scholarly journals Preconception care in mental health services: planning for a better future

2019 ◽  
Vol 216 (4) ◽  
pp. 180-181 ◽  
Author(s):  
Raquel Catalao ◽  
Sue Mann ◽  
Claire Wilson ◽  
Louise M. Howard

SummaryIt is increasingly recognised that the preconception period is a window of opportunity to intervene to improve outcomes for women and the next generation. The importance of preconception mental health and comorbidity problems has not traditionally been taken into account by policy makers or mental health service providers. We argue that by addressing preconception physical and mental health in men and women, medical health professionals could improve health outcomes across the whole life course.

2022 ◽  
Vol 74 (1) ◽  
pp. 64-67
Author(s):  
Somadatta Das ◽  
Rabindra Nath Padhy ◽  
Bibhuti Bhusan Pradhan

The COVID-19 (SARS-CoV-2) virus causes a respiratory disease with physical and mental health effects, ending at general morbidity and fatality from some latest coronavirus strains, at times. During the present pandemics, people stay mainly at home, contributing to some elevated stress levels. World Health Organization (WHO) contemplates that the additional steps like, quarantine and self-isolation have stimulated daily routines of peoples, leading to a rise in agitation, oppression, sleeplessness, alcohol addiction, drug-addictions and suicidal behaviors; consequently, causing increase in cases of domestic violence, even. At this stage, health service providers cannot help the poor, elderly people, children who are susceptible to pre-medical adverse conditions. This work aims to highlight the general scenario of the mental health locally in India during covid-19 pandemic. Some lifestyles, such as yoga, meditation, Ayurvedic medication, avoiding reading on corona too much and watching TV about it, while staying with the own family with the popular healthier lifestyles are recommended to alleviate stress.


2000 ◽  
Vol 6 (2) ◽  
pp. 78 ◽  
Author(s):  
Maureen Alsop ◽  
Mark F. Harris ◽  
Gawaine Powell-Davies ◽  
Kristine Battye ◽  
Karin Gerhardt

Phase two of the Northern Queensland Rural Division of General Practice Mental Health program involved the piloting of case conferencing between General Practitioners (GPs) and mental health professionals in three rural communities. The initial findings suggest that this model supports GPs by increasing their confidence in the management of patients with whom they find it most challenging to work. Mental health professionals indicate that the opportunity to consult with GPs on a regular basis is important to their clinical work, and see the primary focus of these consultations as a means for communicating with GPs. The case conferencing also led to modest improvements in relationships between GPs and mental health service providers.


Author(s):  
Maurizio Bonati ◽  
Gianni Tognoni ◽  
Fabio Sereni

Child health inequalities violate children’s rights to optimal wellbeing. Different issues worldwide affect children’s physical and mental health as well as their development, influencing their future as adults. Inequities are avoidable inequalities. Despite improvements in the past two decades, the ambitious goals of global agendas have, for the most part, remained as expectations with regard to childhood rights, social justice, and health equity in practice. The concept of social determinants of health has become part of the common language in certain settings, but this is still too little to improve health in practice on a global scale, particularly for underprivileged subgroups of the community, as children and adolescents often are. Pediatric health professionals and their organizations are also responsible for guaranteeing children’s and adolescents’ right to health and better wellbeing, helping to reduce health inequalities.


2012 ◽  
Vol 36 (2) ◽  
pp. 45-50 ◽  
Author(s):  
Geoff Dickens ◽  
Judy Weleminsky ◽  
Yetunde Onifade ◽  
Philip Sugarman

Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.


2021 ◽  
Author(s):  
Deanna Wiebe ◽  
Pria Nippak ◽  
Julien Meyer ◽  
Shannon Remers

