Prevention of mental disorder in childhood and other public health issues

Author(s):  
Rhoshel Lenroot

Enormous progress has been made in recognizing the scope of mental health problems for children around the world, and in developing the theoretical framework needed to address decreasing this burden in a systematic fashion. Technological advances in neuroimaging, genetics, and computational biology are providing the tools to start describing the biological processes underlying the complex course of development, and have renewed appreciation of the role of the environment in determining how a genetic heritage is expressed. However, rapid technological change is also altering the environment of children and their families at an unprecedented rate, and what kinds of challenges to public health these changes may present is not yet fully understood. What is becoming clear is that as technological advances increase the range of available health care treatments, along with the potential cost, the choices for societies between spending limited resources on treatment or prevention will have to become increasingly deliberate. A substantial body of work has demonstrated that prevention in mental health can be effective, but those who would benefit the most from preventive interventions are often not those with the political or economic resources to make them a priority. While the potential interventions to prevent mental health disorders in children are constrained by the knowledge and resources available, what is actually done depends upon the social and political values of individual communities and nations. It is to be hoped that as our understanding of these disorders grows, public policies to prevent the development of mental health disorders in children will become as commonplace a responsibility for modern societies as the provision of clean drinking water.

Author(s):  
Mr. Fasal Rehman ◽  
Dr Venu Lata Saxena ◽  
Dr Greesha Jose

Many unhealthy behaviors often begin during adolescence and represent major public health challenges. Substance abuse has a major impact on individuals, families, and communities, as its effects are cumulative, contributing to costly social, physical, and mental health problems. Psycho-education refers to the method of educating individuals who are faced with substance abuse disorders, co-occurring mental health disorders. It provides a more thorough understanding of the nature of addiction and the disease model.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jessica Hanae Zafra-Tanaka ◽  
Kevin Pacheco-Barrios ◽  
Fiorella Inga-Berrospi ◽  
Alvaro Taype-Rondan

Abstract Aim To assess the self-perceived competencies in diagnosing and treating patients with mental health disorders, among recently graduated general practitioners (GPs) from Lima, Peru. Methods A cross-sectional study was performed in April 2017 at a General Practitioner’s meeting held for those who were going to perform the social service, by the Peruvian College of Physicians in Lima. Attendees were invited to answer a questionnaire that evaluated their self-perception of competence in diagnosing and treating four different mental health disorders; major depression, anxiety disorder, alcohol dependence, and schizophrenia. Results Out of 434 evaluated GPs, the following percentages were self-perceived as competent in their adequate diagnosis of depression (70.5%), anxiety (73.3%), alcohol dependence (67.6%), and schizophrenia (62.0%). Concerning pharmacological treatment, these percentages were 46.6, 47.5, 39.0 and 37.6%, respectively. Referring to all the studied mental disorders, 41.6% of participants self-perceived competence in providing an adequate diagnosis, 36.1% in providing non-pharmacological treatment, and 20.1% in providing pharmacological treatment. Conclusion The rate of adequate self-perceived competences was higher for diagnosis than for treatment of patients with mental health disorders. These results highlight the importance of designing and implementing interventions to improve medical education so as to develop the skills necessary to confront mental health disorders.


2008 ◽  
Vol 193 (6) ◽  
pp. 452-454 ◽  
Author(s):  
Patricia Casey ◽  
Margaret Oates ◽  
Ian Jones ◽  
Roch Cantwell

SummaryThe finding that induced abortion is a risk factor for subsequent psychiatric disorder in some women raises important clinical and training issues for psychiatrists. It also highlights the necessity for developing evidence-based interventions for these women. P.C. / Evidence suggesting a modest increase in mental health problems after abortion does not support the prominence of psychiatric issues in the abortion debate, which is primarily moral and ethical not psychiatric or scientific. M.O. et al.


2020 ◽  
Author(s):  
Salman Muhammad Soomar

UNSTRUCTURED Health is the state of overall well-being which includes physical, mental, and social wellbeing. Good health is a resource for living everyday life. It is central for functioning properly, handling stress, living a longer and more active life. Physical well-being includes a healthful lifestyle to decrease the risk of disease. Mental health is equally important as physical health, it is integral and important component of health, it provides strength and enhance a person’s ability to complete regular tasks . Differences in socioeconomic and other living conditions can lead to health inequities which can impact on a person’s health especially mental health though this is not the case in every situation, however the risk to an individual’s mental health determine how the person is going to suffer with mental health issues as these risk factors are not only bounded to poor socio-economic class . Violence, rapid social change, stressful work conditions, gender discrimination, social exclusion, physically ill health, sexual abuse, and persistent socio-economic pressures are recognized as risk factors for poor mental health. Moreover, there are some personality factors and genetic factors that also make people vulnerable to mental health disorders . Mental health issues alone add a lot in the global burden of disease however it is associated with other diseases and conditions as well. Mental health disorders in different forms and intensities a large number of people in their lifetime which not only impact on their health but it causes economic burden on the person and family as well . Despite a greater population is affected from mental health illness, the estimates produced through research regarding are still underestimated the reasons may be overlapping between psychiatric and neurological disorder and keeping suicide behaviors associated with self-harm a separate category other than mental illness . The major reason of underestimation can be less no reporting for these illness due to stigma associated with it. Stigma is the negative attitude towards the illness which creates discrimination and is the main obstacle in seeking help and care .


