Egyptian Students open to digital Mental Health Care: A Cross-Sectional Survey (Preprint)

2021 ◽  
Author(s):  
Mostafa Mamdouh ◽  
Andy Man Yeung Tai ◽  
Jean Westenburg ◽  
Farhud Shams ◽  
Kerry Jang ◽  
...  

BACKGROUND In Egypt, the shortage of mental health services, particularly for adolescents and young adults is apparent. Electronic mental health (EMH) solutions have been brought forward as solutions to bridge the gap and better address the needs of young people. However, EMH is new to Egypt and crucial to its implementation and success is the acceptability, access and appropriateness for the tar-get populations OBJECTIVE Our objective was to utilize an online cross-sectional survey to identify key areas that need to be addressed in order for Electronic mental health (EMH) solutions to be implemented to the youth population in Egypt. METHODS An online cross-sectional survey was distributed among medical students at Tanta University in Egypt. Of the 707 individuals who completed the survey (90.9% response rate), 60.5% were fe-male, 62.0% lived in urban and suburban areas, and the mean age of the sample was 20.5 (±1.8) years old. RESULTS The vast majority of participants had already used the internet to find information about mental health problems (73.8%), but the information was unsatisfactory for about half of them (45.6%). Almost all students reported that they would prefer internet-based therapy if EMH were available through a trustworthy national internet platform for youth mental health (85%). Students believed that emotional difficulties, social support, and coping strategies were the main topics that EMH should help with. The most common perceived barriers for using EMH in Egypt were concerns about privacy (54%) and a lack of technology literacy and unfamiliarity with EMH (50%). CONCLUSIONS EMH is a promising strategy addressing gaps in mental health care for young people, who are open to it. To implement a digital system of care and engage youth they should be involved in co-development and design. Universities are a very good place to start such a development for the country.

10.2196/31727 ◽  
2021 ◽  
Author(s):  
Mostafa Mamdouh ◽  
Andy Man Yeung Tai ◽  
Jean Nicolas Westenberg ◽  
Farhud Shams ◽  
Kerry Jang ◽  
...  

1998 ◽  
Vol 3 (3) ◽  
pp. 141-148 ◽  
Author(s):  
Martin Knapp ◽  
Daniel Chisholm ◽  
Jack Astin ◽  
Paul Lelliott ◽  
Bernard Audini

Objectives: To determine how public (NHS or local government), private (for-profit) and voluntary (non-profit) providers of residential mental health care compare. Do they support different clienteles? And do their services cost different amounts? Methods: Based on a cross-sectional survey of residential care facilities and their residents in eight English and Welsh localities, the characteristics and costs of care in the different sectors (NHS, local government, private, voluntary) were compared. Variations in cost were examined in relation to residents' characteristics using multiple regression analyses, which also allowed standardisation of results before making inter-sectoral comparisons. Results: Private and voluntary providers of residential care support different clienteles from the public sector. The patterns of inter-sectoral cost differences vary between London and non-London localities. In London, voluntary sector facilities may be more cost-efficient than the other sectors, but local government/private sector comparisons show no consistent difference. Outside London, the results suggest clear cost advantages for the private and voluntary sectors over the local government sector. Conclusions: Private and voluntary providers may have some economic advantages over their public counterparts. However, outcomes for residents were not studied, leaving unanswered the question of comparative cost-effectiveness.


Author(s):  
OFOR AMALA C

Objectives: To assess the psychiatric patients’ perception, views, and satisfactions with the pharmacists’ role in mental health care. Methods: The study was conducted in a Neuropsychiatric Hospital in South Eastern part of Nigeria from October 2019 through January 2020 using a cross sectional survey in convenient samples and a total of 128 patients completed the study. The questionnaire contained the patients’ demographic details, six-item questions on respondents’ perception, 7-item questions on patients’ satisfaction, and six-item questions on the respondents’ view. The questionnaire was coded, checked for accuracy and analyzed using statistical package for social sciences version 23 for windows. Results: The response rate was 94% where 136 respondents showed willingness to participate, but 128 respondents completed the study. All the participants were young adults and adults, male (53.1%), female (46.9%). About 93.8% of the respondents agreed that the pharmacists were friendly and 89.1% admitted that pharmacists’ care were about perfect. About 69.5% were satisfied with the pharmacists’ professional outlook, while only 42.2% are of the view that the pharmacists offer counseling without their asking for it. Conclusion: The patients’ perception on the pharmacists’ skills and knowledge in handling psychiatric patients was high; their satisfaction with the pharmacists’ professional outlook can be considered fair, while their views on pharmacists’ counseling can be considered to be generally poor.


2005 ◽  
Vol 15 (2) ◽  
pp. 137-155 ◽  
Author(s):  
Debra Rickwood

AbstractFor young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must work in collaboration with the young people themselves, their families, and other support services within the community, particularly primary health care services, including general practice. The importance of developing effective partnerships and care pathways between schools and the primary health care sector is being increasingly acknowledged, and initiatives such as MindMatters Plus GP have advanced our understanding in this area.


2002 ◽  
Vol 32 (2) ◽  
pp. 299-309 ◽  
Author(s):  
G. MEADOWS ◽  
P. BURGESS ◽  
I. BOBEVSKI ◽  
E. FOSSEY ◽  
C. HARVEY ◽  
...  

