scholarly journals Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness

2022 ◽  
pp. 1-5
Author(s):  
Daniel Hughes ◽  
Sarah Yardley ◽  
Philippa Greenfield ◽  
Martin Rolph
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Depressive Disorder ◽  
Mental Healthcare ◽  
Health Resources ◽  
Multidisciplinary Teams ◽  
Physical And Mental Health ◽  
Palliative Care Teams ◽  
Assessment And Treatment ◽  
Individualised Care

The concurrent assessment and treatment of mental health disorders and palliative illnesses is complex. Affective disorders are more prevalent in people who need palliative care. Identifying the most suitable place of care and multi-professional multidisciplinary teams to provide support can be challenging and bewildering for professionals and patients. Mental health clinicians may be left with a sense of therapeutic nihilism, while palliative care teams can feel limited by the mental health resources available for treating those living with significant physical and mental health needs. We discuss the fictional case of a gentleman with metastatic bowel cancer who has developed symptoms of depressive disorder and identify how taking a pragmatic patient-centred approach can offer a route through potential dilemmas when seeking to provide individualised care based on needs. We used lay person experience alongside our own experiences of novel mechanisms for cross-specialty working in order to direct psychiatric trainees’ approaches to such cases.

Mental healthcare and palliative care: barriers

2020 ◽  
pp. bmjspcare-2019-001986 ◽  
Author(s):  
Kelly O'Malley ◽  
Laura Blakley ◽  
Katherine Ramos ◽  
Nicole Torrence ◽  
Zachary Sager
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Psychological Symptoms ◽  
Mental Healthcare ◽  
Well Being ◽  
Psychological Needs ◽  
Treatment Team ◽  
Advanced Illness ◽  
Palliative Care Teams ◽  
The Usa

ContextPsychological symptoms are common among palliative care patients with advanced illness, and their effect on quality of life can be as significant as physical illness. The demand to address these issues in palliative care is evident, yet barriers exist to adequately meet patients’ psychological needs.ObjectivesThis article provides an overview of mental health issues encountered in palliative care, highlights the ways psychologists and psychiatrists care for these issues, describes current approaches to mental health services in palliative care, and reviews barriers and facilitators to psychology and psychiatry services in palliative care, along with recommendations to overcome barriers.ResultsPatients in palliative care can present with specific mental health concerns that may exceed palliative care teams’ available resources. Palliative care teams in the USA typically do not include psychologists or psychiatrists, but in palliative care teams where psychologists and psychiatrists are core members of the treatment team, patient well-being is improved.ConclusionPsychologists and psychiatrists can help meet the complex mental health needs of palliative care patients, reduce demands on treatment teams to meet these needs and are interested in doing so; however, barriers to providing this care exist. The focus on integrated care teams, changing attitudes about mental health, and increasing interest and training opportunities for psychologists and psychiatrists to be involved in palliative care, may help facilitate the integration of psychology and psychiatry into palliative care teams.

16Up: Outline of a Study Investigating Wellbeing and Information and Communication Technology Use in Adolescent Twins

2020 ◽  
Vol 23 (6) ◽  
pp. 345-357
Author(s):  
Brittany L. Mitchell ◽  
Katherine M. Kirk ◽  
Kerrie McAloney ◽  
Margaret J. Wright ◽  
Tracey A. Davenport ◽  
...  
Keyword(s):  
Mental Health ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Technology Use ◽  
Health Resources ◽  
Physical And Mental Health ◽  
Ict Use ◽  
Hair Samples ◽  
Information And Communication ◽  
Study Participants

