Analysis of Selected Recommendations of Parents for Improvement of Shared Care and Joint Custody After Parents/Partners´ Divorce/Separation

2018 ◽  
Vol 52 (1) ◽  
pp. 60-69
Author(s):  
Dagmar Kopčanová ◽  
Bibiana Filípková
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Research Work ◽  
Structured Interview ◽  
Shared Care ◽  
Team Work ◽  
Joint Custody ◽  
Shared Parenting ◽  
Methodological Problems ◽  
Legislative Changes

Abstract The content of this scientific study is based on the qualitative analysis of selected answers of parents, in the framework of semi-structured interview. The qualitative research is apart of bigger research work P-155/A, dealing with mental health of children in family and school settings. The main goal is to learn and analyse the empirical experience and views of participants, related to joint custody and shared care. The research sample consisted of randomly selected 9 participants who visited Výskumný ústav detskej psychológie apatopsychológie on behalf of some problems regarding custody after divorce/separation. In this contribution the parents´ attitudes towards mutual communication of former partners/parents, functioning of joint custody and shared care and some views related to some limits in this form of shared parenting have been analysed. Some valuable remarks with regard to the need of multi-professional team work, addressed to parents within the process of their divorce/separation proved to be very useful. Parents proposed they would extremely welcome some more help from mental health professionals and their crises intervention actions. On behalf of discussion we notice that the juridical institute of joint custody and shared care is a very important tool, however, some legislative changes of this law should be still done. Concluding the study, we state that in spite of some methodological problems – like a limited number of research participants, we believe that the results can serve as a basis for the next deeper research, bringing more proposals for improvement in this field.

scholarly journals Understanding factors relevant to poor sleep and coping methods in people with schizophrenia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yen-Ching Chang ◽  
Megan C. Chang ◽  
Yun-Jou Chang ◽  
Ming-De Chen
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Mental Health Professionals ◽  
Sleep Problems ◽  
Psychiatric Symptoms ◽  
Structured Interview ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Coping Methods

Abstract Background Sleep disruption is pervasive in people with schizophrenia, but few studies have explored their sleep experiences. This study aims to identify factors relevant to sleep problems and explore coping methods used by community-dwelling people with schizophrenia. Methods Eighteen participants with schizophrenia were recruited from three mental health centers in Taiwan. They completed a semi-structured interview and the Pittsburgh Sleep Quality Index (PSQI) assessment. The Person-Environment-Occupation model offered a framework to assess factors related to sleep. Thematic analysis was used for the qualitative data analysis. Results Factors related to sleep were classified under person, environment, and occupation domains. The person domain included three subthemes: psychiatric symptoms, unpleasant emotions, and frustration about sleep. The environment domain included three subthemes: sensory intrusions from the environment, quality of bedding, and roommates. The occupation domain included sleep interruption and sleep preparation. There were notable discrepancies in sleep quality between the participants’ narratives and their PSQI global scores. Regarding coping methods for poor sleep, sleep medication was the primary strategy while some participants also used other strategies, such as modifying the environment, adjusting routines, or engaging in activities that improve sleep quality. Conclusions Psychiatric symptoms and nightmares were identified as unique sleep disruptions in people with schizophrenia, and poor economic status was also found to impact their sleep. The sleep quality of people with schizophrenia tends to be poor, as identified by the PSQI, even though they may have positive perceptions of their sleep quality. Our participants appeared to prefer to take hypnotics to address their sleep problems, which may be due to limited knowledge about alternatives. Mental health professionals are encouraged to receive training in the application of non-pharmacological approaches to support their clients’ issues related to sleep.

scholarly journals Use of androgenic anabolic steroids by patients under treatment for substance use disorder: case series

2017 ◽  
Vol 66 (2) ◽  
pp. 120-123 ◽  
Author(s):  
Julio Mario Xerfan do Amaral ◽  
Marcelo Santos Cruz
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Case Studies ◽  
Substance Use Disorder ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Anabolic Steroids ◽  
Case Series ◽  
Structured Interview ◽  
Androgenic Anabolic Steroids