2009 ◽  
Vol 195 (5) ◽  
pp. 420-426 ◽  
Author(s):  
David M. Fergusson ◽  
L. John Horwood ◽  
Joseph M. Boden

BackgroundThere has been continued interest in the extent to which women have positive and negative reactions to abortion.AimsTo document emotional reactions to abortion, and to examine the links between reactions to abortion and subsequent mental health outcomes.MethodData were gathered on the pregnancy and mental health history of a birth cohort of over 500 women studied to the age of 30.ResultsAbortion was associated with high rates of both positive and negative emotional reactions; however, nearly 90% of respondents believed that the abortion was the right decision. Analyses showed that the number of negative responses to the abortion was associated with increased levels of subsequent mental health disorders (P<0.05). Further analyses suggested that, after adjustment for confounding, those having an abortion and reporting negative reactions had rates of mental health disorders that were approximately 1.4–1.8 times higher than those not having an abortion.ConclusionsAbortion was associated with both positive and negative emotional reactions. The extent of negative emotional reactions appeared to modify the links between abortion and subsequent mental health problems.


2017 ◽  
Vol 41 (S1) ◽  
pp. S335-S335
Author(s):  
A. Benjaponpitak

BackgroundDevelopmental disorders and mental health problems result in less optimal outcomes in children. Although awareness among the public had been improving, there was paucity of early identification frameworks, care pathways as well as the process of monitoring and evaluation in Thailand.ObjectiveTo develop appropriate National child mental health policy in Thailand.AimTo promote developmental and mental health outcomes of children.MethodCurrent child development and mental health research as well as policy development were reviewed. The framework of development together with major mental health disorders screening and intervention among children has been studied and established as a major policy in Thailand since 2014. The National developmental screening has been implemented in children aged 9, 18, 30 and 42 months. District level hospitals have been coached to facilitate Health promotion schools to screen and provide early intervention for grade 1 students with mental health problems. Annual data has been collected and analyzed to reflect the milestones of child development and mental health prevention-promotion policy in Thailand.ResultThe coverage of National developmental screening ranges from 70–80% of children. About 20% of preschoolers are at risk of language delay while nearly 20% of grade 1 children are at risk of emotional, behavioral and learning problems. Parental awareness is the major challenge for those with limited financial resources.ConclusionInvestments in early childhood development are needed. The pathways to develop the appropriate intervention requires further collaboration among stakeholders.Disclosure of interestThe author has not supplied his declaration of competing interest.


2019 ◽  
Vol 53 (4) ◽  
pp. 286-290 ◽  
Author(s):  
Lucy A Tully ◽  
David J Hawes ◽  
Frances L Doyle ◽  
Michael G Sawyer ◽  
Mark R Dadds

Half of all lifetime mental health disorders emerge in childhood, so intervening in the childhood years is critical to prevent chronic trajectories of mental health disorders. The prevalence of child mental health disorders is not decreasing despite the increased availability of evidence-based interventions. One key reason for the high prevalence and low treatment uptake may be low levels of child mental health literacy in the general community. Mental health literacy refers to knowledge and beliefs about mental health disorders that aid in their recognition, prevention and management. There is emerging evidence of poor recognition of child mental health problems in the community and low levels of parental knowledge about how to seek help, along with high levels of stigmatising attitudes. Although Australia has been a world leader in research and practice in improving mental health literacy for adolescent and adult mental health disorders, particularly depression and anxiety, mental health literacy for childhood disorders has been largely overlooked. In order to improve knowledge of child mental health disorders, reduce stigma, improve appropriate help-seeking and impact on the prevalence of child mental health disorders, we argue that a national initiative focussing on increasing mental health literacy for childhood disorders is urgently needed.


Kuntoutus ◽  
2021 ◽  
Vol 44 (2) ◽  
pp. 36-47
Author(s):  
Jonna Tolonen ◽  
Katja Kokkinen ◽  
Erika Jääskeläinen ◽  
Sanna Sihvonen ◽  
Liisa Kiviniemi ◽  
...  

