scholarly journals Psychological Consultation Services at a Multiple Sclerosis Clinic

2009 ◽  
Vol 11 (4) ◽  
pp. 180-186 ◽  
Author(s):  
Lara M. Stepleman ◽  
Rebecca Jump ◽  
Sarah F. Shelton ◽  
Mary D. Hughes
Keyword(s):  
Mental Health ◽  
Multiple Sclerosis ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Organizational Factors ◽  
Well Being ◽  
Mental Health Providers ◽  
Health Providers ◽  
Medical College ◽  
Psychological Consultation

Despite the existence of effective treatments for mental health problems in patients with multiple sclerosis (MS), such problems often go untreated or undertreated because of a variety of patient, provider, and organizational factors. As untreated psychological difficulties can interfere with MS treatment adherence, a collaborative partnership between medical and mental health providers is crucial. In the fall of 2003, the Medical College of Georgia's Augusta MS Center implemented an MS psychological consultation service. The goal of this service is to remove barriers to the emotional well-being of individuals with MS through convenient, collaborative, and coordinated psychological services provided during routine MS medical appointments. To better understand patient use of this new program and the types of problems addressed, we conducted a retrospective review of documentation from 197 consultations held from July 2004 through June 2006. Summary data on demographics, presenting problems, and resultant treatment plans reflect a broad array of concerns for which psychological consultation was sought, including psychiatric symptoms, difficulties with adjustment to illness, and cognitive problems. Given the barriers to mental health care for MS patients and the unique skills psychologists bring to the multidisciplinary MS team, on-site psychological consultation may be an effective method of providing mental health services to the MS population.

Psychosocial concerns in a context of prolonged political oppression: Gaza mental health providers’ perceptions

2022 ◽  
pp. 136346152110629
Author(s):  
Marwan Diab ◽  
Guido Veronese ◽  
Yasser Abu Jamei ◽  
Rawia Hamam ◽  
Sally Saleh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Health Problems ◽  
Qualitative Interviews ◽  
Clinical Work ◽  
Mental Health Providers ◽  
Health Providers ◽  
Psychological Burden ◽  
Psychosocial Conditions

In this qualitative exploratory study, we investigated the perspectives of mental health providers in Gaza, Palestine, regarding the primary concerns of their clients who are exposed to low-intensity warfare and structural violence. We conducted qualitative interviews with 30 psychologists, social workers, psychiatric nurses, and psychiatrists providing services to communities in Gaza. Participants were asked to discuss their clients’ most commonly occurring mental health problems, diagnoses, and psychosocial conditions. Thematic analysis identified one superordinate theme (Impact of the Blockade on Mental Health and Quality of Life) and four second-order themes (Concerns about Social Problems, General Concerns about Quality of Life, Concerns about the Mental Health of the Community, and Concerns Related to Children's Mental Health). Participants indicated that the social and political dimensions of mental health and the economic, educational, and health-related consequences of the ongoing blockade of Gaza were the main determinants of psychological burden among their clients. Findings demonstrated the importance of adopting an approach to mental health that includes understanding psychological indicators in a broader framework informed by human rights and social justice. Implications for research and clinical work are discussed, including the role of investments in social capital that may provide individuals with access to resources such as social support, which may in turn promote overall mental health.

Barriers and facilitators of obesity management in families of youth with emotional and behavioral disorders

2016 ◽  
Vol 22 (11) ◽  
pp. 1469-1479 ◽  
Author(s):  
Katelynn A Bourassa ◽  
Christine L McKibbin ◽  
Cynthia M Hartung ◽  
Kay L Bartholomew ◽  
Aaron A Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Behavioral Disorders ◽  
Management Practices ◽  
Psychiatric Symptoms ◽  
Emotional And Behavioral Disorders ◽  
Structured Interview ◽  
Mental Health Providers ◽  
Health Providers ◽  
Obesity Management ◽  
Mental Health Centers

While youth with emotional and behavioral disorders experience increased rates of obesity, few obesity interventions exist that are tailored to their needs. Qualitative methods were employed to elucidate obesity management practices in this population. In all, 56 participants (i.e. 21 youths with emotional and behavioral disorders, 20 caregivers of youth with emotional and behavioral disorders, and 15 mental health providers) were recruited from community mental health centers. Participants completed a demographic form and semi-structured interview regarding obesity-related behaviors. Barriers (e.g. psychiatric symptoms) and facilitators (e.g. social support) to obesity management were identified. These results highlight preferred intervention components for this unique population.

