Predictors in use of mental health resources: The role of behaviour problems in patients with severe mental illness

2017 ◽  
Vol 63 (6) ◽  
pp. 532-538 ◽  
Author(s):  
Gloria Bellido-Zanin ◽  
Antonio J Vázquez-Morejón ◽  
Agustín Martín-Rodríguez ◽  
Maria Ángeles Pérez-San-Gregorio
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Health Resources ◽  
Behaviour Problems

scholarly journals Impact of Jointly Using an e–Mental Health Resource (Self-Management And Recovery Technology) on Interactions Between Service Users Experiencing Severe Mental Illness and Community Mental Health Workers: Grounded Theory Study

10.2196/25998 ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. e25998
Author(s):  
Anne Williams ◽  
Ellie Fossey ◽  
John Farhall ◽  
Fiona Foley ◽  
Neil Thomas
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Grounded Theory ◽  
Community Mental Health ◽  
Severe Mental Illness ◽  
Health Workers ◽  
Health Resources ◽  
Community Mental Health Services ◽  
Discovery Process ◽  
Mental Health Resource

Background e–Mental health resources are increasingly available for people who experience severe mental illness, including those who are users of community mental health services. However, the potential for service users (SUs) living with severe mental illness to use e–mental health resources together with their community mental health workers (MHWs) has received little attention. Objective This study aims to identify how jointly using an interactive website called Self-Management And Recovery Technology (SMART) in a community mental health context influenced therapeutic processes and interactions between SUs and MHWs from their perspective. Methods We conducted a qualitative study using a constructivist grounded theory methodology. Data were collected through individual semistructured interviews with 37 SUs and 15 MHWs who used the SMART website together for 2 to 6 months. Data analysis involved iterative phases of coding, constant comparison, memo writing, theoretical sampling, and consultation with stakeholders to support the study’s credibility. Results A substantive grounded theory, discovering ways to keep life on track, was developed, which portrays a shared discovery process arising from the SU-worker-SMART website interactions. The discovery process included choosing to use the website, revealing SUs’ experiences, exploring these experiences, and gaining new perspectives on how SUs did and could keep their lives on track. SUs and MHWs perceived that their three-way interactions were enjoyable, beneficial, and recovery focused when using the website together. They experienced the shared discovery process as relationship building—their interactions when using the website together were more engaging and equal. Conclusions Jointly using an e–mental health resource elicited recovery-oriented interactions and processes between SUs and MHWs that strengthened their therapeutic relationship in real-world community mental health services. Further work to develop and integrate this novel use of e–mental health in community mental health practice is warranted.

Mental Health Professionals’ Attitudes to Severe Mental Illness and Its Correlates in Psychiatric Hospitals of Attica: The Role of Workers’ Empathy

2019 ◽  
Vol 56 (4) ◽  
pp. 614-625
Author(s):  
Marina Economou ◽  
Lily Evangelia Peppou ◽  
Konstantinos Kontoangelos ◽  
Alexandra Palli ◽  
Irene Tsaliagkou ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Hospitals

scholarly journals Impact of Jointly Using an e–Mental Health Resource (Self-Management And Recovery Technology) on Interactions Between Service Users Experiencing Severe Mental Illness and Community Mental Health Workers: Grounded Theory Study (Preprint)

2020 ◽  
Author(s):  
Anne Williams ◽  
Ellie Fossey ◽  
John Farhall ◽  
Fiona Foley ◽  
Neil Thomas
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Grounded Theory ◽  
Community Mental Health ◽  
Severe Mental Illness ◽  
Health Workers ◽  
Health Resources ◽  
Community Mental Health Services ◽  
Discovery Process ◽  
Mental Health Resource

BACKGROUND e–Mental health resources are increasingly available for people who experience severe mental illness, including those who are users of community mental health services. However, the potential for service users (SUs) living with severe mental illness to use e–mental health resources together with their community mental health workers (MHWs) has received little attention. OBJECTIVE This study aims to identify how jointly using an interactive website called <i>Self-Management And Recovery Technology</i> (SMART) in a community mental health context influenced therapeutic processes and interactions between SUs and MHWs from their perspective. METHODS We conducted a qualitative study using a constructivist grounded theory methodology. Data were collected through individual semistructured interviews with 37 SUs and 15 MHWs who used the SMART website together for 2 to 6 months. Data analysis involved iterative phases of coding, constant comparison, memo writing, theoretical sampling, and consultation with stakeholders to support the study’s credibility. RESULTS A substantive grounded theory, <i>discovering ways to keep life on track</i>, was developed, which portrays a shared discovery process arising from the SU-worker-SMART website interactions. The discovery process included choosing to use the website, revealing SUs’ experiences, exploring these experiences, and gaining new perspectives on how SUs did and could keep their lives on track. SUs and MHWs perceived that their three-way interactions were enjoyable, beneficial, and recovery focused when using the website together. They experienced the shared discovery process as relationship building—their interactions when using the website together were more engaging and equal. CONCLUSIONS Jointly using an e–mental health resource elicited recovery-oriented interactions and processes between SUs and MHWs that strengthened their therapeutic relationship in real-world community mental health services. Further work to develop and integrate this novel use of e–mental health in community mental health practice is warranted.

