scholarly journals An ethnopsychological ABC framework of psychiatric morbidity to facilitate psychotherapeutic interventions in Nepal

2021 ◽  
Author(s):  
Dhirendra Paudel
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Psychiatric Morbidity ◽  
Psychosocial Distress ◽  
Care Providers ◽  
Psychotherapeutic Interventions ◽  
Fear And Anxiety ◽  
Attending Physician ◽  
The Impact ◽  
The Relationship

The coronavirus disease 2019 (COVID-19) pandemic can be overwhelming leading to strong emotions and distress. Most studies reported the impact on mental health due to uncertainty, fear, and anxiety about the pandemic and post pandemic states. The sufferers may present with a variety of symptoms of psychological distress. Failure to communicate this psychosocial distress between lay and health care providers may pose barriers to treatment and challenges for integration of mental health into primary health centers. There is a need for tools to screen and explain pandemic associated distress in a way that attending physician can communicate with laymen in a coherent way. The article introduces an ethnopsychologial ABC framework that individual in distress can better understand the nature of the illness. Rather than providing a diagnosis to inexperienced clients of psychiatric morbidity, this method promotes improved communication and bridge the observed gaps. Thus, it helps to raise awareness of the relationship between cultural, emotional, thought, behavior, and psychosocial distress. This article discussed the assessment of the ABC framework with ethnopsycholgical premises and psychotherapeutic intervention at different levels that can be applied.

ECP02-01 - Globalisation and the impact of economic factors on psychiatric disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 1795-1795
Author(s):  
D. Bhugra
Keyword(s):  
Mental Health ◽  
Cultural Identity ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Economic Factors ◽  
Socio Economic Status ◽  
Level Of Economic Development ◽  
Migration Experiences ◽  
The Impact ◽  
The Relationship

IntroductionWith the process of globalisation in full flow, the movement of people and products across the globe has brought a series of difficulties. With migration the socio-economic status of the individuals may change with the likelihood that this status will be lower rather than higher, although depending upon the reasons for migration this may change too.ObjectivesLiterature shows that low socio-economic status is associated with a higher level of psychiatric morbidity.AimsWhether migration acts as a mediator needs to be investigated further.MethodsVarious studies have shown that rates of psychosis are elevated in migrants though these rates are differentially increased in different groups indicating that factors other than migration may be at play.ResultsIn this presentation the literature and link the acculturation and cultural identity with post-migration experiences will be reviewed.ConclusionA link exists between the perceptions within cultures and level of economic development of what constitutes mental health. The state of advancement of mental health services of a country will certainly have a large impact on prevalence rates. Further investigation should be carried out to examine in greater depth the relationship between social inequality and disorder prevalence, as distinct from income inequality.

Organisational impact of the National Disability Insurance Scheme transition on mental health care providers: the experience in the Australian Capital Territory

2018 ◽  
Vol 26 (6) ◽  
pp. 590-594 ◽  
Author(s):  
Mary Anne Furst ◽  
Jose A Salinas-Perez ◽  
Luis Salvador-Carulla
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Service Provision ◽  
Care Providers ◽  
Australian Capital Territory ◽  
Insurance Scheme ◽  
Mental Health Care Providers ◽  
The Impact

Objectives: Concerns raised about the appropriateness of the National Disability Insurance Scheme (NDIS) in Australia for people with mental illness have not been given full weight due to a perceived lack of available evidence. In the Australian Capital Territory (ACT), one of the pilot sites of the Scheme, mental health care providers across all relevant sectors who were interviewed for a local Atlas of Mental Health Care described the impact of the scheme on their service provision. Methods: All mental health care providers from every sector in the ACT were contacted. The participation rate was 92%. We used the Description and Evaluation of Services and Directories for Long Term Care to assess all service provision at the local level. Results: Around one-third of services interviewed lacked funding stability for longer than 12 months. Nine of the 12 services who commented on the impact of the NDIS expressed deep concern over problems in planning and other issues. Conclusions: The transition to NDIS has had a major impact on ACT service providers. The ACT was a best-case scenario as it was one of the NDIS pilot sites.

