scholarly journals “Nobody Listened”. Mothers’ Experiences and Needs Regarding Professional Support Prior to Their Admission to an Infant Mental Health Day Clinic

2021 ◽  
Vol 18 (20) ◽  
pp. 10917
Author(s):  
Tinne Nuyts ◽  
Sarah Van Haeken ◽  
Neeltje Crombag ◽  
Binu Singh ◽  
Susan Ayers ◽  
...  
Keyword(s):  
Mental Health ◽  
Early Detection ◽  
Mental Health Problems ◽  
Care Pathway ◽  
Healthcare Providers ◽  
Perinatal Period ◽  
Infant Mental Health ◽  
Professional Support ◽  
Structured Interviews ◽  
Day Clinic

Challenges during the perinatal period can lead to maternal distress, negatively affecting mother-infant interaction. This study aims to retrospectively explore the experiences and needs regarding professional support of mothers with difficulties in mother-infant interaction prior to their admission to an infant mental health day clinic. In-depth semi-structured interviews were conducted with 13 mothers who had accessed an infant mental health day clinic because of persistent severe infant regulatory problems impairing the wellbeing of the infant and the family. Data were transcribed and analyzed using the Qualitative Analysis Guide of Leuven (QUAGOL). Three themes were identified: ‘experience of pregnancy, birth, and parenthood’; ‘difficult care paths’; and ‘needs and their fulfillment’. The first theme consisted of three subthemes: (1) ‘reality does not meet expectations’, (2) ‘resilience under pressure’, and (3) ‘despair’. Mothers experienced negative feelings that were in contradiction to the expected positive emotions associated with childbirth and motherhood. Resilience-related problems affected the mother-child relationship, and infants’ regulatory capacities. Determined to find solutions, different healthcare providers were consulted. Mothers’ search for help was complex and communication between healthcare providers was limited because of a fragmented care provision. This hindered the continuity of care and appropriate referrals. Another pitfall was the lack of a broader approach, with the emphasis on the medical aspects without attention to the mother-child dyad. An integrated care pathway focusing on the early detection of resilience-related problems and sufficient social support can be crucial in the prevention and early detection of perinatal and infant mental health problems.

Women and migration

2021 ◽  
pp. 403-412
Author(s):  
Vandita Shanbhag ◽  
Madhura Bojappa ◽  
Prabha S. Chandra
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Mental Health Problems ◽  
Elderly Women ◽  
Economic Status ◽  
Healthcare Providers ◽  
Perinatal Period ◽  
Health Problems ◽  
Vulnerable Groups ◽  
And Migration

Migration affects women and men differently. A discrepancy between gender roles and expectations influence the challenges and coping in immigrants. In this chapter, the importance of understanding migration in a gender-sensitive manner is discussed. Women are likely to have higher rates of psychiatric disorders due to risk factors such as unfavourable socio-economic status, stigma, role burden, and adversities faced during migration. The chapter highlights the protective and risk factors for developing mental health problems in women migrants. Mental health problems in various migrants, such as international, internal, asylum seekers, and vulnerable groups of women such as women in the perinatal period, adolescents and young girls, and elderly women, are discussed. The need to initiate preventive measures before the process of migration and in addition to early detection and intervention for mental health problems by sensitive healthcare providers is emphasized.

scholarly journals A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jessica Griffiths ◽  
Billie Lever Taylor ◽  
Nicola Morant ◽  
Debra Bick ◽  
Louise M. Howard ◽  
...  
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Mental Health Problems ◽  
Perinatal Period ◽  
Psychiatric Ward ◽  
Structured Interviews ◽  
Post Discharge ◽  
Qualitative Comparison ◽  
Inpatient Settings ◽  
Perinatal Services

Abstract Background Mother and baby units (MBUs) are an inpatient mental health service where women experiencing acute severe postpartum psychiatric difficulties can be admitted with their babies. They are currently viewed as best practice in the UK and elsewhere. However, as service provision is fragmented, some women residing in areas without MBUs are admitted to acute general psychiatric wards without their infants. This study aimed to compare qualitatively experiences of these two service types from the perspectives of women and clinicians. Methods Semi-structured interviews were conducted with fifteen women who received treatment for perinatal mental health problems on a general psychiatric ward and/or MBU in England. Two focus groups were also conducted, one with MBU staff (n = 11) and one with acute ward staff (n = 6). Data were analysed thematically. Results Women generally preferred being co-admitted with their baby to an MBU over lone admission to a general psychiatric ward. Women and clinicians felt that MBUs provided more perinatally-focused, family-centred care, and were better-equipped to meet women’s needs. General wards were reported by women and staff to lack the necessary facilities and expertise to support perinatal women adequately, while separation of mothers and babies was often experienced by women as traumatic and detrimental to recovery. However, some areas for improvement were also identified across both service types, particularly relating to difficulties transitioning home post-discharge, inadequate support for family members, staffing issues and access problems (with MBUs). Conclusions Findings suggest that specialist perinatal inpatient care is considered preferable to generic care in the perinatal period from both service user and staff perspectives. Increased collaboration between perinatal and non-perinatal services could help improve perinatal expertise on general psychiatric wards, while further expansion of perinatal services (e.g. to cater for women currently considered too high risk for MBUs and for those discharged from inpatient settings) could tackle other shortfalls in care.

