Market Planning for Mental Health: A “Target Group” Based Approach

Author(s):  
Steven W. De Mello
2021 ◽  
Vol 9 ◽  
Author(s):  
Laura Charlotte Fischer ◽  
Vera Kölligan ◽  
Nuri Wieland ◽  
Michael Klein

Background: Refugee populations are at substantial risk of developing substance use disorder (SUD) and other mental health disorders. At the same time, refugee populations face numerous barriers to accessing mental health services. Digital interventions can address some of these issues, as emerging evidence indicates that digital interventions offer an effective, low-cost alternative with high accessibility and similar efficacy as standard SUD prevention programs. As an add-on to traditional services, they further present a viable approach to the lack of personnel available for foreign language communication in preventive and therapeutic settings. In the present study, we thus aim to develop and evaluate a digital health intervention (DHI) for the reduction of substance use for young refugees with problematic use of alcohol and/or cannabis. The intervention will be implemented in a smartphone app, translated into Arabic, English, Farsi, German, and Pashto, and is to be used stand-alone. It is based on methods from cognitive behavioral therapy, contains culturally adapted elements, provides practical information on how to deal safely with alcohol and cannabis, and motivates behavior change through increased self-reflection and behavioral, cognitive, and emotional skills-training in interactive exercises.Methods: We conduct a single-armed feasibility trial among 150 young refugees with problematic use of alcohol and/or cannabis. Participants will receive a digital screening and digital health intervention (DHI) for the reduction of problematic substance use, carried out over a 4-week time frame. The primary outcomes are the intervention's feasibility and the target population's acceptance of the intervention. The secondary outcome is a change in substance use post-intervention from baseline. Measurements are taken pre-intervention (baseline), post-intervention (after 4 weeks), and at 3- and 6-month follow-ups. We expect the intervention to be feasible and accepted by the target group.Discussion: The present study will establish to what degree the digital intervention (the “BePrepared App”) is feasible and accepted by the target group. The evaluation of an easily accessible, feasible, and accepted intervention may impact refugees' mental health and health-related consequences. It aims at overcoming barriers to preventive health care in the substance use field for underserved refugee populations as a tool within a larger set of urgently needed interventions.Trial Registration: DRKS00021095 at the “German Clinical Trials Register” (30.03.2020).


2020 ◽  
Vol 11 ◽  
Author(s):  
Marieke Broersen ◽  
Nynke Frieswijk ◽  
Hans Kroon ◽  
Ad A. Vermulst ◽  
Daan H. M. Creemers

Background: The Multicenter Youth Flexible ACT Study is an ongoing observational prospective cohort study that examines the effects of Youth Flexible ACT (Assertive Community Treatment) on young people with complex care needs who are difficult to engage in traditional (office-based) mental health services. However, a clear and detailed description of this patient group is lacking. In the current paper, we present baseline characteristics and psychosocial outcomes of the Youth Flexible ACT target group and explore the existence of underlying specific patient subgroups.Methods: Sixteen Youth Flexible ACT teams from seven mental healthcare institutes in the Netherlands participated in the study. Research participants were monitored for 18 months and administered questionnaires measuring psychiatric- and social functioning every 6 months, yielding four measurements. Baseline data were obtained from 199 adolescents, their mental health workers, and parents/carers. Latent Class Analysis based on HoNOSCA scores (measuring psychosocial and daily functioning) was conducted to identify underlying subgroups.Results: The target group of Youth Flexible ACT mainly consisted of patients older than 15 years of age with a history of (specialized) mental healthcare. They face many complex problems, including trauma; developmental, mood, and anxiety disorders; and problems with school attendance, family life, and peer relationships. Other frequently reported difficulties were substance misuse, the involvement of the legal system or police, problems with intellectual functioning, and personal finance. Patients were classified into four distinct classes: the “internalizing,” “externalizing,” “non-specific,” and the “overly impulsive” subgroup. Each subgroup had its unique pattern of difficulties and focus, respectively, high levels of depression and anxiety, disruptive behavior, unspecific difficulties, and substance misuse.Conclusions: As expected, patients in Youth Flexible ACT experienced many severe problems, rendering them vulnerable to fragmented and, thus, ineffective care. Our findings underscore the need for an integrated care approach with a multidisciplinary team of skilled professionals that can bridge these wide-ranging psychosocial problems, as each class of participants experienced a different set of difficulties. Youth Flexible ACT teams need to adjust their care services accordingly.


