scholarly journals Online Problem-Solving Training with and without Peer Support in Veterans with Unmet Mental Health Needs: A Pilot Study of Feasibility, User Acceptability and Participant Engagement (Preprint)

10.2196/29559 ◽  
2021 ◽  
Author(s):  
Kyle Possemato ◽  
Justina Wu ◽  
Carolyn Greene ◽  
Rex MacQueen ◽  
Daniel Blonigen ◽  
...  
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Problem Solving ◽  
Peer Support ◽  
Health Needs ◽  
Mental Health Needs ◽  
Participant Engagement ◽  
User Acceptability ◽  
Unmet Mental Health

Online Problem-Solving Training with and without Peer Support in Veterans with Unmet Mental Health Needs: A Pilot Study of Feasibility, User Acceptability and Patient Engagement (Preprint)

2021 ◽  
Author(s):  
Kyle Possemato ◽  
Justina Wu ◽  
Carolyn Greene ◽  
Rex MacQueen ◽  
Daniel Blonigen ◽  
...  
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Problem Solving ◽  
Peer Support ◽  
Health Needs ◽  
Mental Health Needs ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Unmet Mental Health

BACKGROUND Electronic health (eHealth) tools have the potential to meet the mental health needs of individuals who have barriers to accessing in-person treatment. However, most users have less than optimal engagement with eHealth tools. Coaching from peer specialists may increase engagement with eHealth. OBJECTIVE This pilot study aimed to 1) test the feasibility and acceptability of a novel, completely automated online system to recruit, screen, enroll, assess, randomize and then deliver an intervention to a national sample of military veterans with unmet mental health needs, 2) investigate whether phone-based peer support increased usage of an online problem-solving training compared to self-directed use and 3) generate hypotheses about potential mechanisms of action for problem-solving and peer support for future full-scale research. METHODS Veterans (n=81) with unmet mental health needs were recruited via social media advertising and enrolled and randomized to self-directed use of an online problem-solving training called Moving Forward (n=28), peer supported Moving Forward (n=27), or a waitlist control (n=26) (ClinicalTrials.gov NCT03555435). Participants completed pre and post study measures (8 weeks later) of problem-solving skills and confidence as well as mental health symptoms. Satisfaction was assessed at post-treatment and objective use of Moving Forward was measured with number of log-ins. RESULTS Automated recruitment, enrollment and initial assessment methods were feasible and resulted in a diverse sample of veterans with unmet mental health needs from 38 states. Automated follow-up methods resulted in 46% retention. Peer support was delivered with high fidelity and was associated with favorable patient satisfaction. Participants randomized to receive peer support had significantly more Moving Forward logins than self-directed Moving Forward participants, and those who received peer support had greater decreases in depression. Problem-solving confidence was associated with greater Moving Forward use and improvements in mental health symptoms among participants both with and without peer support. CONCLUSIONS Enrolling and assessing individuals in eHealth studies without human contact is feasible, but different methods or designs are necessary to achieve acceptable participant engagement and follow-up rates. Peer support shows potential for increasing engagement in online interventions and in reducing symptoms. Future research should investigate when and for whom peer support of eHealth is helpful. Problem-solving confidence should be further investigated as a mechanism of action for online problem-solving training. CLINICALTRIAL ClinicalTrials.gov NCT03555435

Exploring Cancer Screening in the Context of Unmet Mental Health Needs: A Participatory Pilot Study

2013 ◽  
Vol 7 (2) ◽  
pp. 111-113 ◽  
Author(s):  
Abigail Williams ◽  
Jennifer Erb-Downward ◽  
Emilie Bruzelius ◽  
Ellen O'Hara-Cicero ◽  
Alison Maling ◽  
...  
Keyword(s):  
Mental Health ◽  
Cancer Screening ◽  
Pilot Study ◽  
Health Needs ◽  
Mental Health Needs ◽  
Unmet Mental Health

scholarly journals Exploring Cancer Screening in the Context of Unmet Mental Health Needs: A Participatory Pilot Study

2013 ◽  
Vol 7 (2) ◽  
pp. 123-134 ◽  
Author(s):  
Abigail Williams ◽  
Jennifer Erb-Downward ◽  
Emilie Bruzelius ◽  
Ellen O'Hara-Cicero ◽  
Alison Maling ◽  
...  
Keyword(s):  
Mental Health ◽  
Cancer Screening ◽  
Pilot Study ◽  
Health Needs ◽  
Mental Health Needs ◽  
Unmet Mental Health

Psychiatric Morbidity among Incarcerated Individuals in an Underserved Region of Nigeria: Revisiting the Unmet Mental Health Needs in Correction Services

2021 ◽  
Vol 32 (1) ◽  
pp. 321-337
Author(s):  
Ayodeji A. Bioku ◽  
Yuri A. Alatishe ◽  
Jesugbemi O. Adeniran ◽  
Tinuke O. Olagunju ◽  
Nikhita Singhal ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Morbidity ◽  
Health Needs ◽  
Mental Health Needs ◽  
Unmet Mental Health

Effects of Suicidal Ideation on Unmet Mental Health Needs Among Young Adults in Canada

