scholarly journals An Addressing on Risk of Mental Health Disorders Through Hybrid Takaful (Islamic Insurance): A Case of Malaysia

2021 ◽  
Vol 16 (1) ◽  
pp. 74-82
Author(s):  
Khairil Faizal Khairi ◽  
Nur Hidayah Laili ◽  
Aimi Fadzirul Kamarubahrin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Well Being ◽  
Income Group ◽  
The United States ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Health Coverage ◽  
Health Disorders ◽  
Islamic Insurance

In addition to heart disease, other Malaysian extensive illnesses are mental health disorders. 29.2 per cent of Malaysians have recently suffered from mental illness, which has increased threefold compared to the previous year. The lowest income group accounts for the bulk of Malaysians suffering from mental illness. Currently, Singapore list among the countries has operative providing mental health insurance together with Australia, the United Kingdom and the United States of America. Malaysia is still far behind on offering mental health coverage with such a scheme only provided by AIA Malaysia. Therefore, through the takaful product, the purpose of this study is to address the risk of mental health disorders by hybrid takaful. The paper concluded that in order to maintain the promoting coverage and minimizing damage to mental health patients to human well-being, takaful mental health is needed in Malaysia market. In addition, this research would provide insight into the takaful industry for the development of a new and competitive product that could assist patients with a mental health disorder.

Tonsillectomy Outcomes among Children with Mental Health Disorders in the United States

2020 ◽  
Vol 162 (5) ◽  
pp. 754-760
Author(s):  
Yann-Fuu Kou ◽  
Cynthia Wang ◽  
Gopi B. Shah ◽  
Ron B. Mitchell ◽  
Romaine F. Johnson
Keyword(s):  
Mental Health ◽  
Postoperative Complications ◽  
Length Of Stay ◽  
The United States ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Cross Sectional ◽  
Lengths Of Stay ◽  
Health Disorders ◽  
National Databases

Objectives Recent evidence suggests that children with mental health disorders are more likely to have postoperative complications. Our aim was to determine if mental health disorders affect postoperative complications after tonsillectomy with or without adenoidectomy (T&A). Setting Cross-sectional analysis of national databases. Subjects and Methods The 2006 to 2016 Kids Inpatient Database and the 2014 Nationwide Readmission Database were used to identify children (age <21 years) who underwent T&A. We compared children with mental health disorders (eg, autism, developmental delays, or mood disorders) to those without a mental health disorder. We contrasted gender, race, length of stay, complications, and 30-day readmissions. Results We estimated that 37,386 children underwent T&A, and there were 2138 (5.7%) diagnosed with a mental health disorder. Children with mental health disorders were older (6.0 vs 5.3 years, P < .001), more commonly males (64% vs 58%, P < .001), had a longer length of stay (3.4 days vs 2.3 days, P < .001), and had higher total charges even after controlling for length of stay ($19,000 vs $14,000, P < .001). Children with a mental health disorder were more likely to have a complication (odds ratio [OR] = 2.1; 95% confidence interval [CI], 1.7 to 3.4; P < .001) including intubation, mechanical ventilation, or both (OR = 3.3; 95% CI, 2.6 to 3.8; P < .001). The 30-day all-cause readmission rate was higher (12% vs 4.0%, P < .001). Conclusion Children with mental health disorders, especially development delays, have more frequent complications, longer lengths of stay, and readmissions than children without mental health disorders. This information should be included in preoperative counseling.

scholarly journals Assessing feasibility of routine identification tools for mental health disorder in neurology clinics

2019 ◽  
Vol 104 (12) ◽  
pp. 1161-1166 ◽  
Author(s):  
Sophie D Bennett ◽  
Isobel Heyman ◽  
Anna E Coughtrey ◽  
Marta Buszewicz ◽  
Sarah Byford ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Well Being ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Screening Methods ◽  
Additional Time ◽  
Routine Identification ◽  
Strengths And Difficulties ◽  
Health Disorders

