scholarly journals Debating personal health budgets

2016 ◽  
Vol 40 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Vidhya Alakeson ◽  
Jed Boardman ◽  
Billy Boland ◽  
Helen Crimlisk ◽  
Charlotte Harrison ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Mental Health Problems ◽  
Well Being ◽  
Community Services ◽  
Personal Health ◽  
Individual Choice ◽  
Long Term Conditions ◽  
Positive Effects ◽  
The Government

SummaryPersonal health budgets (PHBs) were piloted in the National Health Service (NHS) in England between 2009 and 2012 and were found to have greater positive effects on quality of life and psychological well-being for those with mental health problems than commissioned service, as well as reducing their use of unplanned care. The government intends to extend PHBs in England for long-term conditions, including mental health, from April 2015. Given the importance of engaging clinicians in the next phase of PHB development, we provide an overview of the approach, synthesise the evidence from the national pilot and debate some of the opportunities and challenges. Balancing individual choice and recovery with concerns for risk, equity and the sustainability of existing community services is the central tension underpinning this innovation in mental health service delivery.

Agreement on diagnoses of mental health problems between an online clinical assignment and a routine clinical assignment

2013 ◽  
Vol 19 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Per Håkan Bøsndbo ◽  
Børge Mathiassen ◽  
Monica Martinussen ◽  
Bjørn Helge Håndegard ◽  
Siv Kvernmo
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Regression Models ◽  
Mental Health Problems ◽  
Well Being ◽  
Multinomial Regression ◽  
Diagnostic Categories ◽  
Adolescent Mental Health Service ◽  
Clinical Assignment

We examined the agreement between diagnoses assigned based on the Development and Well Being Assessment (DAWBA) information collected online, and ordinary day-to-day diagnostic assignment by Child and Adolescent Mental Health Service (CAMHS) clinicians. Diagnoses were compared for 286 patients. Raw agreement for diagnostic categories was 74-90%, resulting in kappa values of 0.41-0.49. Multinomial regression models for ‘emotional diagnosis’ and ‘hyperkinetic/conduct diagnosis’ were significant ( P < 0.001). Age, gender and number of informants significantly contributed to the explanation of agreement and disagreement. Agreement on mental health diagnoses may be sufficient to replace routine clinical assignment of diagnoses with an online clinical assignment, thereby saving time and resources.

Moving more: physical activity and its positive effects on long term conditions in children and young people

2020 ◽  
Vol 105 (11) ◽  
pp. 1035-1040 ◽  
Author(s):  
Paul Dimitri ◽  
Kush Joshi ◽  
Natasha Jones
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Young People ◽  
Mental Health Problems ◽  
Cardiovascular Fitness ◽  
Mineral Density ◽  
Long Term Conditions ◽  
Children And Young People ◽  
Positive Effects

While the benefits of regular participation in physical activity in children and young people are clear, misconceptions have developed about the possible negative effects and potential complications of exercise on long-term conditions such as epilepsy, asthma and diabetes. Over the last decade evidence has emerged supporting the positive impact that physical activity has on long-term conditions. Previous concerns were raised about the risks of hypoglycaemia in children with type 1 diabetes mellitus (T1DM) thus limiting participation in sports. Importantly, physical activity improves the metabolic profile, bone mineral density, cardiorespiratory fitness and insulin sensitivity while lowering mortality risk in children with T1DM. Children with asthma were prevented from doing exercise due to concerns about precipitating an acute asthmatic episode. To the contrary, physical activity interventions have consistently shown an increase in cardiovascular fitness, physical capacity, asthma-free days and quality of life in childhood asthmatics. Children with epilepsy are often excluded from sports due to concerns relating to increased seizure frequency, yet evidence suggests that this is not the case. The evidence supporting physical activity in childhood survivors of cancer is growing but still primarily confined to patients with acute lymphoblastic leukaemia. Participation in sports and physical activity also reduces mental health problems developing in adolescence. While further research is required to investigate benefits of physical activity on specific aspects of long-term conditions in children, in general this group should be advised to increase participation in sports and exercise as a means of improving long-term physical and mental health.

scholarly journals NLP for Japanese workers’ mental well-being: pilot study

2019 ◽  
Vol 24 (3) ◽  
pp. 183-194
Author(s):  
Yasuhiro Kotera ◽  
David Sheffield
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Well Being ◽  
Repeated Measurements ◽  
Content Type ◽  
Positive Effects ◽  
Japanese Workers ◽  
Significant Difference ◽  
Mental Well Being

