7 results
Search Results
2. Patient Experiences Completing Patient Reported Outcome Measures in Behavioral Health Within a Health Safety-Net Setting.
- Author
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Kramer, Joanna, Perez, Daisy, Ramseier, Denisa, Morgan, Lily, Wilens, Timothy E., Rao, Vinod, and Yule, Amy M.
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MENTAL health , *SAFETY-net health care providers , *RESEARCH funding , *INTERVIEWING , *QUESTIONNAIRES , *THEMATIC analysis , *ATTENTION , *RESEARCH methodology , *HEALTH outcome assessment , *PATIENT satisfaction , *LITERACY , *PATIENTS' attitudes , *TIME - Abstract
Measurement based care (MBC), a practice that uses patient reported outcome measures (PROMs), is not widely used in behavioral health settings and little is known about the patient experience with MBC in safety-net settings. This study aimed to understand patient experiences completing PROMs on paper when presenting to an outpatient, behavioral health setting within a public safety-net hospital. Semi-structured interviews were conducted with 22 participants in English and Spanish. Participants were 42 years old (SD = 12.7), mostly white (36.4%) and Black (31.8%). Thematic analysis was used to analyze findings. Overall, participants were engaged with PROMs and described them as helpful for themselves and their clinicians. Participants also expressed themes focused on PROMs user-friendliness, including formatting, time to complete measures, and participant characteristics such as attention and literacy. These findings are important to consider to ensure equitable access to MBC when implemented in behavioral health in the health safety-net setting. [ABSTRACT FROM AUTHOR]
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- 2024
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3. A Port in a Storm: Ongoing Psychotherapy, Transitioned to Telehealth, as Pandemic-Related Suicide Risk Mitigation.
- Author
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Robison, Morgan, Schneider, Matthew, Wissemann, Karl, Meynadasy, Melissa A., and Joiner, Thomas
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PREVENTION of mental depression , *MENTAL depression risk factors , *PSYCHOTHERAPY , *SELF-evaluation , *RISK assessment , *SUICIDAL ideation , *RESEARCH funding , *MENTAL illness , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *TELEPSYCHOLOGY , *TRANSITIONAL care , *SOCIODEMOGRAPHIC factors , *COVID-19 pandemic , *MENTAL depression , *PSYCHOSOCIAL factors - Abstract
The COVID-19 pandemic caused concern regarding suicide risk mitigation while requiring many clinicians to transition to telehealth. We hypothesized that this transition would increase suicide intent, suicide desire, and depressive symptom ratings from pre-COVID-19 to peri-COVID-19. Patients at a southeastern US outpatient psychotherapy training clinic reported on suicide risk and depressive symptoms before and after the transition to telehealth treatment. Additionally, the effect of continuation of treatment on suicide risk was also analyzed. Suicide risk levels (n=39) and depressive symptoms (n=25) did not increase following the transition to telehealth. Self-reported suicide desire ratings significantly decreased from pre- to peri-pandemic assessments. Findings suggest that telehealth, among other sociocultural factors, became somewhat of a "port in a storm," such that it may have provided protections from exacerbations of mental health concerns and further vulnerabilities towards increased suicide risk. This paper concludes with relevant implications and suggestions for community health clinics. [ABSTRACT FROM AUTHOR]
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- 2024
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4. An Exploratory Qualitative Analysis of the Stanford-Templeton Convenings on Islam and Suicide.
- Author
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Awaad, Rania, Quadri, Yasmeen, Sifat, Munjireen, Elzamzamy, Khalid, Suleiman, Kamal, Rehman, Obaid, Husain, Amina, Abdelrehim, Amira, Rushdi, Rufaida, Belanger, Chelsea C., Hill, Terrence D., and Koenig, Harold G.