ObjectiveWe aimed to test the feasibility of using an online parent-completed diagnostic assessment for detecting common mental health disorders in children attending neurology clinics. The assessment does not require intervention by a mental health professional or additional time in the clinic appointment.SettingTwo parallel and related screening studies were undertaken: Study 1: Tertiary paediatric neurology clinics. Study 2: Secondary and tertiary paediatric neurology clinics.PatientsStudy 1: 406 Young people aged 7–18 attending paediatric neurology clinics. Study 2: 225 Young people aged 3–18 attending paediatric epilepsy clinics.InterventionsParents completed online versions of the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-being Assessment (DAWBA).Main outcome measuresWe investigated: the willingness of families to complete the measures, proportion identified as having mental health disorders, time taken to complete the measures and acceptability to families and clinicians.ResultsThe mean total difficulties score of those that had completed the SDQ fell in the ‘high’ and ‘very high’ ranges. 60% and 70% of the DAWBAS completed met criteria for at least one DSM-IV disorder in study 1 and 2 respectively. 98% of the parents reported that the screening methods used were acceptable.

scholarly journals Burden of mental health disability in Kerala: A secondary time trend analysis from 2002 to 2018

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Joseph ◽  
H Sankar ◽  
D Nambiar
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Retardation ◽  
Public Sector ◽  
Human Resources ◽  
Mental Health Disorders ◽  
The State ◽  
The Public ◽  
Health Infrastructure ◽  
Health Disorders

Abstract The fourth target of Sustainable Development Goal (SDG) 3 advocates for the promotion of mental health and wellbeing. The Indian state of Kerala is recognized for its gains in health and development but has substantial burden of mental health ailments. Historical analysis is vital to understand the pattern of mental health morbidity. The current study focusses on comparable estimates available from three largescale population-based surveys in India to explore trends in prevalence of mental health disorders over the years and map resources and infrastructure available for mental health care in Kerala. We undertook a secondary analysis of national demographic surveys from 2002 to 2018 which reported information on mental health and availability of health infrastructure and human resources. Data were collated and descriptive analyses were conducted. We compared the national and state level estimates over the years to study the trend in the prevalence of mental health disability. The prevalence of mental retardation and intellectual disability in Kerala increased from 194 per hundred thousand persons in 2002 to 300 per hundred thousand persons in 2018, two times higher to the national average. The prevalence of mental illness increased from 272 per hundred thousand people to 400 per hundred thousand people in sixteen years. The prevalence was higher among males (statistical significance was not indicated) in mental illness and mental retardation. 2018 data showed that the public sector had 0.01 hospitals and 5.53 beds per hundred thousand persons available for mental health treatment. Results showed a substantial increase in mental health illness over the 16-year study period that has affected males and females, as well as all social classes of the state. The current health infrastructure and human resources in the public sector of the state are inadequate to meet the current burden of the problem and to ensure universal access to care for its population. Key messages The trend in prevalence of mental health disorders in the state is increasing across the years. There is a mismatch between the extend of the problem and resources available in public sector.

The Association Between Mental Health Disorders and Non-Infectious Scleritis: A Prevalence Study and Review of the Literature

2021 ◽  
pp. 112067212110676
Author(s):  
Ahmad Abdel-Aty ◽  
Ninani Kombo
Keyword(s):  
Mental Health ◽  
Inflammatory Disease ◽  
Inflammatory Diseases ◽  
Systemic Disease ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Psychological Effects ◽  
Review Of The Literature ◽  
Ocular Inflammatory Disease ◽  
Health Disorders

