India is going partway to easing mental health crisis

2019 ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Healthcare ◽  
Mental Health Crisis ◽  
Indian Government ◽  
Health Crisis ◽  
Content Type ◽  
Tertiary Healthcare ◽  
The Government ◽  
National Mental Health

Subject India's efforts to address a mental health crisis. Significance The Indian government is aiming to convert 150,000 primary health centres into health and wellness centres (HWCs) providing comprehensive care, including management of mental disorders. Its plans for secondary and tertiary healthcare include medical insurance for poorer families that will cover treatment of mental illness. According to a 2016 study conducted by India’s National Institute of Mental Health and Neurosciences (NIMHANS), 150 million out of the country’s 1.3 billion people urgently need mental healthcare. Impacts Expanding mental healthcare infrastructure could lead to an overemphasis on a biomedical model of treatment for mental health disorders. The government will come under pressure to increase funding for mental health professionals as well as technological resources. Future budgets will be key indicators of the government’s commitment to its National Mental Health Programme.

Digital psychiatry: implications for patients and services

2021 ◽  
pp. 1-10
Author(s):  
James P Pandarakalam
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Substantial Effect ◽  
Modern Technology ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Advantages And Disadvantages

The COVID-19 pandemic has resulted in an increased burden on all medical services and healthcare professionals are applying new strategies to cope with the added demands. During the pandemic mental healthcare services in many parts of the world have been reorganised to incorporate modern technology and maintain efficient service delivery. Mental health professionals are playing a major role in alleviating the suffering resulting from this pandemic. A selective survey of the literature, including narrative reviews, was carried out to study the implications of digital psychiatry. Historically, epidemics have had a substantial effect on mental health and general health services. Telehealth appears to be the right solution to the present mental health crisis, but technology cannot substitute for human presence and proximity in mental health services, so the newer interventions have advantages and disadvantages. Remote methods of therapy are likely to continue to be used and proper assessment of these new ways of working in psychiatry is required. In the post-pandemic period, the challenge will be to combine digital and in-person therapies. Discussions about digital revolution in the field of psychiatry should be modified to digital evolution.

scholarly journals Mental health crisis training for non-mental health professionals

2020 ◽  
Vol 15 (4) ◽  
pp. 223-235
Author(s):  
Rebecca Maindonald ◽  
Chris Attoe ◽  
Melanie Gasston-Hales ◽  
Perah Memon ◽  
Elizabeth Barley
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Self Efficacy ◽  
Simulation Training ◽  
Urgent Care ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Content Type ◽  
Health Related ◽  
E Learning

Purpose This study aims to evaluate a training in mental health crisis support for non-mental health professionals who work in urgent care settings. The training consists of an e-learning module, a one-day face-to-face (F2F) interactive study day and simulation training. Design/methodology/approach This multi-methods study collected data pre and post training and at three to six months post training. Validated questionnaires, rating scales and open-ended questions were used to measure self-efficacy in health-care skills, attitudes towards mental illness and knowledge and confidence in working in mental health. A subsample of participants was interviewed post training about how they had used the knowledge and skills learned. Findings A total of 706 staff completed the e-learning, 88 attended the F2F training and 203 attended simulation training. Overall satisfaction with the training was high, with F2F and simulation training preferred. Statistically significant improvements in self-efficacy for health-care skills, positive attitudes towards mental illness, and mental health-related knowledge and confidence were found post training. Qualitative analyses of interview and survey data indicated that participants had translated learning to practice through improved attitudes and behavioural changes when working with patients experiencing a mental health crisis. Originality/value This training improved mental health-related knowledge, confidence and self-efficacy and reduced mental health-related stigma in professionals who provide urgent care to people in mental health crisis. Participants reported changes to their practice following training; this is important as care has been inadequate for this group. Workforce planners and leaders should consider implementing this or similar training widely.

scholarly journals Letter on Rocket's et al., manuscript: Fatal self-injury in the United States, 1999–2018: Unmasking a national mental health crisis

2021 ◽  
Vol 34 ◽  
pp. 100820
Author(s):  
Julian Santaella-Tenorio ◽  
Tarlise Townsend ◽  
Noa Krawczyk ◽  
David Frank ◽  
Samuel R. Friedman
Keyword(s):  
Mental Health ◽  
United States ◽  
The United States ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Self Injury ◽  
National Mental Health

Enhancing recovery: transition intervention service for return to the community following exit from an alternative to psychiatric inpatient admission – a residential recovery house

2015 ◽  
Vol 10 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Christopher Alan Griffiths ◽  
Samira Heinkel ◽  
Bohdana Dock
Keyword(s):  
Mental Health ◽  
Psychiatric Inpatient ◽  
Goal Achievement ◽  
Inpatient Admission ◽  
Personal Goal ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Content Type ◽  
Transition Intervention ◽  
Intervention Service

