scholarly journals Migrant children in transit: health profile and social needs of unaccompanied and accompanied children visiting the MSF clinic in Belgrade, Serbia

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tijana Topalovic ◽  
Maria Episkopou ◽  
Erin Schillberg ◽  
Jelena Brcanski ◽  
Milica Jocic
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Social Services ◽  
Social Needs ◽  
Migrant Children ◽  
Health Profile ◽  
Physical And Mental Health ◽  
Daily Stressors ◽  
Skin Conditions ◽  
In Transit

Abstract Background Thousands of children migrate to Europe each year in search of safety and the promise of a better life. Many of them transited through Serbia in 2018. Children journey alone or along with their family members or caregivers. Accompanied migrant children (AMC) and particularly unaccompanied migrant children (UMC) have specific needs and experience difficulties in accessing services. Uncertainty about the journey and daily stressors affect their physical and mental health, making them one of the most vulnerable migrant sub-populations. The aim of the study is to describe the demographic, health profile of UMC and AMC and the social services they accessed to better understand the health and social needs of this vulnerable population. Methods We conducted a retrospective, descriptive study using routinely collected program data of UMC and AMC receiving medical, mental and social care at the Médecins sans Frontières clinic, in Belgrade, Serbia from January 2018 through January 2019. Results There were 3869 children who received medical care (1718 UMC, 2151 AMC). UMC were slightly older, mostly males (99%) from Afghanistan (82%). Skin conditions were the most prevalent among UMC (62%) and AMC (51%). Among the 66 mental health consultations (45 UMC, 21 AMC), most patients were from Afghanistan, with 98% of UMC and 67% of AMC being male. UMC as well as AMC were most likely to present with symptoms of anxiety (22 and 24%). There were 24 UMC (96% males and 88% from Afghanistan) that received social services. They had complex and differing case types. 83% of UMC required assistance with accommodation and 75% with accessing essential needs, food and non-food items. Several required administrative assistance (12.5%) and nearly a third (29%) legal assistance. 38% of beneficiaries needed medical care. Most frequently provided service was referral to a state Centre for social welfare. Conclusion Our study shows that unaccompanied and accompanied migrant children have a lot of physical, mental health and social needs. These needs are complex and meeting them in the context of migration is difficult. Services need to better adapt by improving access, flexibility, increasing accommodation capacity and training a qualified workforce.

scholarly journals DAILY MINDFULNESS AS A MEDIATOR OF DAILY STRESSORS AND PHYSICAL AND MENTAL HEALTH IN OLDER ADULTS

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 878-879
Author(s):  
S.D. Neupert ◽  
J.A. Bellingtier ◽  
E.J. Lefebvre ◽  
L. Zhang
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Physical And Mental Health ◽  
Daily Stressors

scholarly journals The health care system: an overview

2020 ◽  
pp. 25-33
Author(s):  
O.I. Kyselova ◽  
K.O. Nadtochiy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Social Institutions ◽  
Well Being ◽  
The State ◽  
Main Element ◽  
Physical And Mental Health ◽  
Care System

Health care is the most important social sphere of society, on the state of which depends not only the health of the population, but also the political stability of the state. The health of the population is the basis of its well-being, the development of society in its social and economic expression. Recently, the health problems of the population have been repeatedly considered in connection with strengthening the security of the country, the development of urgent measures to maintain the health of less vulnerable groups in difficult conditions of socio-economic transformation. Healthcare is an integral part of international development. An effective health care system can make a significant contribution to the country's economy, its development and industrialization. Health care is an important factor that determines the general physical and mental health, well-being of people not only in one country but also around the world. Health care as the leading branch of activity of the country, the purpose is the organization and maintenance of accessible medical care of the population. It is the main element of national security. Is a set of measures of economic, political, social, legal, scientific, medical, sanitary, anti-epidemic and cultural nature, aimed at preserving and strengthening the physical and mental health of each person, maintaining a healthy life and, in this case, deteriorating health I, then - the provision of medical care. Special social institutions are created for this purpose. This article analyzes the relevance of health care and examines that these issues are major and health care is a leading sector of Ukraine, which aims to organize and provide affordable health care.