AbstractThe ‘16Up’ study conducted at the QIMR Berghofer Medical Research Institute from January 2014 to December 2018 aimed to examine the physical and mental health of young Australian twins aged 16−18 years (N = 876; 371 twin pairs and 18 triplet sets). Measurements included online questionnaires covering physical and mental health as well as information and communication technology (ICT) use, actigraphy, sleep diaries and hair samples to determine cortisol concentrations. Study participants generally rated themselves as being in good physical (79%) and mental (73%) health and reported lower rates of psychological distress and exposure to alcohol, tobacco products or other substances than previously reported for this age group in the Australian population. Daily or near-daily online activity was almost universal among study participants, with no differences noted between males and females in terms of frequency or duration of internet access. Patterns of ICT use in this sample indicated that the respondents were more likely to use online information sources for researching physical health issues than for mental health or substance use issues, and that they generally reported partial levels of satisfaction with the mental health information they found online. This suggests that internet-based mental health resources can be readily accessed by adolescent Australians, and their computer literacy augurs well for future access to online health resources. In combination with other data collected as part of the ongoing Brisbane Longitudinal Twin Study, the 16Up project provides a valuable resource for the longitudinal investigation of genetic and environmental contributions to phenotypic variation in a variety of human traits.

A Systematic Review of the Current State and Validity of Digital Assessment Tools for Psychiatry (Preprint)

2021 ◽  
Author(s):  
Nayra Anna Martin-Key ◽  
Benedetta Spadaro ◽  
Erin Funnell ◽  
Eleanor Jane Barker ◽  
Thea Sofie Schei ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Depressive Disorder ◽  
Diagnostic Accuracy ◽  
Mental Healthcare ◽  
Risk Of Bias ◽  
Assessment Tools ◽  
Cochrane Library ◽  
Digital Assessment ◽  
Current State

BACKGROUND Given the role digital technologies are likely to play in the future of mental healthcare, there is a need for a comprehensive appraisal of the current state and validity (i.e., screening/diagnostic accuracy) of digital mental health assessments. OBJECTIVE To explore the current state and validity of question-and-answer-based digital tools for diagnosing and screening psychiatric conditions in adults. METHODS This systematic review was based on the Population, Intervention, Comparison, and Outcome (PICO) framework and was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MEDLINE, Embase, Cochrane Library, ASSIA, Web of Science Core Collection, CINAHL, and PsycINFO were systematically searched for articles published between 2005 and 2020. A descriptive evaluation of the study characteristics and digital solutions and a quantitative appraisal of the screening/diagnostic accuracy of the included tools was conducted. Risk of bias and applicability were assessed using the Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) guidelines. RESULTS A total of 25 studies met the inclusion criteria, with the most frequently evaluated conditions encompassing generalized anxiety disorder (GAD), major depressive disorder (MDD), and any depressive disorder. The majority of the studies employed digitized versions of existing pen-and-paper questionnaires, with findings revealing poor to excellent screening/diagnostic accuracy (sensitivity = 0.36-1.00, specificity = 0.37-1.00, AUC = 0.57-0.98) and a high risk of bias for most of the included studies. CONCLUSIONS The current state of the field of digital mental health tools is in its early stages and high-quality evidence is lacking. INTERNATIONAL REGISTERED REPORT RR2-10.2196/25382

scholarly journals The DELTA® nursing measure: Its development and testing for nursing utility

2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Hendrik J. Loubser ◽  
Judith C. Bruce ◽  
Daleen Casteleijn
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Content Analysis ◽  
Health Outcomes ◽  
Mental Healthcare ◽  
Mental Health Outcomes ◽  
Psychiatric Nurses ◽  
Multidisciplinary Teams ◽  
Analysis Techniques ◽  
Care Plans