Purpose – The purpose of this paper is to evaluate the impact on recovery and personal goal attainment of a transition intervention service for return to the community following exit from an alternative to psychiatric inpatient admission – a residential recovery house. The services seek to facilitate community reintegration, promote recovery and prevent future mental health crisis. The service was funded by the Stone Family Foundation. Design/methodology/approach – This evaluation employed a within groups design: a single case evaluation follow-up. Analysis of Recovery Star and personal goal achievement data collected at service entry and exit points during routine practice (n=181), at four sites in England. The adults had mental illness diagnoses including depression, schizophrenia, bipolar disorder, personality disorder, and anxiety disorder. Findings – There was a significant increase in overall Recovery Star scores with a large effect size, and significant increases in eight of the ten Recovery Star life domains. There were significant increases in the goal scores linked to “Managing mental health”, “Self-care” and “Living skills”. Practical implications – A transitional intervention service provided by the third sector for return to community following mental health crisis may contribute to recovery and personal goal achievement. A randomised control trial of this transition intervention service is recommended. Originality/value – This is first outcome evaluation of an alternative to psychiatric inpatient admission transition intervention service and findings indicate the potential positive effect of having this service incorporated into the design of alternative to admission provision.

scholarly journals Supporting people in mental health crisis in 21st-century Britain

2020 ◽  
Vol 44 (6) ◽  
pp. 231-232 ◽  
Author(s):  
Andrew Molodynski ◽  
Stephen Puntis ◽  
Em Mcallister ◽  
Hannah Wheeler ◽  
Keith Cooper
Keyword(s):  
Mental Health ◽  
Law Enforcement ◽  
21St Century ◽  
Current System ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Health Needs ◽  
Mental Health Crisis ◽  
Mental Health Needs ◽  
Health Crisis

Recent years have seen a surge in interest in mental healthcare and some reduction in stigma. Partly as a result of this, alongside a growing population and higher levels of societal distress, many more people are presenting with mental health needs, often in crisis. Systems that date back to the beginning of the National Health Service still form the basis for much care, and the current system is complex, hard to navigate and often fails people. Law enforcement services are increasingly being drawn into providing mental healthcare in the community, which most believe is inappropriate. We propose that it is now time for a fundamental root and branch review of mental health emergency care, taking into account the views of patients and the international evidence base, to ‘reset’ the balance and commission services that are humane and responsive – services that are fit for the 21st century.

scholarly journals Psychoanalytic Perspectives on Moral Injury in Nurses on the Frontlines of the COVID-19 Pandemic

2020 ◽  
Vol 27 (1) ◽  
pp. 72-76
Author(s):  
Marsha Lesley
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Structural Model ◽  
Moral Injury ◽  
Mental Health Crisis ◽  
Multiple Sources ◽  
Health Crisis ◽  
Moral Hazards ◽  
Self Blame ◽  
Ego Strengths

OBJECTIVE: To raise awareness of the potential for moral injury in nurses working on the frontlines of COVID-19 patient care and to present aspects of mental functioning that may increase the likelihood of psychological distress. Approaches that draw on psychoanalytic thinking to support frontline nurses’ mental health are explained. METHOD: This article draws on recent work that is available from multiple sources, including published journal articles on moral injury, recent reports from news services highlighting the crisis state of the pandemic and effects on nurses, established literature on the structural model of the mind, and recent webinars and online lectures addressing mental health crisis interventions. The author draws on expertise from years of training in the Adult Psychoanalytic Training Program at the Michigan Psychoanalytic Institute and graduation as an academic analyst. RESULTS: How nurses navigate moral hazards inherent in the current state of frontline health care may depend on their existing ego strengths and levels of self-blame and guilt from a harsh superego. CONCLUSIONS: Mental health professionals need to be aware of the mental minefields that frontline nurses must navigate when providing care that, due to circumstances beyond their control, may be morally ambiguous. Educating nurses about the meaning of their own emotional and psychic responses amid the realities in the field may help to decrease the damaging effects of moral injury.

scholarly journals COVID-19: Emergence of Mental Health Upheaval and Transition in Human Future Perspectives: A Qualitative Study

2020 ◽  
Vol 2 (6) ◽  
pp. 94-100
Author(s):  
Saba Khurshid ◽  
Sidra Mumtaz ◽  
Hafsa Khalil Toor ◽  
Rubina Hanif
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Services ◽  
Mental Health Crisis ◽  
Future Perspectives ◽  
Health Crisis ◽  
Major Transition

