PL01 The impact of co-located welfare advice in primary healthcare settings on mental health and health service use: a mixed methods evaluation

BackgroundResearch supports robust associations between childhood bullying victimization and mental health problems in childhood/adolescence and emerging evidence shows that the impact can persist into adulthood. We examined the impact of bullying victimization on mental health service use from childhood to midlife.MethodWe performed secondary analysis using the National Child Development Study, the 1958 British Birth Cohort Study. We conducted analyses on 9242 participants with complete data on childhood bullying victimization and service use at midlife. We used multivariable logistic regression models to examine associations between childhood bullying victimization and mental health service use at the ages of 16, 23, 33, 42 and 50 years. We estimated incidence and persistence of mental health service use over time to the age of 50 years.ResultsCompared with participants who were not bullied in childhood, those who were frequently bullied were more likely to use mental health services in childhood and adolescence [odds ratio (OR) 2.53, 95% confidence interval (CI) 1.88–3.40] and also in midlife (OR 1.30, 95% CI 1.10–1.55). Disparity in service use associated with childhood bullying victimization was accounted for by both incident service use through to age 33 years by a subgroup of participants, and by persistent use up to midlife.ConclusionsChildhood bullying victimization adds to the pressure on an already stretched health care system. Policy and practice efforts providing support for victims of bullying could help contain public sector costs. Given constrained budgets and the long-term mental health impact on victims of bullying, early prevention strategies could be effective at limiting both individual distress and later costs.

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Understanding the Effects of Mental Health on Reproductive Health Service Use: A Mixed Methods Approach

Health Care For Women International ◽

10.1080/07399332.2015.1061525 ◽

2015 ◽

Vol 37 (1) ◽

pp. 75-96

Author(s):

Sue Anne Bell ◽

Jody Lori ◽

Richard Redman ◽

Julia Seng

Keyword(s):

Mental Health ◽

Mixed Methods ◽

Reproductive Health ◽

Health Service ◽

Service Use ◽

Reproductive Health Service ◽

Health Service Use ◽

Mixed Methods Approach

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The impact of viral epidemics and pandemics on acute mental health service use: an integrative review

Health Psychology Review ◽

10.1080/17437199.2021.1886864 ◽

2021 ◽

Vol 15 (1) ◽

pp. 1-33

Author(s):

Candice Bowman ◽

Grace Branjerdporn ◽

Kathryn Turner ◽

Memunatu Kamara ◽

Nischal Tyagi ◽

...

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Health Service ◽

Service Use ◽

Integrative Review ◽

Mental Health Service Use ◽

Health Service Use ◽

The Impact

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Impact of Removing Nonprescription Codeine in Australia: Protocol for a Prospective Cohort Study

JMIR Research Protocols ◽

10.2196/15540 ◽

2020 ◽

Vol 9 (3) ◽

pp. e15540

Author(s):

Jacqui McCoy ◽

Suzanne Nielsen ◽

Raimondo Bruno

Keyword(s):

Mental Health ◽

Cohort Study ◽

Data Collection ◽

Health Service ◽

Prospective Cohort ◽

Service Use ◽

Community Education ◽

Health Service Use ◽

Physical And Mental Health ◽

The Impact

Background On February 1, 2018, Australia rescheduled codeine to a prescription-only medication. Many concerns were associated with this change, including increased financial costs, reduced service accessibility, the potential for poorer pain management, and a decline in physical and mental health if codeine could not be accessed. In the research literature, there is limited knowledge about the long-term consequences of rescheduling pharmaceutical opioids and, as Australia has followed many countries in implementing a restriction on codeine, further study of these consequences is critical. Objective The goal of this study was to examine the impact of rescheduling codeine from an over-the-counter (OTC) product to a prescription-only medicine on the primary measures of codeine use and dependence in a prospective cohort of people who are frequent consumers of OTC codeine. Secondary measures included pain and self-efficacy, health service use, and mental health. Methods The Codeine Cohort study aimed to recruit 300 participants in Australia who regularly (at least a few times per week for the past 6 months) used OTC codeine. Using an online survey, participants were followed up at three time points (February 2018, June 2018, and February 2019) after codeine was rescheduled. Results All four waves of data collection are complete, with the final round of data collection finalized in August 2019. Data analyses are yet to be completed. Information on demographics, codeine use and dependence, physical and mental health, medication use, and health service use will be analyzed using mixed models. Conclusions Results of this study will provide insight into the effectiveness of regulatory restriction in curtailing nonmedical use of and harms associated with codeine. Additionally, results will explore positive and negative outcomes of codeine rescheduling for individual patients, which informs health professionals who support patients who use codeine and further community education. International Registered Report Identifier (IRRID) DERR1-10.2196/15540

