Outcomes of Senior Reach Gatekeeper Referrals: Comparison of the Spokane Gatekeeper Program, Colorado Senior Reach, and Mid-Kansas Senior Outreach

2013 ◽  
Vol 14 (1) ◽  
pp. 11-20 ◽  
Author(s):  
David A. Bartsch ◽  
Vicki K. Rodgers ◽  
Don Strong
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Care Management ◽  
Suicide Ideation ◽  
Community Education ◽  
Positive Impact ◽  
Depression Symptoms ◽  
Community Partners ◽  
Training Community ◽  
Depression Ratings

Outcomes of older adults referred for care management and mental health services through the senior reach gatekeeper model of case finding were examined in this study and compared with the Spokane gatekeeper model. Colorado Senior Reach and the Mid-Kansas Senior Outreach (MKSO) programs are the two Senior Reach Gatekeeper programs modeled after the Spokane program, employing the same community education and gatekeeper model and with mental health treatment for elderly adults in need of support. The three mature programs were compared on seniors served, isolation, and depression ratings. Nontraditional community gatekeepers were trained and referred seniors in need. Findings indicate that individuals served by the two Senior Reach Gatekeeper programs demonstrated significant improvements. Isolation indicators such as social isolation decreased, and depression symptoms and suicide ideation also decreased. These findings for two Senior Reach Gatekeeper programs demonstrate that the gatekeeper approach to training community partners worked in referring at-risk seniors in need, in meeting their needs, and in having a positive impact on their lives.

Senior Reach Outcomes in Comparison With the Spokane Gatekeeper Program

2009 ◽  
Vol 10 (3) ◽  
pp. 82-88 ◽  
Author(s):  
David A. Bartsch ◽  
Vicki K. Rodgers
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Emotional Disturbance ◽  
Care Management ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Geriatric Depression ◽  
Program Outcomes ◽  
Community Partners ◽  
Training Community

Senior Reach program outcomes for older adults referred for care management and mental health services through a Gatekeeper model were examined in this study and compared with the Spokane Gatekeeper model. The two programs were compared for seniors served on service variables and outcome ratings for isolation, depression, and functioning. Approximately 41% of seniors served by both programs were referred by nontraditional sources: community gatekeepers. Findings indicate that individuals served by the Senior Reach program demonstrated significant improvement in reduction of isolators (such as social isolation), improved functioning, increased optimism about the future, increased positive activities with others, decreased emotional disturbance, and improvements on the Geriatric Depression Scale. Additional program comparisons and findings are discussed. Findings for the Senior Reach program demonstrate that the gatekeeper approach to training community partners is effective in finding at-risk seniors and meeting their needs, resulting in positive impacts on their lives.

scholarly journals Burnout and depression among psychiatry residents during COVID-19 pandemic

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Abdulmajeed A. Alkhamees ◽  
Hatem Assiri ◽  
Hatim Yousef Alharbi ◽  
Abdullah Nasser ◽  
Mohammad A. Alkhamees
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Depressive Symptoms ◽  
Mental Health Treatment ◽  
Maslach Burnout Inventory ◽  
Depression Symptoms ◽  
Psychiatry Residents ◽  
Mental Health Providers ◽  
Health Providers ◽  
Frontline Workers

AbstractVery few studies have been concerned with assessing the prevalence of burnout and depressive symptoms, especially during an infectious outbreak on non-frontline health care workers, such as a psychiatrist. In such instances, the role of psychiatrists and other mental health providers as a source of psychological support to the public and frontline workers is indispensable and valuable. This study aims to assess the prevalence of burnout and depressive symptoms, and their correlation, during the COVID-19 pandemic among psychiatry residents in Saudi Arabia. A total of 121 out of 150 psychiatry residents in Saudi Arabia completed the Maslach Burnout Inventory and Patient’s Health Questionnaire for the assessment of burnout and depressive symptoms. Burnout symptoms were found in 27.3%, and another 27.3% reported having depression symptoms. In addition, 16.5% reported having both burnout and depressive symptoms, with a significant relationship between them. Participants in the first 2 years of training and having a history of receiving mental health treatment in the past 2 years were at higher risk. The need is urgent to increase investment in mental health services and to construct a plan to reduce this risk of burnout and depression among psychiatrists by developing preventative strategies to prevent burnout and promote wellness is more important than ever.

