scholarly journals Psychiatry in the federal correctional system in Canada

2020 ◽  
pp. 1-4
Author(s):  
Colin Cameron ◽  
Najat Khalifa ◽  
Andrew Bickle ◽  
Hira Safdar ◽  
Tariq Hassan
Keyword(s):  
Mental Healthcare ◽  
Violence Risk ◽  
Medication Misuse ◽  
Healthcare Environment ◽  
Healthcare Needs ◽  
Current State ◽  
Federal Inmates ◽  
Legislative Framework ◽  
Correctional System ◽  
Correctional Healthcare

The unique challenges of the correctional healthcare environment are well-documented. Access to community-equivalent care, voluntary informed consent of offenders with mental disorder, violence risk, suicide risk, medication misuse, and clinical seclusion, confinement and segregation are just a few of the challenges faced by correctional psychiatric services. This paper shares experiences for dealing with the ongoing challenges for psychiatrists working in the field. It provides an overview of the current state of mental healthcare in the federal correctional system in Canada, the legislative framework and initiatives aimed at addressing the healthcare needs of federal inmates.

scholarly journals The current state of psychiatric and mental healthcare in Argentina

2016 ◽  
Vol 22 (4) ◽  
pp. 260-262 ◽  
Author(s):  
Juan Carlos Stagnaro
Keyword(s):  
Mental Health ◽  
Health Information ◽  
Mental Healthcare ◽  
Health It ◽  
Research Projects ◽  
Healthcare Needs ◽  
Current State ◽  
Mental Health Legislation ◽  
Argentine Republic ◽  
Health Legislation

SummaryThis brief article gives key demographic, socio-economic and health information for the Argentine Republic, with special emphasis in the field of psychiatry and mental health. It also informs about the country's mental health legislation and ongoing epidemiological research projects. It points out deficiencies and obstacles encountered in meeting the population's healthcare needs, and suggests developments to improve this situation.

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

Unmet physical and mental healthcare needs of children with a history of familial homelessness and unstable housing

2018 ◽  
Vol 27 (2) ◽  
pp. 135-140
Author(s):  
Katelyn K. Jetelina ◽  
Jennifer Reingle Gonzalez ◽  
Michiko Otsuki Clutter ◽  
Corron Sanders ◽  
Sweety Baidhya ◽  
...  
Keyword(s):  
Mental Healthcare ◽  
Unstable Housing ◽  
Healthcare Needs ◽  
History Of

scholarly journals Understanding and Addressing the Treatment Gap in Mental Healthcare: Economic Perspectives and Evidence From China

2020 ◽  
Vol 57 ◽  
pp. 004695802095056
Author(s):  
Xuezheng Qin ◽  
Chee-Ruey Hsieh
Keyword(s):  
Mental Health ◽  
Public Investment ◽  
Mental Healthcare ◽  
Theoretical Argument ◽  
Treatment Gap ◽  
Treatment Benefit ◽  
Middle Income ◽  
Health Technologies ◽  
Mental Health Awareness ◽  
Healthcare Needs

A common challenge faced by the healthcare systems in many low- and middle-income countries is the substantial unmet mental healthcare needs, or the large gap between the need for and the provision of mental healthcare treatment. This paper investigates the potential causes of this treatment gap from the perspective of economics. Specifically, we hypothesize that people with mental illness face 4 major hurdles in obtaining appropriate healthcare, namely the high nonmonetary cost due to stigma, the high out-of-pocket payment due to insufficient public funds devoted to mental health, the high time costs due to low mental healthcare resource availability, and the low treatment benefit due to slow technology diffusion. We use China as a study setting to show country-specific evidence. Our analysis supports the above theoretical argument on the 4 barriers to access, which in turn sheds light on the effective approaches to mitigate the treatment gap. Four policy options are then discussed, including an information campaign for mental health awareness, increasing public investment in primary mental healthcare resources, transforming the healthcare system towards an integrated people-centered system and capitalizing on e-health technologies.

scholarly journals State of mental healthcare systems in Eastern Europe: do we really understand what is going on?

