scholarly journals Gambaran Risiko Gangguan Jiwa pada Korban Bencana Alam Gempa di Lombok Nusa Tenggara Barat

2018 ◽  
Vol 1 (2) ◽  
pp. 82
Author(s):  
Meidiana Dwidiyanti ◽  
Irwan Hadi ◽  
Reza Indra Wiguna ◽  
Hasanah Eka Wahyu Ningsih
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Ptsd Symptom ◽  
Family Relationship ◽  
Mental Health Disorder ◽  
Health Economy ◽  
Future Research ◽  
Disaster Victims ◽  
Method Approach ◽  
Documentation Form

Background: Earthquake is known as a disaster causing considerable health problems requiring immediate post trauma rehabilitation. Prominent health problem emerging after a disaster is psychiatric and mental health problem.Purpose: The study aimed to identify mental health risk and other significant problems growing among the victim’s post-earthquake in Lombok, West Nusa Tenggara, Indonesia.Method: Mix method approach, which was used throughout the study, is a strategy to obtain the data from the disaster victims of 88 people in Lombok. This study collected the data using Psychiatric and Mental Health Disorder Detection Questionnaire and symptom documentation form after practicing Mindfulness Spiritual.  Results:  The result showed that victims experienced neurosis symptom (85,2%), psychotic symptom (25,9%), PTSD symptom (64,7%) and 13 people did not experience mental health disorder risk. The qualitative study result showed that the earthquake victims grievance was afraid and feeling anxiety to enter the house due to earthquake incident, family relationship and economy problems, ghost issue and numerous diseases.Conclusion: Earthquake lead to psychiatric and mental health disorder and problems including mental health, economy, spiritual and physic aspects among people in Lombok, West Nusa Tenggara.  It is essential for the future research to conduct a research about the description of mental health disorder after practicing mindfulness spiritual and planning the intervention that had been agreed by the respondent.

scholarly journals Examination of Referral Source and Retention Among Women in Residential Substance Use Disorder Treatment: A Prospective Follow-Up Study

2020 ◽  
Author(s):  
Dean Rivera ◽  
Donna Dueker ◽  
Hortensia Amaro
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Mental Health Disorder ◽  
Treatment Retention ◽  
Future Research ◽  
Referral Source ◽  
Protective Services ◽  
Court Mandated ◽  
The Impact

Abstract Background: Court-mandated substance use disorder (SUD) treatment, as compared to nonmandated treatment, has been associated with increased retention and completion. However, whether child protective services (CPS)-mandated women’s residential SUD treatment leads to improved treatment retention in comparison to criminal justice (CJ)-mandated and nonmandated treatment remains unclear. Purpose: This study compared the number of days retained in residential SUD treatment among three referral sources (CPS, CJ, and nonmandated), while also examining whether having a co-occurring mental health disorder or certain mental health characteristics (increased stress, depression, anxiety, and PTSD symptomology) contributed to decreased retention. This study tested the hypothesis that women mandated by the CPS and CJ systems would have improved residential SUD treatment retention compared with nonmandated women. Methods: Multivariate regression analyses were conducted on data for a diverse sample of 245 women (Hispanic: N = 141, Black: N = 50, White: N = 50) mandated or nonmandated (CJ: N = 114, CPS: N = 82, nonmandated: N = 49) into residential SUD treatment to determine each group’s treatment retention outcomes. Results: Women mandated to SUD residential treatment regardless of source (CPS or CJ) remained in treatment significantly longer (CPS: M = 116.59 days, SD = 65.59, p = .023; CJ: M = 133.86 days, SD = 79.43, p = .028), compared to women not mandated (M = 96.11 days, SD = 72.09), representing a 34.4% and 31.6% increase, respectively. Findings further revealed a corresponding 2.3% decrease in retention (p = .024) for each one-unit increase in a patient’s stress score, whereas those with a co-occurring mental health diagnosis had a 43.6% decrease in SUD treatment retention (p < .001). Conclusions: This study highlights the importance of future research that examines the impact of referral source, co-occurring mental disorders, and stress on women’s residential SUD treatment retention.Further research is needed examining the variability in external motivation among referral sources compounded by dynamic intersections of risk associated with having a co-occurring disorder and stress on treatment retention.ClinicalTrials.gov Identifier: NCT02977988 (first posted November 30, 2016; last update posted October 7, 2019); U.S. NIH Grant/Contract: 5R01DA038648

scholarly journals Blended Treatment for Depressive Disorders in Youth: a Narrative Review

