How Do the Mental Health Issues Differ in the Withholding/Withdrawing of Treatment versus Assisted Death?

2000 ◽  
Vol 41 (4) ◽  
pp. 259-278 ◽  
Author(s):  
James L. Werth

This article reviews ten of the most common mental health-related arguments against assisted death and applies them to the withholding/withdrawal of treatment to determine if the concerns expressed are truly unique to assisted death. After this analysis it is suggested that the mandatory involvement of a mental health professional can alleviate many of the concerns specifically associated with assisted death and that a mental health professional may also be helpful in situations involving the withholding/withdrawal of treatment.

2014 ◽  
Vol 53 (14) ◽  
pp. 1359-1366 ◽  
Author(s):  
Alan E. Simon ◽  
Kenneth C. Schoendorf

We examined mental health–related visits to emergency departments (EDs) among children from 2001 to 2011. We used the National Hospital Ambulatory Medical Care Survey—Emergency Department, 2001-2011 to identify visits of children 6 to 20 years old with a reason-for-visit code or ICD-9-CM diagnosis code reflecting mental health issues. National percentages of total visits, visit counts, and population rates were calculated, overall and by race, age, and sex. Emergency department visits for mental health issues increased from 4.4% of all visits in 2001 to 7.2% in 2011. Counts increased 55 000 visits per year and rates increased from 13.6 visits/1000 population in 2001 to 25.3 visits/1000 in 2011 ( P < .01 for all trends). Black children (all ages) had higher visit rates than white children and 13- to 20-year-olds had higher visit rates than children 6 to 12 years old ( P < .01 for all comparisons). Differences between groups did not decline over time.


2020 ◽  
Vol 30 (14) ◽  
pp. 2173-2191
Author(s):  
Robert D. Hall

In this manuscript, I utilize an ethnodramatic methodology in reanalyzing two data sets about college friends disclosing and receiving mental health-related information. After describing ethnodrama and how this methodology applies to mental health–related inquiry, I detail my process of creating an ethnodrama from two extant data sets. The result is an ethnodrama called Amicus cum Laude: Becoming a Friend with Honor for Mental Illness, a one-act play about how friends discuss mental health issues with one another. After providing the ethnodrama, I offer recommendations for taking the ethnodrama from page to stage while reflecting on and critiquing the final product.


2017 ◽  
Vol 6 (4) ◽  
pp. 266-279
Author(s):  
Christopher J. Cockshott ◽  
Gundi Kiemle ◽  
Paula Byrne ◽  
Mark B. Gabbay

We investigated the experiences of unemployed university graduates with common mental health issues. After conducting semistructured interviews with 12 unemployed bachelor’s degree graduates with common mental health issues, we used interpretative phenomenological analysis to generate three superordinate themes: “fall from grace,” “vulnerability,” and “life on hold.” Our focus in this article is life on hold and its constituent themes: “stagnation,” “moving backward,” and “feeling left behind.” Graduates struggled to complete the broader structural life transition from university student to the adult world of work, experiencing a nebulous state of straddling adolescence and early adulthood. This undermined their sense of adult maturity, leaving them vulnerable to becoming entrenched in their mental health-related difficulties. We discuss these findings in relation to the developmental perspectives of life-course theory, status passages, and separation–individuation in early adulthood, which raise important issues for the applicability of life-course frameworks for these graduates, who are a disadvantaged minority group.


2003 ◽  
Vol 49 (1) ◽  
pp. 124-156 ◽  
Author(s):  
Craig Haney

This article discusses the recent increase in the use of solitary-like confinement, especially the rise of so-called supermax prisons and the special mental health issues and challenges they pose. After briefly discussing the nature of these specialized and increasingly widespread units and the forces that have given rise to them, the article reviews some of the unique mental-health-related issues they present, including the large literature that exists on the negative psychological effects of isolation and the unusually high percentage of mentally ill prisoners who are confined there. It ends with a brief discussion of recent caselaw that addresses some of these mental health issues and suggests that the courts, though in some ways appropriately solicitous of the plight of mentally ill supermax prisoners, have overlooked some of the broader psychological problems these units create.


2019 ◽  
Vol 8 (2S11) ◽  
pp. 3735-3739

This objective of this research is to study the application of virtual reality in health care and to especially comprehend its role in mental health care. The methodology employed in qualitative in nature, mainly descriptive that takes in to consideration the databases of various journals and academic websites. The research paper aims at providing a review and analysis on how virtual reality or the artificial environment is used to treat various health related issues, paying specific attention on the mental health and related ailments. Virtual reality has taken a great leap in the past two decades where its various applications are being used to not only treat different medical conditions but also provide training to the medical professionals, thereby reducing the cost of training manifold. The use of artificial environment has improved the quality of health care in the recent years. However, there are still few challenges that the virtual reality world faces and needs to address. The applications of virtual reality need to be communicated widely as to increase the awareness among people and lessen the stigma attached with getting help for mental health issues.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027733 ◽  
Author(s):  
Fernando Lima ◽  
Carrington Shepherd ◽  
Janice Wong ◽  
Melissa O’Donnell ◽  
Rhonda Marriott

