Abstract WP432: Stroke Survivor and Informal Caregiver Involvement to Address Mental Health in Stroke Recovery

Background and Purpose: Stroke survivor (SS) and informal caregiver ([IC]; e.g., unpaid spouse) mental well-being are connected with symptoms of psychosocial distress negatively affecting both. The purpose of this study was to implement the principles of patient-centered measurement by working with a team of SS, IC, and researchers to explore what mental health needs matter to a cohort of SS and IC. Methods: An 18-question mental health survey was created with input from 2 SS, 2 IC, and experts in neurology and nursing and distributed to community-dwelling SS (n=26) and IC (n=14). Subsequently, two semi-structured group interviews were conducted. Interviews were stratified by role (n=7 SS and n=3 IC) to attain homogeneity in order to encourage open dialogue. Results: Among 40 SS and IC, 65% were SS and 35% were IC with a mean age of 62 years. Overall, frustration (69%), stress (64%), worry (47%), anxiety (42%), and depression (31%) were the predominant mental health needs identified among both groups. Both SS (46%) and IC (46%) equally reported intolerant or close-minded cultural backgrounds to mental health issues. The majority of SS and IC identified peer-support and support groups as essential aspects when addressing mental health support during the stroke recovery period. Conclusions: This survey identified a number of mental health issues that matter to SS and IC. Our results raise the need to focus on interventions that will address patient-centered mental health outcome measurements that reflect what matters to the SS and IC and incorporate these patient and caregiver centered outcomes in stroke recovery clinical trials.

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Understanding Campus Culture and Student Coping Strategies for Mental Health Issues in Five Canadian Colleges and Universities

Canadian Journal of Higher Education ◽

10.7202/1043242ar ◽

2017 ◽

Vol 47 (3) ◽

pp. 136-151 ◽

Cited By ~ 2

Author(s):

Dimitris Giamos ◽

Alex Young Soo Lee ◽

Amanda Suleiman ◽

Heather Stuart ◽

Shu-Ping Chen

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Coping Strategies ◽

Health Needs ◽

Campus Culture ◽

Health Issues ◽

Mental Health Needs ◽

Student Mental Health ◽

Mental Health Issues

This study aimed to better understand campus mental health culture and student mental health coping strategies, and to identify the mental health needs of students as well as gaps in mental health services within postsecondary education. A videovoice method was used to identify and document health-related issues and advocate for change. Forty-one interviews were conducted with campus stakeholders at five universities. Five themes involving mental health emerged from the campus interviews: the stigma of mental illness; campus culture related to mental health; mental health services available and barriers to mental health services on campus; accommodations for students’ mental health needs; and student mental health coping strategies. A documentary was developed to advocate for better mental health. We conclude that although Canadian campuses are raising awareness about mental health issues, there is not enough mental health infrastructure support on campuses; in particular, accessibility to campus mental health resources needs improvement.

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Mental health in subsidized housing: Readiness to assist residents with mental health issues in subsidized housing from the perspectives of housing employees

Qualitative Social Work ◽

10.1177/14733250211027630 ◽

2021 ◽

pp. 147332502110276

Author(s):

Hyejin Jung ◽

Jose Jaime ◽

Sharon Lee

Keyword(s):

Mental Health ◽

Subsidized Housing ◽

Health Needs ◽

Health Issues ◽

Mental Health Needs ◽

Mental Health Issues ◽

Mental Health Support ◽

Multi Level ◽

Health Support ◽

And Training

People in subsidized housing are likely to suffer from mental health issues. However, little is known about subsidized housing employees’ readiness to address the residents’ mental health needs. This qualitative study explores the perspectives of housing employees on their readiness to assist subsidized housing residents’ mental health needs. A total of 32 subsidized housing employees participated in five focus groups. Thematic analysis revealed four key themes: prevalence of mental health issues, unexpected role as housing employees, multi-level barriers in assisting residents with mental health needs, and the need for mental health support in subsidized housing. Findings highlight the need for integrated care, including social work services in subsidized housing. Social workers may have various potential roles to serve the mental health needs of subsidized housing residents. Also identified was the need for mental health education and training among subsidized housing employees.

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Liaison and diversion services in South East London: Referral patterns over a 25-year period

Medico-Legal Journal ◽

10.1177/00258172211010558 ◽

2021 ◽

pp. 002581722110105

Author(s):

Howard Ryland ◽

Andrew Forrester ◽

Tim Exworthy ◽

Shaun Gallagher ◽

Lynne Ramsay ◽

...