Afterword

2020 ◽  
pp. 523-532
Author(s):  
Philip J. Lazarus ◽  
Ralph Eugene Cash
Keyword(s):  
Mental Health ◽  
School Psychologists ◽  
Mental Health Professionals ◽  
American Psychological Association ◽  
Well Being ◽  
Mental Health Providers ◽  
Health Providers ◽  
School Based ◽  
Training And Research ◽  
Effective Advocacy

In this afterword, the authors emphasize that all school-based mental health providers must be advocates for the emotional well-being of our youth. They emphasize that advocates are made, not born, and discuss specific knowledge and skills necessary for effective advocacy. They then discuss three top advocacy priorities: (a) increasing the number of mental health professionals in the schools; (b) promoting programs, policies, training, and research that supports the emotional well-being of youth; and (c) supporting models, frameworks, and positions developed by the National Association of School Psychologists, the American Psychological Association, and many other mental health associations that support children’s needs. In closing, they discuss how to be advocates for all children and, most important, our most vulnerable student populations at the personal, local (including school), state, national, and international levels.

scholarly journals Engaging patients and parents to improve mental health intervention for youth with rheumatological disease

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Oluwatunmise A. Fawole ◽  
◽  
Michelle V. Reed ◽  
Julia G. Harris ◽  
Aimee Hersh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Health Resources ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Mental Health Providers ◽  
Health Providers ◽  
Patients Âgés ◽  
Rheumatological Disease

Abstract Background Mental health disorders are common in youth with rheumatological disease yet optimal intervention strategies are understudied in this population. We examined patient and parent perspectives on mental health intervention for youth with rheumatological disease. Methods We conducted a mixed methods cross-sectional study, via anonymous online survey, developed by researchers together with patient/parent partners, to quantitatively and qualitatively examine youth experiences with mental health services and resources in North America. Patients ages 14–24 years with juvenile idiopathic arthritis, juvenile dermatomyositis, or systemic lupus erythematous, and parents of patients ages 8–24 with these diseases were eligible (not required to participate in pairs). Participants self-reported mental health problems (categorized into clinician-diagnosed disorders vs self-diagnosed symptoms) and treatments (e.g. therapy, medications) received for the youth. Multivariate linear regression models compared patient and parent mean Likert ratings for level of: i) comfort with mental health providers, and ii) barriers to seeking mental health services, adjusting for potential confounders (patient age, gender, disease duration, and patient/parent visual analog score for disease-related health). Participants indicated usefulness of mental health resources; text responses describing these experiences were analyzed by qualitative description. Results Participants included 123 patients and 324 parents. Patients reported clinician-diagnosed anxiety (39%) and depression (35%); another 27 and 18% endorsed self-diagnosed symptoms of these disorders, respectively. 80% of patients with clinician-diagnosed disorders reported receiving treatment, while 11% of those with self-diagnosed symptoms reported any treatment. Patients were less comfortable than parents with all mental health providers. The top two barriers to treatment for patients and parents were concerns about mental health providers not understanding the rheumatological disease, and inadequate insurance coverage. Over 60% had used patient mental health resources, and over 60% of these participants found them to be helpful, although text responses identified a desire for resources tailored to patients with rheumatological disease. Conclusion Self-reported mental health problems are prevalent for youth in this sample with rheumatological disease, and obstacles to mental health treatment include disease-related and logistic factors. Strategies are needed to improve acceptance and accessibility of mental health intervention, including routine mental health screening and availability of disease-specific mental health resources.

