Domestic Violence During Covid-19 in Bangladesh (Preprint)

2020 ◽  
Author(s):  
Tanjir Rashid Soron ◽  
Md Ashiqur Rahman Ashiq ◽  
Marzia Al-Hakeem ◽  
Zaid Farzan Chowdhury ◽  
Helal Uddin Ahmed
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Health Crisis ◽  
Research And Innovation ◽  
Violent Behaviors ◽  
Bangladeshi Population ◽  
Clear Idea

UNSTRUCTURED The unprecedented pandemic of COVID-19 has created a scope to increase domestic violence against women all over the world. In Bangladesh where domestic violence is already prevalent, the lockdown period and stay at home orders can give the perpetrators more time to engage in violence. Isolation, social distancing, anxiety and stress about pandemic along with domestic violence can deteriorate the mental health status of the victims. Telepsychiatry Research and Innovation Network (TRIN) Ltd. conducted an online survey among the Bangladeshi population to understand the ongoing scenario of domestic violence. The questionnaire was disseminated through social media and the website of TRIN. Among the 136 participants (male=25.7%, female=74.3%), 36.8% (n=50) have faced domestic violence at any time of their lives. 24.2% of the participants have experienced domestic violence during this period of lockdown and the participants identified “Increase in different types of mental stress” as one of the key causes to increase domestic violence in this period. 96.3% and 93.4% of the participants respectively thought that the victims and the participants need mental health care. However, 62% of the victims did not have any clear idea about the available mental health services for them. This period of global health crisis has already opened a new window for telemedicine and telepsychiatric interventions can be useful in this regard as it can ensure mental health services 24/7 maintaining anonymity. Immediate telepsychiatry support can reduce the mental health burden among the victims and also can help the perpetrators to mitigate their violent behaviors towards the family members.

scholarly journals MENTAL HEALTH SERVICES DURING THE PANDEMIC: THE EXPERIENCES OF LITHUANIAN PSYCHOLOGISTS

2021 ◽  
Vol 7 ◽  
pp. 217-229
Author(s):  
Rita Vaičekauskaitė ◽  
Jurgita Babarskienė ◽  
Jūratė Grubliauskienė
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Computer Literacy ◽  
Help Seeking ◽  
Qualitative Content Analysis ◽  
Self Care ◽  
Vulnerable Groups ◽  
Mental Health Crisis ◽  
Health Crisis

With the COVID-19 pandemic and its restrictions, many countries face an unprecedented mental health crisis, which is being addressed in various ways, including the use of remote mental health services. Lithuania faced two quarantines: in March-June of 2020 and starting November 2020 up to Spring of 2021.  The aim of this study is to explore the experiences of Lithuanian psychologists providing mental health services during the pandemic.  Using the qualitative content analysis method, the following categories were made: from shock to discovery of new opportunities (differences in two lockdowns, better accessibility of services, help-seeking during the pandemic, and the importance of self-care) and contextual challenges (confidentiality, computer literacy, and blurred home/work boundaries). Implications for addressing psychological service issues are discussed, with an emphasis on self-care, setting boundaries, and finding new ways to enhance mental health via mediated communication as well as to reach out to vulnerable groups.

scholarly journals Evaluating the Prosper peer-led peer support network: a participatory, coproduced evaluation

2016 ◽  
Vol 20 (2) ◽  
pp. 80-91 ◽  
Author(s):  
Steve Gillard ◽  
Rhiannon Foster ◽  
Kati Turner
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Movement ◽  
Peer Support ◽  
Online Survey ◽  
Well Being ◽  
Support Network ◽  
Content Type ◽  
One To One

