scholarly journals 465. Mental Health Treatment Disparities During the COVID-19 Pandemic

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S335-S335
Author(s):  
Katherine Kricorian ◽  
Karin Kricorian
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Online Survey ◽  
Similar Proportion ◽  
Health Issues ◽  
Health Treatment ◽  
The Us ◽  
Treatment Disparities ◽  
Us Census ◽  
Anxiety Depression

Abstract Background The COVID-19 pandemic has been associated with a decline in mental health status in the US, as well as reduced ability to seek mental health treatment. This study analyzed undertreatment of mental health during the pandemic to identify possible disparities and assess the need for interventions. Methods Data were collected from Wave 3 (January 6-February 15, 2021) of the US Census COVID-19 Household Pulse online survey, designed to measure the ongoing impact of the pandemic. Microdata files were downloaded from the Census website and included N=185,201 respondents. Data was collected in both English and Spanish and consisted of a representative sample of US residents. Data were analyzed using χ 2 tests, with z-tests for more granular between-group comparisons. Results When asked if they needed and received therapy due to mental health concerns, 81% of respondents did not need therapy and did not receive it. Some (2%) reported receiving therapy but needing more. However, 9% reported needing therapy but not receiving it. A similar proportion, 9%, reported having received adequate therapy from a mental health professional. Those who needed therapy but did not receive it were more likely than adequately treated respondents to express debilitating worry, anxiety, depression, and lack of interest/pleasure in doing things (all p< .05). These respondents were also more likely (vs. adequately treated respondents) to be younger, lower-income, racial/ethnic minorities, without health insurance, and food-insecure (all p< .05). Conclusion Inadequate mental health treatment is a critical challenge, especially in the wake of COVID-19; Just as many respondents reported adequate mental health treatment as did needing additional mental health treatment. Respondents reporting undertreated mental health issues in this study were more likely to be vulnerable populations, many of whom have already been disproportionately impacted by the pandemic. Methods to expand accessible counseling capacity in economically feasible ways to limit these disparities should be further explored. Disclosures All Authors: No reported disclosures

scholarly journals 469. The Mental Health Implications of Job Loss for Never-married Women During the COVID-19 Pandemic

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S337-S337
Author(s):  
Katherine Kricorian
Keyword(s):  
Mental Health ◽  
Job Loss ◽  
Online Survey ◽  
Community Support ◽  
Adult Women ◽  
Never Married ◽  
The Us ◽  
Mental Health Programs ◽  
Us Census ◽  
The Impact

Abstract Background The COVID-19 pandemic was associated with an array of social and economic events, influencing how the pandemic affected people of all genders. In particular, job losses surged during the COVID-19 pandemic, especially among women. We analyzed how the pandemic and rising job losses affected the mental health of unmarried women with and without children in order to identify possible health disparities, potential causal factors and opportunities for interventions. Methods Data were collected from Wave 3 (January 6-February 15, 2021) of the US Census COVID-19 Household Pulse online survey designed to measure the impact of COVID-19. Microdata files were downloaded from the Census website and included N=13,940 never-married female respondents aged 25-54 years old. Data were analyzed using χ2 tests, with z-tests for more granular between-group comparisons. Results When asked if they had felt anxiety in the past week, 31% of respondents without children in the household and 28% of those with children reported feeling anxiety nearly every day (p< .05). Among those who did not lose work during the pandemic, 24% of those without children felt anxiety nearly every day vs. 20% of those with children (p< .05). Among those who did experience pandemic-related job loss, 33% of those with children and 42% of those without children reported daily anxiety (p< .05). Conclusion Overall, COVID-19 job loss was associated with higher levels of anxiety for never-married adult women. Notably, respondents without children expressed significantly higher levels of anxiety than respondents with children, and this difference was even greater when comparing those who had lost jobs during the pandemic. Reasons are being further researched but may be related to mothers’ greater opportunities for social and community support, particularly when encountering difficult circumstances. These results have implications for the development of mental health programs serving women experiencing environmental stressors such as job loss, especially women without children who may not have the same mental health and community support. Disclosures All Authors: No reported disclosures

