scholarly journals Self-reported preferences for help-seeking and barriers to utilizing mental health supports among internal medicine residents: An exploratory use of an econometric best-worst scaling framework for gathering physician wellness preferences (Preprint)

10.2196/28623 ◽  
2021 ◽  
Author(s):  
Andrew Wu ◽  
Varsha Radhakrishnan ◽  
Elizabeth Targan ◽  
Timothy P Scarella ◽  
John Torous ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Mental Health ◽  
Help Seeking ◽  
Physician Wellness ◽  
Best Worst Scaling ◽  
Internal Medicine Residents

How do resident physicians prefer to seek help from burnout? A best-worst scaling survey of internal medicine resident physicians examining rank-ordered factors for help-seeking and barriers to utilizing mental health supports (Preprint)

2021 ◽  
Author(s):  
Andrew Wu ◽  
Varsha Radhakrishnan ◽  
Elizabeth Targan ◽  
Timothy P Scarella ◽  
John Torous ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Peer Support ◽  
Help Seeking ◽  
Latent Class ◽  
Internal Medicine Resident ◽  
Wellness Programs ◽  
Specific Information ◽  
Medicine Resident ◽  
Resident Physicians ◽  
Best Worst Scaling

BACKGROUND Burnout interventions are limited by low utilization. Understanding resident physician preferences for burnout interventions may increase utilization and improve assessment of interventions. OBJECTIVE An econometric best-worst scaling (BWS) framework was used to survey internal medicine resident physicians to establish help-seeking preferences for burnout and barriers to utilizing wellness supports. METHODS Internal medicine resident physicians at our institution completed an anonymous online BWS survey during the 2020-2021 academic year. This cross-sectional study was analyzed with multinomial logistic regression and latent class modeling to determine relative rank-ordering of factors for seeking support for burnout and barriers to utilizing wellness supports. ANOVA with post-hoc Tukey HSD was used to analyze differences in mean utility scores representing choice for barriers and support options. RESULTS 77 residents completed the survey (47% response rate). Top-ranking factors for seeking wellness supports were seeking informal peer support (best: 71%/worst: 0.6%) and support from friends and family (best: 70%/worst: 1.6%). Top-ranking barriers to seeking counseling were time (best: 75%/worst: 5%) and money (best: 35%/worst: 21%). Latent class analysis identified two segments, a Formal Help-Seeking group (n=6) that preferred seeking therapy as their 2nd-ranking factor (best: 63%/worst: 0%), and an Open to Isolating group (n=20) that preferred to not seek support from others as their 3rd ranking factor (best: 14%/worst: 18%). CONCLUSIONS Overall, resident physicians reported high preference for informal peer support, though there exists a segment that prefer counseling services and a segment that prefers not to seek help at all. Time and cost are more significant barriers compared to stigma against utilizing wellness supports. Using BWS-informed studies are a promising and easy-to-administer methodology for clinician wellness programs to gather specific information on clinician preferences to determine best practices for wellness programs. CLINICALTRIAL N/A

scholarly journals Meeting of the Minds: A Novel Longitudinal Ambulatory Mental Health Rotation for Internal Medicine Residents

2014 ◽  
Vol 6 (2) ◽  
pp. 369-370
Author(s):  
Rachel Stark ◽  
Robert Joseph ◽  
Richard Pels
Keyword(s):  
Internal Medicine ◽  
Mental Health ◽  
Internal Medicine Residents

Identifying core curricular components for behavioral health training in internal medicine residency: Qualitative interviews with residents, faculty, and behavioral health clinicians

2018 ◽  
Vol 54 (3) ◽  
pp. 188-202
Author(s):  
Patrick Hemming ◽  
Jessica A Revels ◽  
Anh N Tran ◽  
Lawrence H Greenblatt ◽  
Karen E Steinhauser
Keyword(s):  
Internal Medicine ◽  
Mental Health ◽  
Behavioral Health ◽  
Skills Training ◽  
Primary Care Providers ◽  
The United States ◽  
Care Providers ◽  
Patient Counseling ◽  
Internal Medicine Residents ◽  
Attending Physicians

