scholarly journals Undergraduate Education in Psychiatry in India

2020 ◽  
Vol 3 (1) ◽  
pp. 9-16
Author(s):  
Roy Abraham Kallivayalil ◽  
Arun Enara
Keyword(s):  
Mental Health ◽  
Medical Education ◽  
Help Seeking ◽  
Medical Training ◽  
Common Mental Disorders ◽  
Well Being ◽  
Mental Illnesses ◽  
Treatment Gap ◽  
The World ◽  
Education In India

AbstractMedical education curricula, from around the world, have often neglected psychiatry as a subject of importance in undergraduate medical training.In India, the scenario has not been different from the rest of the world. The National Mental Health Survey done in India, recently, estimates a treatment gap of around 80–85% for various mental illnesses. This provides a strong case to strengthen the undergraduate psychiatry curricula since it would help tackle the treatment gap of common mental disorders in the community.Further, a strong educational foundation with meaningful inclusion of mental health and well-being, will also make the trainee aware of their own mental well-being and better help seeking behaviour in the medical student. In this article, we look to review the evolution of undergraduate medical education in India.

scholarly journals Exploring the global impact of the COVID-19 pandemic on medical education: an international cross-sectional study of medical learners

2021 ◽  
Author(s):  
Allison Brown ◽  
Aliya Kassam ◽  
Mike Paget ◽  
Kenneth Blades ◽  
Megan Mercia ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Training ◽  
Well Being ◽  
World Health ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The World ◽  
Geographic Regions ◽  
The Impact

Background: The evidence surrounding the impact of COVID-19 on medical learners remains anecdotal and highly speculative despite the anticipated impact and potential consequences of the current pandemic on medical training. The purpose of this study was to explore the extent that COVID-19 initially impacted medical learners around the world and examine global trends and patterns across geographic regions and levels of training. Methods: A cross-sectional survey of medical learners was conducted between March 25–June 14, 2020, shortly after the World Health Organization declared COVID-19 a pandemic. Results: 6492 learners completed the survey from 140 countries. Most medical schools removed learners from the clinical environment and adopted online learning, but students reported concerns about the quality of their learning, training progression, and milestone fulfillment. Residents reported they could be better utilized and expressed concerns about their career timeline. Trainees generally felt under-utilized and wanted to be engaged clinically in meaningful ways; however, some felt that contributing to healthcare during a pandemic was beyond the scope of a learner. Significant differences were detected between levels of training and geographic regions for satisfaction with organizational responses as well as the impact of COVID-19 learner wellness and state-trait anxiety. Conclusions: The disruption to the status quo of medical education is perceived by learners across all levels and geographic regions to have negatively affected their training and well-being, particularly amongst postgraduate trainees. These results provide initial empirical insights into the areas that warrant future research as well as consideration for current and future policy planning.

scholarly journals Longitudinal assessment of an anti-stigma campaign related to common mental disorders in rural India

2018 ◽  
Vol 214 (2) ◽  
pp. 90-95 ◽  
Author(s):  
Pallab K. Maulik ◽  
Siddhardha Devarapalli ◽  
Sudha Kallakuri ◽  
Anadya Prakash Tripathi ◽  
Mirja Koschorke ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Professionals ◽  
Help Seeking ◽  
Common Mental Disorders ◽  
Mental Illnesses ◽  
Rural India ◽  
Time Points ◽  
Positive Effects ◽  
Services Delivery

