scholarly journals An audit looking at the impact of poverty on referrals to child and adolescent mental health services

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S338-S338
Author(s):  
Aida Nourbakhsh ◽  
Kandarp Joshi ◽  
Breige Yorston

AimsRecently, there has been a greater focus on how mental health in young people (YP) can be improved. Up to 10% of YP in Scotland have a diagnosable mental health condition1 and half of all adults with mental ill-health have had symptoms from their mid-teens2. Poverty is an important factor associated with poorer mental well-being from an early age which worsens if left untreated3. The aim of this audit was to answer the question: Are more YP referred from the least deprived areas, and are they more likely to require medication intervention or high intensity (tier 4) care? The results of which could help identify possible avenues for intervention to help improve retention of those most at risk of negative outcomes.MethodNHS Grampian CAMHS provides service to Aberdeen City, Aberdeenshire, and Moray. Pre-collected data over 15 months from these areas were analysed using the Scottish Index of Multiple Deprivation (SIMD) deciles to distinguish any differences between referrals made. In addition, this audit evaluated the data to define any trends of deprivation linking YP to medication intervention or tier 4 care.ResultResults showed that more referrals were made for YP in low-ranking areas (3.19% of decile one compared to 1.74% of decile ten). The referrals were also more likely to be rejected based on the referral criteria, 33% in decile one versus 21% in decile ten. The increased rejection of referrals is most likely a reflection of the health inequalities faced by communities in more deprived areas. In terms of service provision, the patients from the most deprived areas are 3 times more like to require tier 4 care while the least deprived are 1.5 times more likely as compared to percentage of population. With regards to medication intervention patients from deciles one, five, six and seven have significantly higher numbers.ConclusionThis project set out to look at the current service provided by CAMHS and found that despite best efforts deprivation has had an impact on the acceptance of referrals. Going forward this data will be shared with multiagency stakeholders to develop service provisions, in particular the issues identified with the rejection of referrals in more deprived areas. Higher level of medication use in more deprived population is not unexpected but highlights the need to share the findings with a multiagency network.

2018 ◽  
Vol 17 (2) ◽  
pp. 72-75 ◽  
Author(s):  
Janice Haddon

Purpose The purpose of this paper is to look at the link between employee well-being in the workplace and its effect on productivity. Specifically, it looks at the different types of well-being (physical, nutritional and mental) and how organisations should be putting the welfare of staff at the heart of their workplace culture, to ensure their well-being and productivity. Design/methodology/approach Written as a viewpoint, the paper outlines the ways in which organisations traditionally offer employees incentives to look after their physical and nutritional well-being, such as gym memberships and healthy food options. It goes on to look at the impact of mental health on productivity and the symptoms employees may display if they are suffering with mental illness. Findings Mental health is one of the key contributors to productivity, and employers should do more to ensure the mental well-being of their staff. In addition, it outlines the impact a person’s mental well-being can have not only on themselves, but also on those around them, affecting, therefore, the productivity of a team/organisation as a whole, not just the individual. Originality/value The findings in the paper are based on personal experience, as well as recent statistics which are used to highlight the importance of the arguments made in the paper about the effect of mental health on and individual’s well-being and productivity. It is designed to advise HR managers and employers of the steps they can take to ensure the well-being of their employees and the benefits to themselves in doing so.


Author(s):  
Priyanka Aswal ◽  
Parvesh Singh

Background: Ever since the outbreak of the covid-19 pandemic, education institutions in the entire country were shut down. This shutdown of universities caused the students to stay at home which caused a detrimental impact on their mental health.Methods: This survey-based study aims to decipher the impact the lockdown has caused on the mental well-being of the students. The survey was conducted through a set of online questionnaires.Results: The results of the study show that the students suffered from various psychological problems. Anxiety and stress were the most prevalent amongst mental illnesses and were reportedly increased due to uncertainty about future prospects like job and graduation.Conclusions: The study confirms that the pandemic has had a negative impact on the psychological health of the patients and has amplified stress and fear amongst them. 


2021 ◽  
Author(s):  
Andrea Joensen ◽  
Stine Danielsen ◽  
Per Kragh Andersen ◽  
Jonathan Groot ◽  
Katrine Strandberg-Larsen

Background The evidence on mental well-being and loneliness among young people during the initial lockdown is mixed, and little is known about the long-lasting impact of the sequential lockdowns. We examine changes in young peoples mental health from before to during the initial and second more prolonged lockdown, and whether women and those with pre-existing depressive symptoms were disproportionally impacted. Methods Participants reported on mental health indicators in an ongoing 18-year data collection in the Danish National Birth Cohort and in a COVID-19 survey, including 8 data points: 7 in the initial lockdown, and 1 year post. Changes in quality of life (QoL), mental well-being, and loneliness were estimated with random effect linear regressions on longitudinal data (N=32,985), and linear regressions on repeated cross-sections (N=28,579). Findings Interim deterioration in mental well-being and loneliness was observed during the initial lockdown, and only in those without pre-existing depressive symptoms. During the second lockdown, a modest deterioration was again observed for mental well-being and loneliness. QoL likewise only declined among those without pre-existing symptoms, where women showed a greater decline than men. QoL did not normalise during the initial lockdown and remained at lower levels during the second lockdown. These findings were not replicated in the repeated cross-sections. Interpretation Except for an interim decrease in mental health during lockdown, and only in those without pre-existing depressive symptoms, this studys findings do not suggest a substantial detrimental impact of the lockdowns. Potential methodological differences in-between studies are a possible explanation for the mixed evidence. Funding The Velux Foundation