Purpose Although numerous national and organisational level approaches have taken to improve their mental health, Japanese workers still suffer from high rates of mental health problems. Despite its worldwide application, neuro-linguistic programming (NLP) has not been evaluated for these problems in-depth. The purpose of this paper is to examine the effects of NLP training for mental health among Japanese workers. Design/methodology/approach A pre-post test design with repeated measurements was used with 30 Japanese workers, who were undertaking NLP Practitioner Certification training. The effects on mental health were assessed with the Depression, Anxiety and Stress Scale-21 and the Warwick-Edinburgh Mental Well-being Scale at pre-training, post-training and a three-month follow-up. Findings The mean scores of depression and stress decreased significantly, and mental well-being increased significantly between pre-training and post-training and between pre-training and follow-up. There was no significant difference between post-training and the follow-up for any of the measures. Practical implications The results suggest this training was effective for mental health of Japanese workers, and the positive effects on mental well-being were sustained. Originality/value This is the first ever study to empirically evaluate the effects of the regulated NLP training on the mental health of Japanese workers, conducted by researchers well-versed in NLP. This training might be conducive to improving the mental health of the Japanese workforce. Larger scale and/or controlled studies are needed.

scholarly journals Adjustment to a “New Normal:” Coping Flexibility and Mental Health Issues During the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Cecilia Cheng ◽  
Hsin-yi Wang ◽  
Omid V. Ebrahimi
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Well Being ◽  
Epidemiological Studies ◽  
Self Report ◽  
Personal Health ◽  
Health Crisis ◽  
New Normal ◽  
Coping Flexibility

The Coronavirus Disease 2019 (COVID-19) pandemic is an unprecedented health crisis in terms of the scope of its impact on well-being. The sudden need to navigate this “new normal” has compromised the mental health of many people. Coping flexibility, defined as the astute deployment of coping strategies to meet specific situational demands, is proposed as an adaptive quality during this period of upheaval. The present study investigated the associations between coping flexibility and two common mental health problems: COVID-19 anxiety and depression. The respondents were 481 Hong Kong adults (41% men; mean age = 45.09) who took part in a population-based telephone survey conducted from April to May 2020. Self-report data were assessed with the Coping Flexibility Interview Schedule, COVID-19-Related Perception and Anxiety Scale, and Center for Epidemiological Studies Depression Scale. Slightly more than half (52%) of the sample met the criteria for probable depression. Four types of COVID-19 anxiety were identified: anxiety over personal health, others' reactions, societal health, and economic problems. The results consistently revealed coping flexibility to be inversely associated with depression and all four types of COVID-19 anxiety. More importantly, there was a significant interaction between perceived likelihood of COVID-19 infection and coping flexibility on COVID-19 anxiety over personal health. These findings shed light on the beneficial role of coping flexibility in adjusting to the “new normal” amid the COVID-19 pandemic.

scholarly journals Pandemic and Typhoon: Positive Impacts of a Double Disaster on Mental Health of Female Students in the Philippines

2021 ◽  
Vol 11 (5) ◽  
pp. 64
Author(s):  
Lavinia Javier Cueto ◽  
Casper Boongaling Agaton
Keyword(s):  
Mental Health ◽  
Natural Disasters ◽  
Narrative Analysis ◽  
Mental Health Problems ◽  
Well Being ◽  
The Philippines ◽  
Transitions To Adulthood ◽  
Humanitarian Emergencies ◽  
The Government ◽  
And Coping

Humanitarian emergencies pose a great challenge to how all sectors perform their functions in society. In several countries, these emergencies combined the pandemic and other man-made and natural disasters: “double disaster”, which affected the health, safety, and well-being of both individuals and communities. Students are a particularly vulnerable population for mental health problems considering the challenges with their transitions to adulthood. Using narrative analysis, this study explored the impacts of a double disaster on the mental health of students and how they cope up with these emergencies. The results showed that the occurrence of natural disasters during the lockdowns from pandemic brought stress to students in adjusting to distance education, completing academic requirements, and accessing technology for online learning. Participants expressed their anxieties about the spread of the virus in the community, particularly in the disaster evacuation centers with less strictly observed social distancing, insufficient hygiene and sanitation facilities, and lack of basic needs. Participants described their learnings and coping strategies that included helping one another, following the government protocols, finding additional sources of income, using energy for important purposes only, and leaning on faith. The findings of this study would be instrumental in formulating policies and strategic measures that best complement the needs of community members during a double disaster, particularly in addressing the mental health impacts of humanitarian emergencies.