scholarly journals Relationship between social competences and the sense of general mental health and intensity of stress among nurses

2020 ◽  
Vol 66 (1) ◽  
Author(s):  
Agnieszka Chrzan-Rodak ◽  
Barbara Ślusarska ◽  
Grzegorz Nowicki ◽  
Alina Deluga ◽  
Agnieszka Bartoszek
Keyword(s):  
Mental Health ◽  
Interpersonal Relationships ◽  
Perceived Stress ◽  
Positive Impact ◽  
General Health Questionnaire ◽  
Depression Symptoms ◽  
General Mental Health ◽  
The Social ◽  
The Mean ◽  
Social Competences

Introduction: Social competences are indispensable in occupations reliant on interpersonal interactions, such as in medical professions, e.g. nursing, conditioning not only the effective construction of interpersonal relationships, but ever more often emphasizing a positive impact on strengthening coping skills in stressful situations. The object of our study was to assess the connection of social competences with the sense of general mental health and intensity of stress in the group of nurses.Materials and methods: In the study took part 291 nurses (ages 23–63, mean job seniority 11 years, SD = 10.22). We used the Social Competence Questionnaire (KKS) according to Anna Matczak, the Perceived Stress Scale (PSS-10), as adapted by Zygfryd Juczyński and Nina Ogińska-Bulik, and the General Health Questionnaire (GHQ-28) in the adaptation of Zofia Makowska and Dorota Merecz to collect information for the study.Results: Stress intensity among respondents averaged 16.83 points (SD = 4.47). In the 4 analyzed indicators of the GHQ-28, the mean point score was: somatic symptoms M = 8.45, anxiety and insomnia M = 8.75, functional disorders M = 8.07, depression symptoms M = 2.46. 38.1% of the results of the level of general mental health were in the range 5–6, which is the average level of mental health perceived in the group of nurses.Conclusions: The level of perceived stress among more than half of the surveyed group of nurses was average (52.6%). The level of social competences is not significantly correlated with the intensity of stress experienced. The level of general mental health of 38.1% of the nurses fell in the range of average. The level of social competences significantly correlates with the general mental health status of the nurse respondents (R = -0.254, p < 0.001).

Effects of police officer exposure to traumatic experiences and recognizing the stigma associated with police officer mental health

2019 ◽  
Vol 42 (4) ◽  
pp. 711-724 ◽  
Author(s):  
Elizabeth Velazquez ◽  
Maria Hernandez
Keyword(s):  
Mental Health ◽  
Law Enforcement ◽  
Environmental Factors ◽  
Police Officer ◽  
Police Officers ◽  
Mental Health Treatment ◽  
Suicide Ideation ◽  
Organizational Factors ◽  
Health Treatment ◽  
Content Type

Purpose The purpose of this paper is to review current research on police officer mental health and to explore the reasons why police officers do not seek mental health treatment. Design/methodology/approach A comprehensive, systematic search of multiple academic databases (e.g. EBSCO Host) were used to identify studies conducted within the USA, identified definitions of first responders, identified the type of duty-related trauma expected by police officers, how influential stigma is amongst the police culture and what current intervention strategies are employed to assist police officer mental health wellness. Findings This research was conducted to identify police officer trauma-related mental health and the stigma behind seeking treatment. The research highlights job-related trauma and stress leads to the development of post-traumatic stress disorder, depression, substance use disorder and suicide or suicide ideation. The stigma behind seeking mental health treatment is associated with law enforcement organizations and environmental factors. Organizational factors include occupational stress characteristics such as day-to-day of the job and environmental factors such as abiding by social and law enforcement culture ideologies. Further research should be conducted to understand why law enforcing agencies and personnel are unknowingly promoting stigmas. Originality/value This is the most current meta-review of research examining the severity of mental health in police officers, the stigma behind acquiring treatment and innovative treatment approaches in police officer mental health. This study will provide a useful resource for those researchers interested in continuing to examine the different aspects of police officer mental health and how to potently approach innovative interventions to help law enforcement personals mental wellness thrive in a field where trauma is experienced daily.

