A review on children and adolescents’ mental health indicators: Towards a valid mental health assessment in Hungarian youth

2021 ◽  
Vol 25 (4) ◽  
pp. 357-383
Author(s):  
Beáta Erika Nagy ◽  
◽  
Karolina Eszter Kovács ◽  
Tamás Varga ◽  
Péter Boris ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Status ◽  
Health Care System ◽  
Health Indicators ◽  
Mental Health Status ◽  
Care Providers ◽  
Effective Prevention ◽  
International Trends ◽  
Care System

The application of appropriate qualitative and quantitative indicators of youth’s mental health is vital for the entire health care system, including the individuals, health care providers, and health policy. These can enable both researchers and policymakers to carry out comparisons across time, interindividual differences and culture. In our scoping review, we aimed to identify psychological, social and systemrelated indicators that can provide direct and indirect information regarding Hungarian youth’s mental health status. Additionally, we focused on providing a model regarding mental health evaluation measures, comparable to the international models. To determine the indicators of mental health, international and Hungarian literature was reviewed through primary and secondary sources. During the analysis, the following databases were searched: ERIC, Google Scholar, MedLine, Pubmed, ResearchGate and Science Direct. A total of 76 papers met the criteria, containing 38 Hungarian studies and 38 international ones. The review revealed that, similar to the international trends, the Hungarian assessment of positive (e.g., satisfaction with life, aspiration index, social support, coping skills, health-preserving behavior), negative (e.g., emotional symptoms, social difficulties, sadness, depression, anxiety) and other mental health indicators (e.g., alcohol abuse, drug-related disorders, suicide, bullying,) can be measured by standardized, validated tests. The indicators identified in the current review can support professionals and policymakers to systematically improve the quality of health care. With the use of appropriate indicators, more accurate results concerning the current mental health status of the children and youth can be provided, which would enable more effective prevention and intervention in the health care system and related domains.

Fragmented Pathways to Care

Crisis ◽  
2006 ◽  
Vol 27 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Carol Strike ◽  
Anne E. Rhodes ◽  
Yvonne Bergmans ◽  
Paul Links
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Status ◽  
Personality Disorder ◽  
Health Care Providers ◽  
Mental Health Status ◽  
Pathways To Care ◽  
Care Providers ◽  
Cyclical Pattern ◽  
History Of

Using qualitative methods, this study examined how, and under what circumstances, suicidal men used mental health services. In particular, the analyses focused on fragmented pathways to care. Fifteen men with a history of suicidal and aggressive behaviors and a diagnosis of borderline personality disorder and/or antisocial personality disorder participated in semistructured interviews that consisted of questions about their mental health status and experiences with mental health and addiction services. Interviews were taped and transcribed. An iterative, inductive qualitative analytic process was used. Men followed a cyclical pattern wherein negative experiences with health care providers were said to be followed by avoidance of health care settings, crisis, and then by involuntary service utilization. Men identified five health care provider and three personal practices, and two types of episodes they believed to contribute to their fragmented pathways to care. Implementation of specialized interventions, and providing patients with more information and more opportunity to participate in decisions, may improve interactions between patients and providers and improve patients' mental health status.

scholarly journals Coping with Criticism and Embracing Change—Further Reflexions on the Debate on a Mental Health Care System without Coercion

Laws ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 22
Author(s):  
Sebastian von Peter ◽  
Martin Zinkler
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care System ◽  
Police Custody ◽  
Judicial Control ◽  
Mental Health Care System ◽  
The Will ◽  
Alternative Scenarios ◽  
Care System

In August 2019, a manuscript was published in this journal that aimed at imagining a mental health care system that renounces the judicial control to better focus on the will and preferences of those who require support. Alternative scenarios for dealing with risk, inpatient care, and police custody were presented that elicited strong and emotionally laden reactions. This article adds further reflections to this debate, aiming at contributing explanations for this unsettlement. A productive notion of criticism is discussed, and ways to achieve change toward a more human rights-oriented psychiatric practice are outlined.

scholarly journals Correction to: Mental health status among family members of health care workers in Ningbo, China, during the coronavirus disease 2019 (COVID-19) outbreak: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuchen Ying ◽  
Liemin Ruan ◽  
Fanqian Kong ◽  
Binbin Zhu ◽  
Yunxin Ji ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Status ◽  
Health Care Workers ◽  
Family Members ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Main demographic indicators and their infl uence on the health state of the population of Russia

2021 ◽  
Author(s):  
О.А. Бадов
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care System ◽  
Social Indicators ◽  
Federal District ◽  
Health State ◽  
North Caucasus ◽  
Demographic Indicators ◽  
Territorial Differentiation ◽  
Care System