The mental and physical health of clients referred to social workers in a local authority department and a general practice attachment scheme

1984 ◽  
Vol 14 (1) ◽  
pp. 137-144 ◽  
Author(s):  
Roslyn H. Corney
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Social Workers ◽  
Social Services ◽  
Local Authority ◽  
Medical Personnel ◽  
Physical And Mental Health ◽  
Health And Social Services ◽  
Mental And Physical Health ◽  
Very High

SynopsisAlthough numerous reports have strongly argued that there is a need for a closer collaboration between the health and social services, studies investigating the health of clients in contact with the personal social services have been few and limited. This study collected information regarding the physical and mental health of clients referred to social workers in a local authority intake team and to a general practice attachment scheme by means of questionnaires completed by the client and at interview. The results indicated that the proportions of patients with physical or mental illness were very high. However, while social workers in the attachment scheme had many contacts with members of the primary care team regarding these clients, contacts between intake social workers and medical personnel were very limited.

scholarly journals Care Navigators and Peers for Mental Health: What is the State of Practice?

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
KIM GRISWOLD
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Premature Mortality ◽  
Mental Illnesses ◽  
Physical And Mental Health ◽  
Mental Health Consumer ◽  
Science And Art ◽  
Health Consumer ◽  
Physical Health Problems ◽  
Serious Mental Illnesses

Many people with serious mental illnesses continue to experience premature mortality and complex physical health problems.  Navigation and guided care methods have been expanded to reach many different populations – all of whom face varying barriers to health care and social services.  A navigator guides consumer/patients around health system obstacles with ultimate goals of achieving access to care. Navigator and peer programs have had the most positive effect in helping mental health consumer/patients link to primary care.  The voices of consumer/patients, peers, and other navigators are integral to the science and art of navigation for mental health.  Effective navigation models, trained navigator and peer professionals have enormous potential to help consumer/patients achieve optimal physical and mental health outcomes.

scholarly journals Dual Caregivers of Relatives with Dementia in Rural Virginia: The Added Stress of COVID-19

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 943-943
Author(s):  
Emily Hoyt ◽  
Jyoti Savla ◽  
Karen Roberto ◽  
Aubrey L Knight ◽  
Rosemary Blieszner ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Life ◽  
Physical And Mental Health ◽  
Daily Stressors ◽  
Community Based ◽  
Dementia Caregivers ◽  
Telephone Interviews ◽  
And Behavior ◽  
Behavior Models ◽  
Community Based Services

Abstract Family caregivers often find themselves “sandwiched” between caring for an older relative with dementia (PWD) and another person. Serving in a dual caregiving role presents unique challenges and has consequences for caregivers’ physical and mental health. Seven daily diary interviews with 46 dual dementia caregivers assessed their daily stressors and informal and formal supports. Results showed that dementia caregivers who also cared for another older relative reported poorer physical health and used more community-based services to care for the PwD. Conversely, dementia caregivers who also cared for younger relatives reported greater secondary stressors, lower family support, and use of fewer community-based services to care for the PwD. Since the COVID-19 pandemic began, two telephone interviews were conducted with 15 dual dementia caregivers. Caregivers were asked in-depth questions about how the pandemic had impacted their caregiving responsibilities, mental health, and use of community-based services. Guided by stress process and behavior models, a thematic analysis of dual caregivers’ interviews revealed that caregivers had less time for themselves, engaged in self-care activities less often, and felt their social life had suffered. Many of the caregivers reported feeling exhausted, stressed, and had more things to do than they could handle. Of the eight caregivers that used services before COVID-19, six experienced a change in services including loss of services, different workers, or self-selected cancellation of services. Discussion focuses on challenges dual dementia caregivers face and the added stressors they experienced during the COVID-19 pandemic.

scholarly journals Whole Person Care in Underresourced Communities: Stakeholder Priorities at Long-Term Follow-Up in Community Partners in Care

2018 ◽  
Vol 28 (Supp) ◽  
pp. 371-380 ◽  
Author(s):  
Dmitry Khodyakov ◽  
Mienah Zulfacar Sharif ◽  
Felica Jones ◽  
S. Megan Heller ◽  
Esmeralda Pulido ◽  
...  
Keyword(s):  
Mental Health ◽  
Needs Assessment ◽  
Service Providers ◽  
Cluster Randomized Trial ◽  
Social Needs ◽  
Coalition Building ◽  
Physical And Mental Health ◽  
Community Partners ◽  
Whole Person ◽  
Improvement Programs