Background. Recent major epidemiological studies have adopted increasingly multidimensional approaches to assessment. Several of these have included some assessment of perceived need for mental health care. The Australian National Survey of Mental Health and Wellbeing, conducted in 1997, included a particularly detailed examination of this construct, with an instrument with demonstrated reliability and validity.Methods. A clustered probability sample of 10641 Australians responded to the field questionnaire for this survey, including questions on perceived need either where there had been service utilization, or where a disorder was detected by administration of sections of the Composite International Diagnostic Interview. The confidentialized unit record file generated from the survey was analysed for determinants of perceived need.Results. Perceived need is increased in females, in people in the middle years of adulthood, and in those who have affective disorders or co-morbidity. Effects of diagnosis and disability can account for most of the differences in gender specific rates. With correction for these effects through regression, there is less perceived need for social interventions and possibly more for counselling in females; disability is confirmed as strongly positively associated with perceived need, as are the presence of affective disorders or co-morbidity.Conclusions. The findings of this study underscore the imperative for mental health services to be attentive and responsive to consumer perceived need. The substantial majority of people who are significantly disabled by mental health problems are among those who see themselves as having such needs.


2016 ◽  
Vol 25 (2) ◽  
pp. 157-160 ◽  
Author(s):  
Alasdair Vance ◽  
Janet McGaw ◽  
Jo Winther ◽  
Moira Rayner ◽  
Selena White ◽  
...  

2021 ◽  
pp. 189-202
Author(s):  
E.V. Rezun ◽  
◽  
H.R. Slobodskaya ◽  
N.B. Semenova ◽  
T.O. Rippinen ◽  
...  

The mental health problems among adolescents have long-lasting effects throughout life. However, research evidence indicates that only 10–30% of adolescents who needed mental health care had received specialized help. The present study reports the prevalence of mental health problems and help-seeking among adolescents, taking into account gender and age differences. The sample included 1752 adolescents (47 % boys,) aged 12-17 years. Data were collected on in two Siberian cities (Novosibirsk and Krasnoyarsk) using an international self-report questionnaire developed for the school-based Eurasian Child Mental Health Study. Participants were recruited from 18 schools, students completed questionnaires anonymously during school lessons. Statistical analysis included analysis of variance (ANOVA), multiple regression analysis, and crosstabs using a chi-squared test. The level of emotional and behavioral problems in Siberian adolescents was slightly higher than that found in European and Asian countries. Twenty three percent of adolescents reported frequent headaches (at least once a week), 11 % reported frequent abdominal pain and 14% suffered from frequent sleep disturbances (3–5 times a week or more). Girls reported a significantly higher level of problems than boys, with the largest gender differences for emotional problems, recurrent pains and sleep disturbances. Weekly consumption of alcohol and daily use of nicotine among boys was more common than among girls (3 % and 6 %, respectively), whereas less frequent use of alcohol and nicotine was commoner in girls (16 %) than in boys (10 %); 7 % of boys and girls had tried drugs at least once. Suicidal thoughts were reported by 22 % of adolescents, 6 % reported suicide attempts and 6 % reported repeated self-harm. One third of adolescents considered seeking outside help and 9 % had actually done so. Girls reported more help-seeking than boys; older girls sought help more often than younger and middle-aged ones. Around one third of adolescents sought help from their relatives; 26 % from friends, the Internet or other non-professional sources; 5 % reported seeking help from a doctor or nurse, and 3 % from a psychologist. The most important independent predictors of seeking help were emotional symptoms, suicidal ideation and hyperactivity/inattention. The results suggest a need for future investigation of the factors associated with help-seeking behavior among adolescents. It is also necessary to develop mental health promotion programs for adolescents, interventions to improve mental health literacy and access to mental health care.


Author(s):  
Jill Thistlethwaite ◽  
Wendy Hawksworth

This chapter explores the concept and practice of teamwork and interprofessional collaboration in the support and treatment of clients with mental health problems. Mental health care provision is complex, ethically challenging, and frequently delivered via mental health care teams (MHCT) in both primary and secondary health care settings. We consider how such teams may work together optimally using values-based and client-centered approaches. We discuss the nature of and reasons for conflict arising in multidisciplinary MHCTs, focusing on ethical dilemmas that occur where there is diversity amongst team members in respect of personal, professional, and/or organizational values. The specific ethical issues discussed are: boundary issues; receiving gifts; confidentiality, and involuntary treatment and restraint. Three case studies are used to provide examples of values in action.


2018 ◽  
Vol 9 (3) ◽  
pp. 388-407 ◽  
Author(s):  
Sirry M. Alang ◽  
Donna D. McAlpine

The gap between need and effective treatment for mental health problems continues to be a challenge for researchers and policymakers. Much of the attention has been on differences in treatment rates, with insufficient attention to variation in pathways that people take into treatment. Individuals may choose to seek help but may also be substantially influenced by others or coerced into care. The chances of each type of pathway are influenced by social characteristics and may shape perceptions of effectiveness of care. This paper investigates variation in pathways into care and perceived effectiveness of care. We also examine whether choice or coercion into care are associated with whether individuals perceive care as effective and if severity of illness moderates this relationship. We use data from the 2010–2014 National Survey on Drug Use and Health (N = 10,020). Persons who independently sought mental health care were more likely to rate treatment as effective compared to persons ordered into care. Among people with severe mental illnesses, the probability of rating treatment as effective is lowest among those who were ordered into care. Entry into mental health care is not sufficient for closing the treatment gap if coerced care leads to poorer quality outcomes.


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