In the specialised nursing field of acute mental illness nurses expressed a need to measure and evaluate their patients’ mental-health outcomes both empirically and routinely. The aim was to develop and test a measurement tool, named the DELTA nursing measure, which could be embedded routinely into the nursing process and care plans, enabling the psychiatric nurses to score and evaluate their patients’ acute mental-health outcomes. A qualitative, exploratory study design was used to address two sequential objectives. Firstly, qualitative data that described observable behaviours in patients with acute mental illness were collected from psychiatric nurses (n = 5) who were experienced in acute mental healthcare. The data were analysed using inductive content analysis techniques to design and construct the DELTA nursing measure. In the second objective, the nursing utility of the DELTA nursing measure was studied. This was done by training and testing a new team of psychiatric nurses (n = 25) working in a 116-bed acute psychiatric hospital, in the application of the DELTA nursing measure. After 30 months a focus group (n = 6) representing this team was held to explore their perceptions and experiences of the nursing utility of the newly-developed measure. The descriptive data were analysed using deductive content analysis techniques. The outcome of the DELTA nursing measure as a routine nursing measure of acute mental illness provided good results. The nursing-utility characteristics have confirmed positive responses with regard to its acceptance, usefulness and confidence as a worthwhile tool to be used in expediting nursing services in acute mental healthcare. The positive responses to the DELTA nursing measure are noteworthy. It has the potential to add substantial value to the mental health care field in nursing by adding a measurable dimension to patient outcomes, a much needed requirement by patients, multidisciplinary teams and healthcare funders.In die gespesialiseerde verplegingsveld van akute psigiatrie het verpleegkundiges ’n behoefte uitgespreek om roetineweg pasiënte se geestesgesondheidsuitkomste empiries te meet en te evalueer. Die doel van die studie was om ’n meetinstrument, genoemd die ‘DELTA nursing measure’, te ontwikkel en toets wat ingebed kan word in die verplegingsproses en versorgingsplan en wat psigiatriese verpleegkundiges in staat kan stel om roetine-weg die pasiënte se akute geestesgesondheidsuitkomste te meet en te evalueer. ’n Kwalitatiewe, eksploratiewe studie ontwerp is gebruik om twee opeenvolgende doelwitte aan te spreek. Eerstens is kwalitatiewe data wat observeerbare gedrag in pasiënte met akute geestessiektes beskryf ingesamel van psigiatriese verpleegkundiges (n = 5) wat ervaring het in akute geestesgesondheidsorg. Die data is geanaliseer met induktiewe inhouds analiese tegnieke om die ontwerp en konstruksie van die ‘DELTA nursing measure’ te bewerkstellig. In die tweede doelwit was die ‘DELTA nursing measure’ se bruikbaarheid vir verpleging bestudeer. Om dit te doen was ’n nuwe span psigiatriese verpleegkundiges (n = 25) wat werksaam was in ’n 116-bed akute psigiatriese hospitaal opgelei en getoets in die gebruik van die ‘DELTA nursing measure’. Na 30 maande is ’n fokusgroep (n = 6) gehou wat verteenwoordigend was van die span om hulle persepsies en ervarings van die nuut-ontwikkelde meetskaal se bruikbaarheid te eksploreer. Beskrywende data is met behulp van deduktiewe inhouds tegnieke geanaliseer. Die uitkoms van die ‘DELTA nursing measure’ as ’n routine verplegingmeetskaal vir die bepaling van akuutheid in psigiatrie het baie goeie resultate opgelewer. Die bruikbaarheidseienskappe het positiewe response bevestig dat aanvaarding, betroubaarheid en vertroue bereik is en dat dit ’n nuttige instrument is om die verplegingsdiens te bevorder. Die positiewe response op die ‘DELTA nursing measure’ is merkwaardig. Dit het die potensiaal om ’n betekenisvolle bydrae te lewer tot die psigiatriese verplegingsveld omdat dit ’n meetbare dimensie toevoeg tot pasient uitkomste, ’n hoogs-benodigde vereiste van pasiënte, multidissiplinêre spanne en gesondheidsorgbefondsers.