ObjectiveThis study examines the scale of maternal mental health related contacts among Australian Aboriginal children over time, and associations with socio-economic characteristics, geographical remoteness and maternal age.DesignA retrospective cohort study of the prevalence of maternal mental health related contacts among Aboriginal children born in Western Australia between 1990 and 2013.SettingPopulation of Western Australia with de-identified linked administrative data from the Western Australian Department of Health.ParticipantsAll Aboriginal children born in Western Australia between 1990 and 2013 and their mothers.Primary outcome measurePrevalence of maternal mental health related contacts among Aboriginal children born between 1990 and 2013. Mental health related contacts were identified using mental health related inpatient hospitalisations and outpatient contacts.ResultsAlmost 30% of cohort children were born to a mother with at least one mental health contact in the 5 years prior to birth, with 15% reported in the year prior to birth and the year post birth. There was a distinct increase in the prevalence of maternal mental health contacts between 1990 and 2013 (4–5% per year, with a peak in 2007). Maternal mental health contacts were associated with living in more disadvantaged areas and major cities, and having a mother aged over 20 years at birth.ConclusionsThe study affirms that mental health issues place a considerable burden on Aboriginal Australia, and suggests that many of the mental health issues that women develop earlier in life are chronic at the time of conception, during pregnancy and at birth. Early intervention and support for women in the earliest stages of family planning are required to alleviate the burden of mental health problems at birth and after birth. There is a clear need for policies on the development of a holistic healthcare model, with a multisector approach, offering culturally appropriate services for Aboriginal people.


2020 ◽  
Author(s):  
Hua Li ◽  
Lorraine Holtslander ◽  
Tracie Risling ◽  
Don Leidl ◽  
Megan Kennedy ◽  
...  

BACKGROUND The number of adolescents with mental health issues has increased worldwide, which not only affects adolescents themselves but also their families, especially, their primary caregivers (mostly parents). Family caregivers are a lifelong resource in a child’s life, and play a crucial role in supporting and helping their children in their recovery journey, and provide unpaid care, mostly in the community, Yet they are the most unsupported of all groups of caregivers. With growing recognition of web-based or mobile application interventions playing a promising role in delivering programs in mental health related areas, caregivers of adolescents with mental health issues can benefit from the technologies that provide support for them. OBJECTIVE In this systematic review, we aimed to review the current existing literature on online-based programs or mobile applications that support caregivers of adolescents with mental health disorders. METHODS A systematic search of the literature using the PRISMA guideline was conducted on seven databases to identify any peer-reviewed articles published in English from 2009 to March 2019. The studies were screened, extracted, and the quality of the selected studies was appraised using the McMaster Critical Review. RESULTS This review revealed a paucity of studies that met the inclusion criteria. All five selected articles focus on evaluating online-based or mobile app interventions including online moderated social therapy, online parenting intervention program, online chat support groups, and smartphone application for suicidal adolescents and their parents. Acceptability, usability, and feasibility of the online-based or smartphone app interventions were confirmed in the studies while findings of improving mental health and well-being in the caregivers and adolescents were inconclusive. CONCLUSIONS With increased interests in web-based or mobile app interventions used in mental health related areas and its known benefits, more studies on supporting the caregivers using technologies are required.


Author(s):  
Yamini Deenadayalan ◽  
Saravana Kumar ◽  
Zuzana Machotka ◽  
Luke Perraton

Day therapy programs are one of many interventions available for adolescents with mental health issues. Day therapy programs utilise a multi-disciplinary community-based approach to the treatment of mental health issues and allow adolescents to remain under the care of their family. To date, no review has specifically investigated the effectiveness of day therapy programs for adolescents. This review aims to investigate both the effectiveness of day therapy programs for adolescents with mental health problems and highlight the key components underpinning these programs. A systematic review of peer- reviewed literature was undertaken, using recognised processes. Eight studies were included in this review, including both interventional and descriptive study designs. All eight studies found positive effects of varying degrees for day therapy programs for adolescents with mental health problems. Most used a multi-modal, multi-disciplinary group-based approach and utilised one or more co-interventions. A frequency of once per week was most commonly used; however, the optimal frequency and duration of day therapy programs remains unclear. Most studies used more than one type of health professional to deliver their intervention. Unsurprisingly, psychologists or psychiatrists were involved in delivering interventions in all but one study. Current research evidence suggests that day therapy programs may be an effective intervention for adolescents with mental health issues. A multimodal and multidisciplinary group-based treatment approach may be most effective, and participants could benefit from the involvement of at least one health professional from a psychology or psychiatric background. However, a range of health professionals may contribute to a day therapy program and a range of locations and settings may be appropriate. Further high-level, high-quality research using standardised outcome measures is required to support these findings and determine key parameters, such as an optimal frequency and duration for day therapy programs.


2017 ◽  
Vol 5 (3) ◽  
pp. 324
Author(s):  
Mina Piiksi Dahli ◽  
Mette Brekke ◽  
Ole Rikard Haavet

 Background and Objectives: Adolescence is a time of substantial change, bringing about the transition from childhood into adulthood. Patterns for future health behaviors are developed and continue into adult life. Little is known about adolescents’ perceptions of health and help-seeking within healthcare services. The objective of this study was to explore adolescents’ attitudes to health and seeking help for health-related problems. Methods: A qualitative design was chosen. Interviews were conducted with 5 adolescents visiting a youth health clinic in Moss, Norway. The interviews were audiotaped, transcribed and analyzed according to systematic text condensation.   Results: The participants were 2 boys and 3 girls, ranging from 17-19 years of age. We found that all adolescents incorporated psychological and social qualities in their view on health. Positive social connections with family and friends were the most important factors for good health for all participants. They all conveyed resistance to disclosing mental health issues, although this was recognized as the most important barrier for good health. Establishing a trusting relationship with a healthcare provider was necessary before disclosing mental health issues and receiving help. Conclusion: In our small qualitative assessment of adolescents’ attitudes to health and seeking help for health-related problems, we found that adolescents’ focus was on mental and social aspects of health and that a trusting relationship with healthcare providers was necessary for the adolescents to seek help within the healthcare system. Future research should be conducted to study more deeply what characterizes the relationship between adolescents and healthcare providers in order to provide the most effective and appropriate healthcare to patients during this particular period of life. 


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