Author(s):  
Elke Humer ◽  
Christoph Pieh ◽  
Thomas Probst ◽  
Ida-Maria Kisler ◽  
Wolfgang Schimböck ◽  
...  

Telephone emergency services play an important role in providing low-threshold, anonymous crisis intervention free of cost. The current study aims to examine the mental well-being and perceived stress level of counselors as well as the main topics of helpline callers during the COVID-19 pandemic in Austria. In the current study, 374 counselors were recruited within the Austrian nationwide organization TelefonSeelsorge during the second wave of COVID-19 infection in Austria. The mental well-being (WHO-5) and perceived stress-level (PSS-10) were assessed and counselors were asked about the frequency of different topics thematized by callers and changes compared to pre-pandemic times. Compared to a reference group of the Austrian general population, counselors experienced less stress (13.22 vs. 16.42) and higher mental well-being (66.26 vs. 57.36; p < 0.001). The most frequent topics during the second wave of the COVID-19 pandemic in Austria were loneliness and mental health. More calls were registered in 2020 compared to 2019 and especially the topics loneliness, mental health, professional activities and relationships were reported to be thematized more often during the COVID-19 pandemic compared to the time before (p < 0.001). The results contribute to an understanding of the impact of the COVID-19 pandemic on telephone crisis intervention.


2021 ◽  
Author(s):  
Andreea Mihai

This MRP looks at the communication used in mental health campaigns for a post-secondary student audience, focusing on how language use and visual design choices impact the stigma associated with mental health. This MRP focuses specifically on the communications seen on Ryerson University’s campus in the 2016 – 2017 academic school year. A video available on Ryerson’s YouTube channel and a sample of posters available throughout campus were analyzed for language and visual design choices to determine how they fit within stigma management communication strategies and how those choices had the potential to influence perceived stigma in viewers." Goffman’s (1963) theory on stigma and an individual’s identity was used to analyze the content of the video and posters. Goffman’s theory outlines the various stages of stigma that an individual experiences, and the impact of each stage on how that individual chooses to interact with others. Miesenbach’s (2010) model for stigma management communication, along with information from an expert interview with a front-line worker will also be used to analyze content in the video and posters. By understanding the communications around mental health through the lens of Goffman (1963) and Miesenbach (2010), it will be possible to understand how the communications are increasing or reducing the stigma around mental health. The analysis of the rhetoric in the messages gives a hint as to how our culture reflects stigma in the messages created, and how this rhetoric may affect students in a culture. This research analyzes Ryerson’s mental well-being campaign for the purpose of identifying a list of best practices for communicating about mental health. The findings show that one of the campaigns accomplishes this better than the other. Effective mental well-being campaigns are those that incorporate elements that normalize discussion of mental health topics, offer strategies for dealing with mental health concerns and overall, promote a culture that prioritizes mental well-being.


Author(s):  
Dr. Ankita Saxena

Due to the current unprecedented catastrophe situation, the entire world is struggling hard not only in terms of physical health but in terms of mental wellness too. The people are surrounded by various uncertainties. The present time is giving rise to various distress like anxiety, depression, mental burnout. With the help of conceptual study, we analyzed the influence of present epidemic condition on employee psychological wellness. By drawing certain stressors like unemployment, job cuts, isolation, financial worries, zoom fatigue, panic buying, we measured the impact on mental well-being logically by critically examining the available literature. The search for articles was made in Google scholar, Web of Science scholar. Further, the study reveals that individuals are such a lot of terrified of getting COVID-19 that they are even ending up their life because of panic stigma or due to socio-economic reasons. Finally, we have proposed that how the role of HRM can be used as a way of handling such problem by introducing various organizational initiatives like building a strong emotional and psychological connect with their employees, providing word of assurance to curtail the hitches which employees are facing.