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SUICIDE risk factors , *LIFE , *MENTAL health , *QUALITATIVE research , *RESEARCH funding , *ISLAM , *INTERVIEWING , *PSYCHOLOGY & religion , *MUSLIMS , *THEMATIC analysis , *ATTITUDE (Psychology) , *SUICIDE , *RESEARCH , *RESEARCH methodology , *CONCEPTUAL structures - Abstract
For over 70 years, studies have reported lower rates of completed suicide in Muslim-majority countries and individuals who identify as Muslim. To this point, the mechanisms underlying the relationship between Islam and lower risk of suicide remain understudied. In an effort to advance our understanding, we convened a bilingual international interdisciplinary panel of experts for a discussion of the current state and future directions of the field. In this paper, we present an exploratory qualitative analysis of the core themes that emerged from the group interviews. We also derive a general theoretical model of the association between Islam and suicide risk. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Mental health literacy in children and adolescents in low- and middle-income countries: a mixed studies systematic review and narrative synthesis.
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Renwick, Laoise, Pedley, Rebecca, Johnson, Isobel, Bell, Vicky, Lovell, Karina, Bee, Penny, and Brooks, Helen
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MENTAL illness treatment , *INTELLECT , *MIDDLE-income countries , *MEDICAL information storage & retrieval systems , *HEALTH literacy , *HEALTH attitudes , *MENTAL health , *RESEARCH funding , *CINAHL database , *TREATMENT effectiveness , *CONFIDENCE , *HELP-seeking behavior , *PEDIATRICS , *SYSTEMATIC reviews , *MEDLINE , *SOCIAL networks , *LOW-income countries , *PSYCHOLOGY information storage & retrieval systems , *SOCIAL stigma , *EVALUATION - Abstract
Mental illnesses are the leading cause of disease burden among children and young people (CYP) globally. Low- and middle-income countries (LMIC) are disproportionately affected. Enhancing mental health literacy (MHL) is one way to combat low levels of help-seeking and effective treatment receipt. We aimed to synthesis evidence about knowledge, beliefs and attitudes of CYP in LMICs about mental illnesses, their treatments and outcomes, evaluating factors that can enhance or impede help-seeking to inform context-specific and developmentally appropriate understandings of MHL. Eight bibliographic databases were searched from inception to July 2020: PsycInfo, EMBASE, Medline (OVID), Scopus, ASSIA (ProQuest), SSCI, SCI (Web of Science) CINAHL PLUS, Social Sciences full text (EBSCO). 58 papers (41 quantitative, 13 qualitative, 4 mixed methods) representing 52 separate studies comprising 36,429 participants with a mean age of 15.3 [10.4–17.4], were appraised and synthesized using narrative synthesis methods. Low levels of recognition and knowledge about mental health problems and illnesses, pervasive levels of stigma and low confidence in professional healthcare services, even when considered a valid treatment option were dominant themes. CYP cited the value of traditional healers and social networks for seeking help. Several important areas were under-researched including the link between specific stigma types and active help-seeking and research is needed to understand more fully the interplay between knowledge, beliefs and attitudes across varied cultural settings. Greater exploration of social networks and the value of collaboration with traditional healers is consistent with promising, yet understudied, areas of community-based MHL interventions combining education and social contact. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Examining Associations Between Multiple Types of IPV and Adverse Mental Health Among IPV Survivors.
- Author
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Jiwatram-Negrón, Tina, Cheng, Shih-Ying, Wachter, Karin, Mazzio, Andrea Kappas, Ward, Malorie, Reed, Lauren, and Messing, Jill Theresa
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MENTAL illness risk factors , *MENTAL depression risk factors , *SUICIDE risk factors , *PSYCHOLOGICAL abuse , *SOCIAL support , *MULTIVARIATE analysis , *PSYCHOLOGICAL vulnerability , *MULTIPLE regression analysis , *POST-traumatic stress disorder , *REGRESSION analysis , *INTIMATE partner violence , *RISK assessment , *PSYCHOLOGICAL tests , *CRONBACH'S alpha , *QUESTIONNAIRES , *SCALE analysis (Psychology) , *CENTER for Epidemiologic Studies Depression Scale , *FACTOR analysis , *RESEARCH funding , *TECHNOLOGY , *LOGISTIC regression analysis , *DATA analysis software , *STATISTICAL models , *ODDS ratio , *CONTROL (Psychology) - Abstract
