The Need to Consider Requiring Trauma Training in Entry-Level Academic Training Programs in Clinical Mental Health Counseling

2022 ◽  
Vol 44 (1) ◽  
pp. 18-31
Author(s):  
Yoon Suh Moh ◽  
Katharine R. Sperandio
Keyword(s):  
Mental Health ◽  
General Population ◽  
Training Programs ◽  
Negative Impact ◽  
The United States ◽  
Academic Training ◽  
Trauma Training ◽  
Entry Level ◽  
Training Requirements ◽  
The U.S

The COVID-19 pandemic and heightened awareness of racial injustice and discrimination in the United States are likely to have a negative impact on mental health. This is concerning, given the already alarming prevalence rates of trauma exposure and adverse childhood experiences in the U.S. general population prior to the current pandemic, their immediate and long-lasting effects on human development across the life span, and their documented effects on adult chronic health conditions. For clinical mental health counselors (CMHCs) to respond effectively to the needs of the U.S. general population, entry-level counseling programs must provide comprehensive trauma training and education. The purpose of this article is to provide information about clinical competencies and relevant training requirements for CMHCs in trauma prevention and treatment to highlight the need to require comprehensive trauma training in entry-level academic training programs for CMHCs through relevant research and policy.

scholarly journals Seven Tips Mental Health Care Providers Can Use to Address Patient Tobacco Use

2021 ◽  
Vol 18 (7) ◽  
Author(s):  
Colleen E. McKay
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Population ◽  
Tobacco Use ◽  
Health Care Providers ◽  
The United States ◽  
Care Providers ◽  
Quit Smoking ◽  
Disproportionate Number ◽  
The U.S

Approximately fifty million people living in the United States (U.S.) use tobacco. Tobacco use is the single largest preventable cause of disease and/or death in the U.S. People living with mental illness account for a disproportionate amount of tobacco use. Individuals living with mental health or substance use conditions consume almost half of all cigarettes sold in the U.S. People with schizophrenia are three to four times as likely to smoke as the general population. People living with mental illness also die prematurely compared to the general population and they and have a disproportionate number of tobacco-attributable deaths. Less than two-thirds of psychiatrists ask about tobacco use and screening for tobacco use is not standard practice in many community-based services for mental health. Despite this, approximately 70% of people living with mental illness who smoke say they would like to quit smoking. This tip sheet offers 7 tips to help your clients quit using tobacco.

scholarly journals Mental Health and Its Predictors during the Early Months of the COVID-19 Pandemic Experience in the United States

2020 ◽  
Vol 17 (17) ◽  
pp. 6315 ◽  
Author(s):  
Yanmengqian Zhou ◽  
Erina L. MacGeorge ◽  
Jessica Gall Myrick
Keyword(s):  
Mental Health ◽  
Perceived Risk ◽  
Negative Impact ◽  
The United States ◽  
Current Status ◽  
Post Traumatic Growth ◽  
Post Traumatic ◽  
Anxiety Depression ◽  
Longitudinal Examination ◽  
The U.S

To date, there has been relatively little published research on the mental health impacts of COVID-19 for the general public at the beginning of the U.S.’ experience of the pandemic, or the factors associated with stress, anxiety, depression, and post-traumatic growth during this time. The current study provides a longitudinal examination of the predictors of self-reported stress, anxiety, depression, and post-traumatic growth for U.S. residents between April and May, 2020, including the influence of demographic, psychosocial, and behavioral factors on these outcomes. The findings indicate that, generally, the early months of the U.S. COVID-19 experience were characterized by a modest negative impact on mental health. Younger adults, people with pre-existing health conditions, and those experiencing greater perceived risk, higher levels of rumination, higher levels of co-rumination, greater social strain, or less social support reported worse mental health. Positive mental health was associated with the adoption of coping strategies, especially those that were forward-looking, and with greater adherence to national health-protection guidelines. The findings are discussed with regard to the current status of health-protective measures and mental health in the U.S., especially as these impact future management of the on-going pandemic.

scholarly journals Asymmetric dynamics between uncertainty and unemployment flows in the United States

