scholarly journals Current Issues within the Perinatal Mental Health Care System in Japan: A Cross-Sectional Questionnaire Survey

2020 ◽  
Author(s):  
Kei Fujita ◽  
Tomomi Kotani ◽  
Yoshinori Moriyama ◽  
Takafumi Ushida ◽  
Kenji Imai ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Drug Use ◽  
Mental Health Care ◽  
Health Care System ◽  
Psychotropic Drug ◽  
Maternity Care ◽  
Perinatal Mental Health ◽  
Mental Health Care System ◽  
Psychotropic Drug Use

Abstract Background: Mental illness commonly occurs in reproductive age, and its adverse effects on mothers and children are a major public health concern. However, the extent to which the perinatal mental health care system in Japan is functioning adequately remains unexplored. This study aimed to identify the issues that exist within the perinatal mental health care system in Japan. Methods: A cross-sectional survey was conducted across medical facilities in Aichi prefecture in central Japan. Questionnaires were mailed to the head physicians of all 128 maternity care units, 21 neonatal intensive care units (NICUs), and 40 assisted reproductive technology (ART) units. The following data were collected: the number of admissions to mental health care units and admissions of neonates born to mothers with mental illness during the perinatal period between 2016 and 2018. Perspectives on psychotropic drug use during pregnancy were compared across different types of maternity care units, including maternal-fetal (MF) centers and private clinics by Fisher’s exact test. The multidisciplinary team system was also compared across different types of maternity care units by Fisher’s exact test. Results: The number of admissions to mental health care units was 82 (52.8 per 10 000 births), and 158 (1.0 per 1000 births) neonates born to mothers with mental illness were admitted to NICUs during the aforementioned period. With regard to the multidisciplinary team system, 84 (71.1 %) and 76 (64.4 %) maternity care units did not have any psychiatrists or social workers. Moreover, only 5 % of the head physicians in MF centers endorsed the discontinuation of psychotropic drug use during pregnancy. The corresponding figures were 20–35 % among those in general hospitals, private clinics, and ART units. Conclusions: Multidisciplinary system resources were perceived to be limited. Perspectives on psychotropic drug use during pregnancy differed significantly based on the type of units in which the doctors were working. There is a need for resources that will facilitate the admission of perinatal women with mental illnesses to mental health care units in Japan.

scholarly journals Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey

2021 ◽  
Vol 18 (17) ◽  
pp. 9122
Author(s):  
Kei Fujita ◽  
Tomomi Kotani ◽  
Yoshinori Moriyama ◽  
Takafumi Ushida ◽  
Kenji Imai ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Drug Use ◽  
Mental Health Care ◽  
Health Care System ◽  
Psychotropic Drug ◽  
Maternity Care ◽  
Cross Sectional ◽  
Mental Health Care System

Mental illnesses commonly occur in the reproductive age. This study aimed to identify the issues that exist within the perinatal mental health care system. A cross-sectional survey was conducted in Aichi Prefecture in central Japan. Questionnaires on the situation between 2016 and 2018 were mailed to the head physicians of 128 maternity care units, 21 neonatal intensive care units (NICUs), and 40 assisted reproductive technology (ART) units. A total of 82 (52.6 per 100,000 births) women were admitted to mental health care units during the perinatal period, and 158 (1.0 per 1000 births) neonates born to mothers with mental illness were admitted to NICUs. Approximately 40% of patients were hospitalized in psychiatric hospitals without maternity care units. Eighty-four (71.1%) and 76 (64.4%) maternity care units did not have psychiatrists or social workers, respectively. Moreover, 20–35% of the head physicians in private clinics, general hospitals, and ART units endorsed the discontinuation of psychotropic drug use during pregnancy. However, the corresponding figures were only 5% among those in maternal-fetal centers. Resources for perinatal mental illness might be limited. Perspectives on psychotropic drug use differed based on the type of facilities where the doctors were working.

scholarly journals Het professioneel zorg‐ en psychofarmacagebruik van gescheiden vrouwen en mannen : wat is de rol van informele steun ?

2014 ◽  
Vol 4 (2) ◽  
pp. 1-33
Author(s):  
Veerle Buffel ◽  
Elien Colman ◽  
Piet Bracke
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Drug Use ◽  
Mental Health Care ◽  
Psychotropic Drug ◽  
Family Members ◽  
Informal Support ◽  
Care Seeking ◽  
Psychotropic Drug Use ◽  
Economic Background