2020 ◽  
Author(s):  
Sanne P. A. Rasing
Keyword(s):  
Mental Health ◽  
Depressive Disorders ◽  
Mental Health Disorder ◽  
Optimal Combination ◽  
Future Research ◽  
Close Attention ◽  
Face To Face ◽  
Youth Depression ◽  
Current Review ◽  
Blended Treatment

Abstract Depressive disorders are the most prevalent mental health disorder in adolescents with detrimental consequences; effective and available treatment is crucial. Face-to-face and computerized treatments both have advantages but also downsides. Merging these two into one so-called blended treatment seems to be an optimal combination of elements. This current review addresses blended treatment for youth depression and aims to summarize existing knowledge on effectiveness as well as patients’ and therapists’ perspectives. Results showed promising significant decreases in symptoms, but no evidence for differences between blended and face-to-face treatment was found. Patients’ perspectives were mixed; they reported strong preferences for face-to-face treatment, but participants actually receiving blended treatment were mainly positive. Therapists’ attitudes were neutral, but they expressed their worries about the unknown risks on adverse events. Future research is needed and should, beside effectiveness and cost-effectiveness, pay close attention to the risks that are mentioned by therapists.

Adapting CBT to treat depression in Armed Forces Veterans: qualitative study

2019 ◽  
Vol 47 (5) ◽  
pp. 530-540 ◽  
Author(s):  
Paul Farrand ◽  
Eugene Mullan ◽  
Kat Rayson ◽  
Alberta Engelbrecht ◽  
Karen Mead ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Adult Population ◽  
Armed Forces ◽  
Behavioural Therapy ◽  
Future Research ◽  
Cognitive Behavioural ◽  
Increased Risk ◽  
General Adult Population ◽  
Mental Health Difficulties

AbstractBackground:The principles of the Armed Forces Covenant state that Armed Forces Veterans should be at no disadvantage resulting from their service compared with a general adult population. However, despite being at increased risk of experiencing common mental health difficulties, evidence indicates that 82% of Armed Forces Veterans receive no treatment, compared with 63% of the general adult population.Aim:To gain a better appreciation of factors that inform the type of adaptations to cognitive behavioural therapy (CBT) interventions for depression and mainstream service promotion materials to enhance acceptability for Armed Forces Veterans.Method:This is a qualitative study employing a focus group of 12 participants to examine the main impacts of depression on Armed Forces Veterans alongside attitudes towards terminology and visual imagery. Thematic analysis was used to identify themes and sub-themes with rigour established through two researchers independently developing thematic maps to inform a final agreed thematic map.Results:A behavioural activation intervention supporting re-engagement with activities to overcome depression had good levels of acceptability when adapted to reflect an Armed Forces culture. Preferences regarding terminology commonly used within CBT adapted for Armed Forces Veterans were identified. Concerns were expressed with respect to using imagery that emphasized physical rather than mental health difficulties.Conclusions:There is the need to consider the Armed Forces community as a specific institutional culture when developing CBT approaches with potential to enhance engagement, completion and recovery rates. Results have potential to inform the practice of CBT with Armed Forces Veterans and future research.

Physical and Psychological Benefits of Written Emotional Expression

2015 ◽  
Vol 20 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Éva Kállay
Keyword(s):  
Mental Health ◽  
Expressive Writing ◽  
Mental Health Problems ◽  
Cost Effective ◽  
Health Problems ◽  
Future Research ◽  
Psychological Benefits ◽  
Cost Effective Treatment ◽  
Meta Analyses

Abstract. The last several decades have witnessed a substantial increase in the number of individuals suffering from both diagnosable and subsyndromal mental health problems. Consequently, the development of cost-effective treatment methods, accessible to large populations suffering from different forms of mental health problems, became imperative. A very promising intervention is the method of expressive writing (EW), which may be used in both clinically diagnosable cases and subthreshold symptomatology. This method, in which people express their feelings and thoughts related to stressful situations in writing, has been found to improve participants’ long-term psychological, physiological, behavioral, and social functioning. Based on a thorough analysis and synthesis of the published literature (also including most recent meta-analyses), the present paper presents the expressive writing method, its short- and long-term, intra-and interpersonal effects, different situations and conditions in which it has been proven to be effective, the most important mechanisms implied in the process of recovery, advantages, disadvantages, and possible pitfalls of the method, as well as variants of the original technique and future research directions.