The outbreak of COVID-19 pandemic is constantly posing warning and creating mental health crisis among people without any discrimination. Therefore, the current study purpose is to explore mental health upheaval and transition in future perspectives due to COVID-19. Using exploratory study design, semi structure interviews were conducted. Interviews were recorded, transcribed and analyzed by using Thematic Content Analysis. The major themes which were identified showed that COVID-19 is constantly eliciting panic and mental health issues such as anxiety, stress, and depression, fears of death, xenophobia, OCD and uncertainty about future among general population. Results also indicated the major transition in public future perspectives and perception. Concern related to adjustability in life after pandemic is major emerging future concern among Pakistani People. During pandemic outbreak, people are becoming vulnerable to different mental health problems. To overcome these issues successfully, role of mental health professionals cannot be denied. There is strong need to devise activities and strategies which help people to increase resilience and build strong relationships during the period of social distancing. This paper gives a deep insight into mental health problems among general population due to COVID-19 and it also implicates need of psychological services to overcome these issues.

The Making of Mental Health Policy: The 1980s and the Challenge of Sanity in Quebec and Ontario

1987 ◽  
Vol 6 (1) ◽  
pp. 27-47 ◽  
Author(s):  
Françoise Boudreau
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Professionals ◽  
Mental Health Policy ◽  
Mental Health Crisis ◽  
Political Language ◽  
Health Crisis ◽  
Volunteer Organizations ◽  
Patient Groups ◽  
Convergence And Divergence

This paper examines the current socio-political language in the formulation of mental health policy in Ontario and Quebec. “Before long,” coherent and rational policy has been promised in each province to “solve” today's mental health crisis—often identified as that of “deinstitutionaliztion.” However, there is not just one view. Here, we examine the arguments presented in the form of briefs, reports, and working documents on the part of mental health professionals, governments and unions, patient groups, and volunteer organizations in both provinces. We analyze the areas of convergence and divergence and attempt to make sense of this mass of material so important in the formulation of a sensible and sensitive government policy of action.

Mental health patients in emergency departments are suffering: the national failure and shame of the current system. A report on the Australasian College for Emergency Medicine’s Mental Health in the Emergency Department Summit

2019 ◽  
Vol 27 (6) ◽  
pp. 615-617 ◽  
Author(s):  
Simon Judkins ◽  
Daniel Fatovich ◽  
Nicola Ballenden ◽  
Helena Maher
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Emergency Departments ◽  
Current System ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Care And Support ◽  
Mental Health Support ◽  
User Groups ◽  
National Mental Health

Objectives: Inadequate capacity in Australia’s mental health system means that many people turn to emergency departments (ED) in crisis for care and support, often because it is the only service available. Australian Governments have set a 4-h target for all ED care, but the data shows that people presenting to an ED in a mental health crisis are the group most likely to wait more than 24 h for care. These long waits, seemingly with no end in sight, are harmful for patients and deeply frustrating for clinicians. Conclusions: In response, in 2018, the Australasian College for Emergency Medicine (ACEM) organised the national Mental Health in the Emergency Department Summit. Delegates from across clinical disciplines and user groups were unified in their deep concern at the unacceptable state of mental health support available to people seeking help through EDs. The Summit identified four priorities for urgent action and urged government to take immediate steps to improve this situation.

Simulation training for police and ambulance services to improve mental health practice

2020 ◽  
Vol 15 (5) ◽  
pp. 303-314
Author(s):  
Tasnim Uddin ◽  
Amina Saadi ◽  
Megan Fisher ◽  
Sean Cross ◽  
Chris Attoe
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Self Efficacy ◽  
Simulation Training ◽  
Procedural Knowledge ◽  
Professional Collaboration ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Content Type ◽  
Health Simulation

Purpose Emergency services face increasing frontline pressure to support those experiencing mental health crises. Calls have been made for police and ambulance staff to receive training on mental health interventions, prevention of risk and inter-professional collaboration. Mental health simulation training, a powerful educational technique that replicates clinical crises for immersive and reflective training, can be used to develop competencies in emergency staff. This study aims to evaluate the effectiveness of mental health simulation training for police and ambulance staff. Design/methodology/approach In total, 199 participants from the London Metropolitan Police Service and London Ambulance Service attended a one-day simulation training course designed to promote effective and professional responses to mental health crises. Participants took part in one of six simulated scenarios involving mental health crisis before completing structured debriefs with expert facilitators. Participants’ self-efficacy and attitudes towards mental illness were measured quantitatively using pre- and post-course questionnaires while participants’ perceived influence on clinical practice was measured qualitatively using post-course open-text surveys. Findings Statistically significant improvements in self-efficacy and attitudes towards mental illness were found. Thematic analyses of open-text surveys found key themes including improved procedural knowledge, self-efficacy, person-centred care and inter-professional collaboration. Originality/value This study demonstrates that mental health simulation is an effective training technique that improves self-efficacy, attitudes and inter-professional collaboration in police and ambulance staff working with people with mental health needs. This technique has potential to improve community-based responses to mental health crises.

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