scholarly journals Community forensic psychiatry and the forensic mental health liaison model

2012 ◽  
Vol 18 (6) ◽  
pp. 408-415 ◽  
Author(s):  
Muthusamy Natarajan ◽  
Jayanth Srinivas ◽  
Gill Briscoe ◽  
Steven Forsyth
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Forensic Psychiatry ◽  
Perceived Risk ◽  
Community Support ◽  
Forensic Mental Health ◽  
Political Issue ◽  
England And Wales

SummaryCare and follow-up of patients discharged from medium secure units in England and Wales is uncoordinated and inconsistent, although the perceived risk of violence by people with mental disorders is a primary political issue. This article outlines models of community support for these individuals, and describes a forensic mental health liaison service in operation in England.

scholarly journals Food insecurity and common mental disorders in perinatal women living in low socio-economic settings in Cape Town, South Africa during the COVID-19 pandemic: a cohort study

2021 ◽  
Author(s):  
Zulfa Abrahams ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Cape Town ◽  
Baseline Risk ◽  
Multivariable Logistic Regression Analysis ◽  
Perinatal Women

Abstract Background Common mental disorders (CMDs) such as depression and anxiety are highly prevalent during the perinatal period, and are associated with poverty, food insecurity and domestic violence. We used data collected from perinatal women at two time-points during the COVID-19 pandemic to test the hypotheses that (1) socio-economic adversities at baseline would be associated with higher CMD prevalence at follow-up and (2) worse mental health at baseline would be associated with higher food insecurity prevalence at follow-up. Methods Telephonic interviews were conducted with perinatal women attending healthcare facilities in Cape Town, South Africa. Multivariable logistic regression analysis was used to model the associations of baseline risk factors with the prevalence of household food insecurity and CMD at 3 months follow-up. Results At baseline 859 women were recruited, of whom 217 (25%) were pregnant, 106 (12%) had probable CMD, and 375 (44%) were severely food insecure. At follow-up (n=634), 22 (4%) were still pregnant, 44 (7%) had probable CMD, and 207 (33%) were severely food insecure. In the multivariable regression model, after controlling for confounders, the odds of being food insecure at follow-up were greater in women who were unemployed [OR=2.05 (1.46-2.87); p<0.001] or had probable CMD [OR=2.37 (1.35-4.18); p=0.003] at baseline; and the odds of probable CMD at follow-up were greater in women with psychological distress [OR=2.81 (1.47-5.39); p=0.002] and abuse [OR=2.47 (1.47-4.39); p=0.007] at baseline. Conclusions This study highlights the complex bidirectional relationship between mental health and socioeconomic adversity among perinatal women during the COVID-19 pandemic.

scholarly journals Sistem Informasi Manajemen Pos Pelayanan TerpaduKesehatan Jiwa di Desa Bongkot

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Athi Linda Yani ◽  
Mohamad Ali Murtadho
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Information System ◽  
Mental Disorders ◽  
Community Service ◽  
Management Information System ◽  
Management Information ◽  
Service Program ◽  
Efficiency And Effectiveness

Bongkot village has many people suffering from mental disorders. There are around fifty people suffering from mental disorders. Prediction of mental disorders at table three is usually done through interviews. Cadres need to fill out the form provided on the Towards Healthy Soul Card (KMSJ) at the interview. The form needs to be filled out based on the results of the interview to predict whether the interviewee has a mental illness or not. If the results of the interview are predicted to have a mental disorder, the cadre will recommend appropriate follow-up. This process is certainly prone to mistakes because it only depends on cadre knowledge. Predictions will certainly affect the recommendations given. in this community service program, the authors propose to apply Information Technology (IT) to reduce the risk of such errors. The system is named the Mental Health Posyandu Management Information System (SIM). The system is expected to be able to improve the efficiency and effectiveness of services at the posyandu, the output of this service produces an online-based application related to the service of mental health posyandu with the address www. poskeswa.com.

scholarly journals Preventing sickness absence among employees with common mental disorders or stress-related symptoms at work: a cluster randomised controlled trial of a problem-solving-based intervention conducted by the Occupational Health Services

2020 ◽  
Vol 77 (7) ◽  
pp. 454-461 ◽  
Author(s):  
Marijke Keus van de Poll ◽  
Lotta Nybergh ◽  
Caroline Lornudd ◽  
Jan Hagberg ◽  
Lennart Bodin ◽  
...  
Keyword(s):  
Mental Health ◽  
Problem Solving ◽  
Mental Disorders ◽  
Occupational Health ◽  
Sickness Absence ◽  
Primary Outcome ◽  
Common Mental Disorders ◽  
Significant Group ◽  
Secondary Outcomes

