Digital Heath Interventions in Mental Health

2019 ◽  
pp. 168-187
Author(s):  
Aleksandra Stanimirovic
Keyword(s):  
Mental Health ◽  
Remote Monitoring ◽  
Mental Healthcare ◽  
Therapeutic Interventions ◽  
Passive Monitoring ◽  
Science Regulation ◽  
History Of ◽  
Healthcare Interventions ◽  
Tracking Devices ◽  
Digital Healthcare

Technological renaissance of the last century stimulated the application of digital interventions in the healthcare domain. Digital healthcare interventions (DHIs) could be implemented through smartphone applications (apps), remote monitoring and tracking devices, and wearable computers. Technology is positioned to transform how mental healthcare is delivered and accessed. In fact, remote active and passive monitoring of parameters, such as mood, activity, and sleep, could be integrated with therapeutic interventions. However, the transformation entails combined conscription of science, regulation, and design. Implementation, adoption, and evaluation of DHI present special challenges. This chapter presents brief history of DHIs in mental health and frameworks an evaluation strategy in terms of the appropriate methods required for appraisal of DHIs.

Digital Heath Interventions in Mental Health

2021 ◽  
pp. 328-340
Author(s):  
Aleksandra Stanimirovic
Keyword(s):  
Mental Health ◽  
Remote Monitoring ◽  
Mental Healthcare ◽  
Therapeutic Interventions ◽  
Passive Monitoring ◽  
Science Regulation ◽  
History Of ◽  
Healthcare Interventions ◽  
Tracking Devices ◽  
Digital Healthcare

Technological renaissance of the last century stimulated the application of digital interventions in the healthcare domain. Digital healthcare interventions (DHIs) could be implemented through smartphone applications (apps), remote monitoring and tracking devices, and wearable computers. Technology is positioned to transform how mental healthcare is delivered and accessed. In fact, remote active and passive monitoring of parameters, such as mood, activity, and sleep, could be integrated with therapeutic interventions. However, the transformation entails combined conscription of science, regulation, and design. Implementation, adoption, and evaluation of DHI present special challenges. This chapter presents brief history of DHIs in mental health and frameworks an evaluation strategy in terms of the appropriate methods required for appraisal of DHIs.

scholarly journals Samhällsvårdens Svarte Petter

2019 ◽  
Vol 26 (1) ◽  
Author(s):  
Ulrika Levander ◽  
Lina Sturfelt
Keyword(s):  
Mental Health ◽  
Residential Care ◽  
Mental Healthcare ◽  
Preventive Actions ◽  
Child Psychiatric ◽  
History Of ◽  
Mental Health Interventions ◽  
Public Responsibility ◽  
Open Question ◽  
Children In Care

Drawing the short straw. Contemporary and historical categorizations of children in foster and residential care with mental health disordersAbout 67 per cent of children placed in residential care in Sweden suffer from mental health disorders. Although the problem has been recognized for decades, the group’s access to sufficient mental healthcare is still lagging. In this article we examine contemporary and historical categorizations of mental health issues among children in foster and residential care. The study examines Swedish commission reports, government bills, and Children’s Acts published between 1902 and 2016 where the issue is discussed. Hereby, ”the history of the present”, and its implications for the targeted group, is analysed and problematized. Our findings show that continuous talk of preventive actions in the name of the all-embracing welfare state repeatedly has downplayed the group’s access to mental health interventions. Ever since the establishment of the child psychiatric field in the 1940s, a discursive battle about the public responsibility for the group is also raging. In the 1970s, coordination is articulated as the grand solution, but the problem still persists. Neither the contemporary child rights perspective nor the latest law regulations of forced coordination for children in care have changed the group’s underprivileged position. Whether the legal turn will finally lead to recognition of the group’s right to adequate mental health care remains an open question.

scholarly journals Mental Healthcare in Rural Latin America

2017 ◽  
Author(s):  
Jody Epstein
Keyword(s):  
Mental Health ◽  
Latin America ◽  
Latin American ◽  
Mental Healthcare ◽  
Health Service Delivery ◽  
Healthcare Systems ◽  
Mental Health Disorders ◽  
Mental Health Service Delivery ◽  
History Of ◽  
Health Disorders

