Te Ara Waiora a Tāne: a kaupapa Māori mental-health assessment and intervention planning approach

2019 ◽  
Vol 27 (4) ◽  
pp. 337-340
Author(s):  
Allister Bush ◽  
Whetu Campbell ◽  
Maire Ransfield
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
Preliminary Evaluation ◽  
Planning Approach ◽  
Kaupapa Māori ◽  
Intervention Planning ◽  
Engagement Assessment ◽  
One Year ◽  
User Friendly ◽  
The Impact

Objective: The aims of this paper are to describe a Māori approach to assessment and intervention planning using the Māori creation narrative Te Ara a Tāne (The Journey of Tāne) and to outline an evaluation one year after the model was implemented. Conclusions: Te Ara Waiora a Tāne is a kaupapa Māori (Māori-centred) mental-health engagement, assessment, goal setting and planning approach designed to enhance the mana (spiritual and personal authority) of whānau (individuals and family/families) at the point they enter a Māori service and during ongoing mental-health work. Preliminary evaluation indicated that staff considered the model user-friendly and helpful for whānau. Further evaluation is needed to assess the impact of this approach on Māori whānau engagement with services.

scholarly journals Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0252167
Author(s):  
Takeshi Unoki ◽  
Hideaki Sakuramoto ◽  
Sakura Uemura ◽  
Takahiro Tsujimoto ◽  
Takako Yamaguchi ◽  
...  
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Depressive Symptoms ◽  
Unplanned Admission ◽  
Event Scale ◽  
Icu Discharge ◽  
One Year ◽  
The Impact ◽  
Post Intensive Care Syndrome ◽  
At Home

Few studies have examined the epidemiology of post-intensive care syndrome in Japan. This study investigated the mental health and quality of life of patients living at home in Japan after intensive care unit (ICU) discharge. Additionally, we examined whether unplanned admission to the ICU was associated with more severe post-traumatic stress disorder (PTSD), anxiety, and depressive symptoms. An ambidirectional cohort study was conducted at 12 ICUs in Japan. Patients who stayed in the ICU for > 3 nights and were living at home for 1 year afterward were included. One year after ICU discharge, we retrospectively screened patients and performed a mail survey on a monthly basis, including the Impact of Event Scale—Revised (IER-S), the Hospital Anxiety Depression Scale (HADS), and the EuroQOL—5 Dimension (EQ-5D-L) questionnaires. Patients’ characteristics, delirium and coma status, drugs used, and ICU and hospital length of stay were assessed from medical records. Descriptive statistics and multilevel linear regression modeling were used to examine our hypothesis. Among 7,030 discharged patients, 854 patients were surveyed by mail. Of these, 778 patients responded (response rate = 91.1%). The data from 754 patients were analyzed. The median IES-R score was 3 (interquartile range [IQR] = 1‒9), and the prevalence of suspected PTSD was 6.0%. The median HADS anxiety score was 4.00 (IQR = 1.17‒6.00), and the prevalence of anxiety was 16.6%. The median HADS depression score was 5 (IQR = 2‒8), and the prevalence of depression was 28.1%. EQ-5D-L scores were lower in our participants than in the sex- and age-matched Japanese population. Unplanned admission was an independent risk factor for more severe PTSD, anxiety, and depressive symptoms. Approximately one-third of patients in the general ICU population experienced mental health issues one year after ICU discharge. Unplanned admission was an independent predictor for more severe PTSD symptoms.

scholarly journals Social media monitoring of mental health during disasters: A scoping review of methods and applications

2021 ◽  
Author(s):  
Samantha Teague ◽  
Adrian B. R. Shatte ◽  
Matthew Fuller-Tyszkiewicz ◽  
Delyse Hutchinson
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Scoping Review ◽  
Health Assessment ◽  
Statistical Modelling ◽  
Health Impact ◽  
Intervention Delivery ◽  
Social Media Monitoring ◽  
Media Monitoring ◽  
The Impact

BackgroundDifficulties in deploying mental health assessments during disasters have resulted in emerging research examining the use of social media as a population mental health monitoring tool. This review synthesises this literature, with particular focus on research methods and applications.MethodsThe field of social media monitoring of mental health during disasters was rapidly mapped using a scoping review methodology. Six interdisciplinary research databases were searched for relevant articles, with data extracted on the articles’ applications and data collection and analysis methods. Articles were then synthesised via narrative review.ResultsForty-seven papers were identified. Three application themes emerged, including: (i) estimating mental health burden; (ii) planning or evaluating interventions and policies, and (iii) knowledge discovery, where theories of human behaviour and mental health were evaluated. Applications across 30 mental health issues were identified, with mental health typically assessed using established linguistic dictionaries. Features extracted from social media data included linguistic, psycholinguistic, behavioural, and demographic features. Analytic techniques involved machine learning, statistical modelling, and qualitative analyses.ConclusionsThe application of social media monitoring has considerable potential for measuring the mental health impact on populations during disasters. As an emerging field, opportunities for further work were identified to improve mental health assessment methods, examine specific mental health conditions, and trial tools in real-world settings. Platforms integrated with such techniques may offer significant benefits for monitoring mental health in contexts where formal assessments are difficult to deploy, and may potentially be harnessed to monitor the impact of response efforts and intervention delivery.

