scholarly journals Proportion of young people in the general population consulting general practitioners: Potential for mental health screening and prevention

2019 ◽  
Vol 14 (5) ◽  
pp. 631-635 ◽  
Author(s):  
Marco Solmi ◽  
Stevo Durbaba ◽  
Mark Ashworth ◽  
Paolo Fusar‐Poli
Keyword(s):  
Mental Health ◽  
Young People ◽  
General Population ◽  
General Practitioners ◽  
Health Screening ◽  
Mental Health Screening ◽  
Screening And Prevention

scholarly journals POS1321 MENTAL HEALTH SCREENING IN PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 943.1-943
Author(s):  
S. Eulert ◽  
M. Niewerth ◽  
J. Hörstermann ◽  
C. Sengler ◽  
D. Windschall ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Functional Limitations ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
Psychological Support ◽  
Web Based ◽  
Patient Health

Background:Mental disorders often begin in the vulnerable phase of adolescence and young adulthood. Young people with chronic diseases are particularly at risk. Early recognition of mental health problems is necessary in order to be able to support those affected in a timely and adequate manner. By implementing a web-based generic screening tool for mental health in routine care, patients with juvenile idiopathic arthritis (JIA) and mental health conditions can be identified and provided with targeted treatment.Objectives:To investigate the prevalence of mental health conditions in young people with JIA in routine rheumatology care.Methods:Mental health screening is implemented as an add-on module to the National Paediatric Rheumatology Database (NPRD). The current data was gathered over a period of 24 months. Patients complete the screening tool which includes the Patient Health Questionnaire1 (PHQ-9, score 0-27) and the Generalized Anxiety Disorder scale2 (GAD-7, score 0-21) via a web-based questionnaire. The cut-off for critical values in PHQ-9 and GAD-7 were defined as values ≥ 10. Simultaneously, other data, such as sociodemographic data, disease activity (cJADAS10, score 0-30), functional status (CHAQ, score 0-3) were collected as well.Results:The analysis included 245 patients (75% female) with a mean age of 15.7 years and a mean disease duration of 8.8 years. 38.8% of the patients had oligoarthritis (18.0% OA, persistent/20.8% OA, extended) and 23.3% RF negative polyarthritis. At the time of documentation 49 patients (30.6%) had an inactive disease (cJADAS10 ≤ 1) and 120 (49.4%) no functional limitations (CHAQ = 0). In total, 53 patients (21.6%) had screening values in either GAD-7 or PHD-9 ≥10. Patients with critical mental health screening values showed higher disease activity and more frequent functional limitations than inconspicuous patients (cJADAS10 (mean ± SD): 9.3 ± 6 vs. 4.9 ± 4.9; CHAQ: 0.66 ± 0.6 vs. 0.21 ± 0.42). When compared to males, females were significantly more likely to report either depression or anxiety symptoms (11.7% vs. 24.9%, p = 0.031).17.6% of all patients with valid items for these data reported to receive psychological support, meaning psychotherapeutic support (14.5%) and/or drug therapy (8.6%). Among those with a critical mental health screening score, 38.7% received psychological support (psychotherapeutic support (35.5%) and/or drug therapy (16.1%)).Conclusion:Every fifth young person with JIA reported mental health problems, however, not even every second of them stated to receive psychological support. The results show that screening for mental health problems during routine adolescent rheumatology care is necessary to provide appropriate and targeted support services to young people with a high burden of illness.References:[1]Löwe B, Unützer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the patient health questionnaire-9. Med Care. 2004 Dec;42(12):1194-201.[2]Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22; 166(10):1092-7.[3]The screening data were collected as part of COACH (Conditions in Adolescents: Implementation and Evaluation of Patient-centred Collaborative Healthcare), a project supported by the Federal Ministry of Education and Research (FKZ: 01GL1740F).Disclosure of Interests:Sascha Eulert: None declared, Martina Niewerth: None declared, Jana Hörstermann: None declared, Claudia Sengler: None declared, Daniel Windschall: None declared, Tilmann Kallinich: None declared, Jürgen Grulich-Henn: None declared, Frank Weller-Heinemann Consultant of: Pfizer, Abbvie, Sobi, Roche, Novartis, Ivan Foeldvari Consultant of: Gilead, Novartis, Pfizer, Hexal, BMS, Sanofi, MEDAC, Sandra Hansmann: None declared, Harald Baumeister: None declared, Reinhard Holl: None declared, Doris Staab: None declared, Kirsten Minden: None declared

scholarly journals Reliability and Validity of an Interviewer-Administered Adaptation of the Youth Self-Report for Mental Health Screening of Vulnerable Young People in Ethiopia