Purpose – A range of one-to-one, group and online approaches to peer support are increasingly complementing formal mental health service delivery. Evidence is emerging of the potential benefits and challenges of peer support for individuals, communities and organisations. There is more limited evidence describing peer-led peer support networks. The paper aims to discuss these issues. Design/methodology/approach – In an evaluation of Prosper, a peer-led, peer support network and social movement, members of the network played a participatory role in the design, conduct and interpretative work of the evaluation. An online survey, one-to-one interviews and group discussions were used. Findings – The evaluation describes an evolving network with planning and development meetings constituting core activity for many members alongside a monthly training programme supporting people to set up their own activities. There were strong shared values, and consensus that Prosper could strengthen social networks, improve individual well-being and impact on the way people used mental health services. Challenges were identified around feelings of uncertainty and vulnerability in relation to involvement in the network. Research limitations/implications – The participatory nature of the evaluation adds value to the learning offered. This was a descriptive evaluation; potential is indicated for the more formal modelling and testing of peer-led network and social movement initiatives. Practical implications – Clarity is needed on the relationship of the network to statutory mental health services – specifically around taking on a “service provider” role – and on the advantages and challenges of a “hybrid” organisational model that combines traditional, hierarchical and new distributed forms of leadership and structure. Social implications – Prosper demonstrated potential to create a sense of common culture based on sharing lived experience and mutual peer support, providing an alternative to the traditional culture of mental health services. Originality/value – This paper offers wider learning derived from evaluation of a highly original initiative in peer leadership, network structure and interface with statutory mental health services.

scholarly journals Why Do Approved Mental Health Professionals Think Detentions under the Mental Health Act Are Rising and What Do They Think Should Be Done about It?

2020 ◽  
Vol 50 (2) ◽  
pp. 616-633 ◽  
Author(s):  
Michael Bonnet ◽  
Nicola Moran
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Online Survey ◽  
Social Risk ◽  
Social Risk Factors ◽  
Mental Health Act ◽  
The Impact

Abstract The number of people detained under the 1983 Mental Health Act has risen significantly in recent years and has recently been the subject of an independent review. Most existing research into the rise in detentions has tended to prioritise the perspectives of psychiatrists and failed to consider the views of Approved Mental Health Professionals (AMHPs), usually social workers, who ultimately determine whether detention is appropriate. This mixed-methods study focused on AMHPs’ views on the reasons behind the rise in detentions and potential solutions. It included a national online survey of AMHPs (n = 160) and semi-structured interviews with six AMHPs within a Community Mental Health Team in England. AMHPs reported that demand for mental health services vastly exceeded supply and, due to inadequate resources, more people were being detained in hospital. AMHPs argued that greater investment in preventative mental health services and ‘low intensity’ support would help to mitigate the impact of social risk factors on mental health; and greater investment in crisis services, including non-medical alternatives to hospital, was required. Such investment at either end of the spectrum was expected to be more effective than changes to the law and lead to better outcomes for mental health service users.

School-Based Mental Health

2017 ◽  
Author(s):  
Mia Everett
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Children And Adolescents ◽  
Social Stigma ◽  
Quality Care ◽  
Assessment Tools ◽  
Health Crisis ◽  
School Based ◽  
Educational Advocacy

The majority of children and adolescents in need of mental health services do not receive adequate care. Barriers to quality care include limited financial resources, social stigma, and a paucity of appropriately trained clinicians. The deleterious effects of untreated childhood mental illness have been well documented. School-based child and adolescent psychiatrists are on the front line of managing this public health crisis. Approximately 75% of mental health services for children and adolescents are provided in educational settings. The success of school-based mental health programs is contingent upon effective collaboration between the practitioner, caregiver, child/adolescent, and educator. In this chapter, a case is used to illustrate salient features of school-based psychiatric practice, including assessment tools, interventions, educational advocacy, and logistical considerations. The practice of public psychiatry in school-based settings should optimally adhere to the principles of recovery, resilience, and cultural competence.

scholarly journals Acceptance of the German e-mental health portal www.psychenet.de: an online survey

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2093 ◽  
Author(s):  
Lisa Tlach ◽  
Juliane Thiel ◽  
Martin Härter ◽  
Sarah Liebherz ◽  
Jörg Dirmaier
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Online Survey ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Perceived Ease Of Use ◽  
Cross Sectional Survey ◽  
Perceived Trust

