Recognition of Family-Group Health Problems by Public Health Nurses

Background: Young mothers have higher rates of mental health problems yet can be difficult to engage in care. Few interventions exist targeting the full range of mental health problems these women face. While transdiagnostic psychotherapies have been utilized in adolescent groups, they have not been tested in young mothers. Objective: Our objective was to examine the feasibility and acceptability of a public health nurse-delivered transdiagnostic CBT-based resilience curriculum for young mothers in a supported school setting, and to determine preliminary estimates of the program’s effects. Methods: 56 mothers 21 years of age or younger were recruited from a supported high school program in Canada. Using a pretest/post-test design with no control group, measures of maternal depression, anxiety, emotion regulation, and offspring behaviour were collected immediately before and after the completion of the weekly 10-session intervention. Results: The intervention was feasible and acceptable to young mothers. While few statistically significant changes were noted in the complete sample, for those with moderate-severe depression at baseline, program participation resulted in clinically meaningful improvements in depression, anxiety, and emotion regulation. Conclusion: Provision of a transdiagnostic CBT-based resilience building program delivered by public health nurses in a supported school setting was both feasible and well-tolerated. Given the preliminary nature of this study, its clinical utility is unclear, though it may have benefits for young mothers with more significant mental health problems at baseline.

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Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions

The Scientific World JOURNAL ◽

10.1155/2014/286939 ◽

2014 ◽

Vol 2014 ◽

pp. 1-11 ◽

Cited By ~ 2

Author(s):

Anne-Mari Borg ◽

Raili Salmelin ◽

Matti Joukamaa ◽

Tuula Tamminen

Keyword(s):

Public Health ◽

Mental Health ◽

Young Children ◽

Clinical Relevance ◽

Mental Health Problems ◽

Health Problems ◽

Children’S Mental Health ◽

Children's Mental Health ◽

Public Health Nurses ◽

Self Evaluation

Background and Aims. Assessing young children’s mental health is a crucial and challenging task. The aim of the study was to evaluate the clinical relevance of asking parents, nurses, and young children themselves to identify children’s mental health problems by only one or two questions.Methods. In regular health check-ups of 4- to 9-year-old children(n=2682), parents and public health nurses assessed by one question whether the child had any emotional or behavioral difficulties. The child completed a self-evaluation enquiry on his/her emotional well-being. A stratified proportion of the participating parents were invited to a diagnostic interview.Results. Sensitivities were fairly good for the parents’ (68%), nurses’ (65%), and their combined (79%) one-question screens. Difficulties identified by parents and nurses were major risks (OR 10–14) for any child psychiatric disorders(P<0.001). The child’s self-evaluation was related to 2-fold to 3-fold risks(P<0.05)for any psychiatric diagnosis, for any emotional diagnosis, and for negative situational factors.Conclusion. The one-question screen for parents and public health nurses together quite adequately identified the young children with mental health problems. The child’s self-evaluation provided relevant and complementary information on his/her mental health and especially emotional problems.

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Health in a Rural Defense Area: How Public Health Nurses Met the Health Problems Created When 8,000 Defense Workers and Their Families Moved into a Rural County

AJN American Journal of Nursing ◽

10.2307/3415762 ◽

1942 ◽

Vol 42 (3) ◽

pp. 239

Author(s):

Dorothy W. Butz

Keyword(s):

Public Health ◽

Health Problems ◽

Public Health Nurses ◽

Rural County

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Public Health Nurse and interprofessional collaboration related to adolescent mental health problems

European Journal of Public Health ◽

10.1093/eurpub/ckz186.358 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

M Granrud ◽

A Anderzen-Carlsson ◽

B Bisholt ◽

A K Steffenak

Keyword(s):

Public Health ◽

Mental Health ◽

School Health ◽

Mental Health Problems ◽

Interprofessional Collaboration ◽

Public Health Nurse ◽

Health Problems ◽

Public Health Nurses ◽

The Public ◽

Health Nurse

Abstract Background Mental health problems among adolescents account for a large portion of the global burden of disease and affect 10 - 20 % of children and adolescent worldwide. The public health nurse in the school health services is in the forefront for adolescents and play an important role in providing mental health. In order to identitfy and help the adolescents in secondary school with mental health problems the public health nurses are dependent on collaboration with other professionals. The aim of this study was to describe the variation in public health nurses perceptions of interprofessional collaboration related to mental health problems among adolescents in secondary school. Methods This study has a qualitative design and individual interviews were analyzed with a phenomenographic approach. Eighteen public health nurses working in school health services, strategically selected from different counties, both urban and rural areas, were included to ensure variation in the phenomena. Findings The analysis resulted in three descriptive categories: ’The formal structure has an impact on the interprofessional collaboration’, ’The public health nurse is an important but not always self-evident partner in interprofessional collaboration’ and ’The primary players are the teachers in collaboratioń. Conclusions The findings demonstrated that public health nurses are important but not always included in interprofessional collaboration and they were dependent especially of teachers to achieve good collaboration. There were variations in how public health nurses perceived interprofessional collaboration from school to school, which may give the adolescents with mental health different services. The knowledge from this study may be essential to strengthen public health nurses positions and presence in the school health service, which will benefit the adolescents with mental health problems. Key messages The public health nurse need to work actively to be included in interprofessional collaboration. The public health nurse are dependent on teachers and principals to achieve good collaboration.

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