scholarly journals Flourishing Despite Migraines: A Nationally Representative Portrait of Resilience and Mental Health among Canadians

2021 ◽  
Author(s):  
Esme Fuller-Thomson
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Secondary Analysis ◽  
Well Being ◽  
Care Providers ◽  
Physical And Mental Health ◽  
History Of ◽  
Nationally Representative ◽  
The Relationship

Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.

scholarly journals ABC framework of fear of COVID-19 for psychotherapeutic intervention in Nepal: a review

2020 ◽  
Author(s):  
Dhirendra Paudel
Keyword(s):  
Mental Health ◽  
Stress Disorders ◽  
Physical And Mental Health ◽  
Primary Health Care Centers ◽  
Attending Physician ◽  
Anxiety Depression ◽  
The Impact ◽  
The Relationship ◽  
Health Care Centers ◽  
Different Levels

The COVID-19 pandemic is having an impact on physical and mental health. Most studies report the impact on mental health and mental distress during the pandemic. As a result of various stressors (such as lockdown, quarantines, and misinformation) there is heightened fear of a pandemic. The sufferer may experience a variety of symptoms of anxiety, depression, and even psychosis. In predisposed vulnerable individuals, fear of COVID-19 is perpetuating pain and dysfunction. This study discussed the ABC framework of fear and influencer to better understand the different levels of symptoms and interventions. There is an urgent need to integrate mental health into primary health-care centers. The attending physician should be aware of the stress disorders associated with the pandemic. This article introduces a handy and practical portrayal of the ABC framework that can be taught to individuals in distress during clinical visits to primary care centers providing awareness of the relationship between thinking, emotional and behavioral responses.

scholarly journals FAMILY COHESION MODERATES THE RELATIONSHIP BETWEEN ACCULTURATION AND HEALTH AMONG OLDER CHINESE AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S629-S630
Author(s):  
Kaipeng Wang ◽  
Anao Zhang ◽  
Fei Sun ◽  
Rita X Hu
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Family Cohesion ◽  
Chinese Americans ◽  
Care Providers ◽  
Self Rated Health ◽  
Reported Health ◽  
Older Chinese ◽  
The Relationship ◽  
Older Chinese Americans

Abstract Migration and resettlement are major life events that affect immigrants’ functioning and health status. Previous research has well-established the influence of acculturation and family cohesion on Chinese Americans’ mental health and health behavior; however, the moderation effect of family cohesion on the relationship between acculturation and self-rated health – a robust measure of an individual’s general health – has not been examined among this population. The purpose of this study is to examine the association between family cohesion, acculturation, and self-rated health among older Chinese Americans. Data came from a survey of 385 Chinese Americans aged 55 and older living in a large metropolitan area in Southwest America through face-to-face interviews. We used logistic regression to examine the association between acculturation, family cohesion, and self-reported health. In general, acculturation was significantly associated with higher odds of reporting excellent or good health after adjusting for demographic and psychosocial covariates; however, the association between acculturation and self-reported health differed by family cohesion. We found that acculturation was positively associated with self-reported health only among those with medium or high family cohesion, but not among those with low family cohesion. Findings highlighted the significance of involving family members and strengthening family support for providing acculturation services, such as language class and healthy literacy education, to older Americans. Family cohesion needs to be considered by health and mental health care providers for older Chinese Americans to further understand the resources and barriers that influence their health service use and health behaviors.