scholarly journals Perceived stress and source of stress among undergraduate medical students of Government Medical College, Mysore

2018 ◽  
Vol 5 (8) ◽  
pp. 3513 ◽  
Author(s):  
Bhavani Nivetha M. ◽  
Mansoor Ahmed ◽  
Prashantha B.
Keyword(s):  
Mental Health ◽  
Perceived Stress ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Physical And Mental Health ◽  
Undergraduate Medical Students ◽  
Handling Stress ◽  
Medical College ◽  
Stressful Environment

Background: Stress is defined as a condition or feeling experienced when a person perceives that demands exceed the personal and social resources the individual is able to mobilize. Medical school is recognized as a stressful environment that may have a negative effect on students’ academic performance, physical health, and psychosocial well-being. This stress when it exceeds the limit of tolerability causes various physical and mental health problems. Identifying this root cause will help us to put a barrier to many future mental health problems in a student’s life.Methods: It was a cross-sectional study done in Mysore Medical College among undergraduate students. Perceived stress scale was used to assess the level of stress and Medical student’s Stressor questionnaire was used to assess the source of stress.Results: A total of 303 students were included in the final analysis. Among them 51.5% were male and 48.5% were females. The age group of the students ranged between 18 and 24 with a mean age of 20.48 and standard deviation (SD) of 0.4. The mean and SD of PSS score is 17.7 and 5.5. The prevalence of mild, moderate and severe stress was 20%, 74% and 6% respectively. Majority of the students (40.9%) considered academic related stressors to be the source of high stress.Conclusions: In our study though majority of the students were stressed (80%), only 6% were severely stressed. The coping strategies adopted by the students like resorting to sleep and music/dance appeared to be appropriate methods of handling stress.

scholarly journals “Depression, Anxiety and Stress among Nurses during Corona Lockdown in a Selected Teaching Hospital, Kaski, Nepal"

2020 ◽  
Vol 10 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Muna Silwal ◽  
Dipti Koirala ◽  
Sabita Koirala ◽  
Anju Lamichhane
Keyword(s):  
Mental Health ◽  
Teaching Hospital ◽  
Mental Health Problems ◽  
College Teaching ◽  
Well Being ◽  
Cross Sectional Study ◽  
Research Centre ◽  
Cross Sectional ◽  
Sample Mean ◽  
Medical College

Introduction: Mental health is as important as physical health to respond to COVID-19 pandemic. This pandemic has increased social isolation and fear regarding health and well-being as well as a dilemma which can lead to mental health problems among general people and health workers.Thus the main objective of this study was to assess the prevalence and factors associated with depression, anxiety and stress among nurses working in a hospital of Nepal during the period of Corona lockdown. Methods: A cross-sectional study was carried out among 152 nurses working at Gandaki Medical College Teaching Hospital and Research Centre of Kaski district of Nepal. Data were collected using a structured self-administered questionnaire consisting of socio-demographic items and Depression, Anxiety and Stress Scale (DASS-42) scale from 11 April to 18 April, 2020. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 22 applying descriptive statistics and inferential statistical method. Results: Respondent's mean age and SD was 24.09 + 3.19 years. The sample mean score of DASS-42 was 29.46 (SD 25.37). Depression, anxiety and stress were prevalent among 39.5%, 50% and 25.7% of the respondents respectively. There was significant association of depression with education level (χ2 =6.597; p=0.01) and working unit (χ2 =8.187; p=0.004). Anxiety was significantly associated with working unit (χ2 =6.973; p=0.008) and children status (χ2 =4.199; p=0.040). Stress was significantly associated with age (χ2 =4.906; p=0.027), working unit (χ2 =4.984; p=0.026) and children status (χ2 =5.653; p=0.017). Conclusion: Based on findings, it can be concluded that some degree of depression, anxiety and stress were prevalent among nurses during COVID-19 pandemic. Further assessment should be made to confirm the respective diagnoses. Stress and anxiety relieving sessions and psychological support programs may help for the nurses with higher than cut-offs.

