Strategies To Support Older Adults’ Mental Health During the Transition Into Residential Aged Care: A Qualitative Study of Multiple Stakeholder Perspectives

BackgroundThe move from home into residential care is one of the most stressful life experiences for older adults. ‘Relocation stress’ is a significant risk factor for anxiety and/or depression in aged care residents. Whether long-term or recently diagnosed, these mood disorders are associated with a decline in overall well-being, daily functioning and independence. The mental health needs of older adults are often poorly recognised and supported, including during the transition into residential care. Despite growing interest in how to facilitate this major life transition, few studies have taken the perspective of multiple stakeholders. The aim of this study was to explore resident, relative and staff experiences of the transition into residential aged care, and to identify strategies to support the mental health of older adults at this time. MethodsSemi-structured interviews were conducted with 35 aged care residents, relatives and staff, between January and April 2021. Participants were selected using purposive and convenience sampling. Interviews were audio recorded and transcribed verbatim. Data were analysed inductively and grouped into themes. ResultsResults were distilled into three main categories related to the overall transition experience, residents’ mental health needs and strategies to support residents’ mental health. A novel contribution of this study relates to the need to address a broad misunderstanding of the role of pastoral care and subsequent under-utilisation of a potentially valuable resource. ConclusionsBy describing transition experiences and the resources to support residents’ mental health, findings of this study provide practical, ‘real world’ suggestions for reducing relocation stress. New resources developed from the findings include guides, checklists and short question-and-answer films, in which current residents and staff describe strategies to support mental health and overall quality of life. Similar resources could be used to support transitions in other care settings.

The Perils of the Pandemic and India's Child Victims of Covid-19

Aim: The following paper attempts to trace the impact of Covid-19 on the younger generation, mostly from economically underprivileged sections, by focusing on specific themes such as health, education, vulnerability to abuse, and violence. The paper tries to address how the pandemic has affected various dimensions of the lives of these younger generation-children and adolescents, alongside tracing the measures taken by the government in the fight against the virus. Methods: We curated the information based on credible data as published in leading news media, PMC published peer-reviewed materials Conclusions: The paper concludes with recommendations that a coherent government policy and the active participation of NGOs are needed to address the problem. The children's mental health needs to be dealt with utmost care at home, which will pave the way towards a better future for the younger generation during and after the pandemic.

Understanding the Mental Health Needs of a Community-Sample of UK Women Veterans

Women are often underrepresented or entirely missing from veteran research, and there remains limited understanding of their mental health needs. The present study investigated the mental health needs of a community sample of UK women veterans. A total of 750/1680 (44.6%) participants completed an online survey. Data was collected on sociodemographic and military factors, mental health and wellbeing, and childhood adversity. Findings revealed a high prevalence and comorbidity of mental health difficulties, including common mental health difficulties (28.6%) and posttraumatic stress disorder (PTSD) (10.8%). Women veterans who were older, not working, held a lower rank during service, perceived less social support and experienced greater loneliness were more likely to report such difficulties. Results further revealed high childhood and military adversity, and wellbeing difficulties. Such findings provide insight into the needs of women veterans and have implications for providing appropriate support. Considerations of the generalizability of findings are discussed.

The Opportunities and Challenges of the First Three Years of Open Up, an Online Text-Based Counselling Service for Youth and Young Adults

We present the opportunities and challenges of Open Up, a free, 24/7 online text-based counselling service to support youth in Hong Kong. The number of youths served more than doubled within the first three years since its inception in 2018 in response to increasing youth suicidality and mental health needs. Good practice models are being developed in order to sustain and further scale up the service. We discuss the structure of the operation, usage pattern and its effectiveness, the use of AI to improve users experience, and the role of volunteer in the operation. We also present the challenges in further enhancing the operation, calling for more research, especially on the identification of the optimal number of users that can be concurrently served by a counsellor, the effective approach to respond to a small percentage of repeated users who has taken up a disproportional volume of service, and the way to optimize the use of big data analytics and AI technology to enhance the service. These advancements will benefit not only Open Up but also similar services across the globe.

Understanding the Potential of Digital Interventions to Address Mental Health Needs of the Deaf and Hard of Hearing Community: A Mixed Methods Study (Preprint)

BACKGROUND Mental health concerns are a significant issue among the Deaf and Hard of Hearing Community, but community members can face several unique challenges to accessing appropriate resources. OBJECTIVE This study investigated the mental health needs of the Deaf and Hard of Hearing Community, and how mental health digital therapeutics, such as apps, may be able to support these needs. METHODS Ten members of the Deaf and Hard of Hearing Community participated in a focus group and survey to provide their views. Participants were members of the Center on Deafness Inland Empire team, which comprises people with lived experience as members of and advocates for the Deaf and Hard of Hearing Community. RESULTS Findings identified a spectrum of needs for digital therapeutics including offering American Sign Language and English support, increased education of mental health to reduce stigma around mental health, direct communication with a Deaf worker, and apps that are accessible to a range of community members in terms of culture, resources required and location. CONCLUSIONS These findings can inform the development of digital mental health interventions and outreach strategies that are appropriate for the Deaf and Hard of Hearing Community.