scholarly journals Making Wearable Technology Available for Mental Healthcare through an Online Platform with Stress Detection Algorithms: The Carewear Project

2020 ◽  
Vol 2020 ◽  
pp. 1-15
Author(s):  
Glen Debard ◽  
Nele De Witte ◽  
Romy Sels ◽  
Marc Mertens ◽  
Tom Van Daele ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Acute Stress ◽  
Real Life ◽  
Mental Healthcare ◽  
Wearable Technology ◽  
Negative Feeling ◽  
Accelerometer Data ◽  
Online Platform

Over the past years, mobile health (mHealth) applications and specifically wearables have become able and available to collect data of increasing quality of relevance for mental health. Despite the large potential of wearable technology, mental healthcare professionals are currently lacking tools and knowledge to properly implement and make use of this technology in practice. The Carewear project is aimed at developing and evaluating an online platform, allowing healthcare professionals to use data from wearables in their clinical practice. Carewear implements data collection through self-tracking, which is aimed at helping people in their behavioral change process, as a component of a broader intervention or therapy guided by a mental healthcare professional. The Empatica E4 wearables are used to collect accelerometer data, electrodermal activity (EDA), and blood volume pulse (BVP) in real life. This data is uploaded to the Carewear platform where algorithms calculate moments of acute stress, average resting heart rate (HR), HR variability (HRV), step count, active periods, and total active minutes. The detected moments of acute stress can be annotated to indicate whether they are associated with a negative feeling of stress. Also, the mood of the day can be elaborated on. The online platform presents this information in a structured way to both the client and their mental healthcare professional. The goal of the current study was a first assessment of the accuracy of the algorithms in real life through comparisons with comprehensive annotated data in a small sample of five healthy participants without known stress-related complaints. Additionally, we assessed the usability of the application through user reports concerning their experiences with the wearable and online platform. While the current study shows that a substantial amount of false positives are detected in a healthy sample and that usability could be improved, the concept of a user-friendly platform to combine physiological data with self-report to inform on stress and mental health is viewed positively in our pilots.

scholarly journals Can Chatbots Help Support a Person’s Mental Health? Perceptions and Views from Mental Healthcare Professionals and Experts

2021 ◽  
Vol 2 (3) ◽  
pp. 1-15
Author(s):  
Colm Sweeney ◽  
Courtney Potts ◽  
Edel Ennis ◽  
Raymond Bond ◽  
Maurice D. Mulvenna ◽  
...  
Keyword(s):  
Mental Health ◽  
User Interfaces ◽  
Personal Experience ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Health Perceptions ◽  
Human Emotion ◽  
Health And Wellbeing ◽  
Perceived Importance

The objective of this study was to understand the attitudes of professionals who work in mental health regarding the use of conversational user interfaces, or chatbots, to support people’s mental health and wellbeing. This study involves an online survey to measure the awareness and attitudes of mental healthcare professionals and experts. The findings from this survey show that more than half of the participants in the survey agreed that there are benefits associated with mental healthcare chatbots (65%, p < 0.01). The perceived importance of chatbots was also relatively high (74%, p < 0.01), with more than three-quarters (79%, p < 0.01) of respondents agreeing that mental healthcare chatbots could help their clients better manage their own health, yet chatbots are overwhelmingly perceived as not adequately understanding or displaying human emotion (86%, p < 0.01). Even though the level of personal experience with chatbots among professionals and experts in mental health has been quite low, this study shows that where they have been used, the experience has been mostly satisfactory. This study has found that as years of experience increased, there was a corresponding increase in the belief that healthcare chatbots could help clients better manage their own mental health.

scholarly journals Depressive Symptoms, Help-Seeking, and Barriers to Mental Healthcare Among Healthcare Professionals in Lithuania

2021 ◽  
Vol 28 (1) ◽  
pp. 3
Author(s):  
Daniel Rogoža ◽  
Robertas Strumila ◽  
Eglė Klivickaitė ◽  
Edgaras Diržius ◽  
Neringa Čėnaitė
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Help Seeking ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Health Problems ◽  
Poor Mental Health ◽  
Work Related ◽  
Patient Health