scholarly journals Supporting the emotional needs of young people in care: a qualitative study of foster carer perspectives

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033317
Author(s):  
Rachel M Hiller ◽  
Sarah L Halligan ◽  
Richard Meiser-Stedman ◽  
Elizabeth Elliott ◽  
Emily Rutter-Eley
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Needs ◽  
Depth Information ◽  
Emotional Needs ◽  
Mental Health Systems ◽  
Mental Health Needs ◽  
Qualitative Focus Groups

ObjectivesYoung people who have been removed from their family home and placed in care have often experienced maltreatment and there is well-developed evidence of poor psychological outcomes. Once in care, foster carers often become the adult who provides day-to-day support, yet we know little about how they provide this support or the challenges to and facilitators of promoting better quality carer–child relationships. The aim of this study was to understand how carers support the emotional needs of the young people in their care and their views on barriers and opportunities for support.Design and participantsParticipants were 21 UK foster carers, recruited from a local authority in England. They were predominantly female (86%), aged 42–65 years old and ranged from those who were relatively new to the profession (<12 months’ experience) to those with over 30 years of experience as a carer. We ran three qualitative focus groups to gather in-depth information about their views on supporting their foster children’s emotional well-being. Participants also completed short questionnaires about their training experiences and sense of competence.ResultsOnly half of the sample strongly endorsed feeling competent in managing the emotional needs of their foster children. While all had completed extensive training, especially on attachment, diagnosis-specific training for mental health problems (eg, trauma-related distress, depression) was less common. Thematic analysis showed consistent themes around the significant barriers carers faced navigating social care and mental health systems, and mixed views around the best way to support young people, particularly those with complex mental health needs and in relation to reminders of their early experiences.ConclusionsFindings have important implications for practice and policy around carer training and support, as well as for how services support the mental health needs of young people in care.

Comparing the social networks of service users with long term mental health needs living in community with those in a general adult in-patient unit

2021 ◽  
pp. 002076402110175
Author(s):  
Roberto Rusca ◽  
Ike-Foster Onwuchekwa ◽  
Catherine Kinane ◽  
Douglas MacInnes
Keyword(s):  
Mental Health ◽  
Social Networks ◽  
Social Network ◽  
Patient Group ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Practical Support ◽  
The Social

Background: Relationships are vital to recovery however, there is uncertainty whether users have different types of social networks in different mental health settings and how these networks may impact on users’ wellbeing. Aims: To compare the social networks of people with long-term mental illness in the community with those of people in a general adult in-patient unit. Method: A sample of general adult in-patients with enduring mental health problems, aged between 18 and 65, was compared with a similar sample attending a general adult psychiatric clinic. A cross-sectional survey collected demographic data and information about participants’ social networks. Participants also completed the Short Warwick Edinburgh Mental Well-Being Scale to examine well-being and the Significant Others Scale to explore their social network support. Results: The study recruited 53 participants (25 living in the community and 28 current in-patients) with 339 named as important members of their social networks. Both groups recorded low numbers in their social networks though the community sample had a significantly greater number of social contacts (7.4 vs. 5.4), more monthly contacts with members of their network and significantly higher levels of social media use. The in-patient group reported greater levels of emotional and practical support from their network. Conclusions: People with serious and enduring mental health problems living in the community had a significantly greater number of people in their social network than those who were in-patients while the in-patient group reported greater levels of emotional and practical support from their network. Recommendations for future work have been made.

scholarly journals Dual impacts of coronavirus anxiety on mental health in 35 societies

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sylvia Xiaohua Chen ◽  
Jacky C. K. Ng ◽  
Bryant P. H. Hui ◽  
Algae K. Y. Au ◽  
Wesley C. H. Wu ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Severe Depression ◽  
Psychological Adaptation ◽  
Well Being ◽  
Subjective Health ◽  
Depression Symptoms ◽  
Subjective Well Being ◽  
Emotional Symptoms ◽  
Perceived Vulnerability