Keyword(s):

Mental Health ◽

Mental Illness ◽

National Policy ◽

Health Needs ◽

Mental Health Issue ◽

Health Issues ◽

Mental Health Needs ◽

Mental Health Issues ◽

Set Up ◽

Court Liaison

Criminal justice liaison and diversion services identify people with mental health needs and ensure they receive appropriate support. We describe a 25-year period of one such service that deals with a population of 864,540 in South East London that was set up in 1991. We used data from three time periods. A diagnosis of a mental illness was recorded in 70.0–80.3% of court liaison and diversion referrals. The proportion receiving a hospital order declined from 15.4% in 1991/1992 to 1.1% in 2015/2016; 54/199 (27.1%) of referrals to the police liaison and diversion service were detained in hospital. Although the service is designed to support any individual with a mental health issue, these results suggest that it has dealt mainly with people who have severe mental illness. Further research is required to understand how best to benefit a wider range of people with mental health issues who attend the lower (Magistrates’) courts, and whether screening for mental disorders can be applied in liaison and diversion settings to aid the implementation of national policy. We also need to understand how disposal decisions are made, and which are most effective.

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Mental health screening of fathers attending early parenting services in Australia

Journal of Child Health Care ◽

10.1177/1367493517732166 ◽

2017 ◽

Vol 21 (4) ◽

pp. 498-508 ◽

Cited By ~ 3

Author(s):

Richard Fletcher ◽

Eileen Dowse ◽

Jennifer St George ◽

Tara Payling

Keyword(s):

Mental Health ◽

Well Being ◽

Health Condition ◽

Professional Staff ◽

Health Needs ◽

Health Issues ◽

Mental Health Needs ◽

Screening Guidelines ◽

Early Parenting ◽

Mental Health Issues

Paternal perinatal depression and anxiety is a common, though under-recognized mental health condition experienced by men during their transition to fatherhood. An opportunity to screen for paternal mental health issues occurs when parents present for assistance with the care of their baby at early parenting services (EPSs). There are 10 EPSs located across Australia that provide specialist, multidisciplinary interventions to support parents experiencing complex parenting difficulties. Using structured telephone interviews, this qualitative study explored the views of 18 professional staff from nine EPSs regarding screening, referral processes and acceptability of screening fathers for mental health issues. A thematic analysis revealed that most EPSs screened fathers for depression. Participants agreed screening was important and that routine approaches to screening would help normalize the process for both men and services. Despite this, no uniform, comprehensive approach to identifying the mental health needs of fathers was found. EPSs provide a unique opportunity to address the mental health needs of fathers. Results from this study point to the need for a national approach to the development of father-specific screening guidelines for EPSs to improve family well-being, in parallel to those informing the Australian National Perinatal Mental Health Initiative for mothers.

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2. Training General Practitioners to Assess Young Peoples Mental Health Needs: Impact on General Practitioner's Detection of Mental Health Issues

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2012.10.028 ◽

2013 ◽

Vol 52 (2) ◽

pp. S9-S10 ◽

Cited By ~ 1

Author(s):

Anne-Emmanuelle Ambresin ◽

George C. Patton ◽

Susan M. Sawyer ◽

Dallas R. English ◽

Dagmar M. Haller ◽

...

Keyword(s):

Mental Health ◽

General Practitioners ◽

Health Needs ◽

Health Issues ◽

Mental Health Needs ◽

Mental Health Issues

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Understanding Campus Culture and Student Coping Strategies for Mental Health Issues in Five Canadian Colleges and Universities

Canadian Journal of Higher Education ◽

10.47678/cjhe.v47i3.187957 ◽

2017 ◽

Vol 47 (3) ◽

pp. 136-151 ◽

Cited By ~ 2

Author(s):

Dimitris Giamos ◽

Alex Young Soo Lee ◽

Amanda Suleiman ◽

Heather Stuart ◽

Shu-Ping Chen

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Coping Strategies ◽

Health Needs ◽

Campus Culture ◽

Health Issues ◽

Mental Health Needs ◽

Student Mental Health ◽

Mental Health Issues

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403Mental Health Needs in International Students of African Descent: Findings from the Healthy Minds Network

International Journal of Epidemiology ◽

10.1093/ije/dyab168.049 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Zeinab Baba ◽

Heather Edelblute

Keyword(s):

