Provision of Onco-Fertility Support

2020 ◽  
pp. 1-18
Author(s):  
Roxana Schwab ◽  
Andrea Kiemen ◽  
Joachim Weis ◽  
Annette Hasenburg
Keyword(s):  
Fertility Preservation ◽  
Support Groups ◽  
Mental Health Professionals ◽  
Cancer Diagnosis ◽  
Health Professionals ◽  
Reproductive Potential ◽  
Shared Decision ◽  
Psychosocial Needs ◽  
Couple Counseling ◽  
Oncologic Therapy

The chapter considers issues where oncologic therapy can lead to partial or complete damage to the gonads (ovaries or testes), thus impairing fertility or reducing the fertile lifespan. We discuss the relatively new discipline of onco-fertility, which considers patients’ psychosocial needs, including sexual health, intimate relationships, and the affordability of fertility-preservation measures. Referral and counseling for fertility preservation should be performed as soon as possible after the cancer diagnosis. Assessment of reproductive potential should be offered to all cancer patients. Healthcare professionals should be proactive regarding fertility-preservation counseling. A multidisciplinary team consisting of oncologists, fertility specialists, specialized nurses, mental health professionals, psycho-oncologists, social workers, and support groups should be available when dealing with infertility as a side effect of cancer therapy. Shared decision making regarding fertility preservation is an important issue. Partners may need psychological counseling referrals as well, or couple counseling on communication and sexuality.

Psychosocial Needs of Torture Survivors

1991 ◽  
Vol 25 (4) ◽  
pp. 481-490 ◽  
Author(s):  
Derrick Silove ◽  
Ruth Tarn ◽  
Robin Bowles ◽  
Janice Reid
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychosocial Rehabilitation ◽  
Traumatic Experiences ◽  
Torture Survivors ◽  
Psychosocial Needs ◽  
Western Countries ◽  
The World ◽  
Widespread Interest

Growing recognition that the world faces a modern epidemic of torture has stimulated widespread interest amongst mental health professionals in strategies for the treatment of survivors. In this article we outline the distinctive experiences of torture survivors who present for treatment in western countries. These survivors are usually refugees who, in addition to torture, have suffered a sequence of traumatic experiences and face ongoing linguistic, occupational, financial, educational and cultural obstacles in their country of resettlement. Their multiple needs call into question whether “working through” their trauma stories in psychotherapy will on its own ensure successful psychosocial rehabilitation. Drawing on our experience at a recently established service [1], we propose a broader therapeutic aim.

scholarly journals Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event

2018 ◽  
Vol 78 (02) ◽  
pp. 160-166 ◽  
Author(s):  
Franz Hanschmidt ◽  
Rahel Hoffmann ◽  
Johanna Klingner ◽  
Anette Kersting ◽  
Holger Stepan
Keyword(s):  
Psychological Distress ◽  
Support Groups ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Help Seeking ◽  
Emotional Problems ◽  
Self Report ◽  
University Hospital ◽  
Fetal Anomaly ◽  
Current Psychological

Abstract Introduction Diagnosis of fetal anomaly and the difficult circumstances involved in the decision to terminate an affected pregnancy can go along with severe psychological distress. However, little is known about womenʼs help-seeking for emotional problems following an abortion after diagnosis of fetal anomaly. Methods 148 women who had been treated for abortion after diagnosis of fetal anomaly at the University Hospital Leipzig responded to self-report questionnaires 1 to 7 years after the event. Main outcomes were help-seeking intentions and actual help-seeking behavior. Logistic regression was used to explore the associations between participantsʼ sociodemographic characteristics and help-seeking intentions. Results Most women reported that they would seek help from their partner (91.7%), friends/family (82.8%) or the internet (62.2%). With regard to health services, 50.0% of women would seek help from gynecologists and between 43.8 and 47.9% from counseling services and mental health professionals. Intentions to seek help from support groups were lowest (21.7%). Age, income, region, and religion were associated with help-seeking intentions. Among participants with elevated levels of current psychological distress, 23.8% indicated that they had not discussed their emotional problems with a health service ever. Conclusion Gynecologists are among the most preferred health professionals for women to discuss psychological problems in the aftermath of an abortion after diagnosis of fetal anomaly. They should be actively involved in screening, diagnostic assessment, and referral of affected women.

scholarly journals Mental health professionals’ experiences with shared decision-making for patients with psychotic disorders: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Espen W. Haugom ◽  
Bjørn Stensrud ◽  
Gro Beston ◽  
Torleif Ruud ◽  
Anne S. Landheim
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Shared Decision Making ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychotic Disorders ◽  
Successful Implementation ◽  
Practical Training ◽  
Shared Decision ◽  
Antipsychotic Medications