ObjectivesCommon mental disorders (CMDs) are among the main causes of sickness absence and can lead to suffering and high costs for individuals, employers and the society. The occupational health service (OHS) can offer work-directed interventions to support employers and employees. The aim of this study was to evaluate the effect on sickness absence and health of a work-directed intervention given by the OHS to employees with CMDs or stress-related symptoms.MethodsRandomisation was conducted at the OHS consultant level and each consultant was allocated into either giving a brief problem-solving intervention (PSI) or care as usual (CAU). The study group consisted of 100 employees with stress symptoms or CMDs. PSI was highly structured and used a participatory approach, involving both the employee and the employee’s manager. CAU was also work-directed but not based on the same theoretical concepts as PSI. Outcomes were assessed at baseline, at 6 and at 12 months. Primary outcome was registered sickness absence during the 1-year follow-up period. Among the secondary outcomes were self-registered sickness absence, return to work (RTW) and mental health.ResultsA statistical interaction for group × time was found on the primary outcome (p=0.033) and PSI had almost 15 days less sickness absence during follow-up compared with CAU. Concerning the secondary outcomes, PSI showed an earlier partial RTW and the mental health improved in both groups without significant group differences.ConclusionPSI was effective in reducing sickness absence which was the primary outcome in this study.

scholarly journals How often do partial disability pensioners end up on a full disability pension?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Polvinen ◽  
M Laaksonen
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Disability Pension ◽  
Mental Health Problems ◽  
Musculoskeletal Diseases ◽  
Disability Retirement ◽  
Working Lives ◽  
Low Education ◽  
History Of

Abstract Background Extending working lives and deferring retirement have been important topics of discussion in recent years. Full disability pensioners seldom work, but most partial disability pensioners continuing working while receiving a pension. However, very little is known about how often partial disability pensioners end up on a full disability pension. The aims of this study were to investigate to what degree partial disability pensions become full disability pensions, and how age, gender, marital status, education, unemployment or a disability diagnosis are associated with that. Methods The register data included 2,969 Finns who were aged 18-59 years and whose partial disability retirement started in 2010. The follow-up period ranged from 2010 to the end of 2015. Cox models were used to estimate hazard ratios for full disability retirement. Results Approximately 40 per cent of the partial disability pensioners ended up on a full disability pension during the follow-up period. Partial disability pensioners who were older, had a lower educational level or a history of unemployment, or who suffered from mental disorders ended up on a full disability pension more often than others. The risk of full disability retirement was 1.5-fold among those with mental disorders compared to those with musculoskeletal diseases. Conclusions Partial disability pensioners with a low education, a history of unemployment or who suffer from mental disorders experience a higher risk of ending up on a full disability pension. More focus should be paid to improving education, preventing mental health problems and unemployment in order to help the disabled work longer. Key messages Preventing partial disability pensioners from ending up on a full disability pension can extend their working lives. Partial disability pensioners with a low education, a history of unemployment or poor mental health more often stop working altogether. More focus should be paid to improving these issues.

scholarly journals Correction: Mental disorders and mental health symptoms during imprisonment: A three-year follow-up study

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231593
Author(s):  
Caroline Gabrysch ◽  
Rosemarie Fritsch ◽  
Stefan Priebe ◽  
Adrian P. Mundt
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Follow Up Study

Mental Health of Protective Services Workers: Results From the National Epidemiologic Survey on Alcohol and Related Conditions

2013 ◽  
Vol 7 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Christopher N. Kaufmann ◽  
Lainie Rutkow ◽  
Adam P. Spira ◽  
Ramin Mojtabai
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Mental Disorders ◽  
Alcohol Use Disorders ◽  
Traumatic Events ◽  
Early Career ◽  
Protective Services ◽  
Potentially Traumatic Events ◽  
Epidemiologic Survey