scholarly journals Barriers and facilitators to recognize and discuss depression and anxiety experienced by adults with vision impairment or blindness: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Edine P. J. van Munster ◽  
Hilde P. A. van der Aa ◽  
Peter Verstraten ◽  
Ruth M. A. van Nispen
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Visually Impaired ◽  
Mental Health Problems ◽  
Low Vision ◽  
Healthcare Providers ◽  
Health Problems ◽  
Vision Impairment ◽  
Depression And Anxiety ◽  
Structured Interviews

Abstract Background Depression and anxiety are highly prevalent, but often unrecognized in adults with vision impairment (VI) or blindness. The purpose of this study was to explore visually impaired and blind adults’ views on facilitators and barriers in recognizing and discussing mental health problems. Methods Semi-structured interviews, based on the Integrated Model for Change, were conducted with 16 visually impaired or blind adults receiving support from three Dutch low vision service organizations. Interview data was analyzed using the framework approach. Results Participants perceived their focus on practical support with regard to their VI, lack of mental health literacy, and misattribution of symptoms of depression or anxiety as barriers for recognizing mental health problems. With regard to discussing mental health problems, they perceived difficulties in acknowledging their VI and mental health problems due to feelings of vulnerability and inequality. Participants mentioned that their social support system and healthcare providers (could) facilitate them in recognizing and discussing mental health problems. However, participants thought that healthcare providers currently often lacked the knowledge, skills and attitude to recognize and discuss this topic with their clients. Conclusion Our findings suggest that visually impaired and blind adults may experience several barriers to recognize, acknowledge and discuss mental health. Healthcare providers and social support systems seem essential for them in reducing these barriers. However, there might be a mismatch between the needs of visually impaired and blind adults and healthcare providers’ knowledge, skills and attitude. Training healthcare providers may improve detection of depression and anxiety in adults with VI or blindness, and enhance clinician-patient communication on mental health.

scholarly journals Barriers and Facilitators to Identify and Discuss Depression and Anxiety in Visually Impaired Adults: A Qualitative Study on the Service User’s Perspective

2021 ◽  
Author(s):  
Edine P.J. van Munster ◽  
Hilde P.A. van der Aa ◽  
Peter Verstraten ◽  
Ruth M.A. van Nispen
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Low Vision ◽  
Healthcare Providers ◽  
Health Problems ◽  
Service Users ◽  
Depression And Anxiety ◽  
Structured Interviews ◽  
Framework Approach ◽  
Social Support Systems

Abstract Background. Depression and anxiety are highly prevalent, but often unrecognized in adults with visual impairment (VI). The purpose of this study was to explore service users’ views on facilitators and barriers in identifying and discussing mental health problems in adults with VI. Methods. Semi-structured interviews, based on the Integrated Model for Change, were conducted with 16 service users from three Dutch low vision service organizations. Interview data was analyzed using the framework approach. Results. Prominent themes in service users’ cognitions and skills were their focus on VI, lack of health literacy, misattribution of symptoms and difficulties in acknowledging their VI and mental health problems. Informal and formal support were seen as facilitators. However, participants mentioned the need of improving healthcare providers’ knowledge, skills and attitude to increase the likelihood of detection and communication about depression and anxiety. Conclusion. Our findings suggest that, compared to barriers experienced in general population, adults with VI face additional barriers in identifying and discussing mental health problems, partly caused by their impairment and increased vulnerability. Healthcare providers and social support systems seem essential for them in reducing these barriers. However, there might be a mismatch between service users’ needs and healthcare providers’ knowledge, skills and attitude. Training healthcare providers may improve detection of depression and anxiety in adults with VI.

scholarly journals Trajectory of Food Insecurity and Its Association with Longitudinal Mental Health and Sleep Outcomes in Adolescents from Economically Disadvantaged Families

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1696
Author(s):  
Ting-Hsuan Lee ◽  
Jen-Hao Kuo ◽  
Chia-Yi Liu ◽  
Yi-Fang Yu ◽  
Carol Strong ◽  
...  
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Economically Disadvantaged ◽  
Mental Health Problems ◽  
Transition Period ◽  
Sleep Problems ◽  
Healthcare Providers ◽  
Estimating Equation ◽  
Health Problems ◽  
Disadvantaged Families