The Importance of Assessing and Treating Mental Health in Transition-Aged Adolescents with Epilepsy: A 1-Year Follow-up

2020 ◽  
Vol 09 (04) ◽  
pp. 186-192
Author(s):  
Sarah A. Healy ◽  
Tadeu A. Fantaneanu ◽  
Sharon Whiting
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Health Assessment ◽  
Health Impact ◽  
Health Issues ◽  
Adult Care ◽  
Mental Health Issues ◽  
Transition Clinic ◽  
The Impact

AbstractMental health issues become especially problematic when adolescents with epilepsy are preparing to transition from pediatric to adult care. Consistent with guidelines, a transition clinic with ongoing mental health assessment was created, providing treatment to patients scoring in the moderate severity range or higher. In order to examine the effectiveness of our epilepsy transition clinic and the impact of mental health in transition-aged adolescents, baseline and one-year follow-up data were compared in 36 participants (M = 15.82 years, 24 males). Results showed that the majority of participants had improved or comparable mental health scores at follow-up. Furthermore, participants who met threshold for mental health treatment had significantly improved mental health (t = 3.19, p = 0.015), while those who did not showed worsened mental health (t =  − 2.50, p = 0.019). Looking specifically at mental health impact, those with worsened mental health showed significantly worsened quality of life (t = 3.35, p = 0.012). Furthermore, those without mental health issues showed improved transition skills (t =  − 3.86, p = 0.002), while those with mental health issues did not. Results suggest that the transition clinic is effective in helping transition-aged adolescents with their mental health. Additionally, findings suggest that addressing these mental health issues are essential to ensuring successful transitions and the best outcomes in these patients.

scholarly journals The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy

2021 ◽  
Vol 18 (24) ◽  
pp. 13374
Author(s):  
Antonio Lasalvia ◽  
Luca Bodini ◽  
Francesco Amaddeo ◽  
Stefano Porru ◽  
Angela Carta ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Outcomes ◽  
Health Care Workers ◽  
Maslach Burnout Inventory ◽  
Mental Health Outcomes ◽  
Care Workers ◽  
Post Traumatic ◽  
One Year ◽  
The Impact

This study aimed to evaluate the mental health outcomes of health care workers (HCWs) of the Verona academic hospital trust (Italy) one year after the outbreak of COVID-19 and to identify predicted risk factors. A web-based survey was conducted from mid-April to mid-May 2021 on hospital workers one year after the first evaluation performed during the lock-down phase of the COVID-19 pandemic. Post-traumatic stress, general anxiety, depression, and burnout were assessed by using, respectively, the impact of event scale (IES-R), the self-rating anxiety scale (SAS), the patient health questionnaire (PHQ-9) and the Maslach burnout inventory-general survey (MBI-GS). Multivariate logistic regression analysis was performed to identify factors associated with each of the four mental health outcomes one year after the COVID-19 outbreak. A total of 1033 HCWs participated. The percentage of HCWs scoring above the cut-off increased from 2020 to 2021 in all of the outcome domains (anxiety, 50.1% vs. 55.7, p < 0.05; depression, 26.6% vs. 40.6%, p < 0.001; burnout, 28.6% vs. 40.6%, p < 0.001; chi-square test), with the exception of post-traumatic distress. There was also an increase when stratifying by occupation and workplace, with a greater increase for depression and burnout. Multivariate analysis revealed that, one year after the COVID-19 outbreak, nurses were at the greatest risk of anxiety and depression, whereas residents were at the greatest risk of burnout (in terms of low professional efficacy). Working in intensive care units was associated with an increased risk of developing severe emotional exhaustion and a cynical attitude towards work.

The intervening role of mHealth apps in postpartum obesity and mental health (Preprint)

2019 ◽  
Author(s):  
Che Wan Jasimah Wan Mohamed Radzi ◽  
Hashem Salarzadeh Jenatabadi ◽  
Nadia Samsudin
Keyword(s):  
Mental Health ◽  
Structural Equation ◽  
Final Analysis ◽  
Factor Loading ◽  
Self Management ◽  
Equation Modeling ◽  
Postpartum Women ◽  
One Year ◽  
The Impact ◽  
Mhealth Apps