AbstractObjectivesTo determine the prevalence of mental disorders in a nationally representative sample of protective services workers (PSWs), compare it to that of adults in other occupations, and determine if an association exists between trauma exposure and 3-year incident psychiatric disorders in PSWs.MethodsData from the longitudinal US National Epidemiologic Survey on Alcohol and Related Conditions waves 1 (fielded 2001-2002) and 2 (fielded 2004-2005) were used to compare the prevalence of mental disorders at baseline in a representative sample of PSWs to that of adults in other occupations. Among PSWs, we also explored the association between recent exposure to potentially traumatic events and the development of mood, anxiety, and alcohol-use disorders over a 3-year follow-up period.ResultsAt baseline, PSWs had a lifetime prevalence of mental and alcohol-use disorders similar to that of adults in other occupations. However, PSWs experienced a greater variety of potentially traumatic events between baseline and follow-up. Exposure to a greater number of different trauma types was associated with increased odds of incident mood (adjusted odds ratio [AOR] = 1.87, 95% CI = 1.09-3.22, P = .024), and alcohol-use disorders (AOR = 1.84, 95% CI = 1.16-2.91, P = .011). These associations were particularly strong among early career PSWs who joined the profession between waves 1 and 2 (AOR = 2.30, 95% CI = 1.26-4.19, P = .008, for mood disorders; AOR = 2.44, 95% CI = 1.30-4.58, P = .007, for alcohol-use disorders).ConclusionsWhile PSWs do not appear to have a higher prevalence of mental health problems than workers in other occupations, they are more likely to experience multiple types of potentially traumatic events. PSWs who are exposed to multiple types of potentially traumatic events are at increased risk of developing new mental disorders, particularly in the early stages of their careers. Developing curricula in coping skills and providing timely interventions for early career PSWs may help reduce future psychiatric morbidity in these workers. (Disaster Med Public Health Preparedness. 2013;7:36-45)

scholarly journals Women’s Forensic Mental Health Care: The Need for Gender-Based Analysis

2020 ◽  
Vol 9 (3) ◽  
pp. 52-77
Author(s):  
Jessica Evans ◽  
Lucy Costa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Forensic Psychiatry ◽  
Service Users ◽  
Forensic Mental Health ◽  
Mad Studies ◽  
Important Field ◽  
Critical Feminist ◽  
Gender Based

This paper critically interrogates the increasingly popular framework of Gender-based Analysis (GBA) in Canada, as it relates to psychiatry more broadly, and forensic psychiatry more specifically. Through a critical feminist and Mad Studies analysis, we argue that if GBA is to be anything more than rhetoric, it is necessary to ground policies and practices in the knowledge generated by women and service-users themselves. We further point to Mad Studies as an important field for research and an opportunity to look deeper into the ‘margins within the margins.’

scholarly journals Perinatal mental health around the world: priorities for research and service development in China

2020 ◽  
Vol 17 (3) ◽  
pp. 50-53 ◽  
Author(s):  
Simone Eliane Schwank ◽  
Qiongjie Zhou ◽  
Yanling He ◽  
Ganesh Acharya
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Perceived Risk ◽  
Help Seeking ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Service Development ◽  
Community Healthcare ◽  
Help Seeking Behaviour

China's healthcare is improving together with rapid economic growth. Yet, mental healthcare is lagging behind. Prevalence of perinatal depression is high among women of the one-child generation, but access to qualified care is limited. Chinese healthcare professionals, policy makers and patients alike express concerns about insufficient knowledge among the public as well as healthcare providers regarding mental disorders. There appears to be a general lack of help-seeking behaviour for mental disorders owing to perceived risk of social stigmatisation. Social support through family and friends, use of online resources and community healthcare services are preferred, rather than seeking help from mental health specialists.

scholarly journals MENTAL HEALTH ACT, MALTA 2012 - A personal reflection on 5 years working with a new legal framework

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J M Cachia
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Planning Process ◽  
Community Support ◽  
Critical Issue ◽  
Community Treatment ◽  
Care Process ◽  
Care Plans ◽  
Mental Health Act ◽  
Involuntary Care

Abstract The Commissioner for the Promotion of Rights of Persons with Mental Disorders (CMH) was established in Article 5 of the Mental Health Act approved by the Maltese Parliament in December 2012. The whole Act was completely in force on 10th October 2014. The involuntary care process is being closely monitored. Patients are being followed up within the time-frames established by the new law. Although not strictly comparable, length of stay in involuntary care has diminished radically. Patients are being discharged from compulsory treatment orders or transferred to community treatment orders rather than being left on “leave of absence”. Community involuntary care is the preferred option of following up difficult cases. This shift requires commitment to strengthen community support services and render them sustainable. The applications for involuntary care are progressively being better completed and the quality of the information backing requests for involuntary detention of persons is improving. Care plans are being submitted, but their completeness and their quality merits revision. The issue of availability of human resources is a critical issue which regularly features in feedback with care teams. Evidence of greater involvement of patients and responsible carers in the care planning process should be better documented if it is indeed happening. The level of awareness of patients’ rights in terms of the Act merits deeper evaluation. The CMH must continue to provide a voice to vulnerable persons with mental disorders and their loved ones. Maximization of the potential of persons with mental disorders is not only a question of social justice but also critical for the sustainability of our health system and the prosperity of our society. The burden of mental disorders is increasing exponentially with the modernization of our society and those who are not coping with this burden merit active consideration and support. Key messages Public health advocacy and the improvement of patient rights. The use of legislative tools in reforming service delivery.

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