Assessing feasibility of routine identification tools for mental health disorder in neurology clinics

ObjectiveWe aimed to test the feasibility of using an online parent-completed diagnostic assessment for detecting common mental health disorders in children attending neurology clinics. The assessment does not require intervention by a mental health professional or additional time in the clinic appointment.SettingTwo parallel and related screening studies were undertaken: Study 1: Tertiary paediatric neurology clinics. Study 2: Secondary and tertiary paediatric neurology clinics.PatientsStudy 1: 406 Young people aged 7–18 attending paediatric neurology clinics. Study 2: 225 Young people aged 3–18 attending paediatric epilepsy clinics.InterventionsParents completed online versions of the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-being Assessment (DAWBA).Main outcome measuresWe investigated: the willingness of families to complete the measures, proportion identified as having mental health disorders, time taken to complete the measures and acceptability to families and clinicians.ResultsThe mean total difficulties score of those that had completed the SDQ fell in the ‘high’ and ‘very high’ ranges. 60% and 70% of the DAWBAS completed met criteria for at least one DSM-IV disorder in study 1 and 2 respectively. 98% of the parents reported that the screening methods used were acceptable.

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An Addressing on Risk of Mental Health Disorders Through Hybrid Takaful (Islamic Insurance): A Case of Malaysia

Jurnal Intelek ◽

10.24191/ji.v16i1.366 ◽

2021 ◽

Vol 16 (1) ◽

pp. 74-82

Author(s):

Khairil Faizal Khairi ◽

Nur Hidayah Laili ◽

Aimi Fadzirul Kamarubahrin

Keyword(s):

Mental Health ◽

Mental Illness ◽

Well Being ◽

Income Group ◽

The United States ◽

Mental Health Disorders ◽

Mental Health Disorder ◽

Health Coverage ◽

Health Disorders ◽

Islamic Insurance

In addition to heart disease, other Malaysian extensive illnesses are mental health disorders. 29.2 per cent of Malaysians have recently suffered from mental illness, which has increased threefold compared to the previous year. The lowest income group accounts for the bulk of Malaysians suffering from mental illness. Currently, Singapore list among the countries has operative providing mental health insurance together with Australia, the United Kingdom and the United States of America. Malaysia is still far behind on offering mental health coverage with such a scheme only provided by AIA Malaysia. Therefore, through the takaful product, the purpose of this study is to address the risk of mental health disorders by hybrid takaful. The paper concluded that in order to maintain the promoting coverage and minimizing damage to mental health patients to human well-being, takaful mental health is needed in Malaysia market. In addition, this research would provide insight into the takaful industry for the development of a new and competitive product that could assist patients with a mental health disorder.

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M.I.C.E—Mental Health Intervention for Children with Epilepsy: a randomised controlled, multi-centre clinical trial evaluating the clinical and cost-effectiveness of MATCH-ADTC in addition to usual care compared to usual care alone for children and young people with common mental health disorders and epilepsy—study protocol

Trials ◽

10.1186/s13063-020-05003-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Sophie D. Bennett ◽

◽

J. Helen Cross ◽

Anna E. Coughtrey ◽

Isobel Heyman ◽

...

Keyword(s):

