Getting to the Heart of the Matter: Nursing Assessment and Intervention with Battered Women in Psychiatric Mental Health Settings

1995 ◽  
Vol 1 (2) ◽  
pp. 48-54
Author(s):  
Nancy Fishwick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Battered Women ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Abusive Relationships ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Nursing Assessment ◽  
Mental Health Settings

The consequences of abusive relationships are reflected in the physical and psychologic distress for which women seek assistance from health care providers. Although the physical and mental health problems from the abuse are addressed and treated, the heart of the matter— the abuse at home— goes unattended Women often leave the health care setting as isolated and uninformed about options as when they came in. Mental health settings offer important opportunities for psychiatric nurses to identify and intervene with women in abusive relationships. Whether encounters are relatively brief or occur over an extended period of time, important interactions can take place. The nurse's response to women in abusive relationships is one component of a unified community-wide response that is needed to prevent violence and abuse in the home. (J Am Psychiatr Nurses Assoc [1995]. 1, 48–54)

scholarly journals Impact of mental health and addiction NIMHANS ECHO on primary care physicians: study from a rural state of India

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S157-S157
Author(s):  
Shabinabegam A M Sheth ◽  
Bhavya Bairy ◽  
Aurobind Ganesh ◽  
Sumi Jain ◽  
Prabhat Chand ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Health Problems ◽  
Care Providers ◽  
Primary Health ◽  
Secondary Outcomes

AimsAs per National Mental Health Survey-2015-16, 83 out of 100 people having mental health problems do not have access to care in India. Further, primary health care providers (PCPs) have not been adequately trained in the screening, diagnosis, and initial management of common mental health conditions. There is thus a need to train health care providers at the State level to incorporate mental health into primary health care. In this paper, we report the findings of a collaborative project between the National Institute of Mental Health and Neuro Sciences (NIMHANS) Bangalore India, and the state of Chhattisgarh incorporating mental health into primary care and addressing urban-rural disparities through tele-mentoring.MethodWe assessed the impact of the NIMHANS Extended Community Health Care Outcome (ECHO), an online, blended training program on participants' knowledge and competence (primary outcome) and commitment, satisfaction, and performance (Secondary outcomes) using Moore's evaluation framework. Primary and secondary outcomes were determined through a pre-post evaluation, assessment of trainee participation in the quarterly tele ECHO clinic as well as periodic assignments, respectively.ResultOver ten months of the NIMHANS ECHO program, there was a significant improvement in the participants' knowledge post-ECHO (p < 0.05, t = −3.52). Self-efficacy in diagnosis and management of mental health problems approached significance; p < 0.001. Increased engagement in tele-ECHO sessions was associated with better performance for declarative and procedural knowledge. The attrition rate was low (5 out of 30 dropped out), and satisfaction ratings of the course were high across all fields. The participants reported a 10- fold increase in the number of patients with mental health problems they had seen, following the training. A statistically significant increase in the number of psychotropic drugs prescribed post ECHO with t = −3.295, p = 0.01.ConclusionThe outcomes indicate that the NIMHANS ECHO with high participant commitment is a model with capacity building potential in mental health and addiction for remote and rural areas by leveraging technology. This model has the potential to be expanded to other states in the country in providing mental health care to persons in need of care.

scholarly journals Flourishing Despite Migraines: A Nationally Representative Portrait of Resilience and Mental Health among Canadians

2021 ◽  
Author(s):  
Esme Fuller-Thomson
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Secondary Analysis ◽  
Well Being ◽  
Care Providers ◽  
Physical And Mental Health ◽  
History Of ◽  
Nationally Representative ◽  
The Relationship

Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.

Contested meanings of mental health and well-being among university students

2017 ◽  
Vol 48 (4) ◽  
pp. 453-464 ◽  
Author(s):  
Vinitha Jithoo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
University Students ◽  
Emerging Adults ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Care Providers ◽  
Health And Well Being

Emerging adults are an important group not only because their opinions and knowledge will determine future attitudes but also because of the emergence of mental health problems during young adulthood. In order to provide relevant support, academics, health care providers as well as policy makers need to be more cognisant of how emerging adults make meaning of their psycho-social developmental context. The objective of the study was to explore how a cohort of 150 university students made meaning of emotional well-being and mental illness, the causes of mental health problems, the negative connotations associated with mental ill health, help-seeking behaviours, and how culture was used as a lens through which mental well-being was understood. The main findings indicate that students struggle to fully understand these concepts mainly because it is shrouded in mystery and complexity and not engaged with freely because of stigma and stereotypical attitudes, and while culture provides a lens to understand the causes and interventions, emerging adults often adopt a level of scepticism and are beginning to vacillate between tradition and modernity. Emerging adults face many barriers to accessing health care services including limited knowledge and stigma related to services, lack of confidentiality, fear of mistreatment, location of facilities, and the high cost of services. Universities and government should actively engage with research evidence to inform policies and programmes to improve the health and well-being of emerging adults.

