scholarly journals Mental Health and Substance Use Diagnoses and Treatment Disparities by Sexual Orientation and Gender in a Community Health Center Sample

LGBT Health ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 290-299
Author(s):  
Abigail W. Batchelder ◽  
Amelia M. Stanton ◽  
Norik Kirakosian ◽  
Dana King ◽  
Chris Grasso ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Sexual Orientation ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Treatment Disparities ◽  
And Gender

scholarly journals Differences in mental health symptom severity and care engagement among transgender and gender diverse individuals: Findings from a large community health center

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245872
Author(s):  
Amelia M. Stanton ◽  
Abigail W. Batchelder ◽  
Norik Kirakosian ◽  
James Scholl ◽  
Dana King ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Alcohol Use ◽  
Health Center ◽  
Behavioral Health ◽  
Symptom Severity ◽  
Community Health Center ◽  
Mental Health Symptom ◽  
Gender Diverse ◽  
And Gender

Mental health disparities among transgender and gender diverse (TGD) populations have been documented. However, few studies have assessed differences in mental health symptom severity, substance use behavior severity, and engagement in care across TGD subgroups. Using data from the electronic health record of a community health center specializing in sexual and gender minority health, we compared the (1) severity of self-reported depression, anxiety, alcohol use, and other substance use symptoms; (2) likelihood of meeting clinical thresholds for these disorders; and (3) number of behavioral health and substance use appointments attended among cisgender, transgender, and non-binary patients. Participants were 29,988 patients aged ≥18 who attended a medical appointment between 2015 and 2018. Depression symptom severity (F = 200.6, p < .001), anxiety symptom severity (F = 102.8, p < .001), alcohol use (F = 58.8, p < .001), and substance use (F = 49.6, p < .001) differed significantly by gender. Relative to cisgender and transgender individuals, non-binary individuals are at elevated risk for depression, anxiety, and substance use disorders. Gender was also associated with differences in the number of behavioral health (χ2 = 51.5, p < .001) and substance use appointments (χ2 = 39.3, p < .001) attended. Engagement in treatment among certain gender groups is poor; cisgender women and non-binary patients assigned male at birth were the least likely to have attended a behavioral health appointment, whereas transgender men and cisgender women had attended the lowest number of substance use appointments. These data demonstrate the importance of (1) assessing gender diversity and (2) addressing the barriers that prevent TGD patients from receiving affirming care.

Medication-assisted treatment for substance use disorders within a national community health center research network

2016 ◽  
Vol 37 (4) ◽  
pp. 625-634 ◽  
Author(s):  
Traci Rieckmann ◽  
John Muench ◽  
Mary Ann McBurnie ◽  
Michael C. Leo ◽  
Phillip Crawford ◽  
...  
Keyword(s):  
Substance Use ◽  
Community Health ◽  
Health Center ◽  
Substance Use Disorders ◽  
Community Health Center ◽  
Research Network ◽  
National Community ◽  
Medication Assisted Treatment ◽  
Center Research

scholarly journals PELATIHAN MENGATASI KECEMASAN BERBICARA DI DEPAN UMUM PADA KADER KESEHATAN JIWA

2018 ◽  
Vol 1 (3) ◽  
pp. 190-200
Author(s):  
Ika Pratiwi Wibawanti ◽  
Endah Puspita Sari ◽  
Vequentina Puspa
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Health Center ◽  
Communication Apprehension ◽  
Community Health Center ◽  
Group Analysis ◽  
T Test ◽  
Paired Sample ◽  
Post Test ◽  
Quasi Experimental

Cadre is a member of the community representing its territory to serve as a mediator between Puskesmas (Community Health Center) and the community within a certain scope of area. In addition to posyandu cadres that have long been known, currently in some areas in Sleman district also has mental health cadres. One problem that occured in the mental health cadres at Cangkringan Community Health Center was communication apprehension among the mental health cadres to deliver a message from Puskesmas. This training was conducted to reduce communication apprehension on mental health cadres of Puskesmas Cangkringan. Kader merupakan anggota masyarakat yang mewakili wilayahnya untuk menjadi penghubung antara Puskesmas dan masyarakat dalam suatu cakupan kerja tertentu. Selain kader posyandu yang sudah lama dikenal, saat ini di beberapa wilayah di kabupaten Sleman juga memiliki kader kesehatan jiwa. Permasalahan yang terjadi pada kader kesehatan jiwa di Puskesmas Cangkringan adalah kecemasan saat berbicara di depan masyarakat untuk menyampaikan pesan dari Puskesmas. Pelatihan ini dilakukan untuk menurunkan kecemasan berbicara di depan umum pada kader kesehatan jiwa Puskesmas Cangkringan. Untuk mencapai tujuan tersebut, peneliti menggunakan quasi experimental one-group pre-test and post-test dengan within group analysis. Pengukuran pre-test dan post-test kelompok dilakukan menggunakan modifikasi alat ukur Back Anxiety Inventory. Hasil pengukuran menggunakan paired sample T-test menunjukan t = 5.647 dengan p = 0.000 (p ˂ 0.01). Artinya pelatihan mengatasi kecemasan berbicara di depan umum yang dilakukan pada kader kesehatan jiwa Puskesmas Cangkringan mampu menurunkan kecemasan dengan sangat signifikan.