ABSTRACT The present study reports several case studies about the use of androgenic-anabolic steroids (AAS) by patients under treatment for substance use disorder (SUD). Ten subjects were interviewed, two women and eight men, ranging from 25 to 43 years old. Regarding treatment regime, eight subjects were inpatients and two, outpatients. ASSIST-WHO and MINI-SUD scales and a semi-structured interview were used as research instruments. Seven subjects reported the use of AAS within fewer than twelve months from the interview date. Mental health professionals did not previously question none of the subjects were about the use of AAS. We discuss the efficacy of the chosen instruments to assess AAS use.

Ratings of an Interview Outline for Evaluation of Disruptive Adolescents

1993 ◽  
Vol 72 (1) ◽  
pp. 146-146
Author(s):  
Garry McGiboney ◽  
Clifford Carter
Keyword(s):  
Mental Health ◽  
Graduate Students ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Structured Interview

Assessment by 13 mental health professionals and 25 graduate students in psychology suggested that a brief, carefully developed structured interview outline for intrapsychic information is judged useful in assessment of disruptive adolescents.

Role Transition from Mental Health Nurse to IAPT High Intensity Psychological Therapist

2011 ◽  
Vol 40 (3) ◽  
pp. 351-366 ◽  
Author(s):  
Simon Robinson ◽  
Stephen Kellett ◽  
Ingrid King ◽  
Val Keating
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
High Intensity ◽  
Structured Interview ◽  
Stepped Care ◽  
Role Transition ◽  
Clinical Approach ◽  
Mental Health Nurse ◽  
Wide Range ◽  
Health Nurse

Background: The Improving Access to Psychological Therapies (IAPT) initiative has depended on the training of a new NHS mental health workforce. At step 3 of the stepped care model, capacity building has required the recruitment of a wide range of mental health professionals into high intensity therapists training posts. This shift naturally entails role transition on the part of trainees into delivering cognitive behavioural psychotherapy (CBP), but no previous research has examined the experience of such transitions. Aim: To describe the lived experience of transition from mental health nurse to IAPT high intensity therapist and to identify possible factors which moderate effective role conversions. Method: Six qualified high intensity therapists were interviewed using a semi-structured interview and the subsequent interviews transcribed. Thematic content analysis (TCA) was used to analyze personal accounts of role transition. All participants had previously been mental health nurses and attended the same IAPT high intensity therapist (HIT) training programme. Results: Six key themes were apparent from the TCA. Three interconnected themes concerning supervision (style, impact of approach and historical context) and three additional themes of the challenge of learning a new clinical approach, high need for support, and forming a new psychotherapist identity. Conclusions: Findings suggest supervision is the most important factor in supporting complex psychotherapy role transitions. Clinical supervisors may need to incorporate dedicated time on role and identity shift during CBP training to ensure effective assimilation and transition. Methodological short-comings are identified and discussed.

What to do about depression? Help-seeking and treatment recommendations of the public

2011 ◽  
Vol 20 (2) ◽  
pp. 163-169 ◽  
Author(s):  
A. Holzinger ◽  
H. Matschinger ◽  
M.C. Angermeyer
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Help Seeking ◽  
Treatment Options ◽  
Antidepressant Medication ◽  
Structured Interview ◽  
First Century ◽  
The Public ◽  
Treatment Of Depression

Aims.Several population studies on beliefs about depression carried out in western countries during the 1990s have shown that the public clearly favors psychotherapy over antidepressant medication. The present study examines whether this phenomenon still exists at the end of the first decade of the twenty-first century.Materials and Methods.In 2009, a telephone survey was conducted among the population of Vienna aged 16 years and older (n = 1205). A fully structured interview was administered which began with the presentation of a vignette depicting a case of depression fulfilling the diagnostic criteria of DSM-IV for a moderate depressive episode.Results.Psychotherapists were most frequently endorsed as source of professional help. Antidepressant medication still was more frequently advised against than recommended. Respondents familiar with the treatment of depression tended to be more ready to recommend to seek help from mental health professionals and to endorse various treatment options, particularly medication.Conclusion.At the end of the first decade of this century, there still exists a large gap between the public's beliefs and what mental health professionals consider appropriate for the treatment of depression. Therefore, further effort to improve the public's mental health literacy seems necessary.

