My use of mental health related services

ObjectivesMental stress is common in the general population. Mounting evidence suggests that mental stress is associated with multimorbidity, suboptimal care and increased mortality. Delivering healthcare in a biopsychosocial context is key for general practitioners (GPs), but it remains unclear how persons with high levels of perceived stress are managed in primary care. We aimed to describe the association between perceived stress and primary care services by focusing on mental health-related activities and markers of elective/acute care while accounting for mental–physical multimorbidity.DesignPopulation-based cohort study.SettingPrimary healthcare in Denmark.Participants118 410 participants from the Danish National Health Survey 2010 followed for 1 year. Information on perceived stress and lifestyle was obtained from a survey questionnaire. Information on multimorbidity was obtained from health registers.Outcome measuresGeneral daytime consultations, out-of-hours services, mental health-related services and chronic care services in primary care obtained from health registers.ResultsPerceived stress levels were associated with primary care activity in a dose–response relation when adjusted for underlying conditions, lifestyle and socioeconomic factors. In the highest stress quintile, 6.8% attended GP talk therapy (highest vs lowest quintile, adjusted incidence rate ratios (IRR): 4.96, 95% CI 4.20 to 5.86), 3.3% consulted a psychologist (IRR: 6.49, 95% CI 4.90 to 8.58), 21.5% redeemed an antidepressant prescription (IRR: 4.62, 95% CI 4.03 to 5.31), 23.8% attended annual chronic care consultations (IRR: 1.22, 95% CI 1.16 to 1.29) and 26.1% used out-of-hours services (IRR: 1.47, 95% CI 1.51 to 1.68). For those with multimorbidity, stress was associated with more out-of-hours services, but not with more chronic care services.ConclusionPersons with high stress levels generally had higher use of primary healthcare, 4–6 times higher use of mental health-related services (most often in the form of psychotropic drug prescriptions), but less timely use of chronic care services.

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(Pharmaco)economic evaluations for mental health related services: the PECUNIA project

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.574 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

J Simon ◽

A Konnopka ◽

V Brodszky ◽

S Evers ◽

L Hakkaart-van Roijen ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Health Services ◽

Resource Use ◽

Mental Health Disorders ◽

Economic Evaluations ◽

Related Services ◽

Health Related ◽

Health Disorders ◽

Societal Impacts

Abstract Background Mental health disorders affect large proportions of the general public resulting in serious cost consequences even beyond the health care sector. The PECUNIA project (EU H2020 grant agreement No 779292) aims to establish standardised costing and outcome assessment measures for optimised healthcare provision in the EU for multi-sectoral, multi-national and multi-person (pharmaco)economic evaluations using selected mental health disorders as illustrative examples. Methods Harmonised Identification, Definition, Measurement and Valuation of service costs in multiple sectors (health care, social care, criminal justice, education, productivity, patient, family). Reviews and surveys of mental health related services and other resource use in six European countries (AT, DE, ES, HU, NL, UK) to develop a new harmonised costing concept and related tools. Results We identified many taxonomical and conceptual discrepancies which currently hinder harmonized costing efforts and comparability of economic evaluations/HTAs across countries and sectors. The 'PECUNIA care atom', a new multi-sectoral costing concept forms the basis of resource item classification and international coding of mental health related services using the DESDE-PECUNIA system. Linked, harmonized tools such as the PECUNIA-European Resource Use Measurement instrument and the PECUNIA-European Reference Unit Costing Templates have been developed and are currently deployed in six countries to establish a PECUNIA-European Unit Cost Compendium alongside pan-European outcome evaluation methods. Conclusions The PECUNIA tools will lead to better understanding of the variations in costs and outcomes of mental health services/interventions within and across countries, and improve the feasibility, quality, comparability and transferability of (pharmaco)economic evaluations and HTAs in Europe. They also allow the harmonized measurement of broader economic and societal impacts of mental health services. Key messages The PECUNIA project developed compatible European multi-sectoral, multi-national and multi-person costing and outcome assessment tools. Methods & tools allow the harmonised measurement of broader economic & societal impacts of mental health related services, and improve the transferability & comparability of economic evaluations/HTAs.

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Use of Mental Health–Related Services Among Immigrant and US-Born Asian Americans: Results From the National Latino and Asian American Study

American Journal of Public Health ◽

10.2105/ajph.2006.098541 ◽

2007 ◽

Vol 97 (1) ◽

pp. 91-98 ◽

Cited By ~ 333

Author(s):

Jennifer Abe-Kim ◽

David T. Takeuchi ◽

Seunghye Hong ◽

Nolan Zane ◽

Stanley Sue ◽

...

Keyword(s):

Mental Health ◽

Asian Americans ◽

Asian American ◽

American Study ◽

Related Services ◽

Health Related

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The Public Cost of Mental Health– and Addiction-Related Services for Youth (Ages 12-17) in Alberta

The Canadian Journal of Psychiatry ◽

10.1177/0706743718795676 ◽

2018 ◽

Vol 64 (5) ◽

pp. 323-328 ◽

Cited By ~ 1

Author(s):

Philip Jacobs ◽

Alain Lesage

Keyword(s):

