Movement-Based Therapies for Resettled Refugee Populations in the United States

Author(s):  
Gayathri S. Kumar ◽  
Gwen Soffer ◽  
Danielle Begg

ABSTRACT Persons who are refugees may experience mental health concerns, such as posttraumatic stress disorder and depression, due to multiple layers of trauma experienced before, during, and after fleeing their country of origin. Although several health system– and community-based mental health interventions have been found to be effective in improving mental health outcomes among persons who are refugees in the United States, these services are underutilized among refugees. Movement-based and mind body–focused practices, such as yoga, may play an important role as complementary mental health supports for refugees. Data on the effectiveness of these practices in these populations are limited, and further research is needed. However, these practices can still be introduced in a safe way by trained professionals and offered as adjunctive therapeutic approaches to traditional Western psychotherapy options. We offer recommendations for clinical providers working with persons who are refugees and for movement-based facilitators and therapists on how to introduce these practices to resettled refugee populations in the United States.

2020 ◽  
Author(s):  
Jenna Sung ◽  
Corinne Kacmarek ◽  
Jessica L. Schleider

The United States spent 201 billion dollars on mental health related concerns in 2013, ranking mental illness as the leading cause of disability and the single largest source of economic burden worldwide. With mental health-related treatment costs and economic burden only projected to rise, there is an increasing need for cost-inclusive evaluations of mental health interventions specific to the United States as economic evaluations across countries are not easily comparable. Thus, this systematic, descriptive review characterized the types of interventions, target populations, and the quality of 9 economic evaluation studies (e.g., cost-effectiveness, cost-benefit) of youth mental health services conducted in the United States from 2003 to 2019. Existing evaluations suggest that certain mental health interventions for youth, among the few that have been formally evaluated, may be cost-effective and cost-beneficial. However, the small number and mixed quality of eligible studies highlights a dearth of rigorously conductedeconomic evaluations on this topic, variability in cost and outcome assessment approaches, as well as the homogenous characteristics of interventions evaluated. Greater standardization is needed to increase confidence in these conclusions and generate a body of meaningful, quality research that has the potential to shape evidence-based mental health policy.


2021 ◽  
pp. 030573562110194
Author(s):  
Amy Visser ◽  
Megan Lee ◽  
Timothy Barringham ◽  
Nasim Salehi

Professional popular musicians are at increased risk of psychological distress, substance use problems, and suicide, yet little evidence is available on effective psychotherapeutic practices to address these issues. This scoping review aims to understand how professional popular musicians perceive, engage with, and respond to mental health interventions. Four databases were searched, garnering a total of 310 articles. Of these, six met inclusion criteria. Four thematic categories were explored: (1) amenability of professional popular musicians to particular therapeutic approaches; (2) attribution of treatment outcomes to tailored approaches; (3) professional popular musicians’ perceived barriers to treatment; and (4) recommendations for treatment approaches. The scoping review supports the importance of considering the characteristics of professional popular musicians as a distinct group with unique well-being needs, challenges, and strengths. There is a clear preference for tailored, affordable, and accessible approaches that consider the uniquities of musicianship and the need to explore the role of nonclinical support, such as friends, family, and industry peers.


Author(s):  
Senqi Zhang ◽  
Li Sun ◽  
Daiwei Zhang ◽  
Pin Li ◽  
Yue Liu ◽  
...  

AbstractBackgroundMental health illness is a growing problem in recent years. During the COVID-19 pandemic, mental health concerns (such as fear and loneliness) have been actively discussed on social media.ObjectiveIn this study, we aim to examine mental health discussions on Twitter during the COVID-19 pandemic in the United States and infer the demographic composition of Twitter users who had mental health concerns.MethodsCOVID-19 related tweets from March 5th, 2020 to January 31st, 2021 were collected through Twitter streaming API using COVID-19 related keywords (e.g., “corona”, “covid19”, “covid”). By further filtering using mental health keywords (e.g., “depress”, “failure”, “hopeless”), we extracted mental health-related tweets from the US. Topic modeling using the Latent Dirichlet Allocation model was conducted to monitor users’ discussions surrounding mental health concerns. Demographic inference using deep learning algorithms (including Face++ and Ethnicolr) was performed to infer the demographic composition of Twitter users who had mental health concerns during the COVID-19 pandemic.ResultsWe observed a positive correlation between mental health concerns on Twitter and the COVID-19 pandemic in the US. Topic modeling showed that “stay-at-home”, “death poll” and “politics and policy” were the most popular topics in COVID-19 mental health tweets. Among Twitter users who had mental health concerns during the pandemic, Males, White, and 30-49 age group people were more likely to express mental health concerns. In addition, Twitter users from the east and west coast had more mental health concerns.ConclusionsThe COVID-19 pandemic has a significant impact on mental health concerns on Twitter in the US. Certain groups of people (such as Males, White) were more likely to have mental health concerns during the COVID-19 pandemic.


2014 ◽  
Vol 25 (1) ◽  
pp. S62-S69 ◽  
Author(s):  
Myriam Glémaud ◽  
Lourdes Illa ◽  
Marisa Echenique ◽  
Victoria Bustamente-Avellaneda ◽  
Shirley Gazabon ◽  
...  