Background. Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of the e-mental health portalwww.psychenet.de.Methods. An online cross-sectional survey was conducted between May 2013 and May 2015 using a self-administered questionnaire including items on perceived ease of use, perceived usefulness, attitude towards using, and perceived trust. Effects of different participants’ characteristics on the portals’ acceptance were analyzed.Results. The majority of theN= 252 respondents suffered from mental disorders (n= 139) or were relatives from persons with mental disorders (n= 65). The portal was assessed as “good” or “very good” by 71% of the respondents. High levels of agreement (89–96%) were shown for statements on the perceived ease of use, the behavioral intention to use the portal, and the trustworthiness of the portal. Lower levels of agreement were shown for some statements on the perceived usefulness of the portals’ content. There were no effects of different participants’ characteristics on the perceived ease of use, the perceived usefulness, the attitude towards using the website and the perceived trust.Discussion. This survey provides preliminary evidence that the e-mental health portalwww.psychenet.deappears to be a usable, useful and trustworthy information resource for a broad target group. The behavioral usefulness of the portals’ content might be improved by integrating more activating patient decision aids.

scholarly journals “Why have I not been told about this?”: a survey of experiences of and attitudes to advance decision-making amongst people with bipolar

2019 ◽  
Vol 4 ◽  
pp. 16 ◽  
Author(s):  
Guy Hindley ◽  
Lucy A. Stephenson ◽  
Alex Ruck Keene ◽  
Larry Rifkin ◽  
Tania Gergel ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Educational Status ◽  
Codes Of Practice ◽  
Younger Age ◽  
Health Legislation ◽  
Health Laws

Background: The idea that people with severe mental illness should be able to plan in advance for periods of illness as a means of enhancing autonomy has been long debated and is increasingly being enshrined in codes of practice and mental health legislation. It has been argued that the ethical imperative for this is especially pronounced in bipolar (BP), a condition in which sufferers often experience episodic crises interspersed with periods of wellness. However, there is a paucity of published research investigating experiences of advance decision making (ADM) in people with BP or their attitudes towards it. Methods: An online survey of BPUK’s mailing list was conducted. 932 people with BP completed the survey (response rate 5.61%). Descriptive statistics and regression analysis were conducted to compare experience of with attitudes towards ADM and variables associated with interest in ADM. Results: A majority indicated a desire to plan care in advance of losing capacity (88%) but most had not done so (64%). High numbers of respondents expressed a wish to request as well as refuse treatment and most wanted to collaborate with psychiatrists, including on issues around self-binding. The most frequent motivation to utilise ADM was a desire to be more involved in mental health decisions. Interest in self-binding was associated with experience of compulsory treatment and trust in mental health services. Interest in refusals of all medication was associated with younger age and lack of trust in mental health services. Interest in ADM in general was associated with younger age but not educational level, ethnicity or gender. Conclusions: This study demonstrates an appetite for ADM amongst people with bipolar that is independent of educational status and ethnicity. As states reform their mental health laws, attention needs to be given to the distinctive attitudes toward ADM amongst people with bipolar.

scholarly journals Twitter Users’ Views on Mental Health Crisis Resolution Team Care Compared With Stakeholder Interviews and Focus Groups: Qualitative Analysis (Preprint)

2020 ◽  
Author(s):  
Natasha Chilman ◽  
Nicola Morant ◽  
Brynmor Lloyd-Evans ◽  
Jane Wackett ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Focus Groups ◽  
Mental Health Crisis ◽  
Crisis Resolution ◽  
Health Crisis ◽  
Face To Face ◽  
Rapid Access ◽  
Qualitative Interview Study

