Characteristics of Canadian Veterans reimbursed for cannabis for medical purposes: Life After Service Survey 2016

Author(s):  
Julián Reyes Vélez ◽  
Anika Tabassum ◽  
Antonio Bolufe-Rohler ◽  
Alexander Alvarez ◽  
Kai Liu ◽  
...  

LAY SUMMARY This research explored the demographic, military service, and health characteristics associated with cannabis for medical purposes (CMP) reimbursements among Veterans Affairs Canada (VAC) clients and respondents of the Life After Service Survey 2016 (LASS). Of the initial number of indicators selected contained in LASS 2016 survey, some specific variables were significantly associated with CMP reimbursement, from which physical/mental health and well-being indicators, such as anxiety, posttraumatic stress disorder (PTSD), depression, bowel ulcer, traumatic brain injury, chronic pain, needing help with tasks, psychological distress, and having three of more conditions of the PTSD diagnosis, were positively associated with CMP. Moreover, unemployment, having low income (< $5,000), a difficult adjustment, being very dissatisfied with life, having low social support, a weak community belonging, and reporting high stress also increased the odds of being reimbursed. These results will help to identify a preliminary profile of VAC clients with higher need for CMP reimbursement.


2021 ◽  
pp. 481-492
Author(s):  
Jessica Carson

Over the past few years, there has been a surge of interest in entrepreneur mental health and well-being. Research has shown 72% of entrepreneurs self-report a lifetime history of mental health concerns (depression, substance abuse, attention-deficit/hyperactivity disorder, and bipolar), and countless others incur varying degrees of emotional, physical, and spiritual distress. While many have been quick to declare a mental health “crisis” or “epidemic” among entrepreneurs, the reality may not be so simple. Entrepreneurs with mental health challenges may in fact have a competitive advantage—they may self-select into entrepreneurial work as a result of the adaptive qualities conferred onto them by their diagnosis. This article explores the myriad reasons for these high rates (from self-selection to diathesis–stress), including the hypermasculinized nature of entrepreneurial culture, the high-stress nature of entrepreneurial work, and the hidden superpowers embedded in the genetics of entrepreneurs. To conclude, the ways in which the entire ecosystem can become healthier through self-understanding and self-care are discussed.



2018 ◽  
Vol 52 (4) ◽  
pp. 618-638 ◽  
Author(s):  
Anna Ortega-Williams ◽  
Laura J. Wernick ◽  
Jenny DeBower ◽  
Brittany Brathwaite

Youth of Color, especially those in households with low income, experience multiple stressors and trauma that affect their well-being. Few studies examine the impact of youth engagement in leadership and organizing to address systemic inequity on their mental health and well-being. In a community-based participatory action research design, three organizations which train youth of Color in organizing in Brooklyn, New York, held four focus groups ( n = 43, ages 14-24 years) to examine the impact of organizing on youth mental health and well-being. Key emergent themes of youth organizing include (a) storytelling as therapeutic; (b) group leadership as strengthening personal and collective power, hopefulness, and a sense of protection; and (c) the strain of navigating their hopes and current reality. This study has important implications for actions programs can take who seek to engage youth of Color in organizing in communities and institutions impacted by historical trauma and current day systemic inequity.



2019 ◽  
Vol 26 (12-13) ◽  
pp. 1574-1597
Author(s):  
Leslie M. Tutty ◽  
H. Lorraine Radtke ◽  
Wilfreda E. (Billie) Thurston ◽  
Kendra L. Nixon ◽  
E. Jane Ursel ◽  
...  

Intimate partner violence (IPV), mental health, disabilities, and child abuse history were examined for 292 Indigenous compared with 295 non-Indigenous Canadian women. IPV was assessed by the Composite Abuse Scale and mental health by the Symptom Checklist-10, Center for Epidemiological Studies–Depression 10, the Posttraumatic Stress Disorder (PTSD) Checklist, and Quality of Life Questionnaire. Scores did not differ nor were they in the clinical ranges for the two groups. In a MANCOVA on the mental health/well-being scales, with IPV severity as a covariate, only disability was significantly associated with more severe mental health symptoms. Suggestions for service providers are presented.