scholarly journals The adequacy of health system measures in reducing vulnerability to COVID 19 among the health care providers working in primary health care in Rajasthan, India A Cross sectional Study

2020 ◽  
Author(s):  
Arup Kumar Das ◽  
Ambey Kumar Srivastava ◽  
Saswata Ghosh ◽  
Ruchi Bhargava ◽  
Rajan Kumar Gupt ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
System Level ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Safety Measures ◽  
Primary Level ◽  
Facility Level

Background This paper examines the role of individual, facility and system level preparedness in reducing the physiological and psychological vulnerability among primary-level health care providers (HCPs) of COVID19 pandemic in Rajasthan, India. Method and Material Online and telephonic interviews are conducted among 274 HCPs working in 24 PHCs (17 rural and 7 urban), across 13 districts of Rajasthan. Five dimensions of vulnerability covering awareness, exposure to infection (daily contact; contact with high risk individuals), physical and mental health conditions, while three aspects of preparedness at individual (personal care) and facility (provider safety; management and supervision) level are measured by employing factor analysis. Generalized ordered logit regression model is used to measure the effect of preparedness on COVID19 related vulnerability. Result: Among the 274 HCPs, majority of the staff are from rural PHCs (76 %), less than 35 years (87%), female (57%) and married (57 %). Almost half have high level exposure to COVID19, with mean contact rate is 90. Overall, 26% have comprehensive knowledge on COVID19, and 32% have any mental health issues. Although more than 70% of HCPs have reported more than one individual level preparedness, mental health measures adopted by the HCPs are comparably low. The facility level preparedness for enhancing safety are high such as social distance (79%) and maintaining record of each visitor (75%). However, management related measures adopted by the PHCs are perceived to be lower than the safety measures. The regression analyses suggest that safety related preparedness is significantly associated with reduction of vulnerability by 50%. The management-level preparedness has statistically no significant effect in explaining the variations in level of vulnerability. Conclusion: The facility-level safety measures, which lowers chances of acquiring infection has a positive effect on reducing vulnerability of COVID19. However, the HCPs do not have adequate preparedness at individual, facility management (PHC) and system level to reduce COVID19 vulnerability. Findings suggest that there is a need for a non-conventional approach of monitoring and supervision, in the absence of such measures there is a chance of moral injury that will make the HCPs at the primary level vulnerable to both physiologically and psychologically.

Mental Health Practices of Ontario Family Physicians: A Study Using Qualitative Methodology

1997 ◽  
Vol 42 (9) ◽  
pp. 943-949 ◽  
Author(s):  
MA Craven ◽  
M Cohen ◽  
D Campbell ◽  
J Williams ◽  
Nick Kates
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Family Physicians ◽  
Health Problems ◽  
Care Providers ◽  
Mental Health Care Providers

Objective: To obtain descriptions of how family physicians detect and manage mental health problems commonly encountered in their practices and how they function in their role as mental health care providers. Also, to elicit their perceptions of barriers to the delivery of optimal mental health care. Method: Focus groups with standardized questions were used to elicit descriptive data, opinions, attitudes, and terminology. Convenience samples of 10 to 12 physicians were chosen in each of Ontario's 7 health care planning regions, with a mixture of rural, urban, and university settings. Discussions were audiotaped, transcribed, analyzed, and recurring themes were extracted. Results: Family physicians' descriptions of the range of problems commonly encountered and their detection and management highlight the unique nature of mental health care in the primary care setting. The realities of family medicine, the undifferentiated nature of presenting problems, the long-term physician–patient relationship, and the frequent overlap of physical and mental health problems dictate an approach to diagnosis and treatment that differs from mental health care delivery in other settings. Difficulties in the relationship with local psychiatric services—accessing psychiatric care (especially for emergencies), poor communication with mental health care providers, and cumbersome intake procedures of many mental health services—were consistently identified as barriers to the delivery of optimal mental health care. Conclusions: This study confirms the importance of the family physician in the detection and management of mental health problems. It offers insights into how family physicians function in their role as mental health care providers and how they deal with diagnostic and management challenges that are specific to primary care. It also identifies barriers to the optimal delivery of mental health care in the primary care setting, including difficulties at the clinical interface between psychiatry and family medicine. Further studies are needed to explore these issues in greater depth.

scholarly journals A Discussion on Different Approaches for Prescribing Physical Interventions – Four Roads Lead to Rome, but Which One Should We Choose?