2018 ◽  
Vol 28 (2) ◽  
pp. 436-446
Author(s):  
Philip Baiden ◽  
Kofi Antwi-Boasiako ◽  
Wendy den Dunnen
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Suicidal Ideation ◽  
Health Needs ◽  
Mental Health Needs ◽  
Unmet Mental Health

Unmet mental health needs in pediatric epilepsy: Insights from providers

2007 ◽  
Vol 11 (3) ◽  
pp. 401-408 ◽  
Author(s):  
Kimberly Smith ◽  
Prabha Siddarth ◽  
Bonnie Zima ◽  
Raman Sankar ◽  
Wendy Mitchell ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Needs ◽  
Pediatric Epilepsy ◽  
Mental Health Needs ◽  
Unmet Mental Health

scholarly journals Potential predictors of unmet health needs among the elderly: a population-based study in Serbia

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Šantrić Milićević ◽  
M Kostadinović ◽  
D Nikolić ◽  
J Todorovic ◽  
Z Terzic-Supic
Keyword(s):  
Mental Health ◽  
Waiting Times ◽  
Wealth Index ◽  
The Elderly ◽  
Health Needs ◽  
Daily Activities ◽  
Personal Care ◽  
Mental Health Needs ◽  
Unmet Health Needs ◽  
Unmet Mental Health

Abstract Background This study assessed the prevalence of unmet health needs of the elderly and the associated factors regarding socioeconomic, health and functional status. Methods A secondary analysis of the 2013 National Health Survey data was conducted on a representative sample of 3540 persons aged sixty-five and older (the lowest response rate was 99.7%). Participants characteristics such as socioeconomic status, health self-perception, diagnosed chronic disease, physical functional limitations, performing essential daily activities in the home and daily personal care were explored with logistic regression analysis (Odds Ratio - OR and 95% Confidence Interval) in relation to five aspects of unmet health needs. Results 15.8% participants had unmet health needs due to the long waiting times, 16.1%, had unmet needs for medical care, 17.7% for dental care, 15.2% for drugs prescription and 96.9% participants for mental health care. Common predictors exist for medical, dental drug prescription and due to long waiting times unmet needs including older age years, middle education, rural residence, lower wealth index, single persons, with average or bad self-perceived health, chronic disease and difficult daily performance of personal care and of home activities. Unmet mental health needs by 61% less likely had participants with average wealth index, while a greater likelihood had participants with average and bad self-perceived health by 3.7 times and 8.4 times (p = 0.035, p = 0.001) respectively, by 6.2 times those with difficulties (p < 0.001) and by 5.9 times unable (p = 0.045) to perform daily activities of personal care and by 1.7 times those with difficulties (p = 0.037) to perform home activities. Conclusions Unmet health needs reported less than 20% of the elderly but almost all have unmet mental health needs. Unmet health needs are associated with negative health outcomes, age, low education level, single persons, rural settings, poorer households, and limited daily activities. Key messages Unmet mental health needs of the elderly are an extremely important problem for the health system and healthy ageing in Serbia. A strong association of unmet health needs of old, low educated elderly without partners, from rural settings and poor households with health and functional outcomes, requires responsive policies.

scholarly journals Unmet mental health needs in the general population: perspectives of Belgian health and social care professionals

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Eva Rens ◽  
Geert Dom ◽  
Roy Remmen ◽  
Joris Michielsen ◽  
Kris Van den Broeck
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
General Population ◽  
Mental Health Care ◽  
Unmet Needs ◽  
Health Needs ◽  
Mental Health Needs ◽  
Epidemiological Research ◽  
Unmet Mental Health

Abstract Background An unmet mental health need exists when someone has a mental health problem but doesn’t receive formal care, or when the care received is insufficient or inadequate. Epidemiological research has identified both structural and attitudinal barriers to care which lead to unmet mental health needs, but reviewed literature has shown gaps in qualitative research on unmet mental health needs. This study aimed to explore unmet mental health needs in the general population from the perspective of professionals working with vulnerable groups. Methods Four focus group discussions and two interviews with 34 participants were conducted from October 2019 to January 2020. Participants’ professional backgrounds encompassed social work, mental health care and primary care in one rural and one urban primary care zone in Antwerp, Belgium. A topic guide was used to prompt discussions about which groups have high unmet mental health needs and why. Transcripts were coded using thematic analysis. Results Five themes emerged, which are subdivided in several subthemes: (1) socio-demographic determinants and disorder characteristics associated with unmet mental health needs; (2) demand-side barriers; (3) supply-side barriers; (4) consequences of unmet mental health needs; and (5) suggested improvements for meeting unmet mental health needs. Conclusions Findings of epidemiological research were largely corroborated. Some additional groups with high unmet needs were identified. Professionals argued that they are often confronted with cases which are too complex for regular psychiatric care and highlighted the problem of care avoidance. Important system-level factors include waiting times of subsidized services and cost of non-subsidized services. Feelings of burden and powerlessness are common among professionals who are often confronted with unmet needs. Professionals discussed future directions for an equitable mental health care provision, which should be accessible and targeted at those in the greatest need. Further research is needed to include the patients’ perspective of unmet mental health needs.

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