2016 ◽  
Vol 13 (4) ◽  
pp. 96-99 ◽  
Author(s):  
Dzmitry Krupchanka ◽  
Petr Winkler
Keyword(s):  
Mental Health ◽  
Eastern Europe ◽  
Mental Healthcare ◽  
Healthcare Systems ◽  
World Health ◽  
Quality Data ◽  
Service Development ◽  
Future Research ◽  
Current State ◽  
Development Analysis

The article examines the current state of mental healthcare systems in countries of Eastern Europe and derives implications for future research and service development. Analysis of available statistics from the World Health Organization's Mental Health Atlas suggests the need for better-quality data collection. Nonetheless, there appear to be insufficient resources allocated to mental health, lack of involvement of service users in policy-making and, to a large extent, systems continue to rely on mental hospitals. Based on the data presented, a set of directions for future reforms was drafted.

scholarly journals Peritraumatic distress and perceived mental healthcare needs among residents of a community housing during COVID-19

2020 ◽  
Vol 7 (2) ◽  
pp. 14-22
Author(s):  
Priscilla Samson ◽  
Jay Narayan Shah
Keyword(s):  
Mental Health ◽  
Strong Predictor ◽  
Mental Healthcare ◽  
Cross Sectional Study ◽  
Kathmandu Valley ◽  
Gated Community ◽  
Cross Sectional ◽  
Exact Test ◽  
Healthcare Needs ◽  
Peritraumatic Distress

Introduction: The consequences of lockdown, quarantine, and uncertainties of COVID-19 pandemic has not only caused physical sufferings but affected the mental health of the people around the globe. Peritraumatic distress is a strong predictor of posttraumatic stress disorder that may further lead to depression and suicidal risk. Thus, the aim of this study was to assess peritraumatic distress and perceived mental healthcare needs among the residents of a gated community in Kathmandu Valley. Method: This was a quantitative online cross-sectional study conducted during June 2020 among adult residents of a gated community in Kathmandu Valley, Nepal. COVID-19 peritraumatic distress index and perceived mental healthcare questionnaire were used to find out peritraumatic distress and mental healthcare needs of the residents. Ethical approval was obtained. Statistical analysis of data was done using SPSS. Result: A total of 45 residents returned the completed forms. Male were 62.2%, 53.3% belonged to 36 to 55 years and 46.7% had at least one comorbidity. Mild to moderate peritraumatic distress was found among 17.82%. Fisher’s exact test showed no association between age, gender, presence of comorbidity and peritraumatic distress (p > 0.05). Perceived mental healthcare needs were felt by more than 91% of the participants. Conclusion: One sixth of the participants had mild to moderate level of peritraumatic distress. Almost all the participants felt they have mental healthcare needs. Study highlights the need for counseling for distress and mental health during COVID-19 pandemic.

scholarly journals Headaches in Moria: a reflection on mental healthcare in the refugee camp population of Lesbos

2019 ◽  
Vol 16 (04) ◽  
pp. 96-98 ◽  
Author(s):  
Tom Nutting
Keyword(s):  
Traumatic Stress ◽  
Mental Healthcare ◽  
Refugee Camp ◽  
Lifestyle Changes ◽  
Depression And Anxiety ◽  
Post Traumatic Stress ◽  
Current State ◽  
Post Traumatic ◽  
The Common ◽  
Perfect Storm

Having returned from a period of volunteering with a healthcare charity working with the refugee camp population of Lesbos in Greece, a junior doctor reflects on the common presentations he saw and the current state of mental healthcare for these patients. The placement of already-traumatised people in an overcrowded and under-resourced camp environment creates a perfect storm for the emergence of post-traumatic stress disorder, depression and anxiety. With extremely limited psychiatric care in place, he considers the simple interventions he could use to help his patients with their distressing symptoms. This prompts exploration of the importance of giving time to listen as well as encouraging small but significant lifestyle changes. After exploring the ethics of psychiatric diagnosis in this setting, the author concludes that while we must acknowledge the political origins of some of the symptomatology in this population, we must continue to strive to treat psychiatric illness with all the appropriate interventions available to us in order to help those in this patient group recover and move forward.

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