Background: Adolescence is a critical transition period in the course of human development. Although food insecurity (FI) has been shown to be associated with adverse mental health and sleep outcomes in US adolescents, there is a paucity of research examining the relationships between FI, mental health, and sleep outcomes in Taiwanese adolescents. Furthermore, it is unknown how the change of FI over time (i.e., the trajectory of FI) is related to health outcomes. Methods: The data come from the Taiwan Database of Children and Youth in Poverty, which is a national longitudinal project measuring FI in five survey waves (2009–2017). We employed group-based trajectory modeling to classify various FI trends over the five waves using STATA. Furthermore, a generalized estimating equation analysis was conducted with FI trajectories as the independent variable to see how FI trajectory is related to mental health and sleep outcomes. Results: In total, 1921 participants aged 12–18 years in the first wave were deemed valid for the analysis. We classified the participants into four FI trajectory groups: persistently low FI (24.8%), persistently moderate FI (64.7%), declining from high to low FI (4.1%), and food-secure groups (6.4%). As compared to food-secure adolescents, the persistently moderate FI group was more likely to have mental problems (β = 0.30, [95% confidence interval 0.21–0.38]), while the other FI groups were only marginally associated with mental health problems. Moreover, adolescents in the persistently low FI group (β = 0.13, [0.02–0.23]) and persistently moderate FI group (β = 0.39, [0.29–0.48]) were found to have more sleep problems than those in the food-secure group. Conclusions: Our study describes the FI profile of adolescents from economically disadvantaged families and the difficulties they might encounter. With this information, healthcare providers can aid adolescents in the early stages of mental health problems and provide guidance when appropriate.

scholarly journals “Smartphone Apps Are Cool, but Do They Help Me?”: A Qualitative Interview Study of Adolescents’ Perspectives on Using Smartphone Interventions to Manage Nonsuicidal Self-Injury

2021 ◽  
Vol 18 (6) ◽  
pp. 3289
Author(s):  
Anja Čuš ◽  
Julian Edbrooke-Childs ◽  
Susanne Ohmann ◽  
Paul L. Plener ◽  
Türkan Akkaya-Kalayci
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Health Interventions ◽  
Structured Interviews ◽  
Related Factors ◽  
Self Injury ◽  
Qualitative Interview Study ◽  
Mental Health Interventions ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is a major mental health problem associated with negative psychosocial outcomes and it most often starts in early adolescence. Despite this, adolescents are rarely involved in informing the development of interventions designed to address their mental health problems. This study aimed to (1) assess adolescents’ needs and preferences about future interventions that are delivered through smartphones and (2) develop a framework with implications for designing engaging digital mental health interventions. Fifteen adolescent girls, aged 12–18 years, who met diagnostic criteria for a current NSSI disorder and were in contact with mental health services, participated in semi-structured interviews. Following a reflexive thematic analysis approach, this study identified two main themes: (1) Experiences of NSSI (depicts the needs of young people related to their everyday experiences of managing NSSI) and (2) App in Context (portrays preferences of young people about smartphone interventions and reflects adolescents’ views on how technology itself can improve or hinder engaging with these interventions). Adolescent patients expressed interest in using smartphone mental health interventions if they recognize them as helpful, relevant for their life situation and easy to use. The developed framework suggests that digital mental health interventions are embedded in three contexts (i.e., person using the intervention, mental health condition, and technology-related factors) which together need to inform the development of engaging digital resources. To achieve this, the cooperation among people with lived experience, mental health experts, and human computer interaction professionals is vital.

scholarly journals FACTORS AFFECTING EARLY DETECTION OF MENTAL HEALTH PROBLEMS OF THE ELDERLY AND SERVICE USE IN KOREA

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1202-1202
Author(s):  
Y. Park ◽  
D. Son ◽  
K. Park ◽  
E. Park ◽  
Y. Choi
Keyword(s):  
Mental Health ◽  
Early Detection ◽  
Service Use ◽  
Mental Health Problems ◽  
The Elderly ◽  
Health Problems ◽  
Factors Affecting

scholarly journals Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

2019 ◽  
Vol 165 (5) ◽  
pp. 363-370 ◽  
Author(s):  
Lauren Rose Godier-McBard ◽  
L Ibbitson ◽  
C Hooks ◽  
M Fossey
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Well Being ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Adverse Outcomes ◽  
Military Spouses ◽  
Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

Postpartum Psychosis: Risk factors and Management

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Ousman Bajinka
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Management Strategies ◽  
Perinatal Period ◽  
Health Impact ◽  
Postpartum Psychosis ◽  
Specialist Care ◽  
Puerperal Psychosis

Following childbirth, with a psychosis and associated mood disturbance, Postpartum Psychosis (PPP) is studied to be a severe mental health condition. PPP affects 1 to 2 per 1000 women among the psychiatric emergency. To curb this severe disorder, acute clinical intervention is warranted. Maternal mental health problems with a focus on depression as the condition with the biggest public health impact should be the way forward. This review is set to look into the risk factors, prevention and management of PPP. Both the acute onset and recurrence of psychiatric illness are common during the perinatal period as women are more vulnerable during this period. Timely detection and effective management of perinatal psychiatric disorders are critical for managing PPP. Part of the management strategies for women who experience PPP is to seek guidance on further pregnancies and risk of illness. Since PPP is a disturbing complication of childbirth that carries high risks for both mother and child, if one is at high risk of developing puerperal psychosis, there is the need for a specialist care during pregnancy and be seen by a psychiatrist.

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