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 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 Perceived need, barriers to and facilitators of mental health care among HIV-infected PWID in Hanoi, Vietnam: a qualitative study

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Minh X. Nguyen ◽  
Vivian F. Go ◽  
Quynh X. Bui ◽  
Bradley N. Gaynes ◽  
Brian W. Pence
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Care ◽  
Mental Health Services ◽  
Drug Use ◽  
Health Services ◽  
Mental Health Care ◽  
Injection Drug Use ◽  
Mental Health Problems ◽  
Health Problems

Abstract Background The HIV epidemic in Vietnam has been primarily driven by injection drug use. HIV-infected people who inject drugs (PWID) in Vietnam have very high rates of mental health problems, which can accelerate progression to AIDS and increase mortality rates. No research has explored the barriers and facilitators of mental health care for HIV-infected PWID in Vietnam. Methods We conducted 28 in-depth interviews among HIV-infected PWID (n = 16), HIV and MMT (methadone maintenance treatment) providers (n = 8), and health officials (n = 4) in Hanoi. We explored participants’ perceptions of mental health disorders, and barriers and facilitators to seeking and receiving mental health care. Results HIV-infected PWID were perceived by both PWID, HIV/MMT providers, and health officials to be vulnerable to mental health problems and to have great need for mental health care. Perceived social, physical, and economical barriers included stigma towards HIV, injection drug use, and mental illnesses; lack of awareness around mental health issues; lack of human resources, facilities and information on mental health services; and limited affordability of mental health services. Social support from family and healthcare providers was a perceived facilitator of mental health care. Conclusions Interventions should raise self-awareness of HIV-infected PWID about common mental health problems; address social, physical, economic barriers to seeking mental health services; and increase social support for patients.

Symptoms of mental health and psychotropic drug use among old people in geriatric care, changes between 1982 and 2000

2008 ◽  
Vol 23 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Hugo Lövheim ◽  
Per-Olof Sandman ◽  
Kristina Kallin ◽  
Stig Karlsson ◽  
Yngve Gustafson
Keyword(s):  
Mental Health ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Geriatric Care ◽  
Old People ◽  
Psychotropic Drug Use

scholarly journals Perspectives of Family Members on Using Technology in Youth Mental Health Care: A Qualitative Study

2017 ◽  
Vol 4 (2) ◽  
pp. e21 ◽  
Author(s):  
Shalini Lal ◽  
Winnie Daniel ◽  
Lysanne Rivard
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Early Intervention ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Information And Communication Technologies ◽  
Family Members ◽  
Youth Mental Health ◽  
Use Of Technology

Background Information and communication technologies (ICTs) are increasingly recognized as having an important role in the delivery of mental health services for youth. Recent studies have evaluated young people’s access and use of technology, as well as their perspectives on using technology to receive mental health information, services, and support; however, limited attention has been given to the perspectives of family members in this regard. Objective The aim of this study was to explore the perspectives of family members on the use of ICTs to deliver mental health services to youth within the context of specialized early intervention for a first-episode psychosis (FEP). Methods Six focus groups were conducted with family members recruited from an early intervention program for psychosis. Twelve family members participated in the study (target sample was 12-18, and recruitment efforts took place over the duration of 1 year). A 12-item semistructured focus group guide was developed to explore past experiences of technology and recommendations for the use of technology in youth mental health service delivery. A qualitative thematic analysis guided the identification and organization of common themes and patterns identified across the dataset. Results Findings were organized by the following themes: access and use of technology, potential negative impacts of technology on youth in recovery, potential benefits of using technology to deliver mental health services to youth, and recommendations to use technology for (1) providing quality information in a manner that is accessible to individuals of diverse socioeconomic backgrounds, (2) facilitating communication with health care professionals and services, and (3) increasing access to peer support. Conclusions To our knowledge, this is among the first (or the first) to explore the perspectives of family members of youth being treated for FEP on the use of technology for mental health care. Our results highlight the importance of considering diverse experiences and attitudes toward the role of technology in youth mental health, digital literacy skills, phases of recovery, and sociodemographic factors when engaging family members in technology-enabled youth mental health care research and practice. Innovative methods to recruit and elicit the perspectives of family members on this topic are warranted. It is also important to consider educational strategies to inform and empower family members on the role, benefits, and use of ICTs in relation to mental health care for FEP.

How Cultural Capital Shapes Mental Health Care Seeking in College

2021 ◽  
pp. 073112142110428
Author(s):  
Katie R. Billings ◽  
Kathryne M. Young
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Decision Making ◽  
Mental Health Care ◽  
Cultural Capital ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Treatment Decisions ◽  
Care Seeking

First-generation and working-class undergraduates not only experience mental health problems at higher rates than their more affluent peers, but are also less likely to seek treatment. We administered a mixed-methods survey to undergraduates at two institutions to investigate the relationship between cultural capital and mental health decision-making. Using two measures of cultural capital, we find that students with high cultural capital are more likely to seek mental health treatment than those with limited cultural capital. Additionally, analysis of our qualitative results reveals that while students with limited cultural capital make treatment decisions through a collectivistic lens (considering other people’s needs and opinions), those with high cultural capital tend to view treatment decisions through an individualistic lens (considering their own needs and opinions). These lenses capture both the barriers and facilitators to mental health care that students cite to explain their decision-making. Understanding how cultural capital shapes orientations to mental health care is necessary to facilitate help-seeking for students from all social class backgrounds.

Experience of psychotropic drug use among young people with mental health problems

2015 ◽  
Vol 35 (4) ◽  
pp. 241-248 ◽  
Author(s):  
Anne Kjersti Myhrene Steffenak ◽  
Bodil Wilde-Larsson ◽  
Ingeborg Hartz ◽  
Gun Nordström
Keyword(s):  
Mental Health ◽  
Young People ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychotropic Drug Use
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