Background: Previous research suggests that healthcare professionals (HCPs) experience high levels of work-related psychological distress, including depressive symptoms. Due to the stigma of mental health problems and other barriers, HCPs are likely to be hesitant to seek appropriate mental healthcare. We aimed to explore these phenomena among HCPs in Lithuania.Methods: A web survey inquiring about depressive symptoms, help-seeking, and barriers to mental healthcare was conducted. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9). 601 complete questionnaires were included in the analyses. The barriers to help-seeking were identified using the inductive content analysis approach. Descriptive, non-parametric, and robust statistical analysis was performed using SPSS software.Results: Most of the respondents have reported depression-like symptoms over the lifetime, although only about a third of them sought professional help. Of those, roughly half preferred a private specialist. The stigma and neglect of mental health problems were the most common barriers to help-seeking. Around half of the HCPs believed that seeking mental healthcare can imperil their occupational license. About a quarter of the HCPs screened positive for clinically relevant depressive symptoms. Statistically significant differences in the PHQ-9 score were found between categories of healthcare specialty, marital status, religious beliefs, workplace, and years of work as a HCP. Fewer years of work and younger age were associated with the higher PHQ-9 score.Conclusions: Our findings suggest that HCPs in Lithuania may be inclined not to seek appropriate mental healthcare and experience poor mental health, although stronger evidence is needed to verify these findings. 

scholarly journals The crucible of co-production: Case study interviews with Recovery College practitioner trainers

2019 ◽  
Vol 78 (8) ◽  
pp. 977-987
Author(s):  
Mark Dalgarno ◽  
Jennifer Oates
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Single Site ◽  
Future Research ◽  
Service Users ◽  
Structured Interviews

Objectives: This study explored healthcare professionals’ accounts of being practitioner trainers in a mental health Recovery College, where they worked with peer trainers, who were people with lived experience of mental illness, to co-produce workshops for mental health service users and staff. The aim of this study was to understand the process of co-production in the Recovery College from the perspective of practitioner trainers. Design: Single-site case study. Setting: A Recovery College in the South of England, open to staff and service users from one mental health care provider organisation. Methods: Semi-structured interviews with eight mental healthcare professionals. Transcripts were thematically analysed. Results: A central image of ‘the workshop as crucible’ emerged from the three themes derived from the analysis. Co-facilitating the workshop was a ‘structured’ encounter, within which health professionals experienced ‘dynamism’ and change. For them, this involved experiences of ‘challenge and discomfort’. Conclusion: Findings from this study contribute to the evidence base for the evaluation of Recovery Colleges by focusing on the training impact on staff. Findings suggest that taking on a trainer role in Recovery College co-production is beneficial for healthcare professionals as well as mental health service users, especially if healthcare professionals are open to the dynamism and possible discomfort of these workshop encounters. Future research, however, should expand beyond single-site case studies to test the extent to which this metaphor and themes are appropriate to describing the ‘transformative’ element of co-production.

scholarly journals Survey of remote consultations in psychiatry during the SARS-CoV-2 outbreak

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S264-S265
Author(s):  
Nusra Khodabux ◽  
Satheesh Gangadharan ◽  
Samuel Tromans ◽  
Avinash Hiremath
Keyword(s):  
Mental Health ◽  
Qualitative Data ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Technical Quality ◽  
Face To Face ◽  
The Mean ◽  
Detrimental Impact ◽  
Remote Consultations