Author(s):  
Amanda K. Bailey ◽  
Amanda T. Sawyer ◽  
Patricia Stearnes Robinson

OBJECTIVE Nursing is a demanding profession with constant stressors, which makes nurses vulnerable to the detrimental effects of high stress, burnout, and compassion fatigue. There is a need for a multidimensional group intervention facilitated by a licensed mental health professional to improve mental health and well-being in nurses. An intervention called RISE, which is an acronym for resilience, insight, self-compassion, and empowerment, was developed to promote self-care, protect against burnout, and improve indicators of well-being among nurses. We explain the rationale, theoretical framework, and development of RISE. METHODS RISE is based on an integrative theoretical framework of mindfulness, acceptance and commitment therapy, and cognitive-behavioral therapy. It consists of eight psychoeducational group sessions with topics related to the four RISE themes of resilience, insight, self-compassion, and empowerment. RESULTS RISE is a contribution to the literature on well-being interventions for nurses. It will further the understanding of effective interventions to mediate the detrimental effects of stress and burnout in nursing and to improve the mental health and well-being of nurses amid the complex interplay of factors at the individual, unit, and organizational levels. CONCLUSIONS As an approach that combines education with therapeutic process and support to improve coping and well-being inside and outside of the workplace, RISE addresses the underlying causes and effects of high stress, burnout, and compassion fatigue.





2001 ◽  
Vol 31 (7) ◽  
pp. 1237-1247 ◽  
Author(s):  
M. CREAMER ◽  
P. BURGESS ◽  
A. C. MCFARLANE

Background. We report on the epidemiology of post-traumatic stress disorder (PTSD) in the Australian community, including information on lifetime exposure to trauma, 12-month prevalence of PTSD, sociodemographic correlates and co-morbidity.Methods. Data were obtained from a stratified sample of 10641 participants as part of the Australian National Survey of Mental Health and Well-being. A modified version of the Composite International Diagnostic Interview was used to determine the presence of PTSD, as well as other DSM-IV anxiety, affective and substance use disorders.Results. The estimated 12-month prevalence of PTSD was 1·33%, which is considerably lower than that found in comparable North American studies. Although females were at greater risk than males within the subsample of those who had experienced trauma, the large gender differences noted in some recent epidemiological research were not replicated. Prevalence was elevated among the never married and previously married respondents, and was lower among those aged over 55. For both men and women, rape and sexual molestation were the traumatic events most likely to be associated with PTSD. A high level of Axis 1 co-morbidity was found among those persons with PTSDConclusions. PTSD is a highly prevalent disorder in the Australian community and is routinely associated with high rates of anxiety, depression and substance disorders. Future research is needed to investigate rates among other populations outside the North American continent.



2021 ◽  
pp. bmjmilitary-2021-001948
Author(s):  
Laura Josephine Hendrikx ◽  
V Williamson ◽  
D Murphy

IntroductionDespite making up about 11% of the UK military, there remains limited investigation on the impact of adversity women experience during their service in the UK military. Military adversity can result in a range of well-being difficulties that may persist following transition out of military. The present study therefore examined the prevalence and correlates of different types of military adversity (defined as sexual harassment, sexual assault, emotional bullying and physical assault) within a community sample of UK women veterans.MethodsParticipants were recruited from a UK charity supporting women veterans. 750 women veterans completed an online survey collecting information on sociodemographic and military factors, military adversity, as well as mental health and well-being difficulties. Associations between variables were explored using multivariate logistic regressions.ResultsThe findings indicate a high prevalence of military adversity (22.5% sexual harassment, 5.1% sexual assault, 22.7% emotional bullying and 3.3% physical assault). Younger women, those who held an officer rank during service and those who reported having a combat or combat support role during service were most at risk of military adversity. All types of adversity were significantly associated with probable post-traumatic stress disorder. Sexual harassment was additionally significantly associated with physical somatisation; sexual assault with alcohol difficulties; and emotional bullying with common mental health difficulties, low social support and loneliness.ConclusionsThis study indicates that UK women veterans are at risk of a range of adverse experiences during military service and provides evidence of the impact of such adversities on mental health and well-being. Further research is required to better understand these relationships.





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