Adolescent mental health

2018 ◽  
pp. 70-73
Author(s):  
Kelly Clarke ◽  
Sílvia Shikanai Yasuda ◽  
Atif Rahman
Keyword(s):  
Mental Health ◽  
Stakeholder Involvement ◽  
Mental Healthcare ◽  
Health Resources ◽  
Adolescent Mental Health ◽  
Armed Conflicts ◽  
Healthcare Provision ◽  
Health Disorders ◽  
Socioeconomic Consequences ◽  
And Training

Adolescent mental health disorders have serious health and socioeconomic consequences and may persist into adulthood and affect future generations. They account for four of the top ten causes of DALYs among young people, with suicide as the main cause of adolescent mortality. New threats are constantly emerging and changing with urbanisation, social media, and armed conflicts. As a neglected area of public health, resources are needed to improve awareness and develop global research, policies and training. Stakeholder involvement and government commitment are also essential to address the gap between burden and resource allocation. Promotion and prevention at a community level, coordinated between different sectors, could help to foster youth resilience. Non-specialist mental healthcare provision is a promising approach in low-resource settings but must be adapted to local needs.

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

2019 ◽  
Vol 17 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Birgitta Wickberg ◽  
Marie Bendix ◽  
Margareta Blomdahl Wetterholm ◽  
Alkistis Skalkidou
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Perinatal Mental Health ◽  
Service Development ◽  
Immigrant Parents ◽  
Effective Interventions ◽  
Assessment And Treatment

Sweden has a unique opportunity to identify and follow up women presenting with, or at risk for, perinatal mental health problems and disorders because universal screening programmes are provided by its primary healthcare system. Although they are implemented across almost the entire population, screening programmes are not necessarily leading to effective interventions because the multidisciplinary perinatal mental healthcare teams that provide for the assessment and treatment of moderate to severe disorders are very few in number and must be increased. In particular, efforts to reach immigrant parents must be intensified to achieve equal quality of care for all.

Incarcerated youth mental and physical health: parity of esteem

2017 ◽  
Vol 10 (3) ◽  
pp. 203-212 ◽  
Author(s):  
Yolisha Singh ◽  
John Kasinathan ◽  
Andrew Kennedy
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Service Provision ◽  
Relevant Literature ◽  
Mental Healthcare ◽  
Incarcerated Youth ◽  
Physical And Mental Health ◽  
Global Improvement ◽  
Health Service Provision ◽  
Content Type

Purpose The purpose of this paper is to describe physical and mental health characteristics of incarcerated youth both internationally and in New South Wales (NSW) Australia. To outline current practices in the provision of mental and physical healthcare for incarcerated youth internationally and in NSW. Design/methodology/approach Population relevant literature will be outlined as applicable. Health service delivery will be discussed, with an emphasis on the experiences of NSW physical and mental health service provision for incarcerated youth. Findings This paper illustrates that in NSW there was a parity of provision between physical and mental healthcare, though there were deficits in what should ideally be provided. Internationally there was clear evidence that current minimum standards of healthcare in both physical and mental healthcare domains remain unmet. Practical implications Provision of physical and mental healthcare for incarcerated youth warrants global improvement. Further research into current provisions, across jurisdictions and subsequent standardisation of practice, will improve health outcomes for this vulnerable group. Originality/value This is the first paper to describe mental and physical healthcare provision in NSW for incarcerated youth framed within the broader context of international health service provision for similar populations.

scholarly journals Integrating mental health into primary care: the policy maker's perspective and experience in China

2010 ◽  
Vol 7 (1) ◽  
pp. 3-5 ◽  
Author(s):  
Yu Xin ◽  
Liu Jin ◽  
Ma Hong
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Rural Areas ◽  
Care Service ◽  
Psychiatric Service ◽  
Mental Healthcare ◽  
Health Resources ◽  
Psychiatric Hospitals ◽  
Administration And Supervision ◽  
Set Up

In China, ‘community’ was an alien word. Many people used to live in dormitories (Danwei), to which they were assigned by government according to their work units. ‘Dormitory form’ community was closely linked to where people worked, and thus administration and supervision were simple, as was the provision of health services. In each Danwei, a clinic provided basic healthcare not only for its employees but also for the other residents of the dormitory. The old primary care service was based on this. In fact, the ‘golden age’ of community mental healthcare was at that time, when psychiatric hospitals extended their service to communities via the Danwei's clinics in the cities and via ‘barefoot doctors’ in the rural areas. Home beds, occupational therapy stations and shelter factories were set up in some cities and mobile mental health teams played important roles in the villages. Although this did not really represent the ‘integration’ of mental health into primary care, it was a good example of maximising the utilisation of the very limited mental health resources by stretching the psychiatric service, using administrative power, and mobilising family members (Shen et al, 1990; Zhang & Yan, 1990; Zhang, 1999).