Purpose: Research shows that women who experience intimate partner violence (IPV) are at risk for a range of adverse mental health outcomes, including depression, post-traumatic stress disorder (PTSD), and suicidality. However, few studies use measures that reflect the broad range of IPV exposures that women experience. This paper examines the associations between multiple IPV types and adverse mental health among a sample of survivors engaged in care. Methods: This article draws on data from a web-based survey administered to 377 women seeking IPV services in a Southwestern U.S. state. Multivariate regression analyses with multiple imputation were conducted to investigate the net association between multiple types of IPV and three mental health outcomes: depression, PTSD, and a prior suicidal attempt or threat, controlling for socio-demographics and self-rated health. Results: Multivariate analyses indicated significant associations between reproductive coercion (β = 6.89, p <.001), technology-facilitated violent threats (β = 5.27, p <.05), and psychological vulnerability/abuse (β = 4.45, p <.05) and symptoms of depression. Findings also indicated significant net associations between reproductive coercion (β = 7.05, p <.001), technology-facilitated humiliation (β = 4.87, p <.05), and psychological vulnerability/abuse (β = 7.76, p <.001) and increased PTSD symptomology. Finally, psychological vulnerability/abuse (aOR = 3.36, p <.01) increased the likelihood of reporting a prior suicidal attempt or threat. Conclusion: Women reporting reproductive coercion, technology-facilitated abuse, and psychological vulnerability/abuse had a higher risk of adverse mental health. More research is needed to understand the mechanisms that underlie these varied associations and to develop a cohesive practice model attuned to integrated needs. [ABSTRACT FROM AUTHOR]
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- 2024
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7. A Qualitative Investigation of the Experiences of Women with Perinatal Depression and Anxiety during the COVID-19 Pandemic.
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Rokicki, Slawa, Mackie, Thomas I., D'Oria, Robyn, Flores, Mariella, Watson, Ashley, Byatt, Nancy, and Suplee, Patricia
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MEDICAL quality control , *ATTITUDES of mothers , *POSTPARTUM depression , *HEALTH services accessibility , *SOCIAL support , *PSYCHOLOGY of mothers , *RESEARCH methodology , *SELF-evaluation , *PREGNANT women , *MENTAL health , *INTERVIEWING , *EXPERIENCE , *PERINATAL mood & anxiety disorders , *QUALITATIVE research , *DESCRIPTIVE statistics , *RESEARCH funding , *JUDGMENT sampling , *THEMATIC analysis , *DATA analysis software , *COVID-19 pandemic - Abstract
Objectives: The COVID-19 pandemic has had significant impacts on maternal mental health. We explored the lived experiences of women with perinatal depression and anxiety to elucidate their perceptions of how the pandemic influenced their mental health and access to care. Methods: We conducted a qualitative descriptive study using semi-structured interviews. From March to October 2021, purposive sampling was used to recruit a socio-demographically diverse sample of women with self-reported perinatal depression or anxiety who were pregnant or within one year postpartum between March 2020 and October 2021. Interviews were conducted remotely and thematically analyzed. Results: Fourteen women were interviewed. Three major themes arose. Theme 1, Negative impacts of COVID-19 on symptoms of depression and anxiety, described how the pandemic magnified underlying symptoms of depression and anxiety, increased social isolation, generated anxiety due to fears of COVID-19 infection, and caused economic stress. In theme 2, Negative impacts of COVID-19 on access to and quality of health care, women described stressful and isolating delivery experiences, negative psychological impact of partners not being able to participate in their perinatal health care, interruptions and barriers to mental health treatment, and challenges in using telehealth services for mental health care. Theme 3, Positive impacts of COVID-19 on mental health, identified advantages of increased telehealth access and ability to work and study from home. Conclusions for Practice: The COVID-19 pandemic negatively affected women with perinatal depression and anxiety by magnifying underlying symptoms, increasing stress and social isolation, and disrupting access to mental health care. Findings provide support for policies and interventions to prevent and address social isolation, as well as optimization of telehealth services to prevent and address gaps in perinatal mental health treatment. Significance: What is Already Known on this Subject? Quantitative data suggest that the pandemic increased rates of perinatal mental illness. Yet the perspectives of women with perinatal depression and anxiety on how the pandemic affected their mental health and access to care remain underreported. What this Study adds? This paper offers new insight from the lived experience of women with perinatal depression and anxiety on ways the pandemic negatively and positively affected their mental health and access to mental health care. Implications for interventions, policies, and clinical practice are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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