Heterogeneity of the Departments of Mental Health in the Veneto Region ten years after the National Plan 1994-96 for Mental Health. Which implication for clinical practice? Findings from the PICOS Project

2007 ◽  
Vol 16 (1) ◽  
pp. 59-70 ◽  
Author(s):  
Antonio Lasalvia ◽  
Bruno Gentile ◽  
Mirella Ruggeri ◽  
Alessandro Marcolin ◽  
Flavio Nosè ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Psychotic Disorders ◽  
Structured Interview ◽  
National Standard ◽  
Veneto Region ◽  
Resident Population ◽  
Wide Variability

SUMMARYAims - This study aims to present data on structural and human resources of public mental health services located in the Veneto Region, Italy, and to discuss them in the light of implementation of the first National Target Plan for Mental Health (“Progetto Obiettivo 1994-1996”) ten years after its launch. Methods - The study was conducted in the context of the PICOS (Psychosis Incident Cohort Outcome Study) Project, a large first-presentation multisite study on patients with psychotic disorders attending community mental heath services in the Veneto Region. Human and structural resources were surveyed in 26 study sites using a structured interview administered by the PICOS local referents. Results - CMHCs and Day Centres were homogeneously distributed across the Region and their overall rates per resident population met the national standards; a wide variability in the distribution of Day Hospitals was found, with the overall rate per resident population very far from meeting the national standard; the overall rate for Residential Facilities beds was higher than the recommended national standard, showing however an high variability across sites. The overall rate of mental health professionals per resident population was only slightly below the national standard: this was mainly achieved thanks to non-profit organizations which supplement the public system with unspecialised professionals; however, a wide variability in the local rates per resident population was found, with the 50% of the sites showing rates far lower the national standard. Specific lack of trained professionals involved in the provision of psychosocial interventions was found in most sites. Conclusions - A marked variability in human and structural resources across community mental health services in the Veneto Region was found. Possible reasons for this heterogeneity were analysed and implications for mental health care provision were further discussed.Declaration of Interest: The study has been supported by the Regione del Veneto, Giunta Regionale, Ricerca Sanitaria Finalizzata 2004, Venezia, Italia (grant to Professor M. Ruggeri).

Mental Health, Suicidal Behaviour, and Primary Healthcare among Homeless Youth

2020 ◽  
Vol 39 (4) ◽  
pp. 25-38
Author(s):  
Réal Labelle ◽  
Claude Berthiaume ◽  
Marc Daigle ◽  
Jean-Jacques Breton ◽  
Janie Houle
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Professionals ◽  
Primary Healthcare ◽  
Suicidal Behaviour ◽  
Homeless Youth ◽  
Structured Interview ◽  
Stressful Events ◽  
Support Network ◽  
Youth Homelessness

Youth homelessness is a complex psychosocial problem. It refers to the experience of young people who live without their parents or legal guardians and who do not have the means or the capacity to reside in a stable, secure, and permanent place. This exploratory study sought to examine the mental health and suicidal behaviour of 76 homeless Québec adolescents as part of a reflection on the mission of primary healthcare. Note that these adolescents are mostly in the first segment of the homelessness continuum and have voluntarily left their homes because of personal and family difficulties. These 43 girls and 33 boys aged 12 to 19 living temporarily in shelters completed a semi-structured interview and self-administered questionnaires regarding stressful events, psychosocial stress, and mental health. Of these, 38 reported suicidal behaviour, including attempted suicide in 19 cases. The results show that these young people exemplify a high degree of suffering and multiple problems. Evidence indicates that lost relationships and academic problems rooted in attention deficit/hyperactivity disorder are linked to suicidal behaviour. Finally, non-productive coping strategies centred on somatization and little reassurance of worth provided by the social support network are associated with suicidal behaviour. Caregivers in temporary shelters should look out for these factors and refer vulnerable youth to primarycare mental health professionals.