Abstract Background Shared decision-making (SDM) is a process whereby clinicians and patients work together to select treatments based on both the patient’s preferences and clinical evidence. Although patients with psychotic disorders want to participate more in decisions regarding their care, they have limited opportunities to do so because of various barriers. Knowing about health professionals’ experiences with SDM is important toward achieving successful implementation. The study aim was to describe and explore health professionals’ SDM experiences with patients with psychotic disorders. Methods Three focus group interviews were conducted, with a total of 18 health professionals who work at one of three Norwegian community mental health centres where patients with psychotic disorders are treated. We applied a descriptive and exploratory approach using qualitative content analysis. Results Health professionals primarily understand the SDM concept to mean giving patients information and presenting them with a choice between different antipsychotic medications. Among the barriers to SDM, they emphasized that patients with psychosis have a limited understanding of their health situation and that time is needed to build trust and alliances. Health professionals mainly understand patients with psychotic disorders as a group with limited abilities to make their own decisions. They also described the concept of SDM with little consideration of presenting different treatment options. Psychological or social interventions were often presented as complementary to antipsychotic medications, rather than as an alternative to them. Conclusion Health professionals’ understanding of SDM is inconsistent with the definition commonly used in the literature. They consider patients with psychotic disorders to have limited abilities to participate in decisions regarding their own treatment. These findings suggest that health professionals need more theoretical and practical training in SDM.

scholarly journals Negotiating styles adopted by consultant psychiatrists when prescribing antipsychotics

2007 ◽  
Vol 13 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Robert Chaplin ◽  
Paul Lelliott ◽  
Alan Quirk ◽  
Clive Seale
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Therapeutic Alliance ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Interview ◽  
Shared Decision ◽  
Adherence To Medication ◽  
Qualitative Interview Study ◽  
Improve Clinical Outcome

A good therapeutic alliance between mental health professionals and patients with psychosis can enhance adherence to medication regimens and improve clinical outcome. This article explores how the therapeutic alliance might be developed with respect to decisions to prescribe antipsychotic medication. It does this by presenting the implications for practice that arise from a recent qualitative interview study with consultant psychiatrists. We consider strategies for strengthening the therapeutic alliance, occasions when it might be appropriate to suspend shared decision-making temporarily, techniques used to enable discussion of symptoms and side-effects, and how issues of adherence are uncovered and addressed. Psychiatrists already possess considerable skills in these areas. The dissemination of these to colleagues forms an important opportunity for CPD.

Pet Bereavement Support Groups: A Guide for Mental Health Professionals

2017 ◽  
Vol 12 (4) ◽  
pp. 440-450 ◽  
Author(s):  
Chelsey L. Hess-Holden ◽  
Christy L. Monaghan ◽  
Cheryl A. Justice
Keyword(s):  
Mental Health ◽  
Support Groups ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Bereavement Support ◽  
Pet Bereavement

scholarly journals Mental health and psychosocial needs of Syrian refugees and the role of Syrian non-governmental organisations

2016 ◽  
Vol 13 (4) ◽  
pp. 81-83 ◽  
Author(s):  
Nadim Almoshmosh ◽  
Mamoun Mobayed ◽  
Mohammad Aljendi
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Self Management ◽  
Syrian Refugees ◽  
Psychosocial Needs ◽  
Healthcare Volunteers ◽  
Set Up ◽  
At Home

Almost 5 million Syrians have been registered as refugees since the conflict started in 2011. Their mental health and psychosocial needs continue to grow as the situation at home gets more complicated. Syrian non-governmental organisations (NGOs) and mental health professionals have been offering their support to help meet these needs. They have set up various centres and teams on the ground that focus their efforts on the most needy individuals. They train and supervise healthcare volunteers, encourage self-management and build on people's resilience. These NGOs require support to deal with the consequences of this unprecedented crisis.

scholarly journals Assessing the New Normal: Dangers Related to the Internet Use and Risks Facing Vulnerable Psychiatric Populations

2019 ◽  
Vol 4 (2) ◽  
pp. 81
Author(s):  
J’Andra Antisdel
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Support Groups ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Full Text ◽  
Internet Use ◽  
Screening Methods ◽  
Screening Process ◽  
Health Screenings