scholarly journals Workshop: Addressing the mental health needs of lesbian, gay, bisexual, and transgender populations

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Problems ◽  
Health Problems ◽  
Evidence Based ◽  
Mental Health Providers ◽  
Health Providers ◽  
Increased Risk ◽  
Bisexual And Transgender ◽  
Lgbt Individuals

Abstract Today a large number of studies from different parts of the world clearly show that compared with heterosexuals lesbian, gay, bisexual, and transgender (LGBT) individuals have an increased risk of mental health problems, especially depression, anxiety and suicidal behaviour. To meet this increased risk of mental health problems, many governmental public health agencies call for policy and intervention programs addressing specific needs of LGBT individuals. Despite the clear need for evidence-based care, prevention, and treatment specifically tailored to LGBTQ people, there are currently few such programmes due to lack of sufficient research. This workshop will give examples of studies on mental health care needs among LGBT individuals and effect of evidence-based training for mental health providers, as well as, studies showing improvements of mental health after treatments. Dr. Corina Lelutiu-Weinberger (Rutgers University, USA) will present results from a newly conducted study of LGBT-affirmative mental health training for health care providers in Romania. Dr. John Pachankis (Yale University, USA), will present results showing improvements in mental health among transgender individuals after receiving gender-affirmative surgical treatment, using a total population dataset from Sweden. Dr. Igor Grabovac (Medical University of Vienna, Austria) will present health and well-being disparities based on sexual orientation among older LGBT individuals in England. The situation for LGBT individuals varies greatly across Europe. The level of acceptance for minority sexual orientations differs greatly by country, and in many countries, LGBT people are also subject to legal discrimination concerning basic civil rights, e.g. regarding recognition of same-sex unions. During the workshop, Dr. Richard Bränström (Karolinska Institutet, Sweden) will present data on experiences of discrimination in health care settings and openness with sexual and gender identity to mental health providers among LGBT populations across all 28 European Union Countries. Key messages Today a large number of studies from different parts of the world clearly show that compared to heterosexuals LGBT individuals have an increased risk of mental health problems. Access to supportive mental health care for LGBT individuals varies greatly across Europe and dissemination of targeted LGBT-affirmative evidence-based interventions needed.

Mental health needs of lesbian, gay, bisexual, and transgender migrants

2021 ◽  
pp. 81-88
Author(s):  
Rebecca Hopkinson ◽  
Eva S. Keatley ◽  
Joanne Ahola
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Use Case ◽  
Mental Health Providers ◽  
Health Providers ◽  
Factors Affecting ◽  
Case Examples ◽  
Culturally Sensitive Care ◽  
Bisexual And Transgender ◽  
Migration Factors

Lesbian, gay, bisexual, and transgender (LGBT) migrants have a unique set of experiences that affect mental health. Many are forced to flee their home countries owing to persecution, and both pre- and post-migration factors can affect their well-being. Mental health providers would benefit from learning about the specific needs of this population. In this chapter, we will discuss LGBT migrant experiences with regard to pre- and post-migration factors affecting mental health. We will address relevant terminology, factors that affect mental health, and helpful information about providing culturally sensitive care. We will use case examples to illustrate the information provided.

scholarly journals Childhood maltreatment and its mental health consequences among Indian adolescents with a history of child work

2020 ◽  
Vol 54 (5) ◽  
pp. 496-508
Author(s):  
Rakesh Pandey ◽  
Shulka Gupta ◽  
Aakanksha Upadhyay ◽  
Rajendra Prasad Gupta ◽  
Meenakshi Shukla ◽  
...  
Keyword(s):  
Mental Health ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Well Being ◽  
Health Consequences ◽  
Child Work ◽  
Indian Adolescents ◽  
History Of