2020 ◽  
Vol 10 (3) ◽  
pp. 55 ◽  
Author(s):  
Fabian Herold ◽  
Alexander Törpel ◽  
Dennis Hamacher ◽  
Henning Budde ◽  
Thomas Gronwald
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Exercise ◽  
Health Care Providers ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Crucial Point ◽  
Positive Effects ◽  
Advantages And Disadvantages ◽  
Regular Physical Exercise

It is well recognized that regular physical exercise has positive effects on physical and mental health. To use the beneficial health effects of physical exercise, there are worldwide movements encouraging health care providers to include physical exercise in their care and treatments strategies. However, a crucial point in administering the “exercise polypill” is the dosing and, in turn, the prescription of the physical intervention (PI). In this perspective article, we discuss the advantages and disadvantages of different approaches to prescribe PI. In this context, we also highlight outstanding questions and potential areas of opportunity for further investigations.

scholarly journals Intimate Partner Violence Among Men With Disabilities: The Role of Health Care Providers

2015 ◽  
Vol 11 (5) ◽  
pp. 1436-1443 ◽  
Author(s):  
Michelle S. Ballan ◽  
Molly Burke Freyer ◽  
Lauren Powledge
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Abuse ◽  
Health Care Providers ◽  
Interpersonal Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Previous Contact

Men with disabilities experience higher rates of interpersonal violence (IPV) than either women or men without disabilities, yet research exploring this problem is limited. This retrospective descriptive study examines the clinical files of male survivors of IPV with disabilities who received services from the Secret Garden, a disability-specific nonresidential IPV program located in New York City. These data inform the role health care providers may fill in helping address IPV against men with disabilities. Abuse history, medical and mental health service utilization, and the channels through which men accessed IPV assistance were areas of focus for analysis. Data were analyzed descriptively and outcomes reported as frequencies and percentages. Results indicate that more than half of study participants were abused by an intimate partner (66.2%) and nearly two-thirds described an act of physical abuse as the most serious type of abuse perpetrated (71.7%). Nearly half (40.8%) had previous contact with medical providers due to abuse. The high prevalence of physical abuse in this sample has critical physical and mental health implications, and could further exacerbate already precarious health statuses. While nearly half reported previous contact with health care providers due to abuse, only 15.8% were referred for IPV assistance by a health care provider, indicating a missed opportunity to identify signs of abuse and direct survivors to additional resources.

scholarly journals Prevalence of depression and its associated factors among the doctors working in a private medical college, Trichy- a cross sectional study

2020 ◽  
Vol 7 (11) ◽  
pp. 4410
Author(s):  
Sathasivam Ponnan ◽  
N. Mareeswaran ◽  
Thalha . ◽  
T. Tamizhan
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Teaching ◽  
Study Participants

Background: Stress is one among the leading health problem throughout the world. Stress due to family problems and work related are often encountered. Among the various professionals, health care providers are found to be more depressed than others. This study was conducted with an objective to study the socio demographic characters of the study participants, to study the depression status of the study participants and to study the association between various factors and depression.Methods: This descriptive cross sectional study done among the doctors working in a tertiary teaching hospital. A total of 150 participants were included in this study. Simple random sampling method was used to identify the study participants.Results: Around 76% of the participants belongs to the age group of 20-30 years of age. 71.3% of the study population were junior residents. Nearly 64% were found to be depressed among which 8% were found to be on severely depressed. Statistical significant association was found between factors like designation and time spending with family with depression.Conclusions: Since stress and burnout became the leading mental health problems, and health care providers posing as a vulnerable group by virtue of their profession. Hence behavioral therapy sessions and stress management programs are to be conducted frequently to screen as well to relieve from the mental health issues. 

scholarly journals The Implementation of Antenatal Care with Telehealth Towards Pregnant Women’s Mental Health

2021 ◽  
Vol 10 (2) ◽  
pp. 103-118
Author(s):  
Angelia Friksa Tendean ◽  
Arlina Dewi ◽  
Anggit Wirasto
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Cochrane Review ◽  
Care Providers ◽  
Women’S Mental Health ◽  
Women's Mental Health

Mental health problems among pregnant women must be prevented or managed to prevent more various possible complications that can occur to both mother and fetus, which can be carried out together with Antenatal Care (ANC). Telehealth is a technology-based approach to improving maternal health care. This study aims to discuss the implementation of ANC with telehealth towards pregnant women’s mental health. This study is a literature review conducted by searching databases of PubMed, Proquest, Cochrane Review, and EBSCOhost databases from 2000-2020. The result showed the mode of telehealth had been used varies in nine articles have reviewed, with the most participants were using handphones 56% and computers 11%, and both combination 22%, while application-based 45%, websites 22%, software 11%, internet 11%, and SMS 11%. Implementing telehealth with ANC made it possible to effectively detect early mental health and manage the problem. The result has also shown that telehealth has achieved a good satisfaction level. The common factors that influence telehealth's efficacy include income, education, the age of pregnant women, and gestational age. It can be concluded that telehealth with ANC can effectively improve mental health among pregnant women and be recommended for use by health care providers in pandemic COVID-19.

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