scholarly journals Does mental health needs vary as we grow from pediatrics to adults to elderly? Results from a study in Dubai

2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Kadhim Alabady
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Psychiatric Morbidity ◽  
Mental Illnesses ◽  
Health Needs ◽  
Service Development ◽  
Mental Health Needs ◽  
Primary Health ◽  
The Impact

Purpose: To Provide a baseline of the current picture of major mental health challenges among men and women of different ages in Dubai. which can then be used to measure the impact of interventions or service development. Method: In order to carry out the mental health needs assessment we applied qualitative and quantitative methodology. Results: * The prevalence of people who suffer from different types of mental disorders remains largely unknown, many men and are unwilling to seek professional help because of lack of awareness or the stigma attached to it. * According to the Dubai Household Health Survey DHHS (2009) 14.5% of respondents reported moderate to severe depressive symptoms over a 2-week period. * It was predicted in 2014 that there would be 37,933 people suffering from psychotic disorders of which 29,747 were males. * It is estimated there would be 19,117 adults between the ages of 20 and 64 years with ASD in Dubai for 2014. *It was estimated around 548 residents in Dubai aged 60 years or more in 2014 had dementia (of which 338 were men). Recommendations: * Work is required with primary health care in order to identify men with undiagnosed mental illnesses. Further work is undertaken within primary health care to assess disease registries with the aim of helping GP practices to improve their disease registers. * It is important to conduct local psychiatric morbidity surveys in Dubai to obtain data and assess the prevalence of essential mental health symptoms and conditions. * Continuum of care - a significant gap in the services for adults once they diagnosed with mental disorder.)

scholarly journals Evaluation of Tu Meke PHO’s Wairua Tangata Programme: a primary mental health initiative for underserved communities

2012 ◽  
Vol 4 (3) ◽  
pp. 242 ◽  
Author(s):  
Sally Abel ◽  
Bob Marshall ◽  
Donny Riki ◽  
Tania Luscombe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Assessment ◽  
Target Population ◽  
Primary Care Providers ◽  
Health Needs ◽  
Care Providers ◽  
Mental Health Needs ◽  
Primary Health

BACKGROUND AND CONTEXT: New Zealand’s primary mental health initiatives (PMHIs) have successfully filled a health service gap and shown good outcomes for many presenting with mild to moderate anxiety/depression in primary health care settings. Maori have higher rates of mental health disorders and complexity of social and mental health needs not matched by access to PMHIs. ASSESSMENT OF PROBLEM: The Wairua Tangata Programme (WTP), a Hawkes Bay PMHI, aimed to provide an integrated, flexible, holistic, tikanga Maori–based therapeutic service targeting underserved Maori, Pacific and Quintile 5 populations. External evaluation of the programme provided formative and outcome feedback. RESULTS: The WTP reported high engagement of Maori (particularly women), low non-attendance rates, good improvements in mental health assessment exit scores, strong stakeholder support and service user gratitude. GPs reported willingness to explore mental health issues in this high needs population. Challenges included engaging Pacific peoples and males and recruiting from scarce Maori, Pacific and male therapist workforces. STRATEGIES FOR IMPROVEMENT: Effectively meeting the target population’s complex social and therapeutic needs required considerable programme flexibility, referral back into the programme and assistance with transitioning to other therapeutic or social support services. Referral criteria required adaptation to accommodate some sectors, especially youth. A group programme was developed specifically for males. LESSONS: A holistic PMHI programme delivered with considerable flexibility and a skilled, culturally fluent team working closely with primary care providers can successfully engage and benefit underserved Maori communities with complex social and mental health needs. Successful targeted programmes are integral to reducing mental health disparities. KEYWORDS: Primary health care; mental health; Maori; medically underserved areas; evaluation

Effectiveness of Primary Health Care Services in Addressing Mental Health Needs of Minority Refugee Population in New Zealand

2017 ◽  
Vol 38 (4) ◽  
pp. 290-300 ◽  
Author(s):  
Jagamaya Shrestha-Ranjit ◽  
Elizabeth Patterson ◽  
Elizabeth Manias ◽  
Deborah Payne ◽  
Jane Koziol-McLain
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
New Zealand ◽  
Health Care Services ◽  
Health Needs ◽  
Mental Health Needs ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Creating and establishing a recovery-oriented clinical psychology provision across an acute care mental health pathway. Ethical obligation and clinical reality