2019 ◽  
Vol 10 (5) ◽  
pp. 19-26 ◽  
Author(s):  
Jidapa Kerdsurivong ◽  
Jarasphol Rintra ◽  
Karnt Wongsuphasawat ◽  
Phakkharawat Sittiprapaporn

 Background: Stress is traditionally defined as either a bodily or mental tension resulting from factors that tend to alter an existent equilibrium or the process of appraising events of assessing potential responses, and of responses which may include not just physiological but also cognitive and behavioural changes. Aims and Objective: The purpose of this study was to examine the stress reduction after listening to Phochong chanting. Materials and Methods: Forty participants were participated in this study. They were divided into two groups; the control group who saw a spot on computer screen while listening to Phochong chanting for 10 minutes, and the target group who saw the Buddha image while listening to Phochong chanting for 10 minutes. The Thai Stress Test was used as a tool to examine the stress reduction. Frequency, percentage, mean, and standard deviation were used for descriptive data analysis. Paired sample t-test was also used to compare between before and after listening to Phochong chanting. Results: The percentage of participants in the target group who felt ‘excellent mental health’ was 20.0% and only 10% for the control one. The 55.0% in the target group felt ‘normal mental health’ while 45.0% was for the control one. About 25.0% of the target group felt ‘mild stress’ while 45.0% was in the control one. However, no participant showed ‘sever stress (stressful)’ in this study. The Thai Stress Test has adequate reliability, adequate construct validity, and sufficient discriminant power. Conclusion: By listening to Phochong chanting would help the stress level reduction.


1998 ◽  
Vol 52 (3) ◽  
pp. 261-266 ◽  
Author(s):  
Bert Kae-Jé

Defines the professional minister as subject to confining social attitudes and expectations. Posits clergy as good candidates for art therapy. Reports on a small pilot study that field tested a curriculum exploring the relationship between preaching and mental health and made use of several art activities. Uses results of this study to illustrate art therapy's potential to free clergy for authentic expression and to explore the potential and the problems posed by clergy as a target group for additional research.


2018 ◽  
Vol 2018 ◽  
pp. 123
Author(s):  
Elena Biljanoska-Nakjeva

In this master thesis, a research process for obtaining a creative solution which will contribute to solving problems created by the "urban jungle" we live in, and will help for the general improvement of people's mental health is presented. This goal is achieved by a detailed interdisciplinary research and application of modern methods and principles in the field of industrial design. The research allowed a better view of the problem-lack of adequate spaces in the city for productive time spending and increasing positive moods-that needs to be solved, and better defining of the main needs and desires of the target group from which the concepts and ideas emerged. Generally, this research, besides the theoretical analysis of the subject positive design, contains ethnographic research methods like observation of the target group, collecting photo materials, analysis of different situations, informative polls, analysis and systematization of data. In addition, the research is complemented in the field of urban design from aspect of analysis of the urban design principles, design for good mental health, existing ideas of urban solutions around the world and in Macedonia, and also, application of modular systems, ergonomics and inspiration from nature for eco design in urbanism. As a result of all the research done in this master thesis, an innovative, urban pavilion was designed. Pavilion which would achieve the goal-stress reduction and alleviating the everyday life of residents of modern cities. Also, the need for increasing awareness about the significance of positive design in the modern lifestyle was promoted, since design is the main element in all our surroundings that allows possibilities for deep influence in the way we think and feel which means that it can be used as a tool to improve the general wellbeing and society advancement.


2019 ◽  
Vol 64 (1_suppl) ◽  
pp. 13S-17S ◽  
Author(s):  
Andrew Szeto ◽  
Keith S. Dobson ◽  
Dorothy Luong ◽  
Terry Krupa ◽  
Bonnie Kirsh

The Opening Minds Initiative of the Mental Health Commission of Canada has worked with many workplaces to implement and evaluate mental illness stigma reduction programs. This article describes the lessons learned from Opening Minds’ research and programming initiatives in the workplace target group and details some of the most valuable learnings from collaborating with workplace partners. These insights range from issues such as the recruitment of potential partners to the implementation of evaluation in the workplace. The lessons learned described here are not intended as the optimal ways of developing partnerships or conducting research in a workplace setting but are intended to highlight some of our experiences in implementing antistigma programming. These experiences are provided so that those who are in the same situation can draw from our learnings to make their efforts more efficient. To conclude, we discuss some of our thoughts in which the implementation of workplace mental illness stigma reduction programming should work towards in the future.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Vincent Lorant ◽  
Adeline Grard ◽  
Chantal Van Audenhove ◽  
Eva Helmer ◽  
Joke Vanderhaegen ◽  
...  