AbstractThe spread of coronavirus disease 2019 (COVID-19) has affected both physical health and mental well-being around the world. Stress-related reactions, if prolonged, may result in mental health problems. We examined the consequences of the COVID-19 pandemic on mental health in a multinational study and explored the effects of government responses to the outbreak. We sampled 18,171 community adults from 35 countries/societies, stratified by age, gender, and region of residence. Across the 35 societies, 26.6% of participants reported moderate to extremely severe depression symptoms, 28.2% moderate to extremely severe anxiety symptoms, and 18.3% moderate to extremely severe stress symptoms. Coronavirus anxiety comprises two factors, namely Perceived Vulnerability and Threat Response. After controlling for age, gender, and education level, perceived vulnerability predicted higher levels of negative emotional symptoms and psychological distress, whereas threat response predicted higher levels of self-rated health and subjective well-being. People in societies with more stringent control policies had more threat response and reported better subjective health. Coronavirus anxiety exerts detrimental effects on subjective health and well-being, but also has the adaptive function in mobilizing safety behaviors, providing support for an evolutionary perspective on psychological adaptation.

scholarly journals Coping Strategies by University Students in Response to COVID-19: Differences between Community and Clinical Groups

2021 ◽  
Vol 10 (11) ◽  
pp. 2499
Author(s):  
Víctor-María López-Ramos ◽  
Benito León-del-Barco ◽  
Santiago Mendo-Lázaro ◽  
María-Isabel Polo-del-Río
Keyword(s):  
Mental Health ◽  
Coping Strategies ◽  
Mental Health Problems ◽  
Clinical Sample ◽  
Characteristic Curve ◽  
Well Being ◽  
Clinical Group ◽  
Cognitive Avoidance ◽  
Coping Response ◽  
Community Group

Last year, the COVID-19 pandemic had severe consequences on the health and well-being of millions of people. Different studies try to identify the main effects that the crisis and several lockdowns have had on the citizens’ mental health. This research analyses the coping strategies generated by students from a community group and a clinical group in response to this crisis, using the Coping Responses Inventory—Adult Form (CRI-A) by Moos with a sample of 1074 students of Universidad de Extremadura. Multivariate analysis and receiver operating characteristic curve analysis have been carried out, revealing, amongst other things, a greater predisposition of the clinical sample towards factors such as seeking guidance and support, cognitive avoidance or emotional discharge. Results show that students with prior mental health problems perform an unhealthy coping response based on avoidance strategies. This group of students suffers a double source of distress and anxiety, one derived from their prior psychopathologic problems and the stress of the lockdown and another one originating from an inefficient coping response, which makes coping strategies raise levels of distress and anxiety.

scholarly journals Embitterment as a Specific Mental Health Reaction during the Coronavirus Pandemic

2021 ◽  
pp. 1-10
Author(s):  
Beate Muschalla ◽  
Clio Vollborn ◽  
Anke Sondhof
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Online Survey ◽  
Mental Health Problems ◽  
Affective State ◽  
Well Being ◽  
Health Problems ◽  
Social Consequences ◽  
High Rate ◽  
Perceived Injustice

<b><i>Introduction:</i></b> Embitterment can occur as a reaction to perceived injustice. During the pandemic and restrictions in daily living due to infection risk management, a range of many smaller or severe injustices have occurred. <b><i>Objective:</i></b> The aim of this study is to investigate what characterizes persons with high embitterment, mental illness, embitterment and mental illness, and those without embitterment or mental health problems. <b><i>Methods:</i></b> We conducted an online survey including persons from the general population in November 2020 and December 2020, the phase during which a second lockdown took place, with closed shops, restaurants, cultural and activity sites. 3,208 participants (mean age 47 years) gave self-ratings on their present well-being, burdens experienced during the pandemic, embitterment, wisdom, and resilience. <b><i>Results:</i></b> Embitterment occurred among 16% of the sample, which is a high rate in comparison with 4% during pre-pandemic times. Embitterment was weakly correlated with unspecific mental well-being. There were more persons with embitterment than those with embitterment and a mental health problem. Persons with embitterment reported less coronavirus-related anxiety than persons without embitterment. However, embittered persons reported more social and economic burdens and more frequent experiences of losses (job loss and canceling of medical treatments). Embittered persons perceive their own wisdom competencies on a similar level as persons with mental health problems or persons without mental health problems. <b><i>Conclusion:</i></b> Embitterment is a specific potentially alone-standing affective state, which is distinguishable from general mental health and coping capacities (here: wisdom). The economic and social consequences of pandemic management should be carefully recognized and prevented by policy.

Sign in / Sign up

Export Citation Format

Share Document