AimsTo compare the usage of remote consultations before and after the first wave of the SARS-CoV-2 outbreak and explore mental health workers’ views on the usage of telemedicine.MethodAn online questionnaire survey was developed, and disseminated to mental healthcare professionals via e-mail and social media. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using Braun and Clarke's six step procedure for thematic analysis.1ResultThere were 40 responses from mental healthcare professionals of varying grades from different sub-specialties, predominantly from the UK. Compared to before the SARS-CoV-2 outbreak, there was an increase in usage of telephone (9(22.5% to (29)72.5%) and video consultations (4(10%) to 17(42.5%)). Respondents reported an increase in virtual MDTs (35(87.5%) during the pandemic, 9(22.5%) pre-pandemic).Based on a 5-point Likert scale, the mean technical quality of telephone consultations was 3.56/5 (Range 2-5), with 75% rating telephone consultations as not being as good as face-to-face consultations. The mean technical quality of video consultations was 3.58/5 (Range 2-5), with 63% rating video consultations as not being as good as face-to-face consultations. 25 (62.5%) respondents felt comfortable using telephone consultations during the pandemic, 20(50%) felt comfortable using video consultations. Recurring themes identified from the qualitative data regarding reasons for the technical quality ratings were: connection issues, poor infrastructure and security concerns.Nine (23%) respondents felt that using video conferencing consultations had a detrimental impact on the mental health of patients while 14(35%) felt that telephone consultations had a detrimental impact on patients’ mental health. Recurring themes for health practitioners’ perceived effect of the use of telemedicine on patients’ mental heath were the loss of personal touch and reduced patient engagement.ConclusionThere was a substantial increase in usage of remote consultations during the first wave of the SARS-CoV-2 pandemic among mental healthcare professionals. The results reported in the present study suggest there are numerous barriers to the use of telemedicine in psychiatry, which require future exploration, ideally through interview or ethnographic studies.

Self-casting and alter-casting: Healthcare professionals’ boundary work in response to peer workers

2021 ◽  
pp. 001139212110485
Author(s):  
Margaretha Järvinen ◽  
Malene Lue Kessing
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Healthcare Professionals ◽  
Boundary Work ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Recovery Model ◽  
Recovery Orientation ◽  
Professional Boundary

Within mental health services, the recovery model has been a guiding philosophy over the past decades. This model stresses ‘person-centred care’ and focuses on assisting service users to live a meaningful and hopeful life even if their illness has not been cured. As part of the recovery orientation, ‘peer workers’ (PWs), i.e. people with lived experiences of mental illness, are increasingly employed within mental health services. In this article, the authors explore how these changes open up frontiers and set in motion boundary work and identity discussions among healthcare professionals. Empirically, the article draws on qualitative data – interviews with healthcare professionals and observations of meetings – collected in mental healthcare services in Denmark. Theoretically, the article combines literature on professional boundary work with theories on ‘self-casting’, ‘alter-casting’ and ‘othering’. Analysing two sets of demarcations – those between healthcare professionals and PWs, and those between professionals and patients – the study shows how the recovery model leads to defensive boundary work as well as an opening up of boundaries.

Attitudinal barriers hindering adoption of Telepsychiatry among mental healthcare professionals: Israel as a case-study (Preprint)

2021 ◽  
Author(s):  
Tamir Magal ◽  
Maya Negev ◽  
Hanoch Kaphzan
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Widespread Application ◽  
Health Maintenance ◽  
Clinical Quality ◽  
Hierarchical Position ◽  
Organizational Affiliation

BACKGROUND Despite obvious and proven advantages for the use of telemedicine in psychiatry, mental healthcare professionals have shown deep-seated mistrust and suspicion of telepsychiatry, which hinders its widespread application. OBJECTIVE The current study aims to examine the attitudes of Israeli mental health professionals towards telepsychiatry; seeking to uncover the relationship with experience with telepsychiatry, and organizational affiliation. METHODS A qualitative study, including 27 in-depth interviews with Israeli mental-health professionals, representing a diverse analytical, geographical, and gendered cross-section of the local professional community. A thematic analysis revealed three major themes – economic efficiency, clinical quality, and the effects on the work-life balance of healthcare professionals. Individuals’ responses were furthermore compared against hierarchical position, organizational affiliation, and experience with telepsychiatry. RESULTS Participants were evenly divided, between supporters of telepsychiatry and those who oppose and object to its widespread usage in routine mental healthcare. This division manifested itself most clearly in their assessment of the clinical quality of telepsychiatry. However, it was also palpable in their assessment of its efficiency and its effects for healthcare professionals. Furthermore, the study also revealed a positive correlation between participants’ experience with telepsychiatry, and their support for its usage. However, this relationship seems to be mitigated by one’s employment and organizational affiliations. Employees of at least one Israeli Health Maintenance Organization exhibited a negative trendline, where more experience with telepsychiatry also meant stronger opposition for its utilization. CONCLUSIONS Attitudes of mental health professionals were found to be widely divergent and sharply dichotomized regarding different aspects of telepsychiatry, and its suitability for mental healthcare services. However, there was general consensus that telemedicine may not fulfil its promise of being a panacea to the problems of modern public medicine. At the same time, attitudes were related to hierarchical position, organizational affiliation and personal experience with telepsychiatry. Specifically, organizational affiliation influenced experience with and support for assimilation of telepsychiatry. The study also revealed the role of organizational leadership and culture in promoting or inhibiting the proliferation and adoption of innovative technologies and services in modern medicine.

