala ◽  
Pournami Rajeev ◽  
Mirella Torresan ◽  
Veronica Ades
Keyword(s):  
Sexual Trauma ◽  
Unstable Housing ◽  
History Of

scholarly journals User and Provider Perspectives on Improving Mental Healthcare for Syrian Refugee Women in Winnipeg, Manitoba, Canada

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Sanjida Newaz ◽  
Keyword(s):  
Service Providers ◽  
Research Question ◽  
Mental Healthcare ◽  
Decision Makers ◽  
Culturally Competent ◽  
Culturally Competent Care ◽  
Refugee Women ◽  
Syrian Refugee ◽  
Provider Perspectives ◽  
Healthcare Needs

Introduction: Refugees have higher risk of developing mental illness like anxiety, depression and Post-Traumatic Stress Disorder as they flee from violence. Women refugees may have unique mental healthcare needs due to their vulnerability to gender-based violence and abuse during flight from war. The research question of this study was what the health system can do better to address the mental healthcare needs of refugee women in Winnipeg. Methods: Semi-structured interviews were conducted with 9 Syrian refugee women and 6 service providers/decision makers. The interviews were analyzed using qualitative inductive analysis and coded for themes based on recurring issues. Results: Limited understanding of mental health and illness among refugees, stigma, and the need for culturally competent care were noted by the service providers. System navigation, language, unemployment and safety of family members left behind in Syria were the main concerns of the refugee women. While there are many programs available for refugee women in Winnipeg, lack of collaboration and coordination among providers was identified. Conclusions: This study recommends that service providers use resources developed by UNHCR and Canadian physicians in providing culturally competent care, decision makers take leadership roles in implementing better collaboration among agencies, employers be open in hiring refugees and everyone in the society ensures that the refugee women feel welcomed and included.

scholarly journals Mental Healthcare in Rural Latin America

2017 ◽  
Author(s):  
Jody Epstein
Keyword(s):  
Mental Health ◽  
Latin America ◽  
Latin American ◽  
Mental Healthcare ◽  
Health Service Delivery ◽  
Healthcare Systems ◽  
Mental Health Disorders ◽  
Mental Health Service Delivery ◽  
History Of ◽  
Health Disorders

<p class="normal">The goal of this article is to provide an overview of epidemiology of mental health disorders in Latin America, discuss unique issues in mental health faced by rural Latin American communities, summarize the history of Latin American healthcare systems, and describe current strategies to improve and innovate mental health service delivery in Latin America.  </p>

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