Objective: Depressed individuals may require help from different agencies to ad­dress health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, ex­plore whether service providers understand client priorities, and describe how providers address them.Methods: Between October 2014 and February 2015, we interviewed 104 clients stratified by depression history and 50 representatives of different programs in health and social community agencies who participated in Community Partners in Care, a cluster-randomized trial of coalition-building approaches to delivering depres­sion quality improvement programs. Clients were queried about their most pressing needs; program representatives identified their clients’ needs and explained how they addressed them.Results: Physical and mental health were clients’ top priorities, followed by housing, caring for and building relationships with others, and employment. While persistently depressed clients prioritized mental health, those with improved depression prioritized relationships with others. Program repre­sentatives identified housing, employment, mental health, and improving relationships with others as clients’ top priorities. Needs assessment, client-centered services, and linkages to other agencies were main strate­gies used to address client needs.Conclusion: Depressed clients have mul­tiple health and social needs, and program representatives in under-resourced commu­nities understand the complexity of clients’ needs. Agencies rely on needs assessment and referrals to meet their clients’ needs, which enhances the importance of agency partnership in “whole person” initiatives. Our results illustrate agency capacity to adopt integrated care models that will ad­dress clients’ multiple needs through multi-sector collaboration and describe potential strategies to help reach the goal of whole person care.Ethn Dis. 2018;(Suppl 2): 371- 380; doi:10.18865/ed.28.S2.371.

scholarly journals “Beyond Safer Injecting”—Health and Social Needs and Acceptance of Support among Clients of a Supervised Injecting Facility

2019 ◽  
Vol 16 (11) ◽  
pp. 2032 ◽  
Author(s):  
Vendula Belackova ◽  
Edmund Silins ◽  
Allison M. Salmon ◽  
Marianne Jauncey ◽  
Carolyn A. Day
Keyword(s):  
Mental Health ◽  
Drug Use ◽  
Social Issues ◽  
Social Indicators ◽  
Social Situation ◽  
Social Needs ◽  
Willingness To Accept ◽  
Physical And Mental Health ◽  
Housing Status ◽  
Aging Populations

Health and social issues in aging populations of people who inject drugs (PWID) tend to aggregate, despite risky injecting practices decreasing with age. Identifying needs and avenues of support is becoming increasingly important. We described the health and social situation among clients of a long-running supervised injecting facility (SIF) in Sydney, Australia. An interviewer-administered survey (n = 182) assessed current housing status, employment, physical and mental health, incarceration history, drug use, engagement in drug treatment, health service utilization, and willingness to accept support. Results were compared to the information provided at initial visit. Up to half of the participants transitioned between lower- and higher-risk health and social indicators over time. Willingness to accept support was greatest amongst those with higher self-perceived need. Support for mental health was a low priority, despite the high self-reporting of mental health issues. SIF clients are open to support for health and social issues, despite ongoing active drug use. Lower-threshold services such as SIFs are well-positioned to recognize and respond to deteriorating health and social issues for PWID. Facilitating care and treatment remains a challenge when the services to which people are being referred are higher-threshold with a more rigid approach.

scholarly journals The impact of the COVID-19 pandemic on the medical care and healthcare-behaviour of patients with lupus and other systemic autoimmune diseases: a mixed methods longitudinal study

2020 ◽  
Author(s):  
Melanie Sloan ◽  
Caroline Gordon ◽  
Rupert Harwood ◽  
Elliott Lever ◽  
Chris Wincup ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Medical Care ◽  
Routine Care ◽  
Adverse Outcomes ◽  
Mental Wellbeing ◽  
Physical And Mental Health ◽  
Multiple Measures ◽  
Medical Security ◽  
The Impact

Abstract Objective To explore the self-reported impact of the COVID-19 pandemic on changes to care and behaviour in UK patients with systemic autoimmune rheumatic diseases, to help ensure that patient experiences are considered in future pandemic planning. Methods This was a longitudinal mixed methods study, with a cohort completing baseline surveys in March 2020 and follow-up surveys in June 2020 (N = 111), combined with thematic analysis of the LUPUS UK forum and participant interviews (N = 28). Results Cancellations of routine care and difficulties accessing medical support contributed to some participants deteriorating physically, including reports of hospitalisations. The majority of participants reported that fear of COVID-19 and disruptions to their medical care had also adversely impacted their mental health. Feeling medically supported during the pandemic correlated with multiple measures of mental health and perceptions of care, including the Warwick-Edinburgh Mental Wellbeing Score (r = 0.44, p = 0.01). Five themes were identified: 1. Detrimental reduction in care; 2. Disparities in contact and communication, (medical security vs abandonment sub-theme); 3. Perceived and actual endangerment; 4. The ‘perfect storm’ of reduced clinician ability to help, and increased patient reticence to seek help; and 5. Identifying the patients most vulnerable to reduced medical care. Conclusion The diversion of resources away from chronic disease care was perceived by many participants to have caused adverse outcomes. Fear about increased vulnerability to COVID-19 was high, contributing to healthcare-avoidant behaviours. This study also highlights the influence of clinician accessibility and patients feeling medically supported on multiple measures of physical and mental health.

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