Mental Health ◽

Young People ◽

Usual Care ◽

Psychological Intervention ◽

Mental Health Disorders ◽

Long Term Conditions ◽

Children And Young People ◽

Health Disorders ◽

Randomised Controlled

Abstract Background Mental health disorders in the context of long-term conditions in children and young people are currently overlooked and undertreated. Evidence-based psychological treatments for common childhood mental health disorders (anxiety, depression and disruptive behaviour disorders) have not been systematically evaluated in young people with epilepsy despite their high prevalence in this population. The aim of this multi-site randomised controlled trial is to determine the clinical and cost-effectiveness of adding a modular psychological intervention to usual care for the mental health disorders in comparison to assessment-enhanced usual care alone. Methods In total, 334 participants aged 3–18 years attending epilepsy services will be screened for mental health disorders with the Strengths and Difficulties Questionnaire (SDQ) and the diagnostic Development and Wellbeing Assessment (DAWBA). Those identified as having a mental health disorder and consenting to the trial will be randomised to either receive up to 22 sessions of the modular psychological intervention (MATCH-ADTC) delivered over the telephone over 6 months by non-mental health professionals in addition to usual care or to assessment-enhanced usual care alone. Outcomes will be measured at baseline, 6 months and 12 months post-randomisation. It is hypothesised that MATCH-ADTC plus usual care will be superior to assessment-enhanced usual care in improving emotional and behavioural symptoms. The primary outcome is the SDQ reported by parents at 6 months. Secondary outcomes include parent-reported mental health measures such as the Revised Children’s Anxiety and Depression Scale, quality of life measures such as the Paediatric Quality of Life Inventory and physical health measures such as the Hague Seizure Severity Scale. Outcome assessors will be blinded to group assignment. Qualitative process evaluations and a health economic evaluation will also be completed. Discussion This trial aims to determine whether a systematic and integrated approach to the identification and treatment of mental health disorders in children and young people with epilepsy is clinically and cost-effective. The findings will contribute to policies and practice with regard to addressing mental health needs in children and young people with other long-term conditions. Trial registration ISRCTN ISRCTN57823197. Registered on 25 February 2019.

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The Association Between Mental Health Disorders and Non-Infectious Scleritis: A Prevalence Study and Review of the Literature

European Journal of Ophthalmology ◽

10.1177/11206721211067652 ◽

2021 ◽

pp. 112067212110676

Author(s):

Ahmad Abdel-Aty ◽

Ninani Kombo

Keyword(s):

Mental Health ◽

Inflammatory Disease ◽

Inflammatory Diseases ◽

Systemic Disease ◽

Mental Health Disorders ◽

Mental Health Disorder ◽

Psychological Effects ◽

Review Of The Literature ◽

Ocular Inflammatory Disease ◽

Health Disorders

Chronic inflammatory diseases can cause significant psychosocial stress in affected patients. Few studies have examined the psychological effects of ocular inflammatory disease and no studies have examined the psychological effects of scleritis. In this study we evaluate the prevalence of mental health disorders in scleritis patients and we conduct a comprehensive review of the literature on the mental health effects of ocular inflammatory diseases. 162 patients (195 eyes) presenting to a tertiary care center with scleritis were identified. At least one comorbid mental health disorder was diagnosed in 35 patients (21.6%), most commonly major depression in 11.7%, generalized anxiety disorder in 9.3%, and substance use disorder in 6.2%. There were no significant differences in the length of an episode of scleritis or in the probability of symptom resolution between patients with a mental health disorder and other patients. In a review of the literature, 30 manuscripts met the inclusion criteria. The majority of manuscripts (83.3%) were focused on uveitis patients. Eight of these studies were focused on patients with uveitis in the context of systemic disease. The most commonly reported mental health disorders reported were anxiety and depression. An average of 31.3% of patients with ocular inflammatory disease had depression and 35.0% had anxiety. Similar to other chronic illnesses, ocular inflammatory disease may be a significant psychosocial stressor. Future studies will further elucidate the relationship between these diseases and mental health.

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OP18 Mental health disorders amongst children and young people involved in family justice court proceedings: a longitudinal national data linkage study

10.1136/jech-2021-ssmabstracts.18 ◽

2021 ◽

Author(s):

Lucy J Griffiths ◽

Joanna McGregor ◽

Theodora Pouliou ◽

Rhodri Johnson ◽

Karen Broadhurst ◽

...