scholarly journals Evaluation of Warfarin Use in Patients With Mental Health Conditions in a Rural Community Health Center System

2020 ◽  
pp. 875512252096022
Author(s):  
Laura Abell ◽  
Adriane N. Irwin
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Health Center ◽  
Rural Community ◽  
Community Health Center ◽  
Interquartile Range ◽  
Health Conditions ◽  
Target Range ◽  
Mental Health Conditions ◽  
Rural Community Health

Background: Mental health conditions (MHCs) may affect a patient’s ability to comply with requirements necessary for safe warfarin use. Objective: To describe warfarin control, defined as time in therapeutic range (TTR), for patients with and without MHCs receiving care through a pharmacist-driven anticoagulation service within a rural community health center system. Methods: Retrospective cohort study of patients on warfarin between January 1, 2014, and December 31, 2017. The primary study endpoint was TTR. Secondary endpoints were the number of international normalized ratios (INRs) per 30 days, percentage of INRs within, above, and below target range, and warfarin-related adverse events. Results: A total of 79 patients were included—37 with and 42 without MHCs. Patients were mostly male (n = 47; 59.5%) and prescribed warfarin for atrial fibrillation (n = 45; 57.0%). There were no differences in overall TTR between those with (59.6%; interquartile range = 41.8-73.4) versus without (63.4%; interquartile range = 46.7-73.6) MHCs ( P = .542). Secondary outcomes showed no differences in the frequency or percentage of INRs in, above, or below target range (all P > .05). However, there were about twice as many hemorrhagic complications in the group with MHCs (27% vs 11.9%; P = .149). Conclusion: Patients with MHCs experienced no difference in overall TTR as compared to patients without MHCs. However, there was a non-statistically significant reduction in TTR, which would be consistent with limited existing data and demonstrates possible reproducibility to a rural, underserved patient population. Future research is needed to validate these outcomes.

scholarly journals Three-dose HPV vaccine completion among sexual and gender minority young adults at a Boston community health center

Vaccine ◽  
2018 ◽  
Vol 36 (32) ◽  
pp. 4897-4903 ◽  
Author(s):  
Kaan Z. Apaydin ◽  
Holly B. Fontenot ◽  
Christina P.C. Borba ◽  
Derri L. Shtasel ◽  
Sharon Ulery ◽  
...  
Keyword(s):  
Young Adults ◽  
Community Health ◽  
Health Center ◽  
Hpv Vaccine ◽  
Community Health Center ◽  
Gender Minority ◽  
Vaccine Completion ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals An Evaluation of the Feasibility of Implementing a Novel Tobacco Dependence Treatment Program for High-risk Individuals Into Clinical Practice Within a Community Mental Health Center

2021 ◽  
Author(s):  
Tory Hogan ◽  
Amanda Quisenberry ◽  
Nicholas Breitborde ◽  
Aubrey Moe ◽  
Amy Ferketich
Keyword(s):  
Mental Health ◽  
Smoking Cessation ◽  
Community Health ◽  
Health Center ◽  
Integrated Care ◽  
Community Health Center ◽  
Health Centers ◽  
Smoking Cessation Program ◽  
Care Community ◽  
Cessation Treatment

Abstract Background: Individuals with serious mental illnesses experience deaths related to smoking at a higher prevalence than individuals without a serious mental illness. Traditional smoking cessation programs are often not effective among individuals with chronic mental disorders. Little is known about how to implement a tobacco cessation treatment programs for this at-risk population within a community health centers. The current study used qualitative methods to examine the factors that may enhance or impede the delivery of a novel tobacco cessation treatment for smokers with a psychotic-spectrum disorder diagnosis in an integrated care community health center. Methods: Using purposeful sampling, we conducted 22 semi-structured interviews with primary care providers, mental health providers, addiction counselors, case managers, intake specialists, schedulers, pharmacists, and administrative staff at employed at the organization. Interviews were transcribed and themes were identified through a rich coding process. Results: We identified environmental factors, organizational factors, provider factors and patient factors which describe the potential factors which may enhance or impede the implementation of a smoking cessation program at the integrated care community health center. Most notably we identified that community mental health centers looking to implement a smoking cessation program for individuals with chronic mental health disorders should ensure that the incentives for providers to participate align with the program’s objectives. Lastly, organizations should invest in educating providers to address stigma related to smoking cessation and nicotine use. Conclusions: The findings of our study provide valuable insight for administrators to consider when implementing a smoking cessation program in an integrated care community health center. Our findings provide public health practitioners with potential considerations that should be discussed when designing and implementing a smoking cessation program for individuals with chronic mental disorders.

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