scholarly journals Caring for People with Mental Health Problems Who Present at the Emergency Department: a Nurse Educator's Journey

2021 ◽  
Author(s):  
◽  
Charlotte Thompson
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
New Zealand ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Standard Of Care ◽  
Health Problems ◽  
Learning Needs ◽  
Mental Health Consultation

<p><b>The New Zealand Emergency Department (ED) nurse is faced daily with the challenge of caring for patients of all ages with a wide variety of presenting complaints. Courses are available for ED specialty work such as trauma and paediatric assessment. However, as this thesis argues, it is difficult to access updated and ongoing education in relation to caring for people with mental health problems who present to the Emergency Department. In addition to this education deficit are the challenges of providing care in an overcrowded ED environment. Such factors contribute to a perceived lack of confidence and sometimes ambivalence or frustration on the part of nursing staff in caring for this group. This may result in an inconsistent standard of care for the the person with a mental health problem unless such issues are addressed.</b></p> <p>The aim of this research paper was to explore the education needs of ED nurses when caring for people with mental health problems. A literature review was undertaken to investigate the broad education strategies available to overcome these challenges. Diverse approaches were identified such as workshops, clinical guidelines, and mental health consultation-liaison roles. Research was also identified that examined ED nursing attitudes and their learning needs in relation to mental health.</p> <p>This paper concludes with a discussion of recommendations for the New Zealand setting with the intention of developing a more confident and competent nursing workforce, who are better prepared to care for the person with a mental health problem.</p>

scholarly journals Caring for People with Mental Health Problems Who Present at the Emergency Department: a Nurse Educator's Journey

2021 ◽  
Author(s):  
◽  
Charlotte Thompson
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
New Zealand ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Standard Of Care ◽  
Health Problems ◽  
Learning Needs ◽  
Mental Health Consultation

<p><b>The New Zealand Emergency Department (ED) nurse is faced daily with the challenge of caring for patients of all ages with a wide variety of presenting complaints. Courses are available for ED specialty work such as trauma and paediatric assessment. However, as this thesis argues, it is difficult to access updated and ongoing education in relation to caring for people with mental health problems who present to the Emergency Department. In addition to this education deficit are the challenges of providing care in an overcrowded ED environment. Such factors contribute to a perceived lack of confidence and sometimes ambivalence or frustration on the part of nursing staff in caring for this group. This may result in an inconsistent standard of care for the the person with a mental health problem unless such issues are addressed.</b></p> <p>The aim of this research paper was to explore the education needs of ED nurses when caring for people with mental health problems. A literature review was undertaken to investigate the broad education strategies available to overcome these challenges. Diverse approaches were identified such as workshops, clinical guidelines, and mental health consultation-liaison roles. Research was also identified that examined ED nursing attitudes and their learning needs in relation to mental health.</p> <p>This paper concludes with a discussion of recommendations for the New Zealand setting with the intention of developing a more confident and competent nursing workforce, who are better prepared to care for the person with a mental health problem.</p>

scholarly journals Mental Health Problems and Self-Esteem among the Schoolchildren of Secondary School in Dharan

2019 ◽  
Vol 6 (1) ◽  
pp. 65-76
Author(s):  
Kamala Poudel ◽  
Bhuwan Kumari Dangol ◽  
Roshana Shrestha
Keyword(s):  
Mental Health ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Self Esteem ◽  
Health Problems ◽  
P Value ◽  
Cross Sectional

Introduction: Mental health and its related problems are growing concerns over the country. It is challenge to determine the epidemiology of childhood mental disorders. Early detection and effective intervention is necessary for holistic development of the futures citizens. Objectives: To assess the mental health problems and self-esteem of schoolchildren studying in urban Schools of Dharan Sub-metropolitan City. Materials and method: Cross-sectional descriptive research design was followed. The study population included schoolchildren studying in grade 9 and 10 in schools of Dharan (n = 450).  Simple random sampling technique was used to select the school and students. Mental health problems were assessed using self-administered Strength and Difficulties Questionnaire and self-esteem level was monitored using self-administered Rosenberg Self-esteem Scale. Data was analyzed by using descriptive and inferential statistics. Results: Majority (55.6%) of the students were male. Among the total students 12.9% had mental health problems. Gender difference was statistically significant as girls had higher (14.5%) mental health problem (p value = 0.027).Girls (15%) were statistically significant more likely to have emotional problems within domain of mental health problem than boys (p value = 0.003).) whereas boys had conduct problem. Self-esteem level was significantly negatively correlated with mental health problems (r = -0.256, p= 0.000).  Conclusion: Mental health problem is high prevalent among school children. There was statistically significant negative correlation between mental health problems and self-esteem of the schoolchildren.  