Deze studie vergelijkt het zorg‐ en psychofarmacagebruik omwille van psychische klachten van gescheiden personen (met een nieuwe partner of alleenstaand) met gehuwden. Binnen het theoretisch kader van de crowding‐in/out hypothesen, stellen wij ons de vraag of de beschikbaarheid van informele steun professioneel zorggebruik aanmoedigt of substitueert. Logistische regressieanalyses werden uitgevoerd afzonderlijk voor mannen (N=3020) en vrouwen (N=3450) met het contacteren van een huisarts, psychiater, psycholoog en psychofarmacagebruik als afhankelijke variabelen. Gescheiden alleenstaanden rapporteren het hoogste zorg‐ en psychofarmacagebruik.  Gescheiden vrouwen (en vooral alleenstaande) contacteren vaker een huisarts, psychiater en psycholoog, ongeacht hun mentale gezondheid, informele steun en sociaaleconomische achtergrond. Vrouwen die kunnen rekenen op emotionele steun van familie en niet‐familieleden zijn meer geneigd om een huisarts te contacteren. Bij mannen beïnvloedt de aanwezigheid van emotionele steun van leden buiten de familie het contacteren van elk type van zorgverlener. Deze bevindingen zijn in lijn van de crowding‐in hypothese. Abstract : This study compares mental health care and psychotropic drug use of the divorced (re‐partnered or single) to the married. Within the theoretical framework of crowding in/out thesis, we question whether the availability of informal support, facilitates or substitutes formal care seeking. Logistic regression analyses were performed for women (N=3450) and men (N=3020) to determine the correlates of contacting a GP, a psychiatrist, a psychologist and taking psychotropic drugs. Divorced singles report the highest mental health care and psychotropic drug use. Divorced women (especially singles) contact more often each type of health care provider, regardless of their mental health, informal support and socio‐economic background. Women who can rely on the support of family and non‐family members are more inclined to contact a GP. With regard to men, informal support of non‐family members positively influences each type of care seeking. These findings are in line with the crowding‐in thesis.

scholarly journals Coping with Criticism and Embracing Change—Further Reflexions on the Debate on a Mental Health Care System without Coercion

Laws ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 22
Author(s):  
Sebastian von Peter ◽  
Martin Zinkler
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care System ◽  
Police Custody ◽  
Judicial Control ◽  
Mental Health Care System ◽  
The Will ◽  
Alternative Scenarios ◽  
Care System

In August 2019, a manuscript was published in this journal that aimed at imagining a mental health care system that renounces the judicial control to better focus on the will and preferences of those who require support. Alternative scenarios for dealing with risk, inpatient care, and police custody were presented that elicited strong and emotionally laden reactions. This article adds further reflections to this debate, aiming at contributing explanations for this unsettlement. A productive notion of criticism is discussed, and ways to achieve change toward a more human rights-oriented psychiatric practice are outlined.

scholarly journals #SelfHelp : A Supplementary paper for the film #SelfHelp

2021 ◽  
Author(s):  
Emma Arsenault
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Media ◽  
Mental Health Care ◽  
Knowledge Sharing ◽  
Health Care System ◽  
Young Women ◽  
Mental Health Care System ◽  
Use Of Social Media ◽  
Community Workshops

The film #SelfHelp critically examines Toronto’s mental health care system, it’s flaws and the different reasons why people resort to other options. After facing ongoing challenges, three young women decided to take matters into their own hands. Through the use of social media, starting community workshops and dedication to knowledge-sharing, these women begin to not only heal themselves, but others as well.

Mental health services for individuals at risk of suicide in Peru: Attitudes and perspectives of mental health professionals

2020 ◽  
pp. 002076402094678
Author(s):  
Dana Alonzo ◽  
Dafne Aida Zapata Pratto
Keyword(s):  
Mental Health ◽  
Health Care ◽  
At Risk ◽  
Mental Health Care ◽  
Health Care System ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Specialized Training ◽  
Mental Health Care System ◽  
Care System

Background: Mental Health professionals often have to deal with at-risk individuals in crises and lack specialized training on suicide risk assessment and intervention. This study examined mental health professionals’ attitudes toward at-risk individuals and their perceptions of the quality of training and treatment available for assessing and intervening with this population. Methods: A total of 32 mental health professionals (13 psychiatrists, 16 psychologists, 2 psychiatric nurses; 1 social assistant) from highly vulnerable communities in Lima, Peru discussed their perceptions in four focus groups conducted by the authors. Results: Participants reported glaring deficiencies in all areas explored including training, knowledge and skills regarding suicide assessment and management. In addition, using ground theory analysis, three domains of findings emerged representing barriers and facilitators of treatment engagement, risk and protective factors of suicide and pros and cons of the current mental health care system including micro-, mezzo- and macro-level factors. The most frequently identified barrier was the perception that suicide is illegal; facilitator was family involvement; risk factor was poor parenting; protective factor was religious beliefs; pro of mental health care system was establishment of community-based services and con of mental health care system was lack of access to psychiatrists. Conclusion: The lack of specialized training available in the institutions that are designed to prepare mental health professionals for working with at-risk individuals is notable and has a direct and known impact self-identified by helping professionals. The need and desire for targeted training is palpable and essential to address growing rates of suicide, particularly among youth, in Peru.

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