2015 ◽  
Vol 20 (58) ◽  
pp. 113-120
Author(s):  
Armando Mayo Castro ◽  
Beatriz Pérez Sánchez ◽  
Andrés Guzmán Sala

RESUMEN: Objetivo: Definir un modelo de promoción de la cultura en el bienestar mental como parte importante de la salud integral, identificando el impacto de las patologías y de las comorbilidades que generan incidencia en patologías crónico degenerativas y oncológicas. Prevenir y planear para no incurrir en costos innecesarios. Material y método: Los métodos que se utilizaron fueron analítico, crítico y prospectivo. El enfoque fue de finanzas públicas en el sistema de salud mental. Los hallazgos se sustentan en la rigurosidad propia de la información estadística conocida, en el contrastar de la realidad y en el ejercicio creativo de la interpretación que proporciona la revisión documental seria. Resultados: Vincular las acciones de promoción, la creación de una cultura de salud mental y la importancia de las finanzas públicas para el desarrollo del modelo. La planeación y la prevención como herramientas de ahorro y de cuidar la inversión público- privada. Conclusiones: El modelo contiene cinco acciones: Relacionarse con las personas de tu alrededor, salir de paseo, ser curioso, continuar aprendiendo y dar con generosidad; lo que se obtendrá es: presupuestar financieramente y con mejor estrategia, el sistema de salud mental en nuestro entorno. ABSTRACT: Objective: Define a model of culture in promoting mental well-being as an important part of overall health, identifying the impact of diseases and comorbidities that generate impact on chronic degenerative diseases and cancer. Material and method: The methods used were analytical, critical and prospective. The focus was on public finances in the mental health system. The findings are based on the very rigor of statistical information known, in contrast reality and the creative exercise of interpretation that provides serious documentary review. Results: Link promotion actions , creating a culture of mental health and the importance of public finance for the development of the model. Planning tools and prevention as savings and care for the public- private investment. Conclusions: The model contains five parts: Interacting with people around you, go for a walk, be curious, keep learning and give generously; what you get is: financially and better budgeting strategy, the mental health system in our environment.


2021 ◽  
Vol 13 (16) ◽  
pp. 9198
Author(s):  
Marta R. Jabłońska ◽  
Karolina Zajdel ◽  
Radosław Zajdel

After more than a year in a pandemic world, more than 171 million people worldwide have been infected and over 3.5 million have died. The number of those who have suffered mentally due to the pandemic is well above this number. The virus, lockdowns, forced quarantines, and problems related to jobs and everyday functioning have left their mark on mental health. Additionally, the massive spread of COVID-19 content of varying quality in social media is exacerbating this impact. On the other hand, in times of social distancing, these media are an important link with other people and a source of social support. The impact of the COVID-19 content in social media still requires further exploring. This influence on mental health may also vary geographically. There are more and more reports of discrimination against Asians due to COVID-19. We conducted a survey during lockdown in which 1664 respondents took part. After analyzing the impact of COVID-19 content in social media on the level of life satisfaction, anxiety, and depression, we compared this impact between European and Asian respondents. The results showed that dealing with these contents affects the level of anxiety, depression, and life satisfaction. Although most often these relations turned out to be negative, we have also identified those indicating a positive impact. This was particularly noticeable among Asian respondents, who additionally showed a lower relationship between reading COVID-19 content and their mental well-being than European respondents.


2021 ◽  
Vol 8 ◽  
Author(s):  
Maurizio Muscaritoli

A good nutritional status is important for maintaining normal body function and preventing or mitigating the dysfunction induced by internal or external factors. Nutritional deficiencies often result in impaired function, and, conversely, intakes at recommended levels can resume or further enhance body functions. An increasing number of studies are revealing that diet and nutrition are critical not only for physiology and body composition, but also have significant effects on mood and mental well-being. In particular, Western dietary habits have been the object of several research studies focusing on the relationship between nutrition and mental health. This review aims to summarize the current knowledge about the relationship between the intake of specific micro- and macronutrients, including eicosapentaenoic acid, docosahexaenoic acid, alpha-tocopherol, magnesium and folic acid, and mental health, with particular reference to their beneficial effect on stress, sleep disorders, anxiety, mild cognitive impairment, as well as on neuropsychiatric disorders, all significantly affecting the quality of life of an increasing number of people. Overall data support a positive role for the nutrients mentioned above in the preservation of normal brain function and mental well-being, also through the control of neuroinflammation, and encourage their integration in a well-balanced and varied diet, accompanied by a healthy lifestyle. This strategy is of particular importance when considering the global human aging and that the brain suffers significantly from the life-long impact of stress factors.


2021 ◽  
Vol 24 (2) ◽  
pp. 306-310
Author(s):  
Andrew H. Hales ◽  
Natasha R. Wood ◽  
Kipling D. Williams

The COVID-19 pandemic and associated social distancing and lockdowns has caused unprecedented changes to social life. We consider the possible implications of these changes for mental health. Drawing from research on social ostracism emphasizing the importance of social connection for mental well-being, there is reason for concern regarding the mental health effects of the crisis. However, there are also reasons for optimism; people can be surprisingly resilient to stressful situations, the impact of ostracism tends to depend on social norms (which are rapidly changing), and mental health depends primarily on having at least one or two close social connections. Given the scale and unprecedented nature of the social disruption that occurred, we see strong reason for concern, but not despair.


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