Hmong women, marital factors and mental health status

2011 ◽  
Vol 13 (2) ◽  
pp. 164-183 ◽  
Author(s):  
Pa Der Vang ◽  
Matthew Bogenschutz

• Summary: An online survey was completed by Hmong women in the United States ( n = 186). The survey was distributed via listserves and websites frequently used by Hmong women, and solicited information about marital factors, presence and intensity of depressive symptoms, and socio-demographic circumstances. • Findings: The findings of this article indicate a significant relationship between marital abuse and depression among women married as teenagers when compared to non-abused women who married in adulthood. Excessive worry and feeling like everything takes great effort were the two most frequently reported indicators of depression reported by Hmong women in this sample. Additional marital and socio-demographic factors are explored in their relationship with depressive presentation. • Applications: These findings suggest that mental health practitioners working with Hmong women may need to be particularly attuned to issues of marital stressors related to traditional marriage practices and cultural stressors.

2018 ◽  
Vol 59 (3) ◽  
pp. 376-384
Author(s):  
Rachel Cooper

Many mental health practitioners find it necessary to use the Diagnostic and Statistical Manual of Mental Disorders ( DSM) for insurance purposes but are unhappy with its basic assumptions. This raises the question—Would it be possible to devise a new classification system that (1) could be used for insurance purposes and (2) would be based on alternative principles? In the main, this commentary is pessimistic. Through considering the history of attempts to devise alternatives to the DSM, I will argue that it would be extremely difficult to develop an alternative to the DSM that could be used to fund psychotherapy via health care insurance in the United States.


Author(s):  
Calvin T. Schaffer ◽  
Preeti Nakrani ◽  
Paul A. Pirraglia

Objective: Mental illness continues to rise in the United States, burdening a healthcare system set to dive further into a shortage of mental health practitioners. The effects of this are already being felt in many rural areas, which are all too frequently understaffed to address the mental health concerns of their populations. To further compound this growing crisis, COVID-19 has led to a reduction in access to in-person care. Furthermore, COVID-19 has led to reduced access to in-person care. As a result, Telehealth has become more essential. Knowledge of the strategies and barriers to implement a successful Telehealth program is necessary to deliver a sustainable, accessible, and quality care. Design: In this review, we analyze published research on the efficacy of Telehealth for mental health, discuss how these services have been implemented, and explore how to address barriers to quality care delivery via Telehealth. Results: Telehealth, when the appropriate resources and supports are considered, is effective in a wide range of patient populations and care locations. Multiple modalities, including via video, apps, and telephone were shown to be efficacious. Interventions have been shown to increase the accessibility to care without compromising quality of care. Conclusions: Telehealth constitutes a well-researched, efficacious tool to address the issues in access to care. Telemental health programs should address the barriers to implementation, including training, access to technology, reimbursement and regulations, and adequate program oversight. Telehealth interventions should be strongly considered in areas facing shortages of mental health practitioners and long wait times for patients with mental health disorders, to reduce the burden of mental illness on healthcare.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1485
Author(s):  
Tina Janes ◽  
Tania Signal ◽  
Barbra Zupan

(1) Background: This study aimed to determine the level of knowledge and the perceptions of speech pathology held by a sample of regional mental health practitioners and to explore factors that facilitate understanding of the roles of speech pathologists in mental health. While mental health is recognised as an area of practice by Speech Pathology Australia, the inclusion of speech pathologists in mental health teams is limited. (2) Methods: An anonymous online survey was created using previously validated surveys and author generated questions and distributed to mental health practitioners in Central Queensland, Australia. (3) Results: Mental health practitioners had difficulty identifying speech pathology involvement when presented with case scenarios. Accuracy was poor for language-based cases, ranging from 28.81% to 37.29%. Participants who reported having worked with a speech pathologist were more likely to demonstrate higher scores on the areas of practice questions, [r(53) = 0.301, p = 0.028], and the language scenarios [r(58) = 0.506, p < 0.001]. They were also more likely to agree to statements regarding the connection between speech pathology and mental health, r(59) = 0.527, p < 0.001. (4) Conclusions: As found in this study, contact with speech pathologists is a strong predictor of mental health providers’ knowledge of the speech pathology profession. Thus, the challenge may be to increase this contact with mental health providers to promote inclusion of speech pathologists in the mental health domain.


2021 ◽  
Vol 7 ◽  
pp. 237796082110242
Author(s):  
Anna E. Schierberl Scherr ◽  
Brian J. Ayotte ◽  
Marni B. Kellogg

Introduction Staff and equipment shortages and an easily transmissible virus make working in the COVID-19 pandemic demanding physically and psychologically. Nurses on the frontlines are particularly vulnerable to the adversity of working under these conditions, particularly with regard to mental health. Thus, understanding risk and protective factors for this vulnerable and essential group is critical for identifying potential targets of interventions. We had two aims for the current study: (a) to examine work functioning and symptoms of depression, anxiety, and posttraumatic stress (PTSD) among nurses who did and did not care for patients with COVID-19; and (b) to determine if resilience and social support moderate these relationships. Methods For three weeks in July 2020, nurses across the United States were invited to participate in an online survey collecting data on demographics, resilience, social support, and screening measures of depression, PTSD, anxiety, and distracted practice. Data were analyzed using descriptive statistics and hierarchical regression for each outcome measure. Conclusions Our findings support a growing body of research reporting that nurses are experiencing mental health sequelae during the COVID-19 pandemic, especially those providing direct care to patients with the virus. We found that compared to nurses who did not care for patients with COVID-19, those who did reported increased symptoms of PTSD, depression, and anxiety. A novel contribution is our finding that nurses providing direct COVID-19 care also experienced increased levels of distracted practice, a behavioral measure of distraction linking to a potential impact on patient care. We also found that resilience and social support acted as moderators of some of these relationships. Fostering resilience and social support may help buffer the effects of providing care to patients with COVID-19 and could potentially decrease nurse vulnerability to developing psychological symptoms and impairment on the job.


2010 ◽  
Vol 36 (2) ◽  
pp. 316-331 ◽  
Author(s):  
Howard Waitzkin ◽  
Christina Getrich ◽  
Shirley Heying ◽  
Laura Rodríguez ◽  
Anita Parmar ◽  
...  

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