Components of the Economic Burden of Serious Mental Illness in the US

US Neurology ◽  
2009 ◽  
Vol 05 (01) ◽  
pp. 10 ◽  
Author(s):  
Thomas R Insel ◽  
Michael Schoenbaum ◽  
Philip S Wang ◽  
◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Health Treatment ◽  
Cost Effective ◽  
Health Treatment ◽  
Effective Strategies ◽  
The Past ◽  
The Us

Mental disorders impose considerable socioeconomic costs due to their episodic/chronic nature, their relatively early ages at onset, and the highly disabling nature of inadequately treated mental illness. Despite substantial increases in the volume of mental health treatment for disorders in the past two decades, particularly pharmacotherapies, the level of morbidity and mortality from these disorders does not appear to have changed substantially over this period. Improving outcomes will require the development and use of more efficacious treatments for mental disorders. Likewise, implementation of cost-effective strategies to improve the quality of existing care for these disabling conditions is required.

scholarly journals O3E.5 Military veterans pathways to mental health support: the need for new solutions

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A31.2-A31
Author(s):  
Laura Rafferty ◽  
Sharon Stevelink ◽  
Neil Greenberg
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Military Veterans ◽  
Health Issues ◽  
Health Treatment ◽  
Need For Treatment ◽  
Health Distress ◽  
Mental Health Support ◽  
Health Support ◽  
Mental Health Distress

Military service can place personnel at a greater risk of developing mental health issues yet both serving personnel and military veterans are reluctant to seek help for mental health issues. Delay in seeking support for mental health distress can result in reduced quality of life as well as a worse treatment prognosis. This research aims to explore the barriers and facilitators to care for the UK veteran population, identifying the relationship between these factors and help seeking behaviour.Sixty- two in-depth qualitative interviews were conducted with male UK military veterans who had left the Armed Forces in the last five years and screened positive for a degree of mental health distress on self-report questionnaires covering common mental disorders (anxiety or depression), post-traumatic stress disorder or alcohol misuse. Thematic analysis was utilised to identify core themes which were developed into an illustrative journey to mental health support, outlining the key stages through which a veteran may travel on their journey to engaging in effective mental health treatment.Veterans’ decision to seek care was mainly concentrated on the perceived need for treatment. Those not in mental health treatment failed to identify problems they were having as being indicative of a ‘mental health disorder’ as they had not yet reached a crisis point where they could no longer cope. Those veterans who were in mental health treatment typically had reached a point where the severity of their condition meant that their need for treatment was highlighted regardless of their intention, either due to a crisis event or to another’s intervention.Interventions are needed to target early identification and management of mental health distress and encourage veterans to seek support before reaching a crisis event. The implications for this research to other high stress, masculine occupations will be explored within the talk.

scholarly journals Impacts of the Covid-19 lockdown and relevant vulnerabilities on capability well-being, mental health and social support: an Austrian survey study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Judit Simon ◽  
Timea M. Helter ◽  
Ross G. White ◽  
Catharina van der Boor ◽  
Agata Łaszewska
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Social Support ◽  
Mental Health Treatment ◽  
Online Survey ◽  
Well Being ◽  
Survey Study ◽  
Health Treatment ◽  
History Of ◽  
Mental Well Being

Abstract Background Impacts of the Covid-19 pandemic and its public health measures go beyond physical and mental health and incorporate wider well-being impacts in terms of what people are free to do or be. We explored the impacts of the Covid-19 lockdown and relevant vulnerabilities on capability well-being, mental health and social support in Austria. Methods Adult Austrian residents (n = 560) provided responses to a cross-sectional online survey about their experiences during Covid-19 lockdown (15 March-15 April 2020). Instruments measuring capabilities (OxCAP-MH), depression and anxiety (HADS), social support (MSPSS) and mental well-being (WHO-5) were used in association with six pre-defined vulnerabilities using multivariable linear regression. Results 31% of the participants reported low mental well-being and only 30% of those with a history of mental health treatment received treatment during lockdown. Past mental health treatment had a significant negative effect across all outcome measures with an associated capability well-being score reduction of − 6.54 (95%CI, − 9.26, − 3.82). Direct Covid-19 experience and being ‘at risk’ due to age and/or physical health conditions were also associated with significant capability deprivations. When adjusted for vulnerabilities, significant capability reductions were observed in association with increased levels of depression (− 1.77) and anxiety (− 1.50), and significantly higher capability levels (+ 3.75) were associated with higher levels of social support. Compared to the cohort average, individual capability impacts varied between − 9% for those reporting past mental health treatment and + 5% for those reporting one score higher on the social support scale. Conclusions Our study is the first to assess the capability limiting aspects of lockdown and relevant vulnerabilities alongside their impacts on mental health and social support. The negative capability well-being, mental health and social support impacts of the Covid-19 lockdown were strongest for people with a history of mental health treatment. Future public health policies concerning lockdowns should pay special attention to improve social support levels in order to increase public resilience.