Author(s):  
Ragaviveka Gopalan ◽  
C Sangeetha ◽  
P Ramakrishnan ◽  
Vijaya Raghavan

BACKGROUND About 70% of mental disorders emerge in late childhood and young peo-ple bear the burden of these disorders throughout life. Yet, to date there has been com-paratively little research on mental health interventions for young people in India and not many attempts have been made to collate the existing literature. This systematic review aims to synthesize the available evidence on school- and community-based mental health interventions for young people in India. METHODS A range of major electronic databases were searched systematically, and the abstracts of relevant papers were independently examined for possible inclusion. Selected papers were read in full text and a standardized set of data items were extracted. RESULTS Four papers met inclusion criteria for the analysis; two studies of school-based interventions for adolescents and two studies evaluating out-of-school community interventions for youth were reviewed. The quality of evidence from the interventions in Indian school and community settings were poor. While two studies evidence the effectiveness of a school-based life skills programme and a community based multicomponent intervention designed to promote youth health, two other studies do not offer sufficient data. CONCLUSION The review findings indicate that the number of interventional studies conducted in India to address youth mental health issues are very limited. Hence, it is extremely difficult to ensure the feasibility and effectiveness of school and community-based interventions in India. Further research is warranted to establish whether interventions promoting youth mental health people can be implemented effectively in Indian settings with positive mental health outcomes. Given the possibility of a huge population of young people at-risk or experiencing mental disorders, evidence for the efficacy of youth mental health interventions is crucial.


Crisis ◽  
2004 ◽  
Vol 25 (3) ◽  
pp. 99-102 ◽  
Author(s):  
Renee D. Goodwin ◽  
Andrej Marušič

Summary: Objective: To determine the association between asthma and suicidal ideation among youth in the community. Method: Data were drawn from the MECA (n = 1285), a community-based study of youth aged 9-17 in the United States. Multiple logistic regression analyses were used to determine the association between asthma and suicidal ideation, adjusting for differences in sociodemographic characteristics and mental disorders. Results: Asthma was associated with a significantly increased likelihood of suicidal ideation (OR = 3.25 ‘1.04, 10.1’), compared to youth without asthma. Conclusions: These data suggest that youth who are hospitalized for asthma may have higher than expected levels of suicidal ideation, compared with youth without asthma in the community. This association appears to persist after controlling for the effects of comorbid mental disorders. These findings are consistent with previous clinical reports of an association between physical illness and suicidal ideation, as well as with links between asthma and suicidal ideation among adults. More in-depth evaluation of the mental health of youth hospitalized for asthma may be indicated if these results are replicated.


Author(s):  
Dawn Moore

The variables impacting how one experiences imprisonment are far ranging. George Jackson (1994), a pivotal character in American penal history, wrote that, “[b]lackmen born in the [United States] and fortunate enough to live past the age of eighteen are conditioned to accept the inevitability of prison” (p. 4). Ruth Wyner (2002), incarcerated 40 years after Jackson under vastly different circumstances, describes a very different sort of bleakness associated with her incarceration: One evening, just before I settled down to try to sleep, I allowed myself to remember my daughter in a way that I usually suppressed: remembering and feeling all the love that I had for her, every bit. A huge chasm grew inside me, dark and raw, and my throat constricted as I felt enveloped by the sadness. This was what was inside of me when I allowed myself to touch it. (p. 156) Such personal experiences of incarceration offer a window into how prisons function, or often more correctly, fail to function, from the point of view of the prisoner. These perspectives are vitally important to a fulsome understanding of incarceration because prisoners and their experiences paint a picture of confinement that is patently different from those described by penal officials and governments. There are numerous issues that shape the experiences of confinement, both historically and in the present day, a list longer than can be adequately addressed in this entry. Still, there are key concerns that recur in the literature and in ongoing debates about incarceration. Included here are human rights abuses, overcrowding, the overuse of solitary confinement, the situation of women prisoners, the incarceration of indigenous peoples, and health, especially mental health concerns.


2021 ◽  
Author(s):  
Olivia Bonardi ◽  
Yutong Wang ◽  
Kexin Li ◽  
Xiaowen Jiang ◽  
Ankur Krishnan ◽  
...  

Background: Scalable interventions to address COVID-19 mental health are needed. Our objective was to assess effects of mental health interventions for community-based children, adolescents, and adults. Methods: We searched 9 databases (2 Chinese-language) from December 31, 2019 to March 22, 2021. We included randomised controlled trials with non-hospitalised, non-quarantined participants of interventions to address COVID-19 mental health challenges. We synthesized results descriptively but did not pool quantitatively due to substantial heterogeneity of populations and interventions and concerns about risk of bias. Findings: We identified 9 eligible trials, including 3 well-conducted, well-reported trials that tested interventions designed specifically for COVID-19 mental health challenges, plus 6 trials of standard interventions (e.g., individual or group therapy, expressive writing, mindfulness recordings) minimally adapted for COVID-19, all with risk of bias concerns. Among the 3 COVID-19-specific intervention trials, one (N = 670) found that a self-guided, internet-based cognitive-behavioural intervention targeting dysfunctional COVID-19 worry significantly reduced COVID-19 anxiety (standardized mean difference [SMD] 0.74, 95% CI 0.58 to 0.90) and depression symptoms (SMD 0.38, 95% CI 0.22 to 0.55) in Swedish general population participants. A lay-delivered telephone intervention for homebound older adults in the United States (N = 240) and a peer-moderated education and support intervention for people with a rare autoimmune condition from 12 countries (N = 172) significantly improved anxiety (SMD 0.35, 95% CI 0.09 to 0.60; SMD 0.31, 95% CI 0.03 to 0.58) and depressive symptoms (SMD 0.31, 95% CI 0.05 to 0.56; SMD 0.31, 95% CI 0.07 to 0.55) 6-weeks post-intervention, but these were not significant immediately post-intervention. No trials in children or adolescents were identified. Interpretation: Internet-based programs for the general population and lay- or peer-delivered interventions for vulnerable groups may be effective, scalable options for public mental health in COVID-19. More well-conducted trials, including for children and adolescents, are needed.


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