scholarly journals Stalking of mental health professionals: an underrecognised problem

2006 ◽  
Vol 188 (5) ◽  
pp. 403-404 ◽  
Author(s):  
Ronan J. McIvor ◽  
Edward Petch
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
General Population ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Educational Programmes

SummaryDoctors and mental healthcare professionals are at greater risk of being stalked than the general population, particularly by their patients. Despite causing significant psychological distress, stalking remains underrecognised and poorly managed. Healthcare organisations should ensure appropriate policies are in place to aid awareness and minimise risk, including the provision of formal educational programmes.

scholarly journals A global needs assessment in times of a global crisis: world psychiatry response to the COVID-19 pandemic

BJPsych Open ◽  
2020 ◽  
Vol 6 (3) ◽  
Author(s):  
Kenneth R. Kaufman ◽  
Eva Petkova ◽  
Kamaldeep S. Bhui ◽  
Thomas G. Schulze
Keyword(s):  
Mental Health ◽  
General Population ◽  
Psychiatric Disorders ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Well Being ◽  
Educational Interventions ◽  
Policy And Practice ◽  
Research Questions ◽  
Collaborative Efforts

Summary The COVID-19 pandemic has stunned the global community with marked social and psychological ramifications. There are key challenges for psychiatry that require urgent attention to ensure mental health well-being for all – COVID-19-positive patients, healthcare professionals, first responders, people with psychiatric disorders and the general population. This editorial outlines some of these challenges and research questions, and serves as a preliminary framework of what needs to be addressed. Mental healthcare should be an integral component of healthcare policy and practice towards COVID-19. Collaborative efforts from psychiatric organisations and their members are required to maximise appropriate clinical and educational interventions while minimising stigma.

Normality, subjectivity and mental health: A genealogy of Danish psychiatry, 1938–2017

2019 ◽  
pp. 136345931987410
Author(s):  
Malene Broch Clemmensen ◽  
Simo Køppe
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Research ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Interdisciplinary Approach ◽  
Mental Health Research ◽  
Health Problems ◽  
The Subject

The increasing prevalence of mental disorders together with the uncertain validity of psychopathological diagnostics challenges psychiatry as the primary home of studying, diagnosing and treating mental health problems and developing mental healthcare. This marks an emerging paradigmatical shift towards ‘alternative’ mental health perspectives. With the ambition of attending authoritatively in definitory practices, contemporary scholars of psychology, sociology, anthropology and philosophy call for an interdisciplinary approach to mental health, with a predominant focus on the subject. We argue that a paradigmatical shift of mental health requires structural–historical considerations of the foundations upon which subjectivity has been and still is manifested through psychiatry. On this basis, we critically investigate fluctuating psychiatric discourses on subjectivity, normality and pathology. We conducted a genealogical analysis of 13 psychiatric sources (1938–2017) focusing on ‘Psychopathy’ as a fluctuating diagnosis. We elucidate how subject concepts in psychiatry develop in parallel to subject concepts in society and culture, exemplified through convincing similarities between psychopathic symptoms and neoliberal ideals. Considerations like these, offer scholars valuable bases for mental health research and debate, and also valuable insights to healthcare professionals.

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