Added Sugar Consumption and the Relationship With Mood Disorders in Women

2020 ◽  
Vol 112 (2) ◽  
pp. 40-48
Author(s):  
Adi Fish ◽  
Gretchen George
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Health Treatment ◽  
Online Survey ◽  
Depression Scale ◽  
Well Being ◽  
Adult Women ◽  
Sugar Consumption ◽  
Added Sugar ◽  
Health Treatment

This cross-sectional study examined the association between added sugar consumption and levels of depression in adult women (N = 74). The 97-item online survey included Patient Health Questionnaire-9 depression scale, Block Fat/Sugar/Fruit/Vegetable Screener, added sugar knowledge questions, and a question regarding nutrition education referral during mental health treatment. A weak positive association between added sugar consumption and levels of depression was identified, r = .389, p < .05. A majority of participants (67.5%) who sought mental health treatment were not referred to a nutrition professional. These findings underscore a need for nutrition educators and mental health professionals to work collaboratively for impactful patient well-being.

scholarly journals Sexual Assault Victimization and Mental Health Treatment, Suicide Attempts, and Career Outcomes Among Women in the US Army

2017 ◽  
Vol 107 (5) ◽  
pp. 732-739 ◽  
Author(s):  
Anthony J. Rosellini ◽  
Amy E. Street ◽  
Robert J. Ursano ◽  
Wai Tat Chiu ◽  
Steven G. Heeringa ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Assault ◽  
Mental Health Treatment ◽  
Suicide Attempts ◽  
Career Outcomes ◽  
Health Treatment ◽  
Us Army ◽  
The Us

scholarly journals PATTERNS AND DETERMINANTS OF POLYSUBSTANCE USE AMONG RETIRED POPULATION IN A U.S. NATIONALLY REPRESENTATIVE SAMPLE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S693-S693
Author(s):  
Tzung-Shiang Ou ◽  
Yi-Han Hu ◽  
Hsien-Chang Lin ◽  
Su-Wei Wong
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Treatment ◽  
Health Concern ◽  
Health Issues ◽  
Health Treatment ◽  
The Past ◽  
Polysubstance Use ◽  
Mental Health Issues ◽  
The U.S

Abstract Polysubstance use in the U.S. has been a public health concern. The prevalence of substance use among middle-aged and older adults is predicted to increase by 50% by 2020. Previous studies revealed retirement could serve as a risk factor for substance use as this population was known to be more susceptible to mental health issues. However, patterns and determinants of polysubstance use among retired population remained understudied. The purpose of this study was to investigate the patterns and determinants of polysubstance use among retired adults aged 50 and older. This study extracted 3,019 retired participants from the 2017 National Survey on Drug Use and Health study. Polysubstance use was defined as the use of two or more substances, including alcohol, tobacco, marijuana, and painkiller misuse, in the past month. Weighted multinomial logistic regression model was conducted to examine the associations between utilization of mental health treatment and poly-use of substances. The findings suggested 52.0% of retired adults used at least one substance in the past month, where 17.0% used substances concurrently; 15% co-used alcohol, tobacco, and marijuana; 8.6% co-used tobacco and marijuana. Females were less likely to poly-use substances (RRR=0.37, p&lt;.001) than males. Those who had received mental health treatment in the past year were more likely to co-use more than two substances in relative to substance non-users in the past month (RRR=1.71, p&lt;.05). Retirement plan incorporating behavioral intervention and early detection of mental health issues are warranted to reduce polysubstance use among the retired population in the U.S.

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