scholarly journals Emergency Department Presentations and Youth Suicide: A Case-Control Study

2018 ◽  
Vol 64 (2) ◽  
pp. 88-97 ◽  
Author(s):  
Anne E. Rhodes ◽  
Mark Sinyor ◽  
Michael H. Boyle ◽  
Jeffrey A. Bridge ◽  
Laurence Y. Katz ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Problem ◽  
Health Problem ◽  
Psychotic Disorders ◽  
Case Control Study ◽  
Mental Health Problems ◽  
Time Frame ◽  
Case Control ◽  
Control Study

Objective: We estimate associations between emergency department (ED) diagnoses and suicide among youth to guide ED care. Method: This ED-based case-control study used data from the Office of the Chief Coroner and all EDs in Ontario, Canada. Cases ( n = 697 males and n = 327 females) were aged 10 to 25 years who died by suicide in Ontario between April 2003 and March 2014, with an ED contact in the year before their death. Same-aged ED-based controls were selected during this time frame. Crude and adjusted odds ratios (aORs) and 95% confidence intervals were calculated. Results: Among youth diagnosed with a mental health problem at their most recent ED contact (41.9% cases, 5% controls), suicide was elevated among nonfatal self-inflicted: ‘other’ injuries, including hanging, strangulation, and suffocation in both sexes (aORs > 14); cut/pierce injuries in males (aOR > 5); poisonings in both sexes (aORs > 2.2); and mood and psychotic disorders in males (aORs > 1.7). Among those remaining, ‘undetermined’ injuries and poisonings in both sexes (aORs > 5), ‘unintentional’ poisonings in males (aOR = 2.1), and assault in both sexes (aORs > 1.8) were significant. At least half of cases had ED contact within 106 days. Conclusions: The results highlight the need for timely identification and treatment of mental health problems. Among those with an identified mental health problem, important targets for suicide prevention efforts are youth with self-harm and males with mood and psychotic disorders. Among others, youth with unintentional poisonings, undetermined events, and assaults should raise concern.

scholarly journals Coronavirus Disease-2019 and Mental Health

2020 ◽  
Vol 8 (T1) ◽  
pp. 268-271
Author(s):  
Darmadi Darmadi ◽  
Riska Habriel Ruslie
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Gastrointestinal Symptoms ◽  
Mental Health Disorders ◽  
Health Problems ◽  
Health Care Personnel ◽  
Health Disorders

BACKGROUND: Coronavirus disease-2019 (COVID-19) emerges in Wuhan, China and becomes a pandemic on March 2020. Its manifestations mainly cover respiratory and gastrointestinal symptoms. In fact, mental health disorders are common in patients with COVID-19 but receive minimum attention. AIM: We aimed to discuss mental health disturbances in relation to COVID-19 and its management. MATERIALS AND METHODS: We gathered literature regarding the topic from electronic sources, including PubMed and Google Scholar. RESULTS: There are several pathogeneses proposed regarding the incidence of mental health problems. The symptoms of mental health problems vary widely and also affect health-care personnel. Diagnosing mental health problem in COVID-19 patients is quite difficult because no examinations are specific enough. The management of mental health problems includes psychological and medical managements. CONCLUSION: Further study regarding mental health problem and its management in patients with COVID-19 is mandatory.  

scholarly journals LONGITUDINAL CHANGES IN WELL-BEING OF PARENTS OF INDIVIDUALS WITH DEVELOPMENTAL OR MENTAL HEALTH PROBLEMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S488-S489
Author(s):  
Carlie J Sloan ◽  
Marsha R Mailick ◽  
Jinkuk Hong ◽  
Jung-Hwa Ha ◽  
Jan S Greenberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Negative Affect ◽  
Special Needs ◽  
Mental Health Problem ◽  
Developmental Disability ◽  
Health Problem ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Longitudinal Changes