scholarly journals Attention-Based Deep Entropy Active Learning Using Lexical Algorithm for Mental Health Treatment

2021 ◽  
Vol 12 ◽  
Author(s):  
Usman Ahmed ◽  
Suresh Kumar Mukhiya ◽  
Gautam Srivastava ◽  
Yngve Lamo ◽  
Jerry Chun-Wei Lin
Keyword(s):  
Mental Health ◽  
Active Learning ◽  
Language Processing ◽  
Mental Health Treatment ◽  
Semantic Information ◽  
Short Term Memory ◽  
Psychological Treatment ◽  
Optimal Solution ◽  
Depression Symptoms ◽  
Blind Test

With the increasing prevalence of Internet usage, Internet-Delivered Psychological Treatment (IDPT) has become a valuable tool to develop improved treatments of mental disorders. IDPT becomes complicated and labor intensive because of overlapping emotion in mental health. To create a usable learning application for IDPT requires diverse labeled datasets containing an adequate set of linguistic properties to extract word representations and segmentations of emotions. In medical applications, it is challenging to successfully refine such datasets since emotion-aware labeling is time consuming. Other known issues include vocabulary sizes per class, data source, method of creation, and baseline for the human performance level. This paper focuses on the application of personalized mental health interventions using Natural Language Processing (NLP) and attention-based in-depth entropy active learning. The objective of this research is to increase the trainable instances using a semantic clustering mechanism. For this purpose, we propose a method based on synonym expansion by semantic vectors. Semantic vectors based on semantic information derived from the context in which it appears are clustered. The resulting similarity metrics help to select the subset of unlabeled text by using semantic information. The proposed method separates unlabeled text and includes it in the next active learning mechanism cycle. Our method updates model training by using the new training points. The cycle continues until it reaches an optimal solution, and it converts all the unlabeled text into the training set. Our in-depth experimental results show that the synonym expansion semantic vectors help enhance training accuracy while not harming the results. The bidirectional Long Short-Term Memory (LSTM) architecture with an attention mechanism achieved 0.85 Receiver Operating Characteristic (ROC curve) on the blind test set. The learned embedding is then used to visualize the activated word's contribution to each symptom and find the psychiatrist's qualitative agreement. Our method improves the detection rate of depression symptoms from online forum text using the unlabeled forum texts.

scholarly journals Treatment of suicidal people around the world

2011 ◽  
Vol 199 (1) ◽  
pp. 64-70 ◽  
Author(s):  
R. Bruffaerts ◽  
K. Demyttenaere ◽  
I. Hwang ◽  
W.-T. Chiu ◽  
N. Sampson ◽  
...  
Keyword(s):  
Mental Health ◽  
Low Income ◽  
Mental Health Treatment ◽  
Suicide Ideation ◽  
Medical Practitioner ◽  
World Health ◽  
Low Income Countries ◽  
Structural Barriers ◽  
General Medical Practitioner ◽  
The World