Background: Despite the social and cultural changes surrounding the immergence of social media and the risks related to internet use for adolescents, mental health screenings have not changed to assess the psycho-social implications of social media and internet use in general as social supportPurpose: Mental health professionals who assess patient use of social media and internet will be informed of dangerous online support groups promoting negative coping behaviors and risk or occurrence of psychological, physical or sexual abuse arising from dangerous internet use.Method: The following databases were searched: Academic Search Premier, CINAHL Plus with Full Text, Health Source: Nursing/Academic Edition, MEDLINE, PsycARTICLES, PsycINFO, and SocINDEX with Full Text, using a combination of search terms self-harm, and Internet with Boolean phrase and, and limiters including publication years between 2010-2018.Conclusion: During the screening process, mental health professionals can begin to address this emergent concern by asking internet specific questions designed to inform the professional about patient risk concerning social media and internet use. It is important to continue to assess and evaluate screening methods to ensure mental health screenings are adapting to the changing technological world. Social media and internet use have changed the way humans communicate and form social connections. It is imperative mental health professionals assess the implications of dangerous social media and internet use concerning mental health.

scholarly journals Male fertility preservation in oncology: patients’ profile and clinical guidance importance

2019 ◽  
Vol 29 (3) ◽  
pp. 34214
Author(s):  
Karin Vasconcelos De Carvalho ◽  
Fernanda Maria Wolff Baldi ◽  
Daniel Rodrigo Marinowic ◽  
Marta Ribeiro Hentschke ◽  
Cláudio Telöken ◽  
...  
Keyword(s):  
Fertility Preservation ◽  
Cancer Diagnosis ◽  
Health Professionals ◽  
Male Fertility ◽  
Rectal Tumor ◽  
Future Research ◽  
Financial Barriers ◽  
Semen Cryopreservation ◽  
Male Patients ◽  
The Subject

AIMS: To evaluate the profile of men with cancer who performed semen cryopreservation prior/during treatment and address the importance of this method for reproductive health.METHODS: This was a transversal and retrospective study which used a database from a Reproductive Medicine Center located in Brazil. A total of 150 male patients who performed semen cryopreservation due to cancer diagnosis, from January 2014 to December 2017, were included.RESULTS: The profile of men seeking fertility preservation prior/during treatment for cancer was young adults, single, childless, with higher education. Oncologists were the ones who reported more patients for semen cryopreservation followed by urologists and hematologists. With regards to tumor diagnosis frequency, testicular was the most diagnosed, followed by Hodgkin’s/non-Hodgkin’s lymphoma, leukemia, prostate and rectal tumor, along with retroperitoneal tumor.CONCLUSION: Data brought the reflection on the cultural and financial barriers involved for the accomplishment of cryopreservation. Health professionals attending cancer patients should consider the importance of educational and incentive activities to prevent male fertility. Future research on the subject should carried out.

scholarly journals Mental health professionals’ perceived barriers and enablers to shared decision-making in risk assessment and risk management: a qualitative systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nafiso Ahmed ◽  
Sally Barlow ◽  
Lisa Reynolds ◽  
Nicholas Drey ◽  
Fareha Begum ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Decision Making ◽  
Risk Management ◽  
Shared Decision Making ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Perceived Barriers ◽  
Shared Decision ◽  
Barriers And Enablers

Abstract Background Risk assessment and risk management are fundamental processes in the delivery of safe and effective mental health care, yet studies have shown that service users are often not directly involved or are unaware that an assessment has taken place. Shared decision-making in mental health systems is supported by research and advocated in policy. This systematic review (PROSPERO: CRD42016050457) aimed to explore the perceived barriers and enablers to implementing shared decision-making in risk assessment and risk management from mental health professionals’ perspectives. Methods PRISMA guidelines were followed in the conduct and reporting of this review. Medline, CINAHL, EMBASE, PsycINFO, AMED and Internurse were systematically searched from inception to December 2019. Data were mapped directly into the Theoretical Domains Framework (TDF), a psychological framework that includes 14 domains relevant to behaviour change. Thematic synthesis was used to identify potential barriers and enablers within each domain. Data were then matched to the three components of the COM-B model: Capability, Opportunity, and Motivation. Results Twenty studies met the eligibility criteria. The findings of this review indicate that shared decision-making is not a concept commonly used in mental health services when exploring processes of risk assessment and risk management. The key barriers identified were ‘power and best interest’ (social influences) and ‘my professional role and responsibility’ (social/professional role and identity). Key enablers were ‘therapeutic relationship’ (social influences) and ‘value collaboration’ (reinforcement). The salient barriers, enablers and linked TDF domains matched COM-B components ‘opportunity’ and ‘motivation’. Conclusion The review highlights the need for further empirical research to better understand current practice and mental health professionals’ experiences and attitudes towards shared decision-making in risk assessment and risk management.

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