Важнейшим фактором, влияющим на состояние здоровья населения, является демографический. В связи с этим, исследование показателей естественного движения насе- ления, динамики численности и многих других являются основополагающими при определе- нии перспектив развития системы здравоохранения и многих других социальных объектов и услуг, так или иначе связанных с населением и поддержанием его здоровья на должном уров- не. Особый интерес представляют исследования динамики рождаемости и смертности за сравнительно большие промежутки времени, включающие в себя какие-либо события, так или иначе повлиявшие на рождаемость и смертность населения. В настоящей статье исследуется территориальная дифференциация рождаемости и смертности населения России в период 2005-2018 гг. Поскольку статья имеет полимасштаб- ный характер: демографические элементы рассматриваются по федеральным округам Рос- сии, ее регионам и, отдельно, по регионам Северо-Кавказского ФО. С целью возможности сопоставления регионов с различными географическо-социальными по- казателями (площадь, численность населения и т.д.) были применены относительные пока- затели (число рождений и смертей за год на 1000 жителей). Результатом исследований явилось выявление территориальной дифференциации основных демографических показателей населения России за 2005-2018 гг. и определение особенностей их влияния на состояние здоровья людей и структуру системы здравоохранения. The most important factor infl uencing the health status of the population is demographic factor. In this regard, the study of indicators of the vital movement of the population, population dynamics and many others are fundamental in determining the prospects for the development of the health care system and many other social facilities and services, one way or another related to the population and maintaining its health at the proper level. Of particular interest are studies of the dynamics of fertility and mortality over relatively long periods of time, including any events that somehow infl uenced the birth and mortality of the population. This article examines the territorial differentiation of the birth and death rates of the population of Russia in 2005-2018. Since the article is of a poly-scale nature, demographic elements are considered for the federal districts of Russia, its regions and, separately, for the regions of the North Caucasus Federal District. In order to be able to compare regions with different geographical and social indicators (area, population, etc.), relative indicators were used (the number of births and deaths per year per 1000 inhabitants). The result of the research was the identifi cation of territorial differentiation of the main demographic indicators of the population of Russia for 2005-2018 and determining the characteristics of their impact on the health status of people and the structure of the health care system.

scholarly journals “Take the treatment and be brave”: Care experiences of pregnant women with rifampicin-resistant tuberculosis

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0242604
Author(s):  
Marian Loveday ◽  
Sindisiwe Hlangu ◽  
Jennifer Furin
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care System ◽  
Health Care Providers ◽  
Physical Symptoms ◽  
Coding System ◽  
Care Providers ◽  
Convenience Sample ◽  
Care System

Background There are few data on the on the care experiences of pregnant women with rifampicin-resistant TB. Objective To describe the treatment journeys of pregnant women with RR-TB—including how their care experiences shape their identities—and identify areas in which tailored interventions are needed. Methods In this qualitative study in-depth interviews were conducted among a convenience sample from a population of pregnant women receiving treatment for RR-TB. This paper follows COREQ guidelines. A thematic network analysis using an inductive approach was performed to analyze the interview transcripts and notes. The analysis was iterative and a coding system developed which focused on the care experiences of the women and how these experiences affected their perceptions of themselves, their children, and the health care system in which treatment was received. Results Seventeen women were interviewed. The women described multiple challenges in their treatment journeys which required them to demonstrate sustained resilience (i.e. to “be brave”). Care experiences required them to negotiate seemingly contradictory identities as both new mothers—“givers of life”—and RR-TB patients facing a complicated and potentially deadly disease. In terms of their “pregnancy identity” and “RR-TB patient identity” that emerged as part of their care experiences, four key themes were identified that appeared to have elements that were contradictory to one another (contradictory areas). These included: 1) the experience of physical symptoms or changes; 2) the experience of the “mothering” and “patient” roles; 3) the experience of the care they received for their pregnancy and their RR-TB; and 4) the experience of community engagement. There were also three areas that overlapped with both roles and during which identity was negotiated/reinforced and they included: 1) faith; 2) socioeconomic issues; and 3) long-term concerns over the child’s health. At times, the health care system exacerbated these challenges as the women were not given the support they needed by health care providers who were ill-informed or angry and treated the women in a discriminatory fashion. Left to negotiate this confusing time period, the women turned to faith, their own mothers, and the fathers of their unborn children. Conclusion The care experiences of the women who participated in this study highlight several gaps in the current health care system that must be better addressed in both TB and perinatal services in order to improve the therapeutic journeys for pregnant women with RR-TB and their children. Suggestions for optimizing care include the provision of integrated services, including specialized counseling as well as training for health care providers; engagement of peer support networks; provision of socioeconomic support; long-term medical care/follow-up for children born to women who were treated for RR-TB; and inclusion of faith-based services in the provision of care.

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