BACKGROUND Analyzing Twitter posts enables rapid access to how issues and experiences are socially shared and constructed among communities of health service users and providers, in ways that traditional qualitative methods may not. OBJECTIVE To enrich the understanding of mental health crisis care in the United Kingdom, this study explores views on crisis resolution teams (CRTs) expressed on Twitter. We aim to identify the similarities and differences among views expressed on Twitter compared with interviews and focus groups. METHODS We used Twitter’s advanced search function to retrieve public tweets on CRTs. A thematic analysis was conducted on 500 randomly selected tweets. The principles of refutational synthesis were applied to compare themes with those identified in a multicenter qualitative interview study. RESULTS The most popular hashtag identified was <i>#CrisisTeamFail</i>, where posts were principally related to poor quality of care and access, particularly for people given a <i>personality disorder</i> diagnosis. Posts about CRTs giving unhelpful self-management advice were common, as were tweets about resource strains on mental health services. This was not identified in the research interviews. Although each source yielded unique themes, there were some overlaps with themes identified via interviews and focus groups, including the importance of rapid access to care. Views expressed on Twitter were generally more critical than those obtained via face-to-face methods. CONCLUSIONS Traditional qualitative studies may underrepresent the views of more critical stakeholders by collecting data from participants accessed via mental health services. Research on social media content can complement traditional or face-to-face methods and ensure that a broad spectrum of viewpoints can inform service development and policy. CLINICALTRIAL

scholarly journals Acceptance of the German e-mental health portal www.psychenet.de: an online survey

2016 ◽  
Author(s):  
Lisa Tlach ◽  
Juliane Thiel ◽  
Martin Härter ◽  
Sarah Liebherz ◽  
Jörg Dirmaier
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Online Survey ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Perceived Ease Of Use ◽  
Cross Sectional Survey ◽  
Perceived Trust

Background. Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of the e-mental health portal www.psychenet.de. Methods. An online cross-sectional survey was conducted between May 2013 and May 2015 using a self-administered questionnaire including items on perceived ease of use, perceived usefulness, attitude towards using, and perceived trust. Effects of different participants’ characteristics on the portals’ acceptance were analyzed. Results. The majority of the N=252 respondents suffered from mental disorders (n=139) or were relatives from persons with mental disorders (n=65). The portal was assessed as “good” or “very good” by 71% of the respondents. High levels of agreement (89-96%) were shown for statements on the perceived ease of use, the behavioral intention to use the portal, and the trustworthiness of the portal. Lower levels of agreement were shown for some statements on the perceived usefulness of the portals’ content. There were no effects of different participants’ characteristics on the perceived ease of use, the perceived usefulness, the attitude towards using the website and the perceived trust. Discussion. This survey provides preliminary evidence that the e-mental health portal www.psychenet.de appears to be a usable, useful and trustworthy information resource for a broad target group. The behavioral usefulness of the portals’ content might be improved by integrating more activating patient decision aids.

Domestic violence and severe psychiatric disorders: prevalence and interventions

2009 ◽  
Vol 40 (6) ◽  
pp. 881-893 ◽  
Author(s):  
L. M. Howard ◽  
K. Trevillion ◽  
H. Khalifeh ◽  
A. Woodall ◽  
R. Agnew-Davies ◽  
...  
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Mental Health Services ◽  
Health Services ◽  
English Language ◽  
Psychiatric Patients ◽  
Lifetime Prevalence ◽  
Detection Rates ◽  
Increased Risk ◽  
High Prevalence

BackgroundThe lifetime prevalence of domestic violence in women is 20–25%. There is increasing recognition of the increased vulnerability of psychiatric populations to domestic violence. We therefore aimed to review studies on the prevalence of, and the evidence for the effectiveness of interventions in, psychiatric patients experiencing domestic violence.MethodLiterature search using Medline, PsycINFO and EMBASE applying the following inclusion criteria: English-language papers, data provided on the prevalence of or interventions for domestic violence, adults in contact with mental health services.ResultsReported lifetime prevalence of severe domestic violence among psychiatric in-patients ranged from 30% to 60%. Lower rates are reported for men when prevalence is reported by gender. No controlled studies were identified. Low rates of detection of domestic violence occur in routine clinical practice and there is some evidence that, when routine enquiry is introduced into services, detection rates improve, but identification of domestic violence is rarely used in treatment planning. There is a lack of evidence on the effectiveness of routine enquiry in terms of morbidity and mortality, and there have been no studies investigating specific domestic violence interventions for psychiatric patients.ConclusionsThere is a high prevalence of domestic violence in psychiatric populations but the extent of the increased risk in psychiatric patients compared with other populations is not clear because of the limitations of the methodology used in the studies identified. There is also very limited evidence on how to address domestic violence with respect to the identification and provision of evidence-based interventions in mental health services.

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