Johdanto: Tavoitteiden asettaminen on tärkeä osa mielenterveyskuntoutusta. Nuorilla mielenterveyshäiriöt voivat vaikeuttaa kehitystehtävien saavuttamista, joten kuntoutuksen tavoitteiden tulee mukailla niitä. Aiemmat tutkimukset korostavat, että kuntoutuksessa on tärkeää huomioida kuntoutujan henkilökohtaiset tavoitteet yhteiskunnallisten resurssien lisäksi. Tavoite ja menetelmä: Tämän tutkimuksen tavoitteena oli kuvailla nuorten mielenterveyskuntoutuksen tavoitteita ja tämän myötä lisätä ymmärrystä tavoitteiden merkityksestä ja kehittää tavoitteiden asettelua. Tutkimuksen aineistona olivat 18–29-vuotiaiden nuorten (n = 16) asumiskuntoutuksessa laaditut kuntoutustiedotteet. Aineisto analysoitiin laadullisella sisällön analyysillä. Tulokset: Mielenterveyskuntoutuksen tavoitteiden pääkategoriat olivat: ikätasoiset toiminnalliset roolit, sosiaalinen osallisuus sekä sisäinen resilienssi. Yksilön toimiessa ikätasoisten toiminnallisten rooliensa mukaisesti yksilö kykenee suuntautumaan kehitystehtäviinsä. Sosiaalinen osallisuus on mahdollisuutta osallistua sosiaalisiin ympäristöihin. Sisäinen resilienssi tarkoittaa yksilön kykyä vaikeissa tilanteissa käyttää vahvuuksiaan. Aineistosta nousi esille myös nuoren ja ammattilaisen välinen vuorovaikutussuhde kuntoutusprosessin aikana. Pohdinta: Tässä tutkimuksessa löydetyt pääkategoriat ovat aiemman tutkimustiedon perusteella yhteydessä valtaistumiseen, kuntoutumiseen ja toipumiseen. Tulosten perusteella ammattilaisen ja nuoren välinen vuorovaikutussuhde on tärkeä osa kuntoutusta ja kuntoutujan osallisuutta tavoitteiden asettelussa tulee vahvistaa. Toipumisorientaation laajempi käyttö mielenterveyspalveluissa voisi mahdollistaa tätä kehitystä. Abstract Goals in Adolescents` Mental Health Rehabilitation Introduction: Goal setting is a central part of mental health rehabilitation. Especially among young people mental health disorders may delay achieving developmental tasks. Goals of rehabilitation should be in concordance with developmental tasks. According to rehabilitation impact studies, it is important to consider the rehabilitees’ goals in addition to the social and financial perspectives. Purpose and method: The purpose of this study was to increase the understanding of goals set in adolescents’ mental health rehabilitation and develop goal setting. The aim of the study was to describe the goals set in adolescent’s mental health rehabilitation. The study participants were rehabilitees between 18 - 29 years in residential rehabilitation (n=16) and the data was register information. The analyze method was content analysis. Results: The main categories of goals were: age-level occupational roles, social inclusion and inner resilience. When acting according to the age-level occupational roles, people are pursuing their developmental tasks. Social inclusion is the possibility to participate in the social environment. Inner resilience is a psychological process which helps the individual to cope with difficult situations by using their personal skills. The data shows also the importance of collaborative relationship between the professional and the young person during the process of recovery. Discussion: Prior research shows that the main categories are connected to empowerment, rehabilitation and recovery. It is important to support the collaborative relationship between the professional and the adolescent by increasing methods that supports adolescent`s participation in the process of goal setting. Wider use of recovery orientation in mental health services could support this development. Keywords: youth, young adults, adolescent`s, mental health disorders, metal health rehabilitation, goals, register information, qualitative study, retrospective study


2018 ◽  
Vol 45 (11) ◽  
pp. 1660-1687
Author(s):  
Carol A. Schubert ◽  
Edward P. Mulvey ◽  
Samuel W. Hawes ◽  
Maryann Davis

This study examines employment and educational outcomes for justice-involved adolescents with and without mental health disorders in the Pathways to Desistance study. We examine the patterns of education and employment and the effects of several factors, including the presence of a mental health disorder, on these positive outcomes. Three findings emerge: (a) youth with mental health problems have a relatively high number of other criminogenic risk factors, (b) education and employment patterns do not differ by disorder status, and (c) the presence of a mental health disorder is not independently linked to poorer employment outcomes, but educational achievement is. These analyses provide information needed to target services for these adolescents in the juvenile justice system, who are at high risk for poor educational and employment outcomes. Results indicate a need for increased emphasis on higher levels of academic attainment as a way to promote positive employment outcomes in these youth.


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