Abstract The negative impact of having a child with special needs on parental well-being is well documented. Previous research has suggested age attenuation of these impacts. However, this has not yet been examined longitudinally in late life. Therefore, it is unclear how the effect of having a child with a developmental disability or mental health problem changes as parents age and children become less likely to live at home. Using responses from the Study of Midlife in the United States (MIDUS), this study investigates: (1) longitudinal changes in the effect of having a child with a developmental or mental health problem on parental well-being, (2) age and gender moderations on these effects, and (3) the unique impact of factors directly related to the child’s condition. Multiple linear regressions revealed that having a child with a developmental disability was predictive of higher negative affect, more somatic symptoms, and lower psychological well-being longitudinally. Additionally, there was a main effect of having a child with a mental health problem in predicting higher negative affect. However, age moderations were revealed such that the effect of having a child with a developmental disability or mental health problem was diminished for older parents. Additionally, within-group analyses revealed that longer duration of developmental disabilities and later parental age of onset of mental health problems were predictive of better outcomes. Overall, results suggest that although having a child with special needs is related to poorer well-being, these effects can attenuate as parents age and adapt.

scholarly journals Help-seeking for mental health problems from the patient perspective – A qualitative study / Das Hilfe(auf)suchen bei psychischen Gesundheitsproblemen aus der Betroffenenperspektive – Eine qualitative Studie

2015 ◽  
Vol 2 (2) ◽  
pp. 107-118 ◽  
Author(s):  
Eva Tola ◽  
Petra Metzenthin ◽  
Claudia Mischke
Keyword(s):  
Mental Health ◽  
Mental Health Problem ◽  
Health Problem ◽  
Help Seeking ◽  
Social Problems ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Issues ◽  
Help Seeking Behaviour ◽  
Patients Experience

Abstract Background: Early specialised care is important for those with mental health problems to prevent e.g. chronic progression. Targeted professionally initiated intervention to stabilise mental health status is only possible if affected individuals actively seek support. The reasons for inadequate use of qualified services have not been sufficiently investigated from the perspectives of those affected. There is only limited insight into the help-seeking behaviour of those with mental health issues. Aim: This study sheds light on the ‘experience’ of help-seeking to time of first contact with a psychiatric institution. It specifically concentrates on the perspective of those affected and their subjective problems. Method: Using a qualitative-inductive design, patients at a crisis centre were retrospectively interviewed using a guideline-supported approach. Interview results were analysed using Saldaña (2013) opening coding (two circles). Results: The patients’ experience can be categorised as ‘real’ problems as the cause, exacerbated mental health problems and utilising mental health services. Help-seeking is determined by the need to manage causal, ‘real’ (everyday, social) problems. Many mental health problem have long not been recognised as such, and thus help-seeking is initially focussed on ‘real’ problems. At all levels of help-seeking, from recognition of a mental health Problem to overcoming barriers preventing use of specialised help, affected persons require the support of third parties. Conclusions: The results indicate the need for a patient-orientated transformation of mental health primary care to provide for more easily accessible services that take into account the everyday and social problems of those with related problems.

scholarly journals Medicine and mental illness: how can the obstacles sick doctors face be overcome?

2012 ◽  
Vol 36 (3) ◽  
pp. 104-107 ◽  
Author(s):  
Anonymous
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Health Problems ◽  
Professional Expertise ◽  
The Uk

SummaryOne in four of the UK population is expected to have a mental health problem at some time in their lives. There is no reason to believe that this statistic should not apply to doctors just as it does to everyone else. This paper discusses the obstacles to accessing treatment that doctors with mental ill health face, and goes on to consider potential solutions to these problems. There is a great pool of talent within the field of medicine and those doctors with mental health problems often have increased empathy as well as professional expertise. This article sets out to demonstrate that there are ways of supporting these doctors and enabling them to overcome their illnesses and regain satisfaction in their work.

The impact of hospitalisation on discrimination experiences

2011 ◽  
Vol 26 (S2) ◽  
pp. 580-580
Author(s):  
I. Sibitz ◽  
R. Lakeman ◽  
M. Parkinson ◽  
J. Walsh ◽  
P. Mc Gowan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problem ◽  
Health Problem ◽  
Social Life ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Staff ◽  
Welfare Benefits ◽  
History Of ◽  
The Impact

BackgroundThe aim of the study was to assess the experiences of discrimination as reported by people with mental health problems and to explore the impact of hospitalisation.Methods306 people with mental health problems provided sociodemographic data and data on discrimination using the discrimination and stigma scale version 12 (DISC-12) with the domains negative experienced discrimination, anticipated discrimination, overcoming stigma and discrimination, and positive experienced discrimination. Logistic regression analysis was used to test the impact of hospitalisation on discrimination, controlled for age, gender, education, employment, diagnosis and having been prescribed medication.ResultsHospitalisation had a major impact on negative discrimination: People were more likely to be treated unfairly in making or keeping friends, in marriage or divorce, by people in their neighbourhood, in social life, by mental health staff and in terms of privacy, if they had been hospitalised. They were also more likely to be avoided or shunned by people who knew about the mental health problem. People with a history of hospitalisation also reported more anticipated discrimination: They had stopped themselves more often from having a close personal relationship and concealed their mental health problem from others more often than those without a history of hospitalisation. However, people who had been hospitalised also experienced more positive discrimination in terms of being treated more positively in getting welfare benefits or disability pensions and in housing.ConclusionFindings suggest that treatment in hospital contributed to a higher extent to experienced discrimination than treatment in the community.