Keyword(s):

Mental Health ◽

Young People ◽

Data Linkage ◽

Mental Health Disorders ◽

Linkage Study ◽

National Data ◽

Children And Young People ◽

Health Disorders ◽

Court Proceedings

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Self-Reported Well-Being Indicators and Case Identification of Common Mental Health Disorders in Routinely Collected Health Data

International Journal for Population Data Science ◽

10.23889/ijpds.v5i5.1618 ◽

2020 ◽

Vol 5 (5) ◽

Author(s):

Daniel Thompson ◽

Ann John ◽

Richard Fry ◽

Alan Watkins

Keyword(s):

Mental Health ◽

Satisfaction With Life ◽

Well Being ◽

Mental Health Disorders ◽

Resource Utilisation ◽

Individual Response ◽

Individual Level ◽

Case Identification ◽

Health Disorders ◽

Mental Well Being

IntroductionCommon mental health disorders (CMD) are significant contributors to impaired health and well-being, and drive greater health resource utilisation. Electronic health records (EHR) are increasingly used for case identification of CMD when ascertaining social determinants of mental health. We seek to compare self-reported well-being indicators in groups identified using EHR-based CMD methods. Objectives and ApproachThe National Survey for Wales (NSW) contains self-reported well-being indicators (Warwick Edinburgh Mental Well-being Scale, WEMWBS) recorded annually on ~7,000 individuals. We combined data from two NSWs and linked well-being indicators with Welsh Longitudinal General Practice (WLGP) data within the Secure Anonymised Information Linkage (SAIL) Databank, using individual response dates. We then used WGLP data to algorithmically derive identifiers of CMD cases within survey respondents. This individual-level linkage enables a comparison of NSW responses in CMD and non-CMD cases, and to assess sensitivity and specificity of the current CMD algorithm. ResultsSurvey participants comprised 18,450 adults aged 16+ and living in Wales during 16/17 or 18/19. WEMWBS responses indicate 2,338 (12.6%) participants could be considered possibly depressed, and 2,268 (12.3%) probably depressed with low mental well-being (LMW). For participants with LMW, a 42/58 percentage split is observed between male/female respondents, compared to a 45/55 respective split of those not identified with LMW. Participants with LMW recorded low measures for overall satisfaction with life, 998 (44%) reported a value of 5 or less (/10) compared to 1123 (7%) participants not identified with LMW. Similarly, 828 (37%) participants identified with LMW reported 5 or less (/10) on the life worthwhile index, compared to 800 (5%) of non-LMW participants. Conclusion / ImplicationsLinkage to the NSW provides a rich data source to compare objective well-being to algorithmically derived CMD cases from routinely collected primary care data. The individual-level linkage involved will allow for the wider determinants of mental health disorders to be examined.

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Examining lottery play and risk among young people in Great Britain

10.33684/2021.002 ◽

2021 ◽

Author(s):

Sasha Stark ◽

Heather Wardle ◽

Isabel Burdett

Keyword(s):

Mental Health ◽

Great Britain ◽

Young People ◽

Health Survey ◽

General Health ◽

Risk Groups ◽

Mental Health Disorders ◽

Mental Wellbeing ◽

Gambling Problems ◽

Health Disorders

Purpose & Significance: Despite the popularity of lottery and scratchcards and some evidence of gambling problems among players, limited research focuses on the risks of lottery and scratchcard play and predictors of problems, especially among young people. The purpose of this project is to examine whether lottery and scratchcard participation is related to gambling problems among 16-24 year olds in Great Britain and whether general and mental health and gambling behaviours explain this relationship. Methodology: Samples of 16-24 year olds were pooled from the 2012, 2015, and 2016 Gambling in England and Scotland: Combined Data from the Health Survey for England and the Scottish Health Survey (n=3,454). Bivariate analyses and Firth method logistic regression were used to examine the relationship between past-year lottery and scratchcard participation and gambling problems, assessing the attenuating role of mental wellbeing, mental health disorders, self-assessed general health, and playing other games in past year. Results: There is a significant association between scratchcard play and gambling problems. The association somewhat attenuated but remained significant after taking into account wellbeing, mental health disorders, general health, and engagement in other gambling activities. Findings also show that gambling problems are further predicted by age (20-24 years), gender (male), lower wellbeing, and playing any other gambling games. Implications: Results are valuable for informing youth-focused education, decisions around the legal age for National Lottery products, and the development of safer gambling initiatives for high risk groups and behaviours, such as scratchcard play.