2019 ◽  
Vol 10 (5) ◽  
pp. 90-97
Author(s):  
Nichamon Waeobut ◽  
Vichit Boonyahotara ◽  
Ariya Sarikaphuti ◽  
Phakkharawat Sittiprapaporn

Background: Stress is defined as a bodily or mental tension resulting from factors that tend to alter an existent equilibrium. A stress response is the compensatory reaction the body makes to the disturbance caused by the stressor where overall impact of a stressor will depend on its features and the characteristics of those who have been affected. Aims and Objective: The aim of this study was to investigate how the Chinabunchorn chanting, an Eastern method of Buddhist meditation, reduced the self-perceived stress among participants. The specific objectives of the study was also to determine the stress level reduction of participants who have self-perceived stress and to relief the stress during specific circumstance. Materials and Methods: The samples were thirty participants divided into two groups; the target group who listened to Chinabunchorn chanting, the control group who did similar to the previous one except seeing the Buddha image. The Thai Stress Test was applied to all participants by rating their subjective feelings during experiment. Results: The result showed that there were statistical significance differences of both positive and negative scales comparing between before and after listening to Chinabunchorn chanting. All participants in the target group felt ‘normal mental health’ to ‘excellent mental health’ after listening Chinabunchorn chanting. Meanwhile, all participants in the control group felt ‘mild stress’ to ‘normal mental health’ after listening to Chinabunchorn chanting. However, no participant showed severs stress (stressful) in this study. Conclusion: By listening to Chinabunchorn chanting during any activities would help the stress level reduction.


2020 ◽  
pp. 140349482090140
Author(s):  
Natasja Bjerre ◽  
Monica Lillefjell ◽  
Eva Magnus ◽  
Kirsti S. Anthun

Aims: Children and young adults are in general characterised by good health, but evidence shows increasing mental-health problems. Numerous interventions have been developed to target their mental health, but the effectiveness of these interventions remains varied. In this scoping review, we investigated factors associated with the effectiveness of interventions. Methods: A scoping review based on a three-block search strategy was performed to review the current literature of effective interventions. Each block (interventions, mental health and children and young adults) were operationalised to search terms. Systematic searches were conducted in three electronic databases and supplemented with citation searches, resulting in 51 studies in total. All studies were critically analysed, and a standardised extraction chart was used to systemise the data. Results: Our scoping review revealed a range of factors influencing the effectiveness of interventions. These factors were (a) characteristics of the target group (age, sex and level of baseline symptoms), (b) factors linked to implementation (use of manuals, training of implementers and context) and (c) characteristics of the interventions (universal versus indicated delivery, multiple-domain approaches, level of theory and adjustment to age and socio-economic status). Elements are discussed for each factor. Conclusions: Based on this review, it can be concluded that the use of stepwise, multi-domain approaches incorporating the social networks of the target group, adjusting activities to specific age groups and the social context, training implementers well and using stringent implementation manuals will improve the effectiveness of interventions targeting the mental health of children and young adults.


2018 ◽  
Author(s):  
MarySue V Heilemann ◽  
Adrienne Martinez ◽  
Patricia D Soderlund

BACKGROUND Transmedia storytelling was used to attract English-speaking Latina women with elevated symptoms of depression and anxiety to engage in an intervention that included videos and a webpage with links to symptom management resources. However, a main character for the storyline who was considered dynamic, compelling, and relatable by the target group was needed. OBJECTIVE We conducted interviews with 28 English-speaking Latinas (target group) with elevated symptoms of depression or anxiety who participated in an Internet-accessible transmedia storytelling intervention. The objective of this study was to examine participants’ perceptions of the lead character of the story. Development of this character was informed by deidentified data from previous studies with members of the target group. Critique of the character from a panel of therapists informed editing, as did input from women of the target group. METHODS All interviews were conducted via telephone, audio-recorded, and transcribed. Data analysis was guided by grounded theory methodology. RESULTS Participants embraced the main character, Catalina, related to her as a person with an emotional life and a temporal reality, reported that they learned from her and wanted more episodes that featured her and her life. Grounded theory analysis led to the development of one category (She “just felt so real”: relating to Catalina as a real person with a past, present, and future) with 4 properties. Properties included (1) relating emotionally to Catalina’s vulnerability, (2) recognizing shared experiences, (3) needing to support others while simultaneously lacking self-support, and (4) using Catalina as a springboard for imagining alternative futures. Participants found Catalina’s efforts to pursue mental health treatment to be meaningful and led them to compare themselves to her and consider how they might pursue treatment themselves. CONCLUSIONS When creating a story-based mental health intervention to be delivered through an app, regardless of type, careful development of the main character is valuable. Theoretical guidance, previous deidentified data from the target group, critique from key stakeholders and members of the target group, and preliminary testing are likely to enhance the main character’s relatability and appropriateness, which can increase sustained engagement.


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