Chronic inflammatory diseases can cause significant psychosocial stress in affected patients. Few studies have examined the psychological effects of ocular inflammatory disease and no studies have examined the psychological effects of scleritis. In this study we evaluate the prevalence of mental health disorders in scleritis patients and we conduct a comprehensive review of the literature on the mental health effects of ocular inflammatory diseases. 162 patients (195 eyes) presenting to a tertiary care center with scleritis were identified. At least one comorbid mental health disorder was diagnosed in 35 patients (21.6%), most commonly major depression in 11.7%, generalized anxiety disorder in 9.3%, and substance use disorder in 6.2%. There were no significant differences in the length of an episode of scleritis or in the probability of symptom resolution between patients with a mental health disorder and other patients. In a review of the literature, 30 manuscripts met the inclusion criteria. The majority of manuscripts (83.3%) were focused on uveitis patients. Eight of these studies were focused on patients with uveitis in the context of systemic disease. The most commonly reported mental health disorders reported were anxiety and depression. An average of 31.3% of patients with ocular inflammatory disease had depression and 35.0% had anxiety. Similar to other chronic illnesses, ocular inflammatory disease may be a significant psychosocial stressor. Future studies will further elucidate the relationship between these diseases and mental health.

scholarly journals Self-Reported Well-Being Indicators and Case Identification of Common Mental Health Disorders in Routinely Collected Health Data

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Daniel Thompson ◽  
Ann John ◽  
Richard Fry ◽  
Alan Watkins
Keyword(s):  
Mental Health ◽  
Satisfaction With Life ◽  
Well Being ◽  
Mental Health Disorders ◽  
Resource Utilisation ◽  
Individual Response ◽  
Individual Level ◽  
Case Identification ◽  
Health Disorders ◽  
Mental Well Being

IntroductionCommon mental health disorders (CMD) are significant contributors to impaired health and well-being, and drive greater health resource utilisation. Electronic health records (EHR) are increasingly used for case identification of CMD when ascertaining social determinants of mental health. We seek to compare self-reported well-being indicators in groups identified using EHR-based CMD methods. Objectives and ApproachThe National Survey for Wales (NSW) contains self-reported well-being indicators (Warwick Edinburgh Mental Well-being Scale, WEMWBS) recorded annually on ~7,000 individuals. We combined data from two NSWs and linked well-being indicators with Welsh Longitudinal General Practice (WLGP) data within the Secure Anonymised Information Linkage (SAIL) Databank, using individual response dates. We then used WGLP data to algorithmically derive identifiers of CMD cases within survey respondents. This individual-level linkage enables a comparison of NSW responses in CMD and non-CMD cases, and to assess sensitivity and specificity of the current CMD algorithm. ResultsSurvey participants comprised 18,450 adults aged 16+ and living in Wales during 16/17 or 18/19. WEMWBS responses indicate 2,338 (12.6%) participants could be considered possibly depressed, and 2,268 (12.3%) probably depressed with low mental well-being (LMW). For participants with LMW, a 42/58 percentage split is observed between male/female respondents, compared to a 45/55 respective split of those not identified with LMW. Participants with LMW recorded low measures for overall satisfaction with life, 998 (44%) reported a value of 5 or less (/10) compared to 1123 (7%) participants not identified with LMW. Similarly, 828 (37%) participants identified with LMW reported 5 or less (/10) on the life worthwhile index, compared to 800 (5%) of non-LMW participants. Conclusion / ImplicationsLinkage to the NSW provides a rich data source to compare objective well-being to algorithmically derived CMD cases from routinely collected primary care data. The individual-level linkage involved will allow for the wider determinants of mental health disorders to be examined.

Convergence and the Changing Nature of Innovation

2021 ◽  
pp. 37-50
Author(s):  
Amanda Arnold ◽  
Katherine Bowman
Keyword(s):  
Mental Health ◽  
Research Universities ◽  
Well Being ◽  
Mental Health Disorders ◽  
Federal Agencies ◽  
Lessons Learned ◽  
Government Agencies ◽  
Innovation Ecosystem ◽  
American Research ◽  
Health Disorders