BackgroundStigma related to mental health and lack of trained mental health professionals is a major cause for an increased treatment gap, particularly in rural India. The Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health project delivered a complex intervention involving task sharing, an anti-stigma campaign and use of technology-based, decision-support tools to empower primary care workers to identify and manage depression, anxiety, stress and suicide risk.AimsThe aim of this article is to report changes in stigma perceptions over three time points in the rural communities where the anti-stigma campaign was conducted.MethodA multimedia-based anti-stigma campaign was conducted over a 3-month period in the West Godavari district of Andhra Pradesh, India. Following that, the primary care-based mental health service was delivered for 1 year. The anti-stigma campaign was evaluated in two villages and data were captured at three time points over a 24-month period (N = 1417): before and after delivery of the campaign and after completion of the health services delivery intervention. Standardised tools captured data on knowledge, attitude and behaviour towards mental health as well as perceptions related to help seeking for mental illnesses.ResultsMost knowledge, attitude and behaviour scores improved over the three time points. Overall mean scores on stigma perceptions related to help seeking improved by −0.375 (minimum/maximum of −2.7/2.4, s.d. 0.519, P < 0.001) during this time. Loss to follow-up was 10%.ConclusionsThe data highlight the positive effects of an anti-stigma campaign over a 2-year period.Declaration of interestNone.

scholarly journals Social justice, health equity, and mental health

2022 ◽  
pp. 008124632110709
Author(s):  
Dinesh Bhugra ◽  
Rachel Tribe ◽  
Daniel Poulter
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Social Justice ◽  
Health Equity ◽  
Help Seeking ◽  
Mental Illnesses ◽  
Basic Principles ◽  
Stigma And Discrimination ◽  
The World ◽  
Poor Outcomes

There is considerable evidence to indicate that stigma and discrimination against people with mental illnesses are widely prevalent across nations. Research also shows that individuals with mental illnesses are likely to die 15–20 years younger than those who do not have these illnesses. In addition, they are more likely to experience delays in help-seeking leading to poor outcomes and are more likely to experience physical illnesses. Stigma and discrimination appear to play a major role in depriving people with mental illnesses of their basic rights. Their economic, political, social, and human rights are often ignored. In this article, we describe the capability to be healthy and basic principles of social justice related to mental health. We discuss findings of discrimination often embedded in laws of countries around the world in the context of basic human rights. We believe that clinicians have a key role as advocates for their patients. Clinicians and policymakers need to work together to bring about social and health equity.

scholarly journals Comorbidity of common mental disorders with cancer and their treatment gap: findings from the World Mental Health Surveys

2013 ◽  
Vol 23 (1) ◽  
pp. 40-51 ◽  
Author(s):  
Ora Nakash ◽  
Itzhak Levav ◽  
Sergio Aguilar-Gaxiola ◽  
Jordi Alonso ◽  
Laura Helena Andrade ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Surveys ◽  
Common Mental Disorders ◽  
Treatment Gap ◽  
World Mental Health ◽  
The World

scholarly journals Arah Kebijakan Kesehatan Mental: Tren Global dan Nasional Serta Tantangan Aktual

2018 ◽  
Vol 46 (1) ◽  
pp. 45-52
Author(s):  
Ilham Akhsanu Ridlo ◽  
Rizqy Amelia Zein
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Burden Of Disease ◽  
Service Providers ◽  
Mental Health Policy ◽  
National Level ◽  
Well Being ◽  
Epidemiological Studies ◽  
Mental Illnesses ◽  
Treatment Gap