scholarly journals Relationship between obesity and health problems in help-seeking military veterans

2019 ◽  
pp. jramc-2019-001155
Author(s):  
Victoria Williamson ◽  
A Rossetto ◽  
D Murphy
Keyword(s):  
Mental Health ◽  
General Population ◽  
Physical Health ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Psychological Treatment ◽  
Mental Healthcare ◽  
Armed Forces ◽  
Health Problems ◽  
Physical And Mental Health

BackgroundUK Armed Forces (UK AF) veterans may be particularly vulnerable to obesity and its comorbid physical and mental health problems.AimTo examine the relationship between body mass index (BMI), physical health problems, mental health disorders and sociodemographic characteristics in UK AF veterans engaged in psychological treatment.MethodsInformation regarding veteran BMI, demographic characteristics, physical health conditions and mental health problems was collected and analysed using univariate and multivariate regression analyses. Rates of veteran obesity were also compared with the UK general population.ResultsOf the 384 help-seeking veterans, 37.5% (n=151) were overweight (BMI 26–30) and 35.5% (n=143) were obese. Obesity in help-seeking male veterans was two to four times higher than that of the general population of UK. Higher scores on measures of anger and common mental health problems were significantly associated with greater BMI. Problems with physical systemic functioning and mobility were also significantly associated with greater BMI.ConclusionsThe results indicate that treatment-seeking UK AF veterans exhibit higher levels of obesity compared with the general population, and clinically significant physical and mental comorbidities. The findings highlight a need for mental health services to offer treatments that effectively integrate physical and mental healthcare in the treatment of people with mental health problems.

Yoga Therapy in Japan

2017 ◽  
Vol 27 (1) ◽  
pp. 127-129 ◽  
Author(s):  
Keishin Kimura
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Drug Addiction ◽  
Senior Citizen ◽  
Healthcare Services ◽  
Medical Professionals ◽  
Physical And Mental Health ◽  
Yoga Therapy ◽  
Cardiovascular Rehabilitation ◽  
Mainstream Healthcare

Abstract This perspective piece gives an overview of the current situation of yoga therapy in Japan today. Traditional yoga in Japan suffered a serious setback in 1995 with a nerve gas terrorist attack on the Tokyo subway, which was carried out by a cult that recruited members through yoga classes. But with the increase in popularity with modern forms of yoga such as Iyengar yoga, Ashtanga yoga and hot yoga in the West, the general public in Japan today is forgetting its aversion to yoga and considers it to be something that can contribute to good health. In 2012, the Japan Yoga Therapy Society (JYTS) conducted a study on adverse events in yoga classes throughout Japan with the University of Kyushu School of Medicine, with support from the Ministry of Health, Labour and Welfare. This study indicated that more than half of people attending yoga classes have some form of chronic illness, with 42.3% receiving outpatient care. This survey was the beginning of growing interest from both the government and universities in yoga therapy. JYTS is beginning to make inroads into bringing yoga therapy into cancer and palliative care, senior citizen homes, alcohol and drug addiction rehabilitation, cardiovascular rehabilitation, and research on trauma and schizophrenia. While there are still limited opportunities for yoga therapists to work in mainstream healthcare services, there is growing interest among medical professionals in both physical and mental health. JYTS is beginning to make inroads into bringing yoga therapy into cancer and palliative care, senior citizen homes, alcohol and drug addiction rehabilitation, cardiovascular rehabilitation, and research on trauma and schizophrenia. While there are still limited opportunities for yoga therapists to work in mainstream healthcare services, there is growing interest among medical professionals in both physical and mental health. This perspective piece introduces some of the developments in yoga therapy research and practice in Japan.

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