Convergence has the potential to shape cultures of innovation in health and medicine by providing a framework integrating perspectives from multiple disciplines and sectors to tackle challenges such as understanding and addressing mental health disorders and improving well-being. This chapter discusses examples of efforts to establish cultures that support convergence and lessons learned from multiple sectors. The chapter highlights changing perspectives from institutions engaged in convergent research, including universities, industry, philanthropic foundations, and government agencies. Facilitating progress toward solutions that could not otherwise be obtained serves as a critical motivation for pursuing convergence, even when approaches that rely on convergence challenge conventional institutional incentives and structures. Indeed, barriers to establishing and supporting convergence arise where existing organizational practices and structures misalign with the changing nature of innovation. Nevertheless, examples from across the innovation ecosystem, from American research universities to the biotechnology industry, reveal some of the strategies such organizations are using to actively create and foster cultures that support convergence. Federal agencies are also beginning to investigate funding incentives to support convergent work through their grant-making programs. The chapter concludes with an array of actions others have used to help foster convergence institutionally. These lessons learned may have relevance for those interested in establishing convergence in the realm of mental health.

The Role of Rural and Urban Geography and Gender in Community Stigma Around Mental Illness

2020 ◽  
pp. 109019812097496
Author(s):  
Shawnda Schroeder ◽  
Chih Ming Tan ◽  
Brian Urlacher ◽  
Thomasine Heitkamp
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Rural Areas ◽  
Mental Health Disorders ◽  
Mental Illness Stigma ◽  
Stigma Scale ◽  
Rural And Urban ◽  
Health Disorders ◽  
And Gender

Empirical evidence describes the negative outcomes people with mental health disorders experience due to societal stigma. The aim of this study was to examine the role of gender and rural-urban living in perceptions about mental illness. Participants completed the Day’s Mental Illness Stigma Scale, a nationally validated instrument for measuring stigma. Directors of Chambers of Commerce in North Dakota distributed the electronic survey to their members. Additionally, distribution occurred through use of social media and other snowball sampling approaches. Analysis of data gathered from 749 participants occurred through examination of the difference in perceptions based on geography and gender. The zip codes of residence were sorted to distinguish between rural and urban participants. Application of weighting measures ensured closer alignment with the general population characteristics. Findings indicate that for the majority of the seven stigma measures the Day’s Mental Illness Stigma Scale examines, the coefficient of rural–gender interactions was positive and highly significant with higher levels of stigma in rural areas. Females exhibited lower stigma perceptions than males. However, women living in rural areas held higher degrees of stigma compared to urban residing females. Implications of the study include the need to advance mental health literacy campaigns for males and people residing in rural communities. Additional empirical studies that examine the role of geography and gender in understanding stigma toward people with mental health disorders will result in improved treatment outcomes due to increased and focused educational efforts.

scholarly journals Effects of Mental Health Disorders on Nursing Home Residents’ Nine-Month Pain Trajectories

Pain Medicine ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 488-500
Author(s):  
Penny L Brennan ◽  
Sonya SooHoo
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Class Membership ◽  
Pain Frequency ◽  
Health Disorders ◽  
Pain Trajectories

Abstract Objective To determine the key classes of nursing home residents’ nine-month pain trajectories, the influence of residents’ mental health disorders on membership in these classes, and nine-month health-related outcomes associated with pain trajectory class membership. Methods Four times over a nine-month period, the MDS 3.0 resident assessment instrument was used to record the demographic characteristics, mental health disorder diagnoses, pain characteristics, and health and functioning outcomes of 2,539 Department of Veterans Affairs Community Living Center (VA CLC) residents. Growth mixture modeling was used to estimate the key classes of residents’ nine-month pain trajectories, the influence of residents’ mental health disorders on their pain trajectory class membership, and the associations of class membership with residents’ health and functioning outcomes at nine-month follow-up. Results Four-class solutions best described nursing home residents’ nine-month trajectories of pain frequency, severity, and interference. Residents with dementia and severe mental illness diagnoses were less likely, and those with depressive disorder, PTSD, and substance use disorder diagnoses more likely, to belong to adverse nine-month pain trajectory classes. Membership in adverse pain frequency and pain severity trajectory classes, and in trajectory classes characterized by initially high but steeply declining pain interference, portended more depressive symptoms but better cognitive and physical functioning at nine-month follow-up. Conclusions Nursing home residents’ mental health disorder diagnoses help predict their subsequent pain frequency, severity, and interference trajectories. This may be clinically useful information for improving pain assessment and treatment approaches for nursing home residents.