AbstractGlobally, during the last three decades, mental health has played significant role in regards to thediscourse of global health policy. Since two decades ago, WHO has firmly defined health as a roundedstate of condition where an individual reach “...not merely the absence of the illness, but also achievementof physical, mental and social well-being.” WHO’s definition of health implies a significant impact onglobal health policy – all members of states should adhere their health policy to this definition. TheGlobal Burden of Disease study carried out by IHME (The Institute for Health Metrics and Evaluation)in 2012 that mapped out the burden of disease around the world revealed an appalling fact namelyworsened mental health condition. Years lost due to disability (YLD) study mentioned that 6 out to 20diseases that were most responsible in causing disability were mental illnesses. Therefore, this articleaimed to describe the mental illness prevalence in global and national level by reviewing several mentalillness epidemiological studies. Additionally, this article highlighted some of important challenges thatshould be considered by healthcare service providers and policymakers in tackling mental health issues,which are treatment gap and mental health stigma.Keywords: Mental Health Policy, Global and National Prevalence, Treatment Gap AbstrakSecara global, dalam kurun waktu 30 tahun terakhir, isu mengenai kesehatan mental memainkanperan penting dalam perumusan kebijakan kesehatan global. Sejak dua dekade yang lalu, WHOmengeluarkan definisi sehat sebagai suatu kondisi dimana seorang indvidu mencapai “...tak sekedarbebas dari penyakit, melainkan mampu mencapai kesejahteraan fisik, mental dan sosial.” Definisidari WHO tersebut berkonsekuensi besar dalam perumusan kebijakan kesehatan mental, dimanaseluruh negara anggotanya harus menyandarkan garis besar kebijakan kesehatannya pada definisi ini.Studi mengenai Global Burden of Disease yang diselenggarakan oleh IHME (The Institute for HealthMetrics and Evaluation) mengungkapkan bahwa ada tren yang menunjukkan bahwa kondisi kesehatanmental menjadi ancaman serius. Studi mengenai jumlah tahun yang hilang akibat disabilitas (YLD)menyebutkan bahwa 6 dari 20 penyakit yang paling bertanggung jawab menyebabkan disabilitasadalah penyakit mental. Oleh karena itu, artikel ini bertujuan untuk mendeskripsikan prevalensigangguan mental dalam skup global dan nasional dengan cara meninjau beberapa riset epidemiologisyang berfokus pada gangguan mental. Selain itu, artikel ini akan membahas mengenai isu-isu pentingyang merupakan tantangan bagi pelayanan kesehatan mental di Indonesia yang harus ditanggapi seriusoleh penyedia layanan kesehatan mental dan pembuat kebijakan, yaitu kesenjangan perawatan danstigma.Kata kunci: Kebijakan Kesehatan Mental, Prevalensi Global dan Nasional, Kesenjangan

63. Developing a program for resident wellness at the postgraduate medical education office, University of Torontos

2007 ◽  
Vol 30 (4) ◽  
pp. 63 ◽  
Author(s):  
S. Edwards ◽  
S. Verma ◽  
R. Zulla
Keyword(s):  
Mental Health ◽  
Medical Education ◽  
Stress Management ◽  
Residency Training ◽  
Medical Training ◽  
Postgraduate Medical Education ◽  
Program Directors ◽  
University Of Toronto ◽  
Resident Wellness ◽  
The University

Prevalence of stress-related mental health problems in residents is equal to, or greater than, the general population. Medical training has been identified as the most significant negative influence on resident mental health. At the same time, residents possess inadequate stress management and general wellness skills and poor help-seeking behaviours. Unique barriers prevent residents from self-identifying and seeking assistance. Stress management programs in medical education have been shown to decrease subjective distress and increase wellness and coping skills. The University of Toronto operates the largest postgraduate medical training program in the country. The Director of Resident Wellness position was created in the Postgraduate Medical Education Office to develop a systemic approach to resident wellness that facilitates early detection and intervention of significant stress related problems and promote professionalism. Phase One of this new initiative has been to highlight its presence to residents and program directors by speaking to resident wellness issues at educational events. Resources on stress management, professional services, mental health, and financial management have been identified and posted on the postgraduate medical education website and circulated to program directors. Partnerships have been established with physician health professionals, the University of Toronto, and the Professional Association of Residents and Internes of Ontario. Research opportunities for determining prevalence and effective management strategies for stress related problems are being identified and ultimately programs/resources will be implemented to ensure that resident have readily accessible resources. The establishment of a Resident Wellness Strategy from its embryonic stags and the challenges faced are presented as a template for implementing similar programs at other medical schools. Earle L, Kelly L. Coping Strategies, Depression and Anxiety among Ontario Family Medicine Residents. Canadian Family Physician 2005; 51:242-3. Cohen J, Patten S. Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta. BMC Medical Education; 5(21). Levey RE. Sources of stress for residents and recommendations for programs to assist them. Academic Med 2001; 70(2):142-150.