<p class="normal">The goal of this article is to provide an overview of epidemiology of mental health disorders in Latin America, discuss unique issues in mental health faced by rural Latin American communities, summarize the history of Latin American healthcare systems, and describe current strategies to improve and innovate mental health service delivery in Latin America.  </p>

scholarly journals Mental Healthcare in Rural Latin America

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Jody Epstein
Keyword(s):  
Mental Health ◽  
Latin America ◽  
Latin American ◽  
Mental Healthcare ◽  
Health Service Delivery ◽  
Healthcare Systems ◽  
Mental Health Disorders ◽  
Mental Health Service Delivery ◽  
History Of ◽  
Health Disorders

The goal of this article is to provide an overview of epidemiology of mental health disorders in Latin America, discuss unique issues in mental health faced by rural Latin American communities, summarize the history of Latin American healthcare systems, and describe current strategies to improve and innovate mental health service delivery in Latin America.

Health economics for psychiatric epidemiology

2020 ◽  
pp. 373-388
Author(s):  
Margaret Heslin ◽  
Paul McCrone ◽  
Daniel Chisholm
Keyword(s):  
Mental Health ◽  
Economic Evaluation ◽  
Health Economics ◽  
Mental Healthcare ◽  
Psychiatric Epidemiology ◽  
Service Planning ◽  
Economic Evaluations ◽  
Health Service Planning ◽  
Health System Financing ◽  
Healthcare Interventions

This chapter examines the interface between psychiatric epidemiology and health economics, particularly in relation to mental health service planning and evaluation. It describes examples of how economics and epidemiology work together to produce innovative research approaches from basics such as burden of disease and cost-of-illness studies to more complex approaches such as the assessment of mental health system financing and economic evaluation of mental healthcare interventions. It rounds up with a summary of how to conduct economic evaluations, including sections on study design, mode of economic evaluation, and costing perspective.

scholarly journals The adventures of psychiatric reform in Greece: 1999–2019

2019 ◽  
Vol 17 (2) ◽  
pp. 26-28 ◽  
Author(s):  
Michael G. Madianos
Keyword(s):  
Mental Health ◽  
European Economic Community ◽  
Mental Healthcare ◽  
Public Institutions ◽  
Transitional Period ◽  
Patient Treatment ◽  
Reform Era ◽  
The Public ◽  
History Of ◽  
Current Reform

Psychiatric care in Greece has a long history of traditional in-patient treatment in large public institutions (the public asylum period), which lasted until 1983. European Economic Community (EEC) intervention in 1984 marked a transitional period (1984–1989) characterised by the beginning of the transformation of the mental healthcare system. The current reform era started in 1999 and has included new mental health law, the closure of six public mental hospitals and the establishment of several sectorised mental health services.

scholarly journals Reinternamentos Hospitalares num Serviço de Pedopsiquiatria: Taxa de Readmissão e Fatores de Risco

2017 ◽  
Vol 30 (11) ◽  
pp. 769
Author(s):  
Patricia Mendes ◽  
Maria Fonseca ◽  
Inês Aguiar ◽  
Nuno Pangaio ◽  
Luísa Confraria ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Characteristics ◽  
Hospital Readmissions ◽  
Mental Healthcare ◽  
Inpatient Unit ◽  
Readmission Rates ◽  
History Of ◽  
One Year ◽  
Future Hospital ◽  
Adolescent Inpatients

Introduction: Most mental disorders have a chronic evolution and therefore a certain amount of psychiatric readmissions are inevitable. Several studies indicate that over 25% of child and adolescent inpatients were readmitted within one year of discharge. Several risk factors for psychiatric readmissions have been reported in the literature, but the history of repeated readmissions is the most consistent risk factor. Our aim is to calculate the readmission rates at 30 days and 12 months after discharge and to identify associated risk factors.Material and Methods: The authors consulted the clinical files of patients admitted to the Inpatient Unit between 2010 and 2013, in order to calculate the readmission rates at 30 days and at 12 months. The demographic and clinical characteristics of the readmitted patients were analyzed and compared with a second group of patients with no hospital readmissions, in order to investigate possible predictors of readmission.Results: A total of 445 patients were admitted to our inpatient unit between 2010 and 2013. Six adolescents were readmitted in a 30 days period (1.3%) and 52 were readmitted in a 12 month period after discharge (11.5%). Duration of the hospitalization and the previous number of mental health admissions were significant predictors of future hospital readmissions (p = 0.04 and p = 0.014).Discussion: The low readmission rates may reflect the positive clinical and sociofamilial support being provided after discharge.Conclusion: Rehospitalisation is considered a fundamental target for intervention concerning prevention and intervention in mental healthcare. Thus, knowledge regarding their minimisation is crucial.