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Child and family psychiatry

Oxford Handbook of Paediatrics 3e ◽

10.1093/med/9780198789888.003.0019 ◽

2020 ◽

pp. 737-758

Keyword(s):

Mental Health ◽

Young People ◽

Successful Treatment ◽

Mental Health Disorders ◽

Working Relationship ◽

Children And Young People ◽

Good Working ◽

Health Disorders

Mental health is intrinsically linked to many paediatric disorders, and a good working knowledge of psychiatry is important for all clinicians working with children and young people. Prompt recognition and diagnosis of mental health disorders improve the chance of successful treatment, and the close working relationship between the fields of psychiatry and paediatrics is pivotal to this.

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Convergence and the Changing Nature of Innovation

Convergence Mental Health ◽

10.1093/med/9780197506271.003.0004 ◽

2021 ◽

pp. 37-50

Author(s):

Amanda Arnold ◽

Katherine Bowman

Keyword(s):

Mental Health ◽

Research Universities ◽

Well Being ◽

Mental Health Disorders ◽

Federal Agencies ◽

Lessons Learned ◽

Government Agencies ◽

Innovation Ecosystem ◽

American Research ◽

Health Disorders

Convergence has the potential to shape cultures of innovation in health and medicine by providing a framework integrating perspectives from multiple disciplines and sectors to tackle challenges such as understanding and addressing mental health disorders and improving well-being. This chapter discusses examples of efforts to establish cultures that support convergence and lessons learned from multiple sectors. The chapter highlights changing perspectives from institutions engaged in convergent research, including universities, industry, philanthropic foundations, and government agencies. Facilitating progress toward solutions that could not otherwise be obtained serves as a critical motivation for pursuing convergence, even when approaches that rely on convergence challenge conventional institutional incentives and structures. Indeed, barriers to establishing and supporting convergence arise where existing organizational practices and structures misalign with the changing nature of innovation. Nevertheless, examples from across the innovation ecosystem, from American research universities to the biotechnology industry, reveal some of the strategies such organizations are using to actively create and foster cultures that support convergence. Federal agencies are also beginning to investigate funding incentives to support convergent work through their grant-making programs. The chapter concludes with an array of actions others have used to help foster convergence institutionally. These lessons learned may have relevance for those interested in establishing convergence in the realm of mental health.

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Effects of Mental Health Disorders on Nursing Home Residents’ Nine-Month Pain Trajectories

Pain Medicine ◽

10.1093/pm/pnz177 ◽

2019 ◽

Vol 21 (3) ◽

pp. 488-500

Author(s):

Penny L Brennan ◽

Sonya SooHoo

Keyword(s):

Mental Health ◽

Nursing Home ◽

Nursing Home Residents ◽

Mental Health Disorders ◽

Mental Health Disorder ◽

Class Membership ◽

Pain Frequency ◽

Health Disorders ◽

Pain Trajectories

Abstract Objective To determine the key classes of nursing home residents’ nine-month pain trajectories, the influence of residents’ mental health disorders on membership in these classes, and nine-month health-related outcomes associated with pain trajectory class membership. Methods Four times over a nine-month period, the MDS 3.0 resident assessment instrument was used to record the demographic characteristics, mental health disorder diagnoses, pain characteristics, and health and functioning outcomes of 2,539 Department of Veterans Affairs Community Living Center (VA CLC) residents. Growth mixture modeling was used to estimate the key classes of residents’ nine-month pain trajectories, the influence of residents’ mental health disorders on their pain trajectory class membership, and the associations of class membership with residents’ health and functioning outcomes at nine-month follow-up. Results Four-class solutions best described nursing home residents’ nine-month trajectories of pain frequency, severity, and interference. Residents with dementia and severe mental illness diagnoses were less likely, and those with depressive disorder, PTSD, and substance use disorder diagnoses more likely, to belong to adverse nine-month pain trajectory classes. Membership in adverse pain frequency and pain severity trajectory classes, and in trajectory classes characterized by initially high but steeply declining pain interference, portended more depressive symptoms but better cognitive and physical functioning at nine-month follow-up. Conclusions Nursing home residents’ mental health disorder diagnoses help predict their subsequent pain frequency, severity, and interference trajectories. This may be clinically useful information for improving pain assessment and treatment approaches for nursing home residents.

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