Objective Behavioral health services frequently delivered by primary care providers include care for mental health and substance abuse disorders and assistance with behavioral risk factor reduction. Internal medicine residencies in the United States lack formal expectations regarding training in behavioral health for residents. This qualitative study aimed to determine learners’ and teachers’ perceptions about appropriate behavioral health curricular components for internal medicine residents. Method Focus groups and interviews were conducted with the following individuals from the Duke Outpatient Clinic: residents with continuity practice (n = 27), advanced practice providers (n = 2), internal medicine attending physicians (n = 4), internal medicine/psychiatry attending physicians (n = 2), and behavioral health clinicians (n = 4). A focus group leader asked regarding residents’ successes and challenges in managing behavioral health issues and about specific learning components considered necessary to understand and manage these behavioral health conditions. Transcripts were coded using an editing analysis style to identify central themes and concordance/discordance between groups. Results Regarding mental health management (Theme 1), residents emphasized a need for better care coordination with specialty mental health, while attendings and behavioral health clinicians gave priority to residents’ skills in primary management of mental health. Residents, attendings, and behavioral health clinicians all emphasized advanced interviewing skills (Theme 2) with subthemes: eliciting the patient’s perspective, managing time in encounters, improving patients’ understanding, and patient counseling. Conclusions Internal medicine residents, attendings, and behavioral health clinicians may differ significantly in their perceptions of primary care’s role in mental health care. Future internal medicine behavioral health curricula should specifically address these attitudinal differences. Curricula should also emphasize interview skills training as an essential component of behavioral health learning.

An Examination of Fathers' Mental Health Help Seeking

2014 ◽  
Author(s):  
Richard Hofscher ◽  
Sonia Molloy ◽  
Anthony J. Isacco
Keyword(s):  
Mental Health ◽  
Help Seeking

Prevalence of Mental Health Problems and Help-Seeking Behavior in a Hispanic-Serving Institution

2013 ◽  
Author(s):  
Hsiu-Lan Cheng ◽  
Richard Martinez ◽  
Jessica L. Jackson ◽  
Casey N. Durham ◽  
Jill K. Peters ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Help Seeking Behavior ◽  
Hispanic Serving Institution ◽  
Seeking Behavior ◽  
Hispanic Serving

Intrarural variation in mental health status and help-seeking of veterans in the upper midwest.

2018 ◽  
Vol 42 (3-4) ◽  
pp. 161-173
Author(s):  
Sarah Beehler ◽  
Sy Han (Steven) Chiou ◽  
B R. Balmer ◽  
Xuan Li
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Help Seeking ◽  
Mental Health Status ◽  
Upper Midwest

Improving outcomes: Factors influencing help-seeking behaviors in immigrants and ethnic minorities with first-episode psychosis

2016 ◽  
Vol 13 (03) ◽  
pp. 152-157
Author(s):  
A. O. Berg ◽  
K. Leopold ◽  
S. Zarafonitis-Müller ◽  
M. Nerhus ◽  
L. H. Stouten ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Service Use ◽  
First Episode Psychosis ◽  
Pathways To Care ◽  
First Episode ◽  
Factors Influencing ◽  
Increased Risk ◽  
Episode Psychosis ◽  
The Hague

Summary Background: Immigrants have increased risk of a poor recovery from first episode psychosis (FEP). Early treatment can improve prognosis, but having an immigrant background may influence pathways to care. Method: We present research of service use and factors influencing treatment outcome in immigrants with FEP. Service use was assessed in in-patients at an early intervention center in Berlin, Germany. Duration of untreated psychosis and beliefs about illness was assessed in a FEP study in Oslo, Norway and cognitive functioning in patients with FEP schizophrenia from the regular mental health services in The Hague, the Netherlands. The proportion of immigrants in Berlin and Oslo was at level with the local populations, while the proportion in The Hague appeared to be higher. Result: There were clear indications that mental health literacy, probably based in different cultural expectations, were lower in first generation immigrants (FGI). Findings regarding clinical insight were ambiguous. There were also indications that FGI had more cognitive problems, based in higher stress levels or in cognitive styles. Early psychosis services must take issues of immigration and ethnicity into consideration.

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