Joint Custody: Historical, Legal, and Clinical Perspectives with Emphasis on the Situation in Canada

1989 ◽  
Vol 34 (6) ◽  
pp. 561-568
Author(s):  
Barbara J. Fidler ◽  
Elisabeth Saunders ◽  
Elaine Freedman ◽  
Eric Hood
Keyword(s):  
Parent Satisfaction ◽  
Point Of View ◽  
Legal Rights ◽  
Joint Custody ◽  
Parents And Children ◽  
Custodial Parent ◽  
Shared Parenting ◽  
Family Breakdown ◽  
Legislative Changes ◽  
The Relationship

The search for ways to mitigate the effects of family breakdown on parents and children includes legislative and clinical efforts which to some extent influence each other. In the past year much public interest has been aroused in Canada, and particularly in Ontario, in the issue of legislative changes which would make joint custody the usual or “preferred” legal disposition of custody cases. This paper provides a discussion of the legislated preference, or “rebut-table presumption” of joint custody from a historical, legal and clinical point of view. Definition and elaboration of what joint custody is from the legal and practical perspectives is provided with an emphasis on Canadian laws and practice. The legal rights of the non-custodial parent are explained, and relevant case law is highlighted. The relationship between joint custody, support orders and relitigation rates are elaborated. Following this is a critical overview of the empirical research on joint custody as it relates to the adjustment of children and parent satisfaction is included. It is concluded that while there is little question that shared parenting can be beneficial to children, the enthusiasm of legislators for joint custody has not been supported by empirical data. It is necessary to examine under what circumstances and for which kinds of parents and children joint custody might be beneficial since it is unlikely that one solution will fit the needs of all families and all stages of family life.

An Interview Outline for the Evaluation of Disruptive Adolescents

1987 ◽  
Vol 60 (3_part_2) ◽  
pp. 1157-1158
Author(s):  
Garry Mc Giboney ◽  
Clifford Carter
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Structured Interview

A 71-item structured interview was developed as the result of a survey of 100 mental health professionals.

scholarly journals Supporting the mental health needs of underserved communities: A qualitative study of barriers to accessing community resources

2020 ◽  
Author(s):  
Alejandra Torres Sanchez ◽  
Alayna Park ◽  
Wendy Chu ◽  
Andrea Letamendi ◽  
Cameo Stanick ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Low Income ◽  
Help Seeking ◽  
Well Being ◽  
Structured Interview ◽  
Health Needs ◽  
Community Resources ◽  
Mental Health Needs ◽  
Welfare Programs

This study examined the accessibility of community resources (e.g., welfare programs, afterschool programs) for underserved youth and families with mental health needs. Mental health professionals (n = 52) from a large community mental health and welfare agency serving predominantly low-income, Latinx families completed a semi-structured interview that asked about the accessibility of community resources. Participant responses were coded using an iterative thematic analysis based on grounded theory methods. Results showed that 71% of participants endorsed availability barriers (e.g., limited local programs), 37% endorsed logistical barriers (e.g., waitlists), 27% endorsed attitudinal barriers (e.g., stigmatized beliefs about help-seeking), and 23% endorsed knowledge barriers (e.g., lacking awareness about local programs). Professionals’ perceived availability barriers were mostly consistent with the actual availability of community resources. Findings highlight the compounding challenges that disadvantaged communities face and point to opportunities for promoting enhanced well-being and functioning for youth and families with mental health needs.

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