Moderation Effects of Substance Use on Physical and Mental Well-Being in Adults

2021 ◽  
pp. 107839032110520
Author(s):  
Mercy Ngosa Mumba ◽  
Alexandria Nancarrow ◽  
Jessica L. Jaiswal ◽  
Erika Hocchaus ◽  
Madelyn H. Campbell ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Substance Use ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Care Providers ◽  
Mental Well Being ◽  
The Relationship

BACKGROUND: Each year about one in five adults experiences mental illness. Although the independent physical and mental health consequences of alcohol misuse and cigarette smoking are well documented, little is known on how substance use moderates the relationship between physical and mental well-being. OBJECTIVE: The purpose of this study was to examine whether substance use moderates the relationship between physical activity and mental health in adults. METHODS: This was a secondary analysis of data provided by the Behavioral Risk Factor Surveillance System (BRFSS). RESULTS: Participants ( N = 450,016) were adults who completed the BRFSS in 2017. Those who did not drink alcohol had fewer mental health problems when they indicated greater amounts of time spent doing physical activities each week. Last, smokers’ number of mental health problems decreased as they engaged in more physical activity, whereas nonsmokers’ number of mental health problems increased as they engaged in more physical activity. CONCLUSIONS: The relationship between physical activity and mental health outcomes is well established and cannot be overemphasized. Nonetheless, substance abuse can moderate this relationship and should be routinely screened for by health care providers regardless of treatment setting.

scholarly journals The impact of COVID-19 on health of the older persons in Bangladesh

2021 ◽  
Author(s):  
Mohammad Mainul Islam ◽  
Shafayat Sultan ◽  
Mohammad Bellal Hossain
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Older Persons ◽  
Healthcare Services ◽  
High Morbidity ◽  
Care Providers ◽  
Adverse Health Outcomes ◽  
Psychosocial Wellbeing ◽  
System Functioning ◽  
The Impact

AbstractThe COVID-19 is impacting the health of the population, including older persons. Available evidence shows that older people are highly vulnerable and more likely to have adverse health outcomes. In Bangladesh, the older population is rapidly increasing, living with various disadvantaged socio-economic conditions, including inadequate access and healthcare services. These disparities are likely to increase during the COVID-19, resulting in high morbidity and mortality among them. Thus, we have examined the health vulnerabilities of older persons due to the COVID-19 pandemic using content analysis. We have analyzed 102 content collected from various online and printed articles published in newspapers, journals, and other relevant sources. The study has found increased health risks, deteriorated mental health, and poor health system functioning during the pandemic and its impact on older persons in Bangladesh. Strengthening health systems through an integrated model with capacity development of existing health care providers to deal with elderly health problems, including mental health and psychosocial wellbeing; promoting preventive measures, facilitating access to healthcare is required. Bangladesh can learn the Chinese experience to adopt innovative, specialized, and advanced systems to efficiently fight against the COVID-19.

scholarly journals “The Relative Impact of Barriers to Care Among Military Health Services Personnel: Exploring Differences Using Context Specific Scenarios”

2021 ◽  
Author(s):  
Jennifer Born ◽  
Christine Frank
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Services ◽  
Mental Health Care ◽  
Physical Health ◽  
Health Care Providers ◽  
Care Seeking ◽  
Care Providers ◽  
Military Health ◽  
The Impact

Abstract Background: Military health care providers often under access both physical and mental health care, yet research has predominantly focused on barriers to mental health care. This study explored a comprehensive set of barriers using hypothetical scenarios to quantify barrier impact on access to both mental and physical health care. Methods: Canadian military health services personnel (N = 1033) completed one of two electronic surveys (assessing either physical health or other mental health barriers) that captured participant’s demographics, health, endorsement of barriers, intent to seek care, and whether the respondent would access care in different health scenarios (pneumonia, back injury, depression and post-traumatic stress disorder). Logistic regression was used to calculate odds of not accessing care (versus accessing care) for each of the four health scenarios.Results: All barrier factors independently predicted increased odds of not accessing care for all four scenarios. When entered into an adjusted model none of the barrier factors significantly predicted accessing care in the physical health scenarios. Staffing and workload resources and Intention to self-treat were significant predictors of accessing care in the mental health scenarios. Weak general intentions to access care was the strongest predictors of not accessing care across all four scenarios.Conclusions: The impact of barriers on simulated accessing care behaviour differs depending on the context for which one is accessing care, with access to resources and intent to self-treat driving mental health care seeking. Intent appears to be the most impactful predictor of accessing care potentially mediating the effect of other barrier types on care seeking.

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