BackgroundSuicide is a leading cause of death worldwide; however, little information is available about the treatment of suicidal people, or about barriers to treatment.AimsTo examine the receipt of mental health treatment and barriers to care among suicidal people around the world.MethodTwenty-one nationally representative samples worldwide (n=55 302; age 18 years and over) from the World Health Organization's World Mental Health Surveys were interviewed regarding past-year suicidal behaviour and past-year healthcare use. Suicidal respondents who had not used services in the past year were asked why they had not sought care.ResultsTwo-fifths of the suicidal respondents had received treatment (from 17% in low-income countries to 56% in high-income countries), mostly from a general medical practitioner (22%), psychiatrist (15%) or non-psychiatrist (15%). Those who had actually attempted suicide were more likely to receive care. Low perceived need was the most important reason for not seeking help (58%), followed by attitudinal barriers such as the wish to handle the problem alone (40%) and structural barriers such as financial concerns (15%). Only 7% of respondents endorsed stigma as a reason for not seeking treatment.ConclusionsMost people with suicide ideation, plans and attempts receive no treatment. This is a consistent and pervasive finding, especially in low-income countries. Improving the receipt of treatment worldwide will have to take into account culture-specific factors that may influence the process of help-seeking.

scholarly journals The hidden crisis: COVID-19 and impact on mental health of medical students in Pakistan

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Nazish Imran ◽  
Imran Ijaz Haider ◽  
Ali Burhan Mustafa ◽  
Irum Aamer ◽  
Zahid Kamal ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Online Survey ◽  
Mental Health Problems ◽  
Positive Impact ◽  
Well Being ◽  
Depression Symptoms ◽  
Psychological Well Being ◽  
The Impact ◽  
Medical Colleges

Abstract Background Medical students have faced an enormous disruption to their lives due to the COVID-19 pandemic. The study aimed to assess the impact of COVID-19 on medical student’s psychological well-being in Pakistan. Following ethical approval, an online survey developed in collaboration with World Psychiatric Association (WPA) was distributed among medical students of 5 Medical colleges in the Punjab province of Pakistan between August and September 2020. Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), and Risk Assessment Suicidality Scale (RASS) were used to assess psychological well-being. Data was analyzed using SPSS 26.0. Results Eleven hundred medical students responded, 756 (69%) being females. More than 2/3rd admitted that their emotional state got worse in relation to appearance of anxiety, insecurity, and sadness, compared to before the outbreak of COVID-19. Prevalence of anxiety and depressive symptoms were 48.6% and 48.1%, respectively. Female medical students, pre-clinical students, and those with a previous psychiatric history reported experiencing more anxiety and depression symptoms (P value < 0.001). One in five medical students thought that it would be better if they were dead, and 8% admitted to often think of committing suicide during the past 2 weeks. RASS and subscales (intention, life, and history) scores were higher in females and students with previous psychiatric problems. Conclusion Our findings underscore that the impact of COVID-19 on medical students has been significant; hence, it is crucial for medical colleges to employ strategies to maintain the student’s well-being with safeguards like reassurance, support, and confidential student-centered psychiatric services. The use of virtual platforms (websites, email) to educate and screen students by staff members can create a positive impact. The limitations of this study include cross-sectional design, the possibility of selective participation being web-based survey, response bias, and the possibility of reluctance of students to report mental health problems due to stigma.

scholarly journals Depression symptoms as a mediator between social support, non-suicidal self-injury, and suicidal ideation among Arab adolescents in Israel

2021 ◽  
pp. 014303432199874
Author(s):  
Nir Madjar ◽  
Doaa Daka ◽  
Gil Zalsman ◽  
Gal Shoval
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Depression Symptoms ◽  
Related Factors ◽  
Familial Support ◽  
Self Injury ◽  
And Cluster Analysis ◽  
Arab Minority

The purpose of the current study was to explore whether depression symptoms mediate the relationships between perceptions of social support from three sources; namely parents, teachers, and peers, and non-suicidal self-injury (NSSI) and suicidal ideation. We also tested the interactions between the different sources of support. Focusing on the Arab-Israeli population is unique as it is an ethnic minority characterized with strong familial support, and less access to mental health services compared to the ethnic majority. Adolescents (N = 276; 65.6% girls; mean age 15.1 years) from the Arab minority in northern Israel were sampled (74% response rate). Participants were evaluated using validated scales assessing perceived social support, NSSI and suicidal ideation. Path analysis with Bayesian estimation supported the hypothesized model. Depression symptoms fully mediated the relationships between school-related social support (i.e., teachers and peers) and NSSI, and partially between parents’ support and suicidal ideation. Interactions between the social support sources were not significant, and cluster analysis indicated that each source is independently essential to understand NSSI and suicide ideation. This model emphasizes the importance of school-related factors in adolescents’ particular aspects of mental health, and suggests that one source of social support may not compensate for a lack of another.