scholarly journals The Role of Animal Ownership for People with Severe Mental Illness during the COVID-19 Pandemic: A Mixed-Method Study Investigating Links with Health and Loneliness

2021 ◽  
Vol 18 (22) ◽  
pp. 11908
Author(s):  
Emily Shoesmith ◽  
Panagiotis Spanakis ◽  
Emily Peckham ◽  
Paul Heron ◽  
Gordon Johnston ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Thematic Analysis ◽  
Companion Animals ◽  
Human Animal ◽  
The Uk ◽  
Mental And Physical Health

Research has reported the benefits of companion animals for people with severe mental illness (SMI). However, this evidence base is fragmented and unclear. The COVID-19 pandemic presents an opportunity to explore the role of companion animals in the context of social distancing and isolation measures for people with SMI. Therefore, we aimed to investigate the links between mental and physical health and animal ownership in people with SMI and to explore animal owners’ perceptions related to human–animal interactions during the pandemic restrictions. A survey was conducted with a previously assembled cohort of individuals with SMI in the UK. The survey included previously validated and new bespoke items measuring demographics, and outcomes related to mental and physical health, and human–animal interactions. The survey also included a question inviting free-text responses, allowing participants to describe any experiences of their human–animal relationships during the pandemic. Of 315 participants who consented to participate, 249 (79%) completed the survey. Of these, 115 (46.2%) had at least one companion animal. Regression analyses indicated that animal ownership was not significantly associated with well-being and loneliness. However, animal ownership was associated with a self-reported decline in mental health (b = 0.640, 95% CI [0.102–1.231], p = 0.025), but no self-reported change in physical health. Thematic analysis identified two main themes relating to the positive and negative impact of animal ownership during pandemic restrictions. Animal ownership appeared to be linked to self-reported mental health decline in people with SMI during the second wave of the pandemic in the UK. However, the thematic analysis also highlighted the perceived benefit of animal ownership during this time. Further targeted investigation of the role of human–animal relationships and the perceived human–animal bond for human health is warranted.

scholarly journals Retrospektif studi: Peranan kader kesehatan jiwa terkait kunjungan follow-up pasien gangguan jiwa ke Puskesmas

2021 ◽  
Vol 14 (4) ◽  
pp. 651-658
Author(s):  
Teguh Pribadi ◽  
Evi Indrayana ◽  
Satrio Kusumo Lelono
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Severe Mental Illness ◽  
Health Workers ◽  
P Value ◽  
Retrospective Evaluation ◽  
Cross Sectional