Engagement in Mental Health Services as a Function of Relationship Quality and PTSD Symptom Severity

2013 ◽  
Author(s):  
Meghan M. McGinn ◽  
Katherine D. Hoerster ◽  
Carol Malte ◽  
Stephen Hunt ◽  
Matthew Jakupcak
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Relationship Quality ◽  
Symptom Severity ◽  
Ptsd Symptom ◽  
Ptsd Symptom Severity

Is Pacific language ability protective of prevalence of mental disorders among Pacific peoples in New Zealand?

2018 ◽  
Vol 21 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Eirenei Taua'i ◽  
Rose Richards ◽  
Jesse Kokaua
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Common Mental Disorders ◽  
Mental Health Disorder ◽  
Positive Role ◽  
Pacific People ◽  
Language Promotion

Aims: To explore associations between experiences of mental illness, migration status and languages spoken among Pacific adults living in NZ. Methods: SURVEY FREQ and SURVEY LOGISTIC procedures in SAS were applied to data from Te Rau Hinengaro: The New Zealand (NZ) Mental Health Survey, a survey of 12,992 New Zealand adults aged 16 and over in 2003/2004. Pacific people were over sampled and this paper focuses on the 2374 Pacific participants but includes, for comparison, 8160 non-Maori-non-Pacific (NMNP) participants. Results: Pacific migrant respondents had the lowest prevalence of mental disorders compared to other Pacific peoples. However, Pacific immigrants were also less likely to use mental health services, suggesting an increased likelihood of experiencing barriers to available mental health care. Those who were born in NZ and who were proficient in a Pacific language had the lowest levels of common mental disorders, suggesting a protective effect for the NZ-born population. Additionally, access to mental health services was similar between NZ-born people who spoke a Pacific language and those who did not. Conclusions: We conclude that, given the association between Pacific language and reduced mental disorder, there may be a positive role for Pacific language promotion in efforts to reduce the prevalence of mental health disorder among Pacific communities in NZ.

Clinical dilemmas of routine outcome monitoring and clinical feedback: a qualitative study of patient experiences

2020 ◽  
Author(s):  
Stig Magne Solstad ◽  
Gøril Kleiven Solberg ◽  
Louis George Castonguay ◽  
Christian Moltu
Keyword(s):  
Mental Health ◽  
Clinical Skill ◽  
Routine Outcome Monitoring ◽  
Future Research ◽  
Successful Implementation ◽  
Basic Training ◽  
Feedback Systems ◽  
Clinical Encounters ◽  
Outcome Monitoring ◽  
Clinical Feedback

Purpose: Routine outcome monitoring (ROM) and clinical feedback systems (CFS) are becoming prevalent in mental health services. The field faces several challenges to successful implementation. The purpose of this study is to gain a better understanding of these challenges by exploring the patient perspective. Method: We report the findings from a qualitative, video assisted interview study of 12 patients from a Norwegian mental health outpatient clinic using ROM/CFS. Results: Our analysis resulted in three pairs of opposing experiences with using ROM/CFS: 1) Explicit vs. implicit use of CFS information, 2) CFS directing focus towards- vs. directing focus away from therapeutic topics and 3) Giving vs. receiving feedback. None of these were intrinsically helpful or hindering. Participants had vastly differing preferences for how to use ROM/CFS in clinical encounters, but all needed the information to be used in a meaningful way by their therapists. If not, ROM/CFS was at risk of becoming meaningless and hindering for therapy. Conclusion: These findings confirm and provide further nuance to previous research. We propose to consider ROM/CFS a clinical skill that should be a part of basic training for therapists. How to use and implement ROM/CFS skillfully should also be the focus of future research.

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