6 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.
- Subjects
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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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- View/download PDF
3. 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
- Full Text
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4. A Qualitative Investigation of the Experiences of Women with Perinatal Depression and Anxiety during the COVID-19 Pandemic.
- Author
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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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PERINATAL mood & anxiety disorders , *HEALTH services accessibility , *SELF-evaluation , *MENTAL health , *MEDICAL quality control , *QUALITATIVE research , *RESEARCH funding , *INTERVIEWING , *PREGNANT women , *ATTITUDES of mothers , *POSTPARTUM depression , *JUDGMENT sampling , *DESCRIPTIVE statistics , *EXPERIENCE , *THEMATIC analysis , *PSYCHOLOGY of mothers , *RESEARCH methodology , *SOCIAL support , *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
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5. Positive effects of the COVID-19 pandemic on depression and anxiety in Chinese adolescents.
- Author
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Yang, Xinhua, Lawrence, Andrew J., Harrison, Phillippa, Liu, Yanlong, Chen, Liangliang, Wang, Chenglei, Yan, Chao, and Zahn, Roland
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PREVENTION of mental depression ,SELF-evaluation ,MENTAL health ,RESEARCH funding ,PSYCHOLOGY of high school students ,POSITIVE psychology ,QUESTIONNAIRES ,LONGITUDINAL method ,STAY-at-home orders ,PSYCHOLOGICAL stress ,HOME schooling ,RESEARCH methodology ,BULLYING ,ANXIETY disorders ,COVID-19 pandemic ,MENTAL depression ,SOCIAL isolation ,ADOLESCENCE - Abstract
The potential impact on mental health of home schooling and social isolation due to COVID-19 lockdowns has led to widespread concern, particularly for adolescents. However, studies including pre-pandemic data from longitudinal cohorts with an assessment of the longer-term impact of the Covid-19 pandemic beyond the first months of 2020 are scarce. This longitudinal study of 1534 adolescents attending a secondary school in Hunan province investigated self-reported symptoms of anxiety and depression using two validated scales (Screen for Child Anxiety Related Disorders, Child Mood and Feelings Questionnaire) at six time points before, during, and after the 2020 national lockdown restrictions in China. Perceived COVID-related stress was assessed by an author-developed scale at two timepoints during the lockdown. We investigated trends in symptoms over time with a fixed effects model and multiple imputations of missing data. Counter to our expectations, depressive and anxiety symptoms were reduced during the 2020 lockdown relative to pre-lockdown (depression: b = − 3.37, SE = 0.345, Cohen's d = − 0.25, p < 0.0001; anxiety: b = − 4.55, SE = 0.382, Cohen's d = − 0.30, p < 0.0001). Symptoms remained significantly reduced even after lockdown restrictions eased. Higher symptom levels during lockdown were associated with greater self-reported COVID-related stress (depression: b = 0.11, SE = 0.026, p < 0.0001; anxiety: b = 0.11, SE = 0.036, p < 0.0001). Although COVID-related stresses correlated with higher levels of anxiety and depression, the lockdown period was associated with improved symptom levels in the adolescents taking part in our study. School closures may have improved the mental health of adolescents in China. We speculate this beneficial effect of lockdown can be explained by the adverse effects of attending school itself such as exposure to bullying and achievement pressures. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
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6. Barriers and facilitators to social prescribing in child and youth mental health: perspectives from the frontline.
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Hayes, D., Olsson, A., Begum, S., Bertotti, M., Jarvis-Beesley, P., and Stapley, E.
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HEALTH services accessibility ,EMOTION regulation ,REINFORCEMENT (Psychology) ,CHILD psychopathology ,MENTAL health services ,MENTAL health ,OPTIMISM ,RESEARCH funding ,SOCIAL workers ,INTERVIEWING ,SOCIAL worker attitudes ,DECISION making ,PSYCHOLOGICAL adaptation ,CONFIDENCE ,DESCRIPTIVE statistics ,THEMATIC analysis ,PROFESSIONS ,ATTENTION ,MOTIVATION (Psychology) ,CONCEPTUAL structures ,RESEARCH methodology ,SOCIAL skills ,MEMORY ,INTERPERSONAL relations ,STAKEHOLDER analysis ,MEDICAL referrals ,SOCIAL participation ,WELL-being ,PROFESSIONAL competence - Abstract
There is growing interest in the role of Social Prescribing (SP) to help promote mental well-being and support individuals with mental health difficulties. Yet, implementation of SP to children and young people (CYP) has proved slow and underdeveloped compared with adult populations. Understanding the barriers and facilitators will help key stakeholders to better embed SP for CYP into practice. Using the Theoretical Domains Framework (TDF), a comprehensive, theoretical-led framework, underpinned by 33 behaviour change theories and 128 constructs, perceived barriers and facilitators to SP were investigated. The sample comprised of 11 Link Workers and 9 individuals involved in facilitating SP with CYP, who took part in semi-structured interviews. Transcripts were analysed using a deductive thematic analysis, and themes were coded under each theoretical domain. Overall, 33 barriers and facilitators for SP were identified across 12 domains of the TDF. Under capability, barriers and facilitators were found for knowledge, skills, memory/attention/decision making processes, and behavioural regulation. For opportunity, barriers and facilitators were found for social/professional influences, as well as environmental context and resources. Finally, for motivation, domains covered included: beliefs about consequences, beliefs about capabilities, optimism, motivations/goals, reinforcement, and emotions. Findings suggest that a wide range of barriers and facilitators affect the implementation of CYP SP to improve mental health and well-being. Interventions which target different domains related to capability, opportunity and motivation should be developed to better facilitate CYP SP. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
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