scholarly journals Psychiatry in post-apartheid Namibia: a troubled legacy

2002 ◽  
Vol 26 (8) ◽  
pp. 310-312 ◽  
Author(s):  
Anthony Feinstein
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Disorders ◽  
Screening Instrument ◽  
Self Report ◽  
Meaningful Context ◽  
Health Disorders ◽  
Guggenheim Foundation

I recently spent 6 months in Namibia as a Fellow of the John Simon Guggenheim Foundation. The purpose of my visit was twofold: the establishment of a database for trauma-related mental health disorders and the development of a validated, self-report screening instrument for mental illness. In the process, I was able to meet with Namibian colleagues and visit a number of health care centres in the country. This article will focus on my impressions of psychiatry in Namibia that were formed during my visit. A brief summary of Namibian history, in particular the country's relations with neighbouring South Africa, will help place my observations in a more meaningful context.

scholarly journals Parental Mental Health in Childhood as a Risk Factor for Anxiety and Depression among People Seeking Help for Tinnitus and Hyperacusis

2019 ◽  
Vol 30 (09) ◽  
pp. 772-780 ◽  
Author(s):  
Hashir Aazh ◽  
Ali A. Danesh ◽  
Brian C. J. Moore
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Risk Factor ◽  
Mental Health Disorders ◽  
Anxiety And Depression ◽  
Future Research ◽  
Parental Mental Illness ◽  
Parental Mental Health ◽  
Health Disorders ◽  
The Relationship

AbstractParental mental illness is a risk factor for mental health disorders in the offspring. However, the relationship between parental illness in childhood and mental health disorders in adulthood among patients with tinnitus and/or hyperacusis is not known.The aim was to explore the relationship between parental mental health in childhood and anxiety and depression for patients experiencing tinnitus and/or hyperacusis.This was a retrospective cross-sectional study with a correlational design.Two hundred eighty-seven consecutive patients who attended a Tinnitus and Hyperacusis Therapy Specialist Clinic in the United Kingdom were included. Their average age was 52.5 years.The association was explored between anxiety and depression measured via the Generalized Anxiety Disorder questionnaire (GAD-7) and the Patient Health questionnaire (PHQ-9) and responses to the question “While you were growing up during the first 18 years of life did your parent(s) have depression or mental illness?”Thirty-nine percent of patients (111/287) responded “yes” to the question about their parents’ mental health, which is about double the incidence in the general population. Regression analysis showed that parental mental illness significantly increased the risk of anxiety and depression, with unadjusted odds ratios (ORs) of 2.7 (95% confidence interval [CI]: 1.5–4.9, p = 0.001) for the PHQ-9 and 2.6 (95% CI: 1.4–4.8, p = 0.002) for the GAD-7. However, when the models were adjusted for the effects of age, gender, tinnitus handicap as measured via the Tinnitus Handicap Inventory, hyperacusis handicap as measured via the Hyperacusis questionnaire, uncomfortable loudness levels, GAD-7 scores (for the depression model only), and PHQ-9 scores (for the anxiety model only), parental mental health was only significantly associated with depression, with an OR of 2.7 (95% CI: 1.08–6.7, p = 0.033).Audiologists offering tinnitus and hyperacusis rehabilitation should screen patients for parental mental illness in childhood, especially for those with comorbid depression, and make onward referral to appropriate mental health services when needed. Future research should analyze the breadth and type of adverse childhood experiences among patients with tinnitus and hyperacusis and their relationship with mental problems and treatment efficacy.

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