2014 ◽  
Vol 18 (2) ◽  
pp. 98-104 ◽  
Author(s):  
Pawel D. Mankiewicz ◽  
Johan Truter
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Acute Care ◽  
Clinical Psychology ◽  
Clinical Psychologists ◽  
Health Needs ◽  
Service Development ◽  
Mental Health Needs ◽  
Content Type

Purpose – The purpose of this paper is to summarise the development of a recovery-oriented and socially inclusive acute care clinical psychology service in one of the NHS Trusts based in East Anglia. It demonstrates the service's compliance with relevant national policies and guidelines, and addresses some of the criticisms directed at acute mental health care in recent years. Both achievements and difficulties are reflected on. Design/methodology/approach – The paper employs an organisational development case example related to applicable clinical practice model, based on national guidelines and policies, in order to demonstrate that it is possible to develop and implement a recovery-oriented clinical psychology practice in acute inpatient mental health care. This is based on the authors, experiences as a public sector clinical psychologists specialising in complex, severe, and enduring mental health needs. Findings – Clinical psychologists may effectively contribute to the development of psychosocially informed and recovery-based multidisciplinary attitudes towards emotional difficulties of individuals admitted to psychiatric wards. Research limitations/implications – Future service development project of similar nature ought to implement standardised measures (e.g. ward atmosphere scales) to increase validity of findings. Practical implications – Despite limited, and continuously decreasing, resources in the NHS it appears possible to develop and establish a successful and objectively replicable provision of recovery-based psychological services across an entire acute care mental health pathway. Social implications – Recovery-enhancing clinical psychology interventions should not be limited to those receiving care from community-based services only. Building psychologically informed understanding of mental health needs should be employed on inpatient wards too, in order to counterbalance the dominating biomedical models of mental illness. Originality\value – Dissemination of examples of effective psychosocial practice in acute mental health settings appears largely underrepresented.

Interventions in the Health and Non-health Sectors Aimed at Promoting Mental Health

2017 ◽  
Vol 41 (S1) ◽  
pp. S8-S8
Author(s):  
H. Herrman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Primary Health Care ◽  
Early Intervention ◽  
Mental Disorders ◽  
Women’S Mental Health ◽  
Women's Mental Health ◽  
Primary Health ◽  
The Impact

The impact of social determinants on women's mental health is becoming clearer worldwide. Poverty, violence and communal insecurity are among the main challenges to women's mental health and the health of their families. Depression is one of the most common mental disorders experienced by women. It typically has an early onset in life and is more frequently found in women made vulnerable by trauma.Improving mental health for women and girls requires early intervention for depression and other mental disorders; with gender sensitive clinical care and support for recovery in primary health care, and mother, child and reproductive health settings. Early intervention in primary health care and collaboration with patients and family carers encourage integration of mental health with the health care system, in turn protective of human rights.In addition, gender equity and observance of human rights need to be embedded in policy and practice in health and non-health sectors to ensure that women's mental health is promoted and mental illnesses adequately prevented and treated. Effective promotion of mental health and prevention of mental disorders is possible in countries of all income levels.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Youth Mental Health Services Utilization Rates After a Large-Scale Social Media Campaign: Population-Based Interrupted Time-Series Analysis

2018 ◽  
Vol 5 (2) ◽  
pp. e27 ◽  
Author(s):  
Richard G Booth ◽  
Britney N Allen ◽  
Krista M Bray Jenkyn ◽  
Lihua Li ◽  
Salimah Z Shariff
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Large Scale ◽  
Interrupted Time Series ◽  
Female Adolescents ◽  
Outpatient Mental Health ◽  
Primary Health ◽  
Slope Change ◽  
The Impact