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Impact of Removing Nonprescription Codeine in Australia: Protocol for a Prospective Cohort Study (Preprint)

10.2196/preprints.15540 ◽

2019 ◽

Author(s):

Jacqui McCoy ◽

Suzanne Nielsen ◽

Raimondo Bruno

Keyword(s):

Mental Health ◽

Cohort Study ◽

Data Collection ◽

Health Service ◽

Prospective Cohort ◽

Service Use ◽

Community Education ◽

Health Service Use ◽

Physical And Mental Health ◽

The Impact

BACKGROUND On February 1, 2018, Australia rescheduled codeine to a prescription-only medication. Many concerns were associated with this change, including increased financial costs, reduced service accessibility, the potential for poorer pain management, and a decline in physical and mental health if codeine could not be accessed. In the research literature, there is limited knowledge about the long-term consequences of rescheduling pharmaceutical opioids and, as Australia has followed many countries in implementing a restriction on codeine, further study of these consequences is critical. OBJECTIVE The goal of this study was to examine the impact of rescheduling codeine from an over-the-counter (OTC) product to a prescription-only medicine on the primary measures of codeine use and dependence in a prospective cohort of people who are frequent consumers of OTC codeine. Secondary measures included pain and self-efficacy, health service use, and mental health. METHODS The Codeine Cohort study aimed to recruit 300 participants in Australia who regularly (at least a few times per week for the past 6 months) used OTC codeine. Using an online survey, participants were followed up at three time points (February 2018, June 2018, and February 2019) after codeine was rescheduled. RESULTS All four waves of data collection are complete, with the final round of data collection finalized in August 2019. Data analyses are yet to be completed. Information on demographics, codeine use and dependence, physical and mental health, medication use, and health service use will be analyzed using mixed models. CONCLUSIONS Results of this study will provide insight into the effectiveness of regulatory restriction in curtailing nonmedical use of and harms associated with codeine. Additionally, results will explore positive and negative outcomes of codeine rescheduling for individual patients, which informs health professionals who support patients who use codeine and further community education. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/15540

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A randomised test of the effect of medical v. lay idiom on assessment of perceived mental health condition in the USA

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796020000840 ◽

2020 ◽

Vol 29 ◽

Author(s):

J. Breslau ◽

R. McBain ◽

E. C. Wong ◽

E. Roth ◽

M. A. Burnam ◽

...

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Mental Health Service ◽

Health Service ◽

Service Use ◽

Poor Mental Health ◽

Mental Health Service Use ◽

Health Service Use ◽

Self Rated Health ◽

The Impact

Abstract Aims To test the impact of using different idioms in epidemiological interviews on the prevalence and correlates of poor mental health and mental health service use. Methods We conducted a randomised methodological experiment in a nationally representative sample of the US adult population, comparing a lay idiom, which asked about ‘problems with your emotions or nerves’ with a more medical idiom, which asked about ‘problems with your mental health’. Differences across study arms in the associations of endorsement of problems with the Kessler-6 (a validated assessment of psychological distress), demographic characteristics, self-rated health and mental health service use were examined. Results Respondents were about half as likely to endorse a problem when asked with the more medical idiom (18.1%) than when asked with the lay idiom (35.1%). The medical idiom had a significantly larger area under the ROC curve when compared against a validated measure of psychological distress than the lay idiom (0.91 v. 0.87, p = 0.012). The proportion of the population who endorsed a problem but did not receive treatment in the past year was less than half as large for the medical idiom (7.90%) than for the lay idiom (20.94%). Endorsement of problems differed in its associations with age, sex, race/ethnicity and self-rated health depending on the question idiom. For instance, the odds of endorsing problems were threefold higher in the youngest than the oldest age group when the medical idiom was used (OR = 3.07; 95% CI 1.47–6.41) but did not differ across age groups when the lay idiom was used (OR = 0.76; 95% CI 0.43–1.36). Conclusion Choice of idiom in epidemiological questionnaires can affect the apparent correlates of poor mental health and service use. Cultural change within populations over time may require changes in instrument wording to maintain consistency in epidemiological measurement of psychiatric conditions.

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