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Ali Ahmed ◽  
Mark Granberg ◽  
Victor Troster ◽  
Gazi Salah Uddin
Keyword(s):  
United States ◽  
Business Cycle ◽  
Negative Impact ◽  
The United States ◽  
Large Uncertainty ◽  
Monthly Data ◽  
Uncertainty Measures ◽  
Linear And Nonlinear ◽  
The Business Cycle ◽  
The U.S

AbstractThis paper examines how different uncertainty measures affect the unemployment level, inflow, and outflow in the U.S. across all states of the business cycle. We employ linear and nonlinear causality-in-quantile tests to capture a complete picture of the effect of uncertainty on U.S. unemployment. To verify whether there are any common effects across different uncertainty measures, we use monthly data on four uncertainty measures and on U.S. unemployment from January 1997 to August 2018. Our results corroborate the general predictions from a search and matching framework of how uncertainty affects unemployment and its flows. Fluctuations in uncertainty generate increases (upper-quantile changes) in the unemployment level and in the inflow. Conversely, shocks to uncertainty have a negative impact on U.S. unemployment outflow. Therefore, the effect of uncertainty is asymmetric depending on the states (quantiles) of U.S. unemployment and on the adopted unemployment measure. Our findings suggest state-contingent policies to stabilize the unemployment level when large uncertainty shocks occur.

scholarly journals Holistic Health: Does It Really Include Mental Health?

2006 ◽  
Vol 6 ◽  
pp. 2092-2099 ◽  
Author(s):  
Kimberly K. McClanahan ◽  
Marlene B. Huff ◽  
Hatim A. Omar
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
The United States ◽  
Holistic Health ◽  
Public Perceptions ◽  
The Past ◽  
Mind And Body ◽  
Mental And Physical Health ◽  
The U.S

Holistic health, incorporating mind and body as equally important and unified components of health, is a concept utilized in some health care arenas in the United States (U.S.) over the past 30 years. However, in the U.S., mental health is not seen as conceptually integral to physical health and, thus, holistic health cannot be realized until the historical concept of mind-body dualism, continuing stigma regarding mental illness, lack of mental health parity in insurance, and inaccurate public perceptions regarding mental illness are adequately addressed and resolved. Until then, mental and physical health will continue to be viewed as disparate entities rather than parts of a unified whole. We conclude that the U.S. currently does not generally incorporate the tenets of holistic health in its view of the mental and physical health of its citizens, and provide some suggestions for changing that viewpoint.

Mental Health Scenario of Asian Americans

2020 ◽  
Author(s):  
Susheelabai R. Srinivasa ◽  
Sudershan Pasupuleti
Keyword(s):  
Mental Health ◽  
Asian Americans ◽  
Policy Making ◽  
Mental Health Problems ◽  
Well Being ◽  
The United States ◽  
Health Issues ◽  
Utilization Patterns ◽  
Imminent Risk ◽  
The U.S

This chapter discusses the mental health of Asian Americans, highlighting their growing needs as well as policy-making challenges. There is a stereotypical view of this segment of the U.S. population as being a ‘model minority’. However, they are under-represented in mental-health service utilization due to fear of stigmatization, and, when provided, these services are often culturally insensitive. This paper argues for a more comprehensive approach to Asian Americans’ health issues so that concerns and challenges can be addressed. It also presents sociocultural, institutional, and environmental factors that affect the under-reporting and under-utilization patterns of mental-health services among Asian Americans. The growing incidence of mental-health problems and underutilization are imminent risk factors for the psychological well-being of Asian Americans in the United States.

Implications of  the U.S.–China Trade War  for  Taiwan

2020 ◽  
Vol 19 (1) ◽  
pp. 61-81
Author(s):  
Wen-jen Hsieh
Keyword(s):  
Negative Impact ◽  
The United States ◽  
Policy Implications ◽  
High Tech ◽  
Chinese Market ◽  
Economic Relationships ◽  
China Trade ◽  
Trade War ◽  
The Impact ◽  
The U.S

The ongoing U.S.-China trade war and ensuing high-tech conflicts are regarded as Taiwan's most crucial opportunity to slow down its progressively increasing economic dependence on China. The impact of the U.S.–China trade tensions on Taiwan are important to analyze because of Taiwan's relatively unique political and economic relationships with the United States and China, especially since the latter views Taiwan as its “breakaway province.” The regression results indicate that Taiwan's outward investment to China is significantly affected by Taiwan's lagged investment and exports to China, and the gap in the economic growth rates between Taiwan and China. Policy implications are provided for Taiwan to alleviate its economic dependency on the Chinese market and the negative impact from the U.S.-China trade war.