Mental Health ◽

Severe Depression ◽

Health Needs ◽

Health Issues ◽

University Administrators ◽

Health Concerns ◽

University Campuses ◽

Mental Health Issues ◽

Patient Health ◽

Mental Health Concerns

Abstract Background Mental health issues are becoming of increasing concern for college students while universities are also becoming more internationalized with students from diverse countries. Students of sub-Sahara African (SSA) descent represent a group understudied in the mental health literature who may have unique mental health needs. Methods Data on students of SSA descent (n = 916) was obtained for academic years 2016-2019 of the Healthy Minds Network (HMN), a yearly web-based survey conducted on US university campuses. Logistic regression analysis was conducted to identify factors associated with ever receiving counseling or therapy for mental health concerns. Results Over half (57%) were female with a mean age of 25.7. On the Patient Health Questionnaire (PHQ-9), 23% scored in the moderate, moderately severe, or severe depression range. Two-thirds expressed not receiving counseling or therapy for mental health concerns. In multivariate models, males (OR 0.5 (0.3-0.8), p = 0.01)) were less likely to receive counseling or therapy compared to females; students with more days of emotional or mental difficulties were increasingly more likely to ever receive counseling or therapy compared to students with no days of emotional or mental difficulties. Ever receiving counseling or therapy was associated with a rarely stressful financial situation (OR 2.6 (1.2-5.9), p = 0.02)). Conclusions Males may require incentives to get assistance with mental health issues. Making counseling more affordable could improve usage rates by students with more stressful financial situations. Key messages University administrators should consider options to address mental health concerns of this student group..

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Child And Adolescent Mental Health Web Resources

The Journal of School Nursing ◽

10.1177/10598405020180041601 ◽

2002 ◽

Vol 18 (4) ◽

pp. 226-228

Author(s):

Martha Dewey Bergren

Keyword(s):

Mental Health ◽

Academic Success ◽

School Setting ◽

School Nurses ◽

Health Needs ◽

Health Issues ◽

Individual Education Plans ◽

Mental Health Needs ◽

School Employees ◽

Web Resources

There are many Web resources for health professionals seeking guidance to meet the mental health needs of their clients. Some of those resources are specifically designed for professionals working in schools. School nurses participate in assessment teams and contribute to individual education plans to enable students with mental health needs to achieve academic success. Mental health issues in a school setting involve preventive care, as well as providing and advocating for an environment and policies that promote healthy students and school employees. This article identifies valid and reliable mental health Web resources for school nurses.

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Stressors and mental health in Bangladesh: current situation and future hopes

BJPsych International ◽

10.1192/bji.2020.57 ◽

2020 ◽

pp. 1-4

Author(s):

Faruq Alam ◽

Rubina Hossain ◽

Helal Uddin Ahmed ◽

Mohammad Tariqul Alam ◽

Mekhala Sarkar ◽

...

Keyword(s):

Mental Health ◽

Rural Areas ◽

Health Needs ◽

Multidisciplinary Teams ◽

Health Issues ◽

Mental Health Needs ◽

Emerging Country ◽

National Capacity ◽

The Government ◽

Assessment Of Stress

Bangladesh is a densely populated emerging country in South Asia. Since its harsh independence war, it has suffered from repeated floods and other natural and man-inflicted disasters. Internal migration from rural areas to the urban centres has increased crowdedness, pollution and social conflicts. Furthermore, in recent years, the country has absorbed close to a million refugees from Myanmar. These stressors have been associated with an increase in mental disorders and symptoms with which the country is struggling. Lack of resources and a shortage of human capital have weakened the national capacity to efficiently respond to situational stressors or disasters. For assessment of stress-related mental health issues, information available from the Ministry of Health and the National Institute of Mental Health was collected and supplemented by external reports. It is promising that the government's approach of responding to mental health needs only after the occurrence of a crisis has recently been replaced by the concept of total management through primary healthcare. There is a need for development of adequate infrastructure, logistics and workforce support, as well as establishment of multidisciplinary teams of management and clinical services. Collaboration of all related sectors of the government and an overall increase in government funding for mental health are essential.

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The Role of Mental Health in Multiple Exclusion Homelessness

Social Policy and Society ◽

10.1017/s147474642000069x ◽

2020 ◽

pp. 1-17

Author(s):

Ben Pattison ◽

Lindsey McCarthy

Keyword(s):

Mental Health ◽

Policy Development ◽

Life Experiences ◽

Homeless People ◽

Health Issues ◽

Mental Health Needs ◽

Mental Health Issues ◽

Survey Results ◽

Effective Policy

Development of effective policy responding to recent increases in rough sleeping in England requires an understanding of the needs of people experiencing homelessness. Research on multiple exclusion homelessness (MEH) should be central to policy development as it highlights the interactions between ‘homelessness’ and ‘deep social exclusion’. This article focuses on the nexus between mental health and homelessness within MEH. Mixed methods findings from Nottingham, England, are used to investigate the role of mental ill-health in the pathways into MEH. This included a survey of the mental health needs of homeless people and ‘homeless pathway’ interviews. Survey results demonstrated high levels of diagnosed and self-reported mental health issues. Interviews highlighted that mental ill-health and homelessness were closely associated with adverse life experiences and could not be viewed in isolation from them. The article contributes further insight on the specificities of mental health issues, their temporal ordering, and interrelationship with homelessness experiences.

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