A retrospective evaluation: Follow-up of patients with severe mental illness and the role of community mental health workers among cadres of non-specialist health workersBackground : The default of regular treatment can cause a recurrence of patients with mental disorders. As an effort to increase participation in medicine, one of them is increasing the role of mental health cadres. Based on the results of a pre-survey study conducted in the work area of Way Mili Health Center in December 2018 - January 2019, found it out that 39 patients who actively took part in mental health programs were only 38.46%. And out of 5 mental health cadres, only 1 cadre has an ideal role and the remaining role is less ideal due to individual busyness and cadre incentives that are not under the responsibilities given.Purpose: Knowing the relationship between follow-up of patients with severe mental illness and the role of community mental health workers among cadres of non-specialist health workersMethod: This type of research is a retrospective evaluation, quantitative, analytic survey with a cross sectional approach. The population in this study was caregiver of patient with mental disorders. The questionnaire to determine the role of mental health cadres contains 15 questions and looking at medical records / treatment cards to find the consistency of follow up of patients at the public health centre. Data were analyzed by univariate and bivariate (chi square).Results : It is knowing that all cadres totaling 30 have a mean age of 35.33 years with a standard deviation of ± 3.05 with an age range of 30-40 years and are mostly educated in junior high school (70%) and work as housewives (60%). respondents where the role of cadres was in the low category and 66.7% with follow-up of patients in the irregular category (63.3%). The results of statistical tests on the education variable of the cadres p-value = 0.01; work p-value = 0.002 and patient visits p-value = 0.009 which means <α, it can be concluded that there is a relationship between the Role of Mental Health Cadres and Visits of Mental Disorders Patients in the Work Area of Way Mili Community Health Center, Gunung Protector District, East Lampung Regency, 2019. OR value 8,250 means respondents with low cadre roles have an 8 times greater risk of irregular visits when with high cadre roles.Keywords: A retrospective evaluation; Follow-up of patients; Severe mental illness; Role; CadresPendahuluan: Kekambuhan pasien dengan gangguan jiwa dapat diakibatkan karena gagalnya keberlanjutan pengobatan secara rutin. Sebagai upaya meningkatkan partisipasi dalam pengobatan salah satunya peningkatan peran kader kesehatan jiwa. Berdasarkan hasil pra survey penelitian yang dilakukan di wilayah kerja Puskesmas Way Mili Desember 2018 – Januari 2019 diketahui dari 39 pasien yang ikut aktif dalam berpartisipasi dalam program kesehatan jiwa hanya sebanyak 38,46%. Dan dari 5 kader kesehatan jiwa didapatkan hanya 1 kader yang berperan ideal dan sisanya berperan kurang ideal dikarenakan kesibukan individu dan insentif kader yang kurang sesuai dengan tanggung jawab yang diberikan.Tujuan : diketahui hubungan peran kader kesehatan jiwa dengan kunjungan pasien gangguan jiwa di wilayah kerja puskesmas Way Mili Kecamatan Gunung Pelindung Kabupaten Lampung Timur Tahun 2019.Metode : Jenis penelitian yang digunakan adalah evaluasi retrospektif, kuantitatif, survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah perawat pasien gangguan jiwa. Kuesioner untuk mengetahui peran kader kesehatan jiwa berisi 15 pertanyaan dan melihat rekam medis / kartu pengobatan untuk mengetahui konsistensi tindak lanjut pasien di puskesmas. Data dianalisis secara univariat dan bivariat (chi square).Hasil : Diketahui bahwa semua kader yang berjumlah 30 memiliki usia rata-rata 35,33 tahun dengan standar deviasi ± 3,05 dengan rentang usia 30-40 tahun dan sebagian besar berpendidikan SMP (70%) dan bekerja sebagai ibu rumah tangga (60%) ). responden dimana peran kader dalam kategori rendah dan 66,7% dengan tindak lanjut pasien dalam kategori tidak teratur (63,3%). Hasil uji statistik variabel pendidikan kader p-value = 0,01; kerja p-value = 0,002 dan kunjungan pasien p-value = 0,009 yang berarti <α, maka dapat disimpulkan bahwa ada hubungan antara Peran Kader Kesehatan Jiwa dengan Kunjungan Penderita Gangguan Jiwa di Wilayah Kerja Kesehatan Masyarakat Way Mili. Center, Kecamatan Gunung Protector, Kabupaten Lampung Timur, 2019. OR bernilai 8.250 artinya responden dengan peran kader rendah memiliki risiko 8 kali lebih besar untuk melakukan kunjungan tidak teratur bila dengan peran kader tinggi.

scholarly journals Mental Illness Inequalities by Multimorbidity, Use of Health Resources and Socio-Economic Status in an Aging Society

2021 ◽  
Vol 18 (2) ◽  
pp. 458
Author(s):  
Manuel García-Goñi ◽  
Alexandrina P. Stoyanova ◽  
Roberto Nuño-Solinís
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Services ◽  
Health Systems ◽  
Access To Health Care ◽  
Population Aging ◽  
Basque Country ◽  
International Comparisons ◽  
Health Resources ◽  
The Poor

Background: Mental illness, multi-morbidity, and socio-economic inequalities are some of the main challenges for the public health system nowadays, and are further aggravated by the process of population aging. Therefore, it is widely accepted that health systems need to focus their strategies for confronting such concerns. With guaranteed access to health care services under universal coverage in many health systems, it is expected that all services be provided equally to patients with the same level of need. Methods: In this paper, we explore the existence of inequalities in the access to services of patients with mental illness taking into account whether they are multimorbid patients, their socioeconomic status, and their age. We take advantage of a one-year (2010–2011) database on individual healthcare utilization and expenditures for the total population (N = 2,262,698) of the Basque Country. Results: More comorbidity leads to greater inequality in prevalence, being the poor sicker, although with age, this inequality decreases. All health services are more oriented towards greater utilization of the poor and sicker, particularly in the case of visits to specialists and emergency care. Conclusions: Mental health inequalities in prevalence have been identified as being disproportionally concentrated in the least affluent areas of the Basque Country. However, inequalities in the utilization of publicly-provided health services present a pro-poor orientation. As this region has adopted a system-wide transformation towards integrated care, its mental health delivery model offers excellent potential for international comparisons and benchlearning.

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