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0147267 ◽  
Author(s):  
Scott Geibel ◽  
Kassahun Habtamu ◽  
Gebeyehu Mekonnen ◽  
Nrupa Jani ◽  
Lynnette Kay ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Reliability And Validity ◽  
Health Screening ◽  
Mental Health Screening ◽  
Self Report ◽  
Youth Self Report

Mental Health Screening for General Practitioners' Survey

2011 ◽  
Author(s):  
Merilyn Annells ◽  
Jacqui Allen ◽  
Russell Nunn ◽  
Lyn Lang ◽  
Eileen Petrie ◽  
...  
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Health Screening ◽  
Mental Health Screening

scholarly journals An integrated model of care for young people with liver disease and transplant

2018 ◽  
Vol 6 (3) ◽  
pp. 424
Author(s):  
Anna Hames ◽  
Anna Simpson ◽  
Faith Matcham ◽  
Jemma Day ◽  
Deepak Joshi ◽  
...  
Keyword(s):  
Mental Health ◽  
Liver Disease ◽  
Young People ◽  
Real Time ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
Clinical Team ◽  
Patient Reported

Rationale, aims and objectives: Young people (YP) with chronic illness have increased risk of mental health problems.   This   paper   evaluates   the   feasibility,   acceptability   and effectiveness of incorporating routine electronic mental health screening into the standard multidisciplinary healthcare of YP with chronic liver disease and liver transplant.Methods: One hundred and eighty-seven YP (mean age 18 years, 53% female) attending routine appointments in a tertiary service in the UK completed mental health screening prior to their clinic appointment. These standardized measures (the 9-item Patient Health Questionnaire [PHQ9] and the 7-item Generalised Anxiety questionnaire [GAD7]) were completed using an informatics system that facilitates routine collection of patient-reported outcomes, with real-time feedback to guide clinical care. Responses are immediately uploaded to medical notes and evaluated by the clinical team. Fifty-three YP completed an additional feasibility measure. YP screening positive were assessed by the clinical team, with appropriate support offered. Level of clinician agreement with screening programme was ascertained by the team’s clinical psychologist.Results: YP reported that completing the electronic screening was acceptable, a positive experience and that routine mental health screening in this manner would not affect the way they felt about coming to clinic. Clinician judgement corroborated 31 of the 33 YP who screened as positive for anxiety/depression. Screening did not effectively identify all YP warranting psychosocial input.Conclusions: Screening using electronic measures, with responses uploaded in real-time to medical notes for consultant review, can facilitate the rapid identification of mental health problems in YP with physical health problems, in an acceptable and time/cost-effective way. This should be combined with the support of embedded mental health practitioners within physical healthcare environments.

An evaluation of a mental health screening and referral pathway for community nursing care: nurses’ and general practitioners’ perspectives

2010 ◽  
Vol 20 (1-2) ◽  
pp. 214-226 ◽  
Author(s):  
Merilyn Annells ◽  
Jacqui Allen ◽  
Russell Nunn ◽  
Lyn Lang ◽  
Eileen Petrie ◽  
...  
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Nursing Care ◽  
Health Screening ◽  
Mental Health Screening ◽  
Community Nursing

Mental health screening system using intranet setting in a company.

1999 ◽  
Author(s):  
Minoru Arai ◽  
Daisuke Mori ◽  
Tetsu Kawamura ◽  
Hideo Fumimoto ◽  
Masagi Shimazaki ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Screening ◽  
Mental Health Screening ◽  
Screening System ◽  
A Company

Copenhagen Infant Mental Health Screening

2016 ◽  
Author(s):  
Janni Ammitzbøll ◽  
Bjørn E. Holstein ◽  
Lisbeth Wilms ◽  
Anette Andersen ◽  
Anne Mette Skovgaard
Keyword(s):  
Mental Health ◽  
Health Screening ◽  
Mental Health Screening ◽  
Infant Mental Health
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