Mental Health ◽

Public Schools ◽

Mental Health Services ◽

Health Services ◽

Community Mental Health Services ◽

Provincial Government ◽

Hospital Inpatient ◽

Related Services ◽

Health Related ◽

Alberta Health

Objective: To measure the provincial government cost of mental health–related activities for youth ages 12 to 17 in Alberta in 2014 to 2015. Methods: The target population was Alberta youth ages 12 to 17 (the federal justice definition) who received or were funded for mental health–related or complementary services from Alberta Health Services, Alberta Health, Alberta Human Services, Alberta Justice and Solicitor General, and Alberta Education (public schools). Data on services and expenditures were obtained from each source for the target youth population. Results: Costs for mental health–related services for all ministries were $175 million for 27,169 youth who used mental health services as defined by Policy Wise, $6460 per youth. Public school special education supplements for youth with emotional problems was the largest group, amounting to 30% of all costs. Other prominent sources of expenditures were hospital inpatient mental health services (18%), community mental health services (11%), physician mental health services (10%), and secure services with treatment requiring judicial approval (9%). Conclusion: Economists in several countries have developed countrywide measures of mental health expenditures and have used these to generate national benchmarks for mental health spending. We have estimated spending for Alberta provincial mental health and addiction services for a distinct and highly vulnerable group. This measure can be used to develop measures and benchmarks for other provinces, which will be valuable policy indicators.

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Mental Health Related Work Absences in Chile

PsycEXTRA Dataset ◽

10.1037/e506852013-155 ◽

2012 ◽

Author(s):

Vilma Ortiz ◽

Juan Pablo Osorio

Keyword(s):

Mental Health ◽

Health Related

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Association of Optimism and Health-Related Behavior with Mental Health in Czech Adolescents

10.15405/epsbs.2016.11.62 ◽

2016 ◽

Cited By ~ 2

Author(s):

Helena Klimusova ◽

Iva Buresova ◽

aroslava Dosedlova ◽

Martin Jelinek

Keyword(s):

Mental Health ◽

Health Related

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Mental Health Status and Health-Related Quality of Life among Systemic Lupus Erythematosus (SLE) Patients in Thailand: A Multi-Site Study

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2020.11.11156 ◽

2020 ◽

Vol 103 (11) ◽

pp. 1185-1193

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Status ◽

Lupus Erythematosus ◽

Self Esteem ◽

Mental Health Status ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Background: The systemic lupus erythematosus (SLE) patients oftentimes suffer from both physical and psychosocial challenges that may lead to low health-related quality of life (HRQoL). However, limited research has been done in this area. Objective: To examined mental health status and HRQoL among SLE patients in Thailand. Materials and Methods: The present study was a cross-sectional study conducted at the rheumatology clinic of four major hospitals in Thailand. The paper-based questionnaire consisted of demographic, health history such as depression, anxiety, stress Scale (DASS-21), and the Rosenberg self-esteem scale (RSE), and the disease-specific Lupus Quality of Life scale (LupusQoL). Depending on the variable’s level of measurement such as categorical or continuous, Spearman’s Rho or Pearson’s product moment correlation coefficients were used to explore the relationships among the variables. Hierarchical multiple regression was used to identify the predictors of LupusQoL. Results: Among the 387 participants, many might have experienced depression, anxiety, and stress (30%, 51%, and 29%, respectively). Self-esteem among the participants was good (31.8 out of 40). All eight domains of LupusQoL were affected with intimate relationship domain being impacted the most. The overall LupusQoL was significantly associated with the number of prescribed medications (r=–0.23), depression (r=–0.70), anxiety (r=–0.58), stress (r=–0.67), and self-esteem (r=0.59), p<0.001. Significant predictors of the overall LupusQoL were mental health status (depression, anxiety, and stress) and self-esteem, F (3, 81)=43.10, p<0.001, adjusted R²=0.60. Conclusion: SLE patients should be holistically assessed in both physical and psychological aspects. In addition to proper medical treatments, healthcare providers should use a multidisciplinary team approach to resolve the patients’ psychosocial issues, which in turn, may increase the patients’ quality of life. Self-care education may be necessary to help the patients manage the condition and decrease the number of medications. Keywords: Mental health, Quality of life, SLE, Thailand

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Early stage melanoma diagnosis and mental health-related: emotional influence of body self-perception

Journal of Affective Disorders Reports ◽

10.1016/j.jadr.2021.100188 ◽

2021 ◽

pp. 100188

Author(s):

Dina Di Giacomo ◽

Jessica Ranieri ◽

Federica Guerra ◽

Eleonora Cilli ◽

Valeria Ciciarelli ◽

...

Keyword(s):

Mental Health ◽

Early Stage ◽

Self Perception ◽

Melanoma Diagnosis ◽

Health Related ◽

Body Self

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Characteristics of Confidence and Preparedness in Paramedics in Metropolitan, Regional, and Rural Australia to Manage Mental-Health-Related Presentations: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041882 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1882

Author(s):

Kate Emond ◽

Melanie Bish ◽

Michael Savic ◽

Dan I. Lubman ◽

Terence McCann ◽

...

Keyword(s):

Mental Health ◽

Rural Areas ◽

Cross Sectional Study ◽

Categorical Variables ◽

Considerable Proportion ◽

Sectional Study ◽

Cross Sectional ◽

Health Related ◽

Manage Mental ◽

Manage Mental Health

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental health presentations (p = 0.001). Compared to male paramedics, females were less confident (p = 0.003), although equally prepared (p = 0.1) to manage mental health presentations. These results suggest that higher qualifications from the tertiary sector may not be adequately preparing paramedics to manage mental health presentations, which signifies a disparity between education provided and workforce preparedness. Further work is required to address the education and training requirements of paramedics in regional and rural areas to increase confidence and preparedness in managing mental health presentations.

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