A global, sharing society: cross border exchange of ideas about mental health

BMJ ◽  
2017 ◽  
pp. j457
Author(s):  
Woody Caan
Keyword(s):  
2021 ◽  
Author(s):  
Ranit Mishori ◽  
Kathryn Hampton ◽  
Hajar Habbach ◽  
Elsa Raker ◽  
Anjali Niyogi ◽  
...  

Abstract Background: Asylum evaluations are highly specialized medico-legal encounters which collect physical or mental health evidence, or both, and used in immigration proceedings. Although the field of asylum medicine is growing, access to these evaluations is still inadequate, particularly for asylum seekers in immigration detention or other forms of custody, such as under the Migrant Protection Protocols or “Remain in Mexico” policy. Given advances in telemedicine in recent years and growing evidence of similar outcomes with in-person treatment, it seems prudent to examine whether remote modalities may also be effective for conducting mental health asylum evaluations in hard-to-reach populations. Methods: We analyzed the comments of 12 clinicians who conducted a total of 25 cross-border remote mental health evaluations and completed a post-evaluation survey regarding their impressions and experiences. Results: Clinicians encountered a number of challenges including technical difficulties and a decreased ability to establish rapport. Nearly uniformly, however, clinicians noted that despite difficulties, they were able achieve the goals of the evaluation, including rapport building and diagnosis. Conclusion: remote evaluations appear to be non-inferior to in-person encounters and may be useful in expanding legal options for hard-to-reach asylum seekers.


Author(s):  
Nicola Carone ◽  
Demetria Manzi ◽  
Lavinia Barone ◽  
Vittorio Lingiardi ◽  
Roberto Baiocco ◽  
...  

2007 ◽  
Vol 36 (4) ◽  
pp. 3-16 ◽  
Author(s):  
Thomas Ross ◽  
Phil Woods ◽  
Val Reed ◽  
Susan Sookoo ◽  
Anne Dean ◽  
...  

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


2020 ◽  
Vol 5 (4) ◽  
pp. 959-970
Author(s):  
Kelly M. Reavis ◽  
James A. Henry ◽  
Lynn M. Marshall ◽  
Kathleen F. Carlson

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475


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