scholarly journals Investigation of the General Mental Health Status and Caregiver Burden of Relatives of Patients Using Home Care Services

2021 ◽  
Vol 11 (1) ◽  
pp. 31-39
Author(s):  
Rıdvan Doğan ◽  
Nevin Onan
2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Diane Liu ◽  
Emily Younger ◽  
Stacy Baker ◽  
Stephanie Touch ◽  
Tamara Willmoth ◽  
...  

Purpose. Research shows that smoking during pregnancy is related to mental health diagnoses. The purpose of this study was to assess whether current general mental health status is related to current smoking status in pregnant women after controlling for other factors related to both mental health and tobacco use during pregnancy. Methods. This cross-sectional analysis used 2017 Behavioral Risk Factor Surveillance Survey (BRFSS) data for 621 pregnant women aged 18-38 from Florida (N=136), Kansas (N=116), Minnesota (N=105), Nebraska (N=90), New York (N=78), and Utah (N=96). Multiple logistic regression analysis was used to assess the relationship between current mental health status and current tobacco use, while controlling for state, depression diagnosis, routine checkup, healthcare plan, age, marital status, ethnicity/race, education level, income level, and employment status. Results. Overall, very few participants reported current smoking (6%) and about one-third reported low or moderate mental health status in the past 30 days. Adjusted results indicated that those who reported high mental health status were about 3 times less likely (OR=0.29, 95% CI=0.09, 0.88) to report current smoking status compared to those who reported low mental health status. Conclusions. Overall, current mental health status was highly related to current smoking status in pregnant women. Clinicians in obstetrics may expect a very low proportion of pregnant women to report smoking and up to one-third to report low or moderate current general mental health status. Given that current mental health issues and current tobacco use may harm both mother and child, be highly related in pregnant women, and change throughout the pregnancy, pregnant women should be screened automatically for both at each visit.


Author(s):  
Kathleen Morris ◽  
Brent Diverty ◽  
Natalie Damiano

IntroductionAround the world, the need for mental health, addictions and home care services is growing. Government commitment and collective efforts to bridge data gaps, develop indicators and publicly report results are key elements in Canada’s efforts to improve access. Objectives and ApproachThis symposium will demonstrate how a coalition of stakeholders united to use real-world data to measure progress and drive change. Each presentation highlights a different aspect of the project with participant interaction, aiming for the Canadian context to spark knowledge exchange across sectors and countries: Presentation 1 - Coalitions and consensus (10 min.): processes and engagement for successful collaboration between governments, providers, measurement experts and people with lived experiences to select and develop indicators Facilitated Q&A (5 min.) Presentation 2 - Standards and data infrastructure (10 min.): new standards to enhance data comparability and strengthened data infrastructure to support measurement and reporting Facilitated Q&A (5 min.) Presentation 3 - Indicator development (10 min.): the indicator development cycle, methodological approaches using linked and partial data, and development strategies for new concepts Facilitated Q&A (5 min.) Presentation 4 - Public reporting and policy impact (10 min.): describes how public reporting supports sustained commitments and energizes change using targeted tools and messages Facilitated Q&A (15 min.) ResultsPublic reporting began in 2019, with 3 new indicators released annually over 4 years. Initial reporting provides a baseline to track improvements, and a starting point for health system planners to learn from peers across Canada. The indicators have been a catalyst to fill important data gaps in emergency and home care services. Conclusion / ImplicationsThrough shared priorities, coalitions and linked data, information gaps are being filled to drive advancements in access to mental health and addictions services, and home care. Lessons learned in Canada can be adapted internationally to galvanize needed improvements in these sectors.


2007 ◽  
Vol 47 (4) ◽  
pp. 528-534 ◽  
Author(s):  
L. W. Li ◽  
Y. Conwell

2020 ◽  
Vol 36 (3) ◽  
pp. 151-163 ◽  
Author(s):  
Pamela Snow ◽  
Emina McLean ◽  
Margarita Frederico

Adolescents in the care of the state have complex developmental needs that include low academic attainment. The aim of this study was to describe the language and literacy profiles of adolescents (aged 13–19) in out-of-home care (‘looked after children’). Mental health status, biopsychosocial history, and education and employment histories were also documented. Twenty-six adolescents were assessed by a speech and language therapist. Ninety-two percent had oral language skills below the average range on the Clinical Evaluation of Language Fundamentals: 4th edition, with 62% scoring two or more standard deviations below the mean. Ninety-two percent of participants scored below the average range on two or more subtests of the Test of Language Competence: Expanded edition. On the York Assessment of Reading Comprehension, 92% scored in the very low range and 65% were below-average on single-word reading. Fifty percent of participants reported a diagnosis/symptoms of depression and 54% reported a diagnosis/symptoms of anxiety. The correlation between oral language and literacy was modest but significant ( r = 0.502; p ⩽ 0.05); no significant correlations were found between oral language, literacy and mental health status, suggesting that mental health problems are a comorbidity rather than a correlate of language and literacy difficulties. Language and literacy difficulties are highly prevalent in this population. Language disorders are likely to be undiagnosed in the context of significant mental health problems, and disrupted schooling and accommodation. Speech-language therapy scope of practice needs to include out-of-home care populations in order to foster developmentally appropriate language and literacy skills that maximize school success, both academically and socially.


2021 ◽  
pp. 131-154
Author(s):  
Marit Kristine Helgesen

The chapter studies one municipality in the process of implementing the Mental Health Action Plan over a 12-year period. The research questions are whether implementation compelled the municipality to change its service delivery organisation, whether management and management roles changed, and if so, how? The data is 21 individual interviews with managers and professionals in the municipality. The chapter shows how the municipality established a mental health service integrated into the unit for home care services for elderly people, yet management at different levels did not include tasks aimed at enabling the services to cooperate, and this created conflict in the relations between them. Implementation of NPM made the conflict worse. More management positions were established in order to facilitate more tasks. The new positions, however, focussed on internal organisational processes, and the conflict was not resolved until the mental health unit was separated from the home care service unit, thus creating two independent organisations that could cooperate in a quasi-market – the operative tool being money.


2020 ◽  
Vol 11 ◽  
Author(s):  
Camila T. Penteado ◽  
Julia C. Loureiro ◽  
Marcos V. Pais ◽  
Cláudia L. Carvalho ◽  
Lívea F. G. Sant'Ana ◽  
...  

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