scholarly journals Predicting mental health treatment access in high-symptom adolescents: Machine learning approaches

2019 ◽  
Author(s):  
Mallory Dobias ◽  
Michael Brandon Sugarman ◽  
Michael C Mullarkey ◽  
Jessica L. Schleider
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Mental Health Treatment ◽  
The United States ◽  
Depression Symptoms ◽  
Treatment Access ◽  
Health Treatment ◽  
Adolescent Treatment ◽  
Out Of Sample ◽  
Mental Health Treatments

Objective: A majority of adolescents experiencing depression never access treatment. To increase access to effective mental health care, it is critical to understand factors associated with increased versus decreased odds of adolescent treatment access. This study investigated the relative importance of individual depression symptoms and sociodemographic variables in predicting whether and where adolescents with depression accessed mental health treatments. Method: We performed a pre-registered, secondary analysis of data from the 2017 National Survey of Drug Use and Health (NSDUH), a nationally representative sample of non-institutionalized civilians in the United States. Using four cross-validated random forest models, we predicted whether high-symptom adolescents (N = 1,671; ages 12-17 years) accessed specific mental health treatments in the previous 12 months (“yes/no” for inpatient, outpatient, school, any). Results: 53.38% of adolescents with elevated depressive symptoms accessed treatment of any kind. Even with depressive symptoms and sociodemographic factors included as predictors, pre-registered random forests explained &lt; 0.00% of pseudo out-of-sample deviance in adolescent access to inpatient, outpatient, school, or overall treatments. Exploratory elastic net models explained 0.80 - 2.50% of pseudo out-of-sample deviance in adolescent treatment access across all four treatment types. Conclusions: Neither individual depressive symptoms nor any socioeconomic variables meaningfully predicted specific or overall mental health treatment access in high-symptom adolescents. This study highlights substantial limitations in our capacity to predict whether and where high-symptom adolescents access mental health treatment and underscores the broader need for more accessible, scalable adolescent depression treatments.

scholarly journals Men’s Mental Health Help-Seeking Behaviors: An Intersectional Analysis

2016 ◽  
Vol 12 (1) ◽  
pp. 64-73 ◽  
Author(s):  
Mike C. Parent ◽  
Joseph H. Hammer ◽  
Tyler C. Bradstreet ◽  
Esther N. Schwartz ◽  
Tori Jobe
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
National Sample ◽  
Depression Symptoms ◽  
Income Poverty ◽  
Help Seeking Behaviors ◽  
Race Ethnicity ◽  
Main Effects ◽  
Racial Ethnic

Men seek mental health treatment less often than women. The present study sought to elucidate identities and individual difference characteristics that are associated with enhanced or decreased mental health help-seeking in a large national sample of U.S. men. Using data from 4,825 U.S. men aged 20 to 59 years, main effects of race/ethnicity, sexual orientation, age, income–poverty ratio, relationship status, depression symptoms, and body mass index were explored within the sample of men as well as intersections of these predictors with racial/ethnic group identity. While the results of main effects testing generally supported prior research (i.e., greater mental health care help-seeking among White men, nonheterosexual men, men not in relationships, older men, and more depressed men), when examined associations across racial/ethnic groups, the direction and strength of these associations showed notable variation—variation unaccounted for in prior research. These findings highlight the need for future theory building and research that accounts for this variation at the intersection of race/ethnicity and these specific predictors of help-seeking behavior among men.

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