scholarly journals Findings from Mental Health Screening of Newly Arrived Refugees in Colorado

2005 ◽  
Vol 120 (3) ◽  
pp. 224-229 ◽  
Author(s):  
Daniel Savin ◽  
Deborah J. Seymour ◽  
Linh Nguyen Littleford ◽  
Juli Bettridge ◽  
Alexis Giese

States are required to provide a public health screening for all newly arrived refugees in the United States. In 1997, a comprehensive program was created to include both a physical examination and a mental health screening. This article provides a complete description of the mental health screening process, including two illustrative cases, and reports information about the refugees who participated in the program. Ten percent of screened refugees were offered mental health referrals; of those, 37% followed up. Refugees who presented for treatment reported a higher number of symptoms upon screening compared with those who were offered referrals but did not follow up. Psychiatric evaluation confirmed that those who screened positive and presented for treatment were experiencing a high level of suffering and qualified for mental health diagnoses. The findings support inclusion of a mental health screening as part of the public health screening.

Author(s):  
Katherine L. Wisner ◽  
Marie-Paule Austin ◽  
Angela Bowen ◽  
Roch Cantwell ◽  
Nine M.-C. Glangeaud-Freudenthal

2016 ◽  
Vol 33 (1) ◽  
pp. 16-32 ◽  
Author(s):  
Kathryn Moffa ◽  
Erin Dowdy ◽  
Michael J. Furlong

Considering the many positive outcomes associated with adolescents’ sense of school belonging, including psychological functioning, it is possible that including an assessment of school belonging within a complete mental health screening process could contribute to the prediction of students’ future mental health status. This exploratory study used complete mental health screening data obtained from a central California high school (N= 1,159). At Time 1 (T1) schoolwide screening was used to identify complete mental health groups by applying a dual-factor strategy and concurrently measuring students’ school belonging. One year later at Time 2 (T2), social-emotional wellbeing and internal distress were assessed. Cross-sectional T1 results indicated that there were significant differences in school belonging between students who reported low global life satisfaction and those who reported average or high global life satisfaction, regardless of reported level of psychological distress. A comparison of T1 to T2 data revealed that global life satisfaction and psychological distress were predictive of wellbeing and internal distress. However, contrary to study expectations, school belonging at T1 added little to the prediction of T2 psychological distress beyond the information already provided by the T1 dual-factor screening framework. Implications for practice and future directions are discussed.


2003 ◽  
Vol 46 (2) ◽  
pp. 235-250 ◽  
Author(s):  
Nancy Ovitt ◽  
Christopher R. Larrison ◽  
Larry Nackerud

For a variety of reasons related to pre- and post-migration factors, refugees experience a high rate of mental health problems. The early detection of these problems among refugees arriving in the United States benefits those individuals, the agencies that sponsor them and the communities that absorb them. The development of culturally-sensitive mental health screening instruments to identify pathology among refugees has been the focus of some research. This study explores the reactions of eight Bosnian refugees who were administered the Hopkins Symptom Checklist-25 as part of a mental health screening during the resettlement process. Through structured interviews with this sample, the authors elicited qualitative data about the mental health screening, from which preliminary conclusions were drawn about including such screening in the resettlement process.


2020 ◽  
Vol 20 (3) ◽  
pp. 976
Author(s):  
Ririn Noviyanti Putri ◽  
Haerawati Idris ◽  
Nur Alam Fajar

The concept of complete mental health efforts is the handling of health problems and its foundation includes community mental health efforts, supported by basic mental health services and strengthened integrated referral mental health services. Most of ODGJ have not gotten health care. Not yet optimal mental health services indirectly affect the success rate of health development. This research aims to analyse the implementation of community-based mental health services in Palembang. Methods of research with qualitative design, informant in the research is chosen purposive. Data retrieval techniques with in-depth interviews to 12 informant, observation and study of documents. Triangulation is done in the form of triangulation of source, method and data. Results showed that the low public awareness of mental health is still low because of the high level of negative stigma of society and low public knowledge that can impact on the support that will be provided by Family. So the empowerment of community needs to reach people to access mental health services. This research suggests that there is a proactive stance from the public health center to reach people throughout their workforce by reproducing activities outside the public health center, strengthening cross-sector cooperation and empowering community.


Youth Justice ◽  
2021 ◽  
pp. 147322542110523
Author(s):  
Deneil D. Christian

The prevalence of mental health disorders is higher among justice-involved youth than youth in the general population. Despite mental health being a pressing contemporary issue in the juvenile justice system, fewer than half of the states in the United States mandate the use of a mental health screening for youth in the juvenile justice system. The need to utilize a mental health screening tool in all 50 states should be a national priority. The Massachusetts Youth Screening Instrument-Version 2 (MAYSI-2) is the recommended screening tool that should be adopted nationally. Currently, 21 of the 24 states that mandate the use of a screening tool utilize MAYSI-2. Furthermore, it is recognized as having the most empirical evidence as an instrument at the juvenile justice system’s entry and transitional points.


Public Mental Health provides a comprehensive introduction and guide to the public health approach to mental and behavioral disorders, and to promotion of mental health. The volume’s chapter authors and coauthors are drawn from the internationally renowned faculty of the Department of Mental Health of the Johns Hopkins Bloomberg School of Public Health, a department uniquely positioned to create this important resource for researchers, students, and public health practitioners. The volume explicates the latest methodologies for studying the occurrence of mental disorders in populations, and provides estimates of burden, cultural differences, natural history, and disparities between population subgroups. It includes reviews of genetic and biological pathways as sources of risk for mental disorders, the occurrence of stresses and their timing over the life span, and crises and disasters as sources of risk. The book includes chapters on the structure and functioning of the mental health service system in the United States, and around the world, and a comprehensive review of population-based strategies of intervention to lower risk. A final chapter lays out a path for the evolution of public mental health in the future.


2016 ◽  
Vol 7 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Kelly Polcher ◽  
Susan Calloway

Background and Purpose: Refugees resettling to the United States are at increased risk for mental health disorders, which can lead to difficulty with adaptation and poor health outcomes. Standardized mental health screening of refugees is often neglected at primary care and community health clinics. A pilot project aimed to initiate early mental health screening for newly resettled adult refugees was implemented at a community health center in Fargo, North Dakota. Methods: Current refugee screening processes were evaluated to determine appropriate timing for refugee mental health screening. This took into consideration time, staffing, interpreter availability and the refugee “honeymoon” phase following resettlement. The Refugee Health Screener–15 (RHS-15) was identified as an efficient, valid, and reliable tool for assessing emotional distress in this population and was integrated into refugee health screening practices. Results: The RHS-15 was administered to 178 adult refugees with arrival dates between August 1, 2013 and July 31, 2014. Of those screened, 51 (28.6%) screened positive for risk of emotional distress. Follow-up with primary care provider was completed with 30 (59%) of those who screened positive. Half (15) requested mental health treatment. Although the largest group of refugees during this period of time were resettling from Bhutan, refugees from Iraq had greater incidence of positive screening compared with those from Bhutan. Refugees from Iraq were also found to have significantly higher scores on the RHS-15. Conclusions: Although there are some challenges to implementing a standardized mental health screening for refugees, this pilot reiterates the need for standardized mental health screening of refugees. Routine mental health screening should be a part of the overall comprehensive health assessment provided to refugees nationwide. Considerations should be taken in regards to how refugees from Iraq have even greater risk of mental health disorders compared to other refugee groups.


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