Background Despite the uptake of mass media campaigns, their overall impact remains unclear. Since 2011, a Canadian telecommunications company has operated an annual, large-scale mental health advocacy campaign (Bell Let’s Talk) focused on mental health awareness and stigma reduction. In February 2012, the campaign began to explicitly leverage the social media platform Twitter and incented participation from the public by promising donations of Can $0.05 for each interaction with a campaign-specific username (@Bell_LetsTalk). Objective The intent of the study was to examine the impact of this 2012 campaign on youth outpatient mental health services in the province of Ontario, Canada. Methods Monthly outpatient mental health visits (primary health care and psychiatric services) were obtained for the Ontario youth aged 10 to 24 years (approximately 5.66 million visits) from January 1, 2006 to December 31, 2015. Interrupted time series, autoregressive integrated moving average modeling was implemented to evaluate the impact of the campaign on rates of monthly outpatient mental health visits. A lagged intervention date of April 1, 2012 was selected to account for the delay required for a patient to schedule and attend a mental health–related physician visit. Results The inclusion of Twitter into the 2012 Bell Let’s Talk campaign was temporally associated with an increase in outpatient mental health utilization for both males and females. Within primary health care environments, female adolescents aged 10 to 17 years experienced a monthly increase in the mental health visit rate from 10.2/1000 in April 2006 to 14.1/1000 in April 2015 (slope change of 0.094 following campaign, P<.001), whereas males of the same age cohort experienced a monthly increase from 9.7/1000 to 9.8/1000 (slope change of 0.052 following campaign, P<.001). Outpatient psychiatric services visit rates also increased for both male and female adolescents aged 10 to 17 years post campaign (slope change of 0.005, P=.02; slope change of 0.003, P=.005, respectively). For young adults aged 18 to 24 years, females who used primary health care experienced the most significant increases in mental health visit rates from 26.5/1000 in April 2006 to 29.2/1000 in April 2015 (slope change of 0.17 following campaign, P<.001). Conclusions The 2012 Bell Let’s Talk campaign was temporally associated with an increase in the rate of mental health visits among Ontarian youth. Furthermore, there appears to be an upward trend of youth mental health utilization in the province of Ontario, especially noticeable in females who accessed primary health care services.

The impact of the economic crisis on mental health in Portugal: A qualitative approach

2017 ◽  
Vol 41 (S1) ◽  
pp. S567-S567
Author(s):  
A. Antunes ◽  
D. Frasquilho ◽  
M. Silva ◽  
G. Cardoso ◽  
J. Ferrão ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Economic Recession ◽  
Qualitative Approach ◽  
System Level ◽  
Health Priorities ◽  
Primary Health ◽  
The Impact

IntroductionPortugal is among the European countries with higher prevalence of mental disorders, associated with substantial unmet needs for treatment. Literature on the impact of the economic recession shows that an increased risk of mental health problems is likely to occur. Despite possible growing needs, the budget cuts at the health system level may have decreased the adequacy of care response. Understanding the impacts of the recession in psychological distress and in access and quality of care is imperative to set public health priorities.ObjectivesResorting to a qualitative approach, this study aims to explore the perceptions and experiences of primary health care users and professionals during the recession in the Lisbon Metropolitan Area.AimsProvide in depth information regarding the specific contexts and subjective experiences of key informants during the economic recession that started in 2008.MethodsThis study design resorts to focus groups with primary health care users and semi-structured interviews with health professionals. All interviews were recorded and transcribed verbatim. Inductive approach and thematic analysis were performed, using NVivo 10.ResultsThis study explores the views and insights of users and health professionals regarding their socio-economic context, mental health needs, changes in health services and possible solutions to alleviate the impact of the economic recession.ConclusionsBeing based on the perspectives of users and health professionals, this approach will complement epidemiological evidence for policy-making.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Evaluating the Impact of a Critical Time Intervention Adaptation on Health Care Utilization among Homeless Adults with Mental Health Needs in a Large Urban Center: Évaluer l’effet d’une Adaptation De l’intervention En Temps Critique Sur l’utilisation des Soins De Santé Chez Des Adultes Itinérants Ayant Des Besoins De Santé Mentale Dans Un Grand Centre Urbain

2021 ◽  
pp. 070674372199611
Author(s):  
Nadine Reid ◽  
Joyce Mason ◽  
Paul Kurdyak ◽  
Rosane Nisenbaum ◽  
Claire de Oliveira ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Service Use ◽  
Critical Time ◽  
Health Needs ◽  
Care Utilization ◽  
Mental Health Needs ◽  
Critical Time Intervention ◽  
The Impact