Objectives: Although the prevalence and mental health consequences of childhood maltreatment among adolescents have been studied widely, there are few data addressing these issues in Asian lower middle–income countries. Here, we assessed the prevalence and types of childhood maltreatment and, for the first time, examined their association with current mental health problems in Indian adolescents with a history of child work. Methods: One hundred and thirty-two adolescents (12–18 years; 114 males, 18 females) with a history of child work were interviewed using the Child Maltreatment, Conventional Crime, and Witnessing and Indirect Victimisation modules of the Juvenile Victimization Questionnaire. Potential psychiatric diagnoses and current emotional and behavioural problems were assessed using the culturally adapted Hindi versions of the Youth’s Inventory–4R and the Strengths and Difficulties Questionnaire, respectively. Results: A large proportion of the sample reported childhood abuse or neglect (83.36%), direct or indirect victimisation (100%) and experienced symptoms of one or more psychiatric disorders (83.33%). Of the most common maltreatment types, physical abuse was present for 72.73% (extra-familial 56.25%, intra-familial 42.71%), emotional abuse for 47.7% (extra-familial 74.6%, intra-familial 12.9%), general neglect for 17.4% and unsafe home for 45.5% of the adolescents. All these maltreatment types were associated with poor mental health, with emotional abuse showing the strongest and wide-ranging impact. Conclusions: Indian adolescents with a history of child work are at an extremely high risk of extra-familial physical and emotional abuse as well as victimisation. They also experience a range of psychiatric symptoms, especially if they suffered emotional abuse. There is an urgent need for routine mental health screening and to consider emotional abuse in all current and future top-down and bottom-up approaches to address childhood maltreatment, as well as in potential interventions to ameliorate its adverse effects on mental health and well-being, of child and adolescent workers.

scholarly journals Psychological Impacts of the COVID-19 Pandemic Among Portuguese and Swiss Higher-Education Students: Protocol for a Mixed Methods Study (Preprint)

2021 ◽  
Author(s):  
Ana Querido ◽  
Djamel Aissaoui ◽  
Maria Dos Anjos Dixe ◽  
Françoise Schwander-Maire ◽  
Tanya Cara-Nova ◽  
...  
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Mixed Methods ◽  
Sampling Method ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Psychological Impact ◽  
Well Being ◽  
Mixed Methods Study ◽  
Education Students

BACKGROUND Higher-education students are particularly vulnerable to both everyday stressors and mental health problems. Public health emergencies may generate a range of unforeseen potential stressors for vulnerable individuals and communities. The current pandemic has apparently led to an increase in psychiatric symptoms among these students. OBJECTIVE The goal of this study is to characterize the psychological impact of the COVID-19 pandemic among Portuguese and Swiss higher-education students. METHODS This project will use a mixed methods sequential explanatory design in Portugal and Switzerland, with two consecutive phases. During Phase I, a quantitative study will assess the psychological responses of higher-education students during the COVID-19 pandemic. A convenience sampling method will be used for collecting information from students. The association between variables will be determined with univariable and multivariable analyses. During Phase II, qualitative data will be collected in order to understand the determinants of psychological stress and the strategies adopted by students as a result of the COVID-19 pandemic, as well as to identify their opinions and feelings about the teaching-learning process during quarantine. In this phase, participants will be selected using a maximum-variation sampling method. Data from focus group discussions will be coded and inductively analyzed using a thematic analysis approach. Finally, quantitative and qualitative results will be merged during interpretation to provide complementary perspectives. RESULTS This paper describes and discusses the protocol for this mixed methods study, which will be completed in December 2021. This study was formally approved by the local ethics committee (CE/IPLEIRIA/22/2020) in Portugal and authorized by the Swiss Association of Research Ethics Committees, swissethics (CER-VD-2020-02889). CONCLUSIONS This research can contribute to the development of teaching tools and methods that reinforce positive mental health strategies, hope, and adaptive coping among students, and to the development of a class on mental health interventions in the context of catastrophic and traumatic events. This project will also help government stakeholders as well as health and education professionals safeguard the psychological well-being of students facing an expanding COVID-19 pandemic. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/28757

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