scholarly journals Long-term effects of Youth Mental Health First Aid training: randomized controlled trial with 3-year follow-up

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amy J. Morgan ◽  
Julie-Anne A. Fischer ◽  
Laura M. Hart ◽  
Claire M. Kelly ◽  
Betty A. Kitchener ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Youth Mental Health ◽  
First Aid ◽  
Health Problems ◽  
Trial Registration ◽  
Mental Health First Aid

Abstract Background Mental Health First Aid (MHFA) training teaches community members how to provide initial support to someone with a mental health problem. Key gaps in the evidence base supporting the training are the longevity of effects beyond 6 months, effects on mental health first aid behavior, and the impact of support on the recipient of aid. This study aimed to evaluate the effect of the Youth MHFA course 3 years after training. Methods 384 Australian parents of an adolescent aged 12–15 were randomized to receive either the 14-h Youth MHFA course or the 15-h Australian Red Cross Provide First Aid course. This paper reports outcomes at baseline and 3 years later. Primary outcomes were cases of adolescent mental health problems, and parental support towards their adolescent if they developed a mental health problem, rated by the parent and adolescent. Secondary outcomes included parent knowledge about youth mental health problems, intentions and confidence in supporting a young person, stigmatizing attitudes, and help-seeking for mental health problems. Data were analyzed with mixed-effects models with group by measurement occasion interactions. Results 3-year follow-up data was obtained from 149 parents and 118 adolescents, who were aged 16.5 years on average. Between baseline and 3-year follow-up, there was a non-significant reduction in adolescent cases of mental health problems relative to the control group (odds ratios (OR) 0.16–0.17), a non-significant improvement in parental support reported by adolescents with a mental health problem (OR 2.80–4.31), and a non-significant improvement in the quality of support that parents reported providing to their adolescents with a mental health problem (d = 0.38). Secondary outcomes that showed significant improvements relative to the control group were parental knowledge about youth mental health problems (d = 0.31) and adolescent perceptions of general social support from their parents (d = 0.35). Conclusions This paper reports on the longest follow-up of Mental Health First Aid training in a controlled trial. Three years after training, participants had maintained their improved knowledge about mental health problems. There were some indications of other positive effects, but the study was underpowered to clearly show benefits to mental health first aid skills and recipients of aid. Trial registration ACTRN12612000390886, registered retrospectively 5/4/2012, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=347502

Perception of primary school teachers to school children’s mental health problems in Southwest Ethiopia

2016 ◽  
Vol 30 (1) ◽  
Author(s):  
Habtamu Kerebih ◽  
Hailay Abrha ◽  
Reiner Frank ◽  
Mubarek Abera
Keyword(s):  
Mental Health ◽  
Primary School ◽  
Mental Health Problem ◽  
Health Problem ◽  
Child Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
School Teachers ◽  
Primary School Teachers ◽  
School Based

Abstract Background: Teachers perception of child mental health problems and their attitude to school-based mental health services helps in designing early intervention strategies aimed at promoting the service. However, little is known in this regard among primary school teachers in Ethiopia. Therefore, this study assessed perceptions and attitude of primary school teachers to child mental health problem and school-based mental health programs in Jimma town, southwest Ethiopia in 2013. Methods: A cross-sectional study design was implemented among 568 primary school teachers in Jimma town, from 1 to 30 October 2013. Perceptions and attitude of teachers to children with mental health problems and school mental health related information were assessed using a structured self- administered questionnaire. Results: About 40% of teachers recognized the list of psychopathology items presented to them as child mental health problems while 54.4% of them rated child mental health problem as severe. Externalizing behaviors were perceived as the most severe problems. Teaching experience and teaching in public schools were significantly associated with the perception of severe type of child mental health problems. About 95% of teachers acknowledged that school-based mental health programs are important but limited availability was reported. Conclusion: Despite the high problem severity ratings, teachers’ perception of the psychopathology as a mental health problem in children was low. There was also a favorable attitude on the importance and the need of school-based child mental health programs. Thus, creating mental health awareness for teachers and establishing school mental health services to intervene in child mental health problem is crucial.

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