Supporting the Mental Health and Well-Being of First Responders from Career to Retirement: A Scoping Review

2021 ◽  
pp. 1-6
Author(s):  
Erin Smith ◽  
Greg Dean ◽  
Lisa Holmes
Keyword(s):  
Mental Health ◽  
Scoping Review ◽  
Help Seeking ◽  
First Responders ◽  
Well Being ◽  
First Responder ◽  
Help Seeking Behaviors ◽  
Holistic Approaches ◽  
Pubmed Database ◽  
Health And Well Being

Abstract Introduction: First responders are at greater risk of mental ill health and compromised well-being compared to the general population. It is important to identify strategies that will be effective in supporting mental health, both during and after the first responder’s career. Methods: A scoping review was conducted using the PubMed database (1966 to October 1, 2020) and the Google Scholar database (October 1, 2020) using relevant search terms, truncation symbols, and Boolean combination functions. The reference lists of all relevant publications were also reviewed to identify further publications. Results: A total of 172 publications were retrieved by the combined search strategies. Of these, 56 met the inclusion criteria and informed the results of this overview paper. These publications identified that strategies supporting first responder mental health and well-being need to break down stigma and build resilience. Normalizing conversations around mental health is integral for increasing help-seeking behaviors, both during a first responder’s career and in retirement. Organizations should consider the implementation of both pre-retirement and post-retirement support strategies to improve mental health and well-being. Conclusion: Strategies for supporting mental health and well-being need to be implemented early in the first responder career and reinforced throughout and into retirement. They should utilize holistic approaches which encourage “reaching in” rather than placing an onus on first responders to “reach out” when they are in crisis.

Mental Health Consequences of Intimate Partner Violence Against Women in El Salvador

2021 ◽  
pp. 107780122097880
Author(s):  
Laura Navarro-Mantas ◽  
Soledad de Lemus ◽  
Jesús L. Megías
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
El Salvador ◽  
Violence Against Women ◽  
Partner Violence ◽  
Common Mental Disorders ◽  
Intimate Partner ◽  
World Health ◽  
The World ◽  
The Impact

Violence against women (VAW) is currently one of the main problems in El Salvador, which leads the ranking of femicides in the world. We conducted the first national survey on VAW in El Salvador following the World Health Organization (WHO) methodology, to determine the impact of violence on women’s mental health ( N = 1,274). Women who had experienced intimate partner violence showed significantly poorer mental health and more suicidal ideations. Common mental disorders were significantly associated with the experience of all forms of violence, after adjusting for sociodemographic variables and stressful life experiences. The results are discussed in connection with the primary care protocols and the design of public policies.

scholarly journals Maudsley International: improving mental health and well-being around the world

2018 ◽  
Vol 15 (3) ◽  
pp. 49-51 ◽  
Author(s):  
Nick Bouras ◽  
Silvia Davey ◽  
Tracey Power ◽  
Jonathan Rolfe ◽  
Tom Craig ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Care ◽  
Well Being ◽  
Building Capacity ◽  
The Past ◽  
Health And Social Care ◽  
The World ◽  
Set Up ◽  
Health And Well Being ◽  
And Training

Maudsley International was set up to help improve people's mental health and well-being around the world. A variety of programmes have been developed by Maudsley International over the past 10 years, for planning and implementing services; building capacity; and training and evaluation to support organisations and individuals, professionals and managers to train and develop health and social care provisions. Maudsley International's model is based on collaboration, sharing expertise and cultural understanding with international partners.

Pathways to Mental Health Services and Perceptions about the Effectiveness of Treatment

2018 ◽  
Vol 9 (3) ◽  
pp. 388-407 ◽  
Author(s):  
Sirry M. Alang ◽  
Donna D. McAlpine
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Severity Of Illness ◽  
Mental Illnesses ◽  
Social Characteristics ◽  
Treatment Gap ◽  
Quality Outcomes ◽  
Effectiveness Of Care

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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