Objective: This study evaluated the impact of a critical time intervention (CTI) adaptation on health care utilization outcomes among adults experiencing homelessness and mental health needs in a large urban center. Methods: Provincial population-based administrative data from Ontario, Canada, were used in a pre–post design for a cohort of 197 individuals who received the intervention between January 2013 and May 2014 and were matched to a cohort of adults experiencing homelessness who did not receive the intervention over the same time period. Changes in health care utilization outcomes in the year pre- and postintervention were evaluated using generalized estimating equations, and post hoc analyses evaluated differences between groups. Results: Pre–post analyses revealed statistically significant changes in health care utilization patterns among intervention recipients, including reduced inpatient service use and increased outpatient service use in the year following the intervention compared to the year prior. However, the matched cohort analysis found nonsignificant differences in health service use changes between a subgroup of intervention recipients and their matched counterparts. Conclusions: An adapted CTI model was associated with changes in health care utilization among people experiencing homelessness and mental health needs. However, changes were not different from those observed in a matched cohort. Rigorous study designs with adequate samples are needed to examine the effectiveness of CTI and local adaptations in diverse health care contexts.

The Roots of Global Health Inequity

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Primary Health Care ◽  
Economic Policies ◽  
World War ◽  
The Public ◽  
The World Bank ◽  
Primary Health ◽  
The Cold War ◽  
The Impact

This chapter outlines the historical roots of health inequities. It focuses on the African continent, where life expectancy is the shortest and health systems are weakest. The chapter describes the impoverishment of countries by colonial powers, the development of the global human rights framework in the post-World War II era, the impact of the Cold War on African liberation struggles, and the challenges faced by newly liberated African governments to deliver health care through the public sector. The influence of the World Bank and the International Monetary Fund’s neoliberal economic policies is also discussed. The chapter highlights the shift from the aspiration of “health for all” voiced at the Alma Ata Conference on Primary Health Care in 1978, to the more narrowly defined “selective primary health care.” Finally, the chapter explains the challenges inherent in financing health in impoverished countries and how user fees became standard practice.

Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

2021 ◽  
Vol 36 (3) ◽  
pp. 362-369
Author(s):  
Katie A. Willson ◽  
Gerard J. FitzGerald ◽  
David Lim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Disaster Management ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Disaster Preparedness ◽  
Rural And Remote ◽  
Primary Health

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

scholarly journals Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Solomon Nyame ◽  
Edward Adiibokah ◽  
Yasmin Mohammed ◽  
Victor C. Doku ◽  
Caleb Othieno ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Primary Health Care ◽  
Service Users ◽  
Traditional Health ◽  
Healthcare Needs ◽  
Primary Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners

Abstract Background In low- and middle-income countries, the paucity of conventional health services means that many people with mental health problems rely on traditional health practitioners (THPs). This paper examines the possibility of forging partnerships at the Primary Health Care (PHC) level in two geopolitical regions of Ghana, to maximize the benefits to both health systems. Methods The study was a qualitative cross-sectional survey. Eight (8) focus group discussions (FGDs) were conducted between February and April 2014. The views of THPs, PHC providers, service users (i.e. patients) and their caregivers, on the perceived benefits, barriers and facilitators of forging partnerships were examined. A thematic framework approach was employed for analysis. Results The study revealed that underlying the widespread approval of forging partnerships, there were mutual undertones of suspicion. While PHC providers were mainly concerned that THPs may incur harms to service users (e.g., through delays in care pathways and human rights abuses), service users and their caregivers highlighted the failure of conventional medical care to meet their healthcare needs. There are practical challenges to these collaborations, including the lack of options to adequately deal with human rights issues such as some patients being chained and exposed to the vagaries of the weather at THPs. There is also the issue of the frequent shortage of psychotropic medication at PHCs. Conclusion Addressing these barriers could enhance partnerships. There is also a need to educate all providers, which should include sessions clarifying the potential value of such partnerships.

Sign in / Sign up

Export Citation Format

Share Document