BACKGROUND The use of Routine Outcome Monitoring (ROM) in the treatment of mental health has emerged as a method of improving psychotherapy treatment outcomes. Despite this, very few clinicians regularly use ROM in clinical practice. Online ROM has been suggested as a solution to increase adoption. OBJECTIVE To identify the influence of moving ROM online on client completion rates of self-reported outcome measures and to identify implementation and utilization barriers to online ROM by assessing clinicians’ views on their experience utilizing the online system over previous paper-based methods. METHODS Client completion rates of self-reported outcome measures were compared pre and post implementation of an online system of ROM. In addition, a survey questionnaire was administered to 340 mental health service providers regarding their perception of benefits with an online system of ROM. RESULTS Client completion rates of self-reported measures increased from 15% to 54% after moving online. Fifty-eight% of service providers found the new system less time consuming than previous paper-based ROM and 64% found that it helped monitor clients. However, the perceived value of the system remains in doubt as only 23% found it helped them identify clients at risk for treatment failure, and only 18% found it strengthened the therapeutic alliance. CONCLUSIONS Although the current study suggests mixed results regarding service providers’ views on their experience using an online system for ROM, it has identified barriers and challenges that are actionable for improvement.


2021 ◽  
Author(s):  
Julia Getchell

Sexual violence is a relevant topic in the Canadian mental health system. However, the dominant bio-medical understanding of mental health can be harmful to survivors. This study is focused on analyzing how sexual violence is discussed within the bio-medical mental health system. The bio-medical understanding of mental health is one that conceptualizes “mental illness” is brain disease and emphasizes pharmacological treatment. Sexual violence is a broad term that describes any violence, physical or psychological, carried out through sexual means or by targeting sexuality. Critical Discourse Analysis is used in this study to find and analyze discourses in the bio-medical mental health system found in three interviews with mental health service providers. The discourses that emerged were as follows: 1. people were “boiled down” to their diagnoses or experiences of sexual violence; 2. professionalism; 3. being funneled into “streams of care”; 4. what makes someone credible; and 5. who “gets it”. The MRP concludes with a discussion of implications of these findings for social work.


Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Reena A. Lasrado ◽  
Khatidja Chantler ◽  
Rubina Jasani ◽  
Alys Young

Abstract. Background: This paper examines the social structures, culture, gendered roles, and their implications for suicidal behavior in South India. Exploring the cultural process within the structures of family and society to understand suicide and attempted suicide from the perspectives of survivors, mental health professionals, and traditional healers has not been achieved in the existing suicide-related research studies conducted in India to date. Aims: This study aimed to explore the cultural implications of attempted suicide by examining the survivors' life stories, their perceptions, and service providers’ interpretations of problem situation. Method: A qualitative design was used drawing on constant comparison method and thematic analysis. The analysis was underpinned by the theoretical concepts of Bourdieu's work. In-depth interviews were conducted with 15 survivors of attempted suicide, eight mental health professionals, and eight traditional healers from Southern India. Results: The study found interactions among visible and invisible fields such as faith, power, control, culture, family, religion, and social systems to have strengthened the disparities in gender and role structures within families and societies and to have impacted survivors’ dispositions to situations. Conclusion: The role of culture in causing suicide and attempted suicide is explained by unraveling the negative impact of interacting cultural and structural mechanisms.


2005 ◽  
Vol 39 (5) ◽  
pp. 414-422 ◽  
Author(s):  
Alberto Rossi ◽  
Vera Morgan ◽  
Francesco Amaddeo ◽  
Marco Sandri ◽  
Michele Tansella ◽  
...  

Objective: This study examined variables associated with having a once-only contact with the out-patient department of two community mental health services in Italy and Australia. Method: Two 8-year cohorts of patients, who had a new episode of care with out-patient psychiatric departments in South Verona and in Western Australia, were followed-up for 3 months after the first contact, to identify those patients who had no further contact with services. Potential determinants of once-only contact were analysed. Results: Thirty percent of new episodes of care for persons who met the inclusion criteria of the study were once-only contacts with the service in South Verona. In Western Australia, the figure was 24%. Moreover, the proportion of once-only contact patients has increased over time in South Verona whereas, in Western Australia, it has remained stable. In Western Australia, once-only contact patients were younger whereas in South Verona they tended to be older. At both research sites, patients who had a once-only contact were more likely to be male and to have a less severe mental illness. Conclusions: The results of this study suggest that only clinical characteristics were significant determinants of this pattern of contact with services consistently at both sites: the less severe the patient's diagnosis, the more likely the patient is to have a once-only contact. This may well indicate good screening at the initial point of contact by both sets of mental health service providers. Prospective studies are necessary to clarify the problem of ‘onceonly contact’ and to organize a proper psychiatric care.


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