Mental health disorders and alcohol misuse among UK military veterans and the general population: a comparison study

2020 ◽  
pp. 1-11
Author(s):  
Rebecca Rhead ◽  
Deirdre MacManus ◽  
Margaret Jones ◽  
Neil Greenberg ◽  
Nicola T Fear ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Disorders ◽  
Alcohol Misuse ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Psychiatric Morbidity ◽  
Military Health ◽  
Male Veterans ◽  
Increased Risk

Abstract Background For a small minority of personnel, military service can have a negative impact on their mental health. Yet no studies have assessed how the mental health of UK veterans (who served during the recent operations in Afghanistan or Iraq) compares to non-veterans, to determine if they are at a disadvantage. We examine the prevalence of mental disorders and alcohol misuse in UK veterans compared to non-veterans. Methods Veteran data were taken from the third phase of the King's Centre for Military Health Research cohort study (n = 2917). These data were compared with data on non-veterans taken from two large general population surveys: 2014 Adult Psychiatric Morbidity Survey (n = 5871) and wave 6 of the UK Household Longitudinal Study (UKHLS, n = 22 760). Results We found that, overall, UK veterans who served at the time of recent military operations were more likely to report a significantly higher prevalence of common mental disorders (CMD) (23% v. 16%), post-traumatic stress disorder (PTSD) (8% v. 5%) and alcohol misuse (11% v. 6%) than non-veterans. Stratifying by gender showed that the negative impact of being a veteran on mental health and alcohol misuse was restricted to male veterans. Being ill or disabled was associated with a higher prevalence of CMD and PTSD for both veterans and non-veterans. Conclusion Whilst the same sociodemographic groups within the veteran and non-veteran populations seemed to have an increased risk of mental health problems (e.g. those who were unemployed), male veterans, in particular, appear to be at a distinct disadvantage compared to those who have never served.

Adult CHD patients under clinical follow-up have a similar quality of life to the general population in Malta

2016 ◽  
Vol 27 (6) ◽  
pp. 1051-1059
Author(s):  
Maryanne Caruana ◽  
Victor Grech
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
General Population ◽  
Negative Impact ◽  
Adult Survivors ◽  
Cardiac Medication ◽  
Self Reporting Questionnaire ◽  
The Impact

AbstractBackgroundThe improved survival of patients born with CHD has led to increasing interest in research on quality of life of adult survivors. We report the findings of the first study in Malta carried out to investigate quality of life in adults with CHD under follow-up.MethodsA self-reporting questionnaire modelled on the basis of the European Health Interview Survey 2008, including questions on mental health and vitality, was administered to consecutive adult CHD outpatients, aged 16 years and over, between May, 2013 and May, 2014. Foreigners and patients with learning difficulties or cognitive impairment were excluded. Quality-of-life data were compared with that from 371 age- and sex-matched 2008 survey responders – general population cohort. The impact of congenital lesion complexity, hospitalisation in the preceding 12 months, arrhythmias, co-morbidities, and cardiac medication use on quality of life of the CHD cohort was also investigated.ResultsThere were a total of 120 patient responders (63 males; mean age 30.53, SD 12.77 years). Overall, there were no significant differences in mental health and vitality between patient and general population cohorts, although older patients had better mental health scores compared with age-matched controls. Within the adult CHD cohort, hospitalisation in the preceding 12 months was the only factor associated with a poorer quality of life.ConclusionsOverall, CHD has no negative impact on mental health and vitality in Maltese adult patients under follow-up. Patients needing frequent hospitalisations might warrant closer attention by clinical psychologists.

scholarly journals A Physician Assistant Entry-Level Doctoral Degree: More Harm Than Good?

