Nurse-Led Body–Mind–Spirit Based Relapse Prevention Intervention for People With Diagnosis of Alcohol Use Disorder at a Mental Health Care Setting, India

Abstract This study was aimed at validating the Individual Recovery Outcomes Counter (I.ROC) for deaf, hard-of-hearing, and tinnitus patients in a mental health care setting. There is a need for an accessible instrument to monitor treatment effects in this population. The I.ROC measures recovery, seeing recovery as a process of experiencing a meaningful life, despite the limitations caused by illness or disability. A total of 84 adults referred to 2 specialist mental health centers for deaf, hard-of-hearing, and tinnitus adults in the Netherlands completed the Dutch version of I.ROC and 3 other instruments. A total of 25 patients refused or did not complete the instruments: 50% of patients using sign language and 18% of patients using spoken language. Participants completed the measures at intake and then every 3 months. In this sample I.ROC demonstrated good internal consistency and convergent validity. Sensitivity to change was good, especially over a period of 6 or 9 months. This study provides preliminary evidence that the I.ROC is a valid instrument measuring recovery for hard-of-hearing and tinnitus patients using spoken language. For deaf patients using sign language, specifically those with limited language skills in spoken and written Dutch, more research is needed.

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Change in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder: a repeat cross sectional community survey in Nepal

10.21203/rs.2.12708/v2 ◽

2019 ◽

Author(s):

Nagendra Prasad Luitel ◽

Emily C Garman ◽

Mark JD Jord ◽

Crick Lund

Keyword(s):

Mental Health ◽

Health Care ◽

Alcohol Use ◽

Mental Health Care ◽

Alcohol Use Disorder ◽

Care Plan ◽

Cross Sectional ◽

Treatment Coverage ◽

Health Care Plan

Abstract Background: Despite the availability of evidence-based treatment, there is a substantial gap between the number of individuals in need of mental health care and those who receive treatment. The aim of this study was to assess changes in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder (AUD) before and after implementation of a district mental health care plan (MHCP) in Nepal. Methods: The repeat population-based cross-sectional community survey was conducted with randomly selected adults in the baseline (N=1983) and the follow-up (N=1499) surveys, 3 years and 6 months apart. The Patient Health Questionnaire and Alcohol Use Disorder Identification Test were used to screen people with probable depression and AUD. Barriers to seeking mental health care were assessed by using a standardized tool, the Barriers to Care Evaluation Scale (BACE). Results: The proportion of the participants receiving treatment for depression increased by 3.7 points (from 8.1% in the baseline to 11.8% in the follow-up) and for AUD by 5.2 points (from 5.1% in the baseline to 10.3% in the follow-up study), however, these changes were not statistically significant. There was no significant reduction in the overall BACE score in both unadjusted and adjusted models for both depression and AUD. The possible reasons for non-significant changes in treatment coverage and barriers to care could be that (i) the method of repeat population level surveys with a random sample was too distal to the intervention to be able to register a change and (ii) the study was underpowered to detect such changes. Conclusion: The study found non-significant trends for improvements in treatment coverage and barriers to mental health care following implementation of the district mental health care plan. The key areas for improvement in the current strategy to improve treatment coverage and barriers to mental health care included change in the content of the existing community sensitization program, particularly for changing attitude and intention of people with mental illness for seeking care.

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Mental health care in the primary health care setting: a collaborative study in six countries of Central America

Health Policy and Planning ◽

10.1093/heapol/10.2.133 ◽

1995 ◽

Vol 10 (2) ◽

pp. 133-143 ◽

Cited By ~ 3

Author(s):

BENEDETTO SARACENO ◽

EMANUELA TERZIAN ◽

FRANCISCO MONTERO BARQUERO ◽

GIANNI TOGNONP

Keyword(s):

Mental Health ◽

Health Care ◽

Primary Health Care ◽

Mental Health Care ◽

Central America ◽

Care Setting ◽

Collaborative Study ◽

Health Care Setting ◽

Primary Health Care Setting ◽

Primary Health

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Correlates of self-reported history of mental health help-seeking: a cross-sectional study among individuals with symptoms of a mental or substance use disorder initiating care for HIV in Cameroon

BMC Psychiatry ◽

10.1186/s12888-021-03306-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Lindsey M. Filiatreau ◽