Characteristics of and trends in subgroups of prisoner suicides in England and Wales

2011 ◽  
Vol 41 (11) ◽  
pp. 2275-2285 ◽  
Author(s):  
N. Humber ◽  
M. Piper ◽  
L. Appleby ◽  
J. Shaw
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Drug Dependence ◽  
Policy Development ◽  
Case Series ◽  
Mental Healthcare ◽  
Service Level ◽  
Treatment Needs ◽  
England And Wales ◽  
History Of

BackgroundThe suicide rate is higher in prisoners compared with the general population. The aim was to describe the characteristics of and longitudinal trends in prisoner suicides in England and Wales.MethodA case series was ascertained from the Safer Custody and Offender Policy Group at the Ministry of Justice and included a 9-year (1999–2007) national census of prisoner suicides. Questionnaires were completed by prison staff on sociodemographic, custodial, clinical and service-level characteristics of the suicides.ResultsThere was a fall in the number of prison suicides and a decline in the proportion of young prisoner (18–20 years) suicides over time. Females were over-represented. Upward trends were found in prisoners with a history of violence and with previous mental health service contact. A downward trend was found in those with a primary psychiatric diagnosis of drug dependence. Drug dependence was found to be significant in explaining suicides within the first week of custody.ConclusionsThe findings provide an important insight to aid a target set in the National Suicide Prevention Strategy in England to reduce suicides in the prisoner population by 20% and highlight an important area for policy development in mental health services. Examining trends identified subgroups that may require improved mental healthcare and recognized those that appeared to be having their treatment needs more adequately met. Evidence suggests that targeted suicide prevention strategies for subgroups of prisoners are required.

scholarly journals The Healing Power of Art in Intergenerational Trauma

2019 ◽  
Vol 8 (1) ◽  
pp. 15-31
Author(s):  
Gloria Swain
Keyword(s):  
Mental Health ◽  
Black Women ◽  
Healthcare System ◽  
Black Community ◽  
Black People ◽  
Mental Healthcare ◽  
Black Body ◽  
Strong Black Woman ◽  
Generational Trauma ◽  
History Of

Throughout this paper, I use a political and activist lens to think about disability arts and its potential role in opening up a necessary conversation around how madness is produced by experiences of racism, poverty, sexism, and inter-generational trauma within the Black community. I begin by explaining how the Black body has a history of being the site of medical experimentation. From the perspective of my own experience, I suggest that this history of medical abuse has caused Black people to be suspicious and wary of the healthcare system, including the mental healthcare system, which forecloses discussions around the intersection of Blackness and mental health. I go on to argue that this discussion is further silenced through the trope of the ‘strong Black woman,’ which, in my experience works to perpetuate the idea that Black women must bear the effects of systemic racism by being ‘strong,’ rather than society addressing this racism, and she must not admit the toll that this ‘resilience’ might have on her mental health. I close with a discussion of how my art practice seeks to open up a conversation about madness in the Black community by suggesting that madness is political.

scholarly journals Mental health legislation in the Philippines: Philippine Mental Health Act

2019 ◽  
Vol 16 (03) ◽  
pp. 65-67 ◽  
Author(s):  
John Lally ◽  
Rene M. Samaniego ◽  
John Tully
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
The Philippines ◽  
Mental Health Act ◽  
Mental Health Legislation ◽  
History Of ◽  
The Republic ◽  
Comprehensive Framework ◽  
Health Legislation

The first mental health act legislation in the history of the Philippines has been officially signed into law and was enacted as the Republic Act no. 11036 on 21 June 2018. It provides a rights-based mental health bill and a comprehensive framework for the implementation of optimal mental healthcare in the Philippines. We review the principles and provisions of the Mental Health Act of 2017 and the implications for mental healthcare in the Philippines.

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