2021 ◽  
Author(s):  
Violet Kulo ◽  
Shani Fleming ◽  
Karen Gordes ◽  
Hyun-Jin Jun ◽  
James Cawley ◽  
...  
Keyword(s):  
Clinical Training ◽  
Qualitative Data ◽  
Negative Impact ◽  
Doctoral Degree ◽  
Physician Assistants ◽  
The United States ◽  
Bivariate Analysis ◽  
Structured Interviews ◽  
Perceived Risks ◽  
Entry Level

Abstract Background: As most health professions in the United States have adopted clinical or practice doctorates, there has been an ongoing debate on whether physician assistants (PAs) should transition from a master’s to a doctorate as the terminal degree. The authors examined perceived risks, benefits and impact of transitioning to an entry-level PA doctoral degree. Methods: A multi-prong, mixed-methods approach was used that included a literature review and collecting quantitative and qualitative data. Bivariate analysis and binomial logistic regression analysis were performed to evaluate relationships between perceptions/perspectives on an entry-level PA doctoral degree and the anticipated impact of it causing more harm than good to the PA profession. For the semi-structured interviews (38 interprofessional stakeholders), deductive content analysis was used to analyze the qualitative data. Results: Six hundred and thirty six PA clinicians and PA students (46%) completed the survey. Most respondents (n = 457, 72%) disagreed that an entry-level PA doctoral degree should be required. More than half of the respondents (n = 341, 54%) agreed that it should be offered but not required and 380 respondents (60%) agreed that an entry-level doctoral degree would cause more harm than good. Race, educational attainment, occupation, and length of practice as a PA were significantly associated with having a perception of causing more harm. There was strong positive association between the perception of a doctoral degree causing more harm with expectations of having a negative impact on the availability of clinical training sites (OR = 4.39, p <.05). Based on the analysis of qualitative data, the most commonly cited perceived risks were increased cost for education, decreased diversity in the profession, and negative impact on the PA/physician relationship. Conclusions: The perceived benefits and risks of an entry-level PA doctoral degree are strongly influenced by the lens of the stakeholder. While the majority of PAs and students appear to be not in favor, the proportion of those in favor is not insignificant and their views should not be ignored in future discussions. Addressing concerns with key stakeholders could help the PA profession to transition to a doctoral degree with minimal adverse impact.

scholarly journals COVID-Related Victimization, Racial Bias and Employment and Housing Disruption Increase Mental Health Risk Among U.S. Asian, Black and Latinx Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Celia B. Fisher ◽  
Xiangyu Tao ◽  
Tingting Liu ◽  
Salvatore Giorgi ◽  
Brenda Curtis
Keyword(s):  
Mental Health ◽  
Health Risk ◽  
Ethnic Minorities ◽  
Online Survey ◽  
Racial Bias ◽  
The United States ◽  
Equation Modeling ◽  
Depression And Anxiety ◽  
Racial Ethnic ◽  
The U.S

Background: The mental health of racial/ethnic minorities in the U.S. has been disproportionately impacted by the COVID-19 pandemic. This study examined the extent to which disruptions in employment and housing, coronavirus-specific forms of victimization and racial bias independently and conjointly contributed to mental health risk among Asian, Black, and Latinx adults in the United States during the pandemic.Methods: This study reports on data from 401 Asian, Black, and Latinx adults (age 18–72) who participated in a larger national online survey conducted from October 2020–June 2021, Measures included financial and health information, housing disruptions and distress in response to employment changes, coronavirus related victimization distress and perceived increases in racial bias, depression and anxiety.Results: Asian participants had significantly higher levels of COVID-related victimization distress and perceived increases in racial bias than Black and Latinx. Young adults (&lt;26 years old) were more vulnerable to depression, anxiety, and coronavirus victimization distress than older respondents. Having at least one COVID-related health risk, distress in response to changes in employment and housing disruptions, pandemic related victimization distress and perceived increases in racial bias were positively and significantly related to depression and anxiety. Structural equation modeling indicated COVID-related increases in racial bias mediated the effect of COVID-19 related victimization distress on depression and anxiety.Conclusions: COVID-19 has created new pathways to mental health disparities among racial/ethnic minorities in the U.S. by exacerbating existing structural and societal inequities linked to race. Findings highlight the necessity of mental health services sensitive to specific challenges in employment and housing and social bias experienced by people of color during the current and future health crises.

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