Peter Vanes Ebasone ◽

Anastase Dzudie ◽

Rogers Ajeh ◽

Brian Pence ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Substance Use ◽

Alcohol Use ◽

Mental Health Care ◽

Help Seeking ◽

Alcohol Use Disorder ◽

Hiv Care ◽

Informal Networks ◽

History Of

Abstract Background Mental health and substance use disorders (MSDs) increase the risk of poor human immunodeficiency virus (HIV) care outcomes among people living with HIV (PLWH). Receipt of mental health care may improve these adverse outcomes. We aimed to identify correlates of prior mental health help-seeking among PLWH with symptoms of an MSD in Cameroon. Methods We characterize prior mental health help-seeking from formal (mental health specialist/general medical provider) and informal (traditional healer/religious leader) sources among 161 people with symptoms of depression (Patient Health Questionnaire-9 scores> 9), anxiety (General Anxiety Disorder-7 scores> 9), probable post-traumatic stress disorder (PTSD Checklist for DSM-5 scores> 30), or possible alcohol use disorder (Alcohol Use Disorders Identification Test scores≥16) who were newly entering HIV care at three healthcare facilities in Cameroon between June 2019 and March 2020. Help-seeking was defined as ever speaking to a formal or informal source about emotional problems, sadness, or the way they were feeling or behaving. We estimated the association between sociodemographic and psychosocial measures and lifetime mental health help-seeking from each type of source using log-binomial regression. Results Overall, 55.3% of 161 PLWH with MSD symptoms reported prior mental health help-seeking, with 24.2% and 46.0% seeking help from formal and informal sources, respectively. Religious leaders were the most common source of help (40.4%), followed by general medical professionals (22.4%), traditional healers (16.8%), and mental health specialists (7.4%). Individuals with higher depressive, anxiety, and trauma symptom severity scores were more likely to have sought help than those with lower scores. Individuals with possible alcohol use disorder were the least likely to have sought help. Prior help-seeking was more common among those reporting a higher number of lifetime traumatic events (prevalence ratio [PR]: 1.06; 95% confidence interval [CI]: 1.01, 1.11) and those with a history of emotional intimate partner violence (PR: 1.34; 95% CI: 1.01, 1.80). Conclusions Prior mental health help-seeking was associated with psychosocial stressors. Help-seeking from informal networks was more common than formal help-seeking. Training in the provision of evidence-based mental health support for informal networks could improve access to mental health care for PLWH with MSDs in Cameroon.

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Strategies for the successful introduction of computer technology in a mental health care setting

10.1145/1499402.1499416 ◽

1977 ◽

Author(s):

James H. Johnson ◽

Thomas A. Williams ◽

Ronald A. Giannetti ◽

L. J. Schmidt

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Computer Technology ◽

Care Setting ◽

Health Care Setting

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Change in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder: a repeat cross sectional community survey in Nepal

10.21203/rs.2.12708/v1 ◽

2019 ◽

Author(s):

Nagendra Prasad Luitel ◽

Emily C Garman ◽

Mark JD Jord ◽

Crick Lund

Keyword(s):

Mental Health ◽

Health Care ◽

Alcohol Use ◽

Mental Health Care ◽

Alcohol Use Disorder ◽

Care Plan ◽

Cross Sectional ◽

Financial Barriers ◽

Treatment Coverage

Abstract Background Despite the availability of evidence-based treatment, there is a substantial gap between the number of individuals in need of mental health care and those who receive treatment. The aim of this study was to assess changes in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder (AUD) before and after implementation of a district mental health care plan (MHCP) in Nepal. Methods The repeat population-based cross-sectional community survey was conducted with randomly selected adults in the baseline (N=1983) and the follow-up (N=1499) surveys, 3 years and 6 months apart. The Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorder Identification Test (AUDIT) were used to screen people with probable depression and AUD. Barriers to seeking mental health care were assessed by using a standardized tool, the Barriers to Care Evaluation Scale (BACE). Results The proportion of the participants receiving treatment for depression increased by 3.7 points (from 8.1% in the baseline to 11.8% in the follow-up) and for AUD by 5.2 points (from 5.1% in the baseline to 10.3% in the follow-up study), however, these changes were not statistically significant. Significant reductions were found in the overall BACE score (p=0.004) and the specific BACE domains scores pertaining to financial barriers (p<0.001); stigma (p=0.004) and lack of support (p<0.001) among participants with depression. There was also a significant reduction between the baseline and follow-up in the overall BACE score (p=0.011) and the specific BACE domains scores pertaining to financial barriers (p<0.001) and lack of support (p<0.001) in the AUD group. Conclusion The study found a non-significant trend for improvements in treatment coverage but significant reductions in barriers to mental health care following implementation of the district mental health care plan. The possible areas for improvement in the current strategy to improve treatment coverage could include establishing a confidential place for consultation in each health facility, and targeted community awareness programs to sensitize community members about mental health problems and the availability of evidence-based treatment in primary and community health care systems.

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Nurses’ knowledge, attitude and practices on use of restraints at State Mental health care setting: An impact of in-service education programme

Investigación y Educación en Enfermería ◽

10.17533/udea.iee.v39n1e12 ◽

2021 ◽

Vol 39 (1) ◽

Author(s):

Sreevani Rentala ◽

Sunanda Govinder Thimmajja ◽

Prashant Bevoor ◽

Raveesh Bevinahalli Nanjegowda

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Education Program ◽

Care Setting ◽

Health Care Setting ◽

Physical Restraints ◽

Attitude And Practice ◽

The Mean ◽

Knowledge Attitude And Practice

Objective. To evaluate the effectiveness of short-term in-service education program in improving nurse’s knowledge, attitude and self-reported practices related to physical restraint use. Methods. A quasi-experimental one group pre-post study was conducted involving nurses working at a tertiary mental health care setting, Dharwad, India. We provided 3 consecutive days of intensive restraint management education (total 6 hours-two hours per day) with a follow-up assessment after one month. The standard questionnaires on knowledge, attitude and practice regarding physical restraints were used as tools for measuring the impact of in-service education program. The program was conducted for a group of five to six nurses at a time. Teaching was done using lecture method, group discussion and demonstrations. Results. Of the 52 nurses who participated in the study, 52% were male, 58.5% had a baccalaureate degree. The mean age of respondents was 33.3 years, the mean work experience was 6.7 years. The findings of the study revealed that the mean scores on the knowledge regarding physical restraints increased after the in-service education from 6.4 to 8.2 (p<0.001). The mean attitude scores improved from 18.5 to 23.1 (p<0.001). There was a significant difference in mean practice scores between pre and post-intervention phases (23.7 versus 25.4; p<0.001). There was a significant correlation between post-test knowledge, attitude and practice scores. Conclusion. The in-service education program improved nurse’s knowledge, attitude and self-reported practice scores. This may lead to more effective restraints management by psychiatric nurses.

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