BACKGROUND The development of mHealth (mobile health) has changed people’s routines of improving self-management. Nonetheless, the effectiveness of the apps depends on the frequency of use. OBJECTIVE This paper introduces a new framework of fitness apps associated with obesity modeling by using structural equation modeling (SEM) and examining data of postpartum women through moderation analysis. Fitness mHealth apps are considered the moderator in the research framework. METHODS Online questionnaires were sent to Malaysian postpartum women within one year after pregnancy and 468 completed questionnaires were returned. The frequency of mHealth fitness app use was categorized into four groups: daily, weekly, rarely and never. Therefore, four models were considered for the final analysis. RESULTS According to the output, every model has a different structure in terms of significance and coefficients. The R-squared obtained for the “daily” model (0.82) is the highest, followed by the “weekly” (0.79), “rarely” (0.66) and “never use” (0.59) models. This infers that 82% of mental health variation is related to the demographics, lifestyle, healthy and unhealthy food intake and BMI of daily fitness app users. In addition, the impact of BMI on mental health in every model is significant with a negative coefficient, which implies that users with high BMI have less mental health issues. Meanwhile, the factor loading analysis indicates that the screen time (0.89) and physical activity (0.81) indicators are the two highest coefficients in the lifestyle variable. This result is subsequently equivalent to the daily and weekly fitness app users who choose to consume more healthy food and thus have a lower BMI. CONCLUSIONS This paper proves that Malaysian postpartum women who use fitness apps as part of their daily life are more disciplined and such applications have significant effects on obesity and mental health. However, for never or weekly users, the statistical analysis shows there is no proof of the effectiveness of self-management activities that affected on obesity and mental health. Therefore, the frequency of fitness app use acts as a moderator in postpartum obesity and mental health modeling.

Anxiety and Depression in Patients Receiving Implanted Cardioverter-Defibrillators: A Longitudinal Investigation

1997 ◽  
Vol 27 (1) ◽  
pp. 57-69 ◽  
Author(s):  
Mark T. Hegel ◽  
Lori E. Griegel ◽  
Carolyn Black ◽  
Lisa Goulden ◽  
Tomas Ozahowski
Keyword(s):  
Longitudinal Design ◽  
Survival Rates ◽  
Anxiety And Depression ◽  
Future Research ◽  
Preliminary Evaluation ◽  
Shock Onset ◽  
Affective States ◽  
Clinically Significant ◽  
One Year ◽  
The Impact

Objective: The implantable cardioverter-defibrillator (ICD) has dramatically improved survival rates following sudden cardiac death episodes. However, researchers have devoted little attention to the psychosocial consequences of living with the device. The current study used a longitudinal design to evaluate the impact of adaptation to the ICD on incidence and severity of anxiety and depression. Method: ICD recipients were administered standardized anxiety and depression questionnaires as well as questions evaluating quality of life related to the ICD in two consecutive yearly assessments. A preliminary evaluation of potentially important theoretical variables, such as the perceived predictability and controllability of shock onset was also conducted. Results: One-third of the study population ( N = 38) had clinically significant levels of anxiety, depressed mood, and fear of symptoms of autonomic arousal. These negative affective states persisted over time, with 40 to 63 percent of subjects continuing to have ongoing difficulties over a one-year time period. Anxiety about the ICD firing was closely associated with the occurrence of depression, while avoidance of activities was associated with anxiety. “Worry” about the ICD and a belief that ICD firing can be predicted were associated with anxiety sensitivity. Conclusions: Depressive and anxiety states in ICD recipients may be frequent, clinically significant, and resistant to spontaneous resolution. Early signs of anxiety and depression in ICD recipients should be evaluated. Implications for future research are discussed.

Does training change practice? A survey of clinicians and managers one year after training in trauma-informed care

2017 ◽  
Vol 12 (3) ◽  
pp. 188-198 ◽  
Author(s):  
Theresa Maureen Williams ◽  
Geoffrey Paul Smith
Keyword(s):  
Mental Health ◽  
Behaviour Change ◽  
System Level ◽  
Content Type ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
One Year ◽  
The Individual ◽  
The Impact ◽  
Drug And Alcohol

Purpose The purpose of this paper is to describe the impact of a trauma-informed care (TIC) training programme on practice at the individual and workplace level in mental health and drug and alcohol services and to examine the implications of using training alone as a strategy for achieving system-level practice change. Design/methodology/approach A total of 271 clinicians and managers from public mental health and drug and alcohol services in Western Australia who had undertaken TIC training were invited to complete an on-line survey 12 months after training. Individual survey items were based on a five-point Likert scale with opportunity being provided for additional comments from respondents. Findings One year post-training, both clinicians and managers reported that training had increased their awareness and knowledge and had a positive impact on their attitudes towards TIC. Clinicians reported a moderate impact on their individual practice and both groups reported very limited success in bringing about change in their workplaces. Workforce development and organisational factors were identified by both clinicians and managers as being barriers to implementation. Research limitations/implications Only 30 per cent of the training participants responded to the survey and it is not possible to determine whether they differed from non-respondents. Findings were based on a self-report survey with no objective measure of behaviour change. Originality/value This “naturalistic” study examines the longer-term impact of training, from the perspective of clinicians and managers, on changing practice at the individual clinician and workplace level. It highlights the critical importance of understanding and addressing contextual factors where collective, coordinated behaviour change is needed in order to effect organisational change.

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