Screening for mental health needs of New Zealand youth in secure care facilities using the MAYSI-2

2017 ◽  
Vol 28 (3) ◽  
pp. 239-254 ◽  
Author(s):  
Sean McArdle ◽  
Ian Lambie
2020 ◽  
pp. 000486742097684
Author(s):  
Mathijs FG Lucassen ◽  
Karolina Stasiak ◽  
Theresa Fleming ◽  
Christopher Frampton ◽  
Yael Perry ◽  
...  

Objective: SPARX is a form of computerized cognitive behavioural therapy in serious game format funded via the Ministry of Health to be freely available in New Zealand. At registration users identify themselves as male, female, transgender or intersex. We aimed to establish whether adolescent transgender users of SPARX, compared to adolescent male and female users, were more likely to have high mental health needs at baseline and were more likely to complete SPARX. We also sought to determine changes in transgender adolescents’ depressive symptoms after using SPARX. Methods: Quantitative analysis of 5 years of usage data from the nation-wide delivery of SPARX in New Zealand. Results: There were 9079 adolescents who completed the registration process and used SPARX, 2.3% ( n = 207) identified as transgender. The majority of transgender registrants (69.0%) completing a baseline Patient Health Questionnaire – modified for Adolescents were categorized as having high mental health needs, significantly more so than male and female registrants ( p < 0.001). Over half of all SPARX registrants completed the first module of the program, with subsequently lower proportions of transgender registrants completing Module 4 ( p = 0.005) and Module 7 (i.e. the last module, p = 0.048). Of those registrants completing a baseline and subsequent Patient Health Questionnaire – modified for Adolescents, both male ( n = 247) and female ( n = 630) registrants, on average, had improvements in their scores (2.68 and 3.15, respectively), whereas transgender registrants ( n = 14) did not (−0.43) ( p = 0.048). Conclusion: This is the first study describing the impact of an e-therapy on transgender young people. The analysis of data from this free self-help intervention suggests that transgender adolescents seeking treatment for depression have particularly high mental health needs, and an existing well tested tool may be less effective for them than it is for others. Taken together the results appear to suggest targeted efforts may be required for transgender adolescents.


2006 ◽  
Vol 52 (5) ◽  
pp. 408-412 ◽  
Author(s):  
Shailesh Kumar ◽  
Samson Tse ◽  
Antonio Fernando ◽  
Sai Wong

Background: New Zealand has recently experienced a massive and rapid influx of Asian migrants. The Asian population has doubled in 10 years and is now the third-largest ethnic group. Materials: Databases reviewed include Medline, NZ government reports and NZ media releases. Discussion: Despite the significant growth in the Asian population, most of whom are in a vulnerable age group for mental morbidity and are exposed to adverse experiences, accurate and systematically obtained information on the mental health of Asians is lacking. Conclusion: This paper argues for a need to conduct a well-designed epidemiological study on the mental health needs of Asians in New Zealand. Recommendations on how to pursue this epidemiological study are provided.


2019 ◽  
Vol 27 (5) ◽  
pp. 506-512 ◽  
Author(s):  
Kimberley Davies ◽  
Claire Eagleson ◽  
Janelle Weise ◽  
Rachael C Cvejic ◽  
Julian N Trollor

Objective: To describe the characteristics and clinical capacity of Australian and New Zealand psychiatrists working in intellectual and developmental disability mental health (IDDMH). Method: Consultant psychiatrists (n=71) with an interest or expertise in IDDMH completed an online survey about their roles, experience and time spent in intellectual developmental disability (IDD)-related activities. Results: Psychiatrists had worked in IDDMH for a median of 11.34 years and half (53.5%) reported expertise in the area. One-fifth of psychiatrists reported IDDMH as their main area of practice. The majority of respondents (85.1%) reported that they were working clinically with people with IDD. Respondents practicing clinically worked a median of 8 hours in clinical and 3 hours in non-clinical IDD-related work per week. Conclusions: Surveyed psychiatrists had considerable experience in IDDMH. However, their work in IDDMH represented a relatively small proportion of their overall work hours, and a minority of respondents were responsible for a large proportion of clinical work. Exploring ways to broaden capacity is crucial to ensuring the mental health needs of people with IDD are met.


2017 ◽  
Vol 38 (4) ◽  
pp. 290-300 ◽  
Author(s):  
Jagamaya Shrestha-Ranjit ◽  
Elizabeth Patterson ◽  
Elizabeth Manias ◽  
Deborah Payne ◽  
Jane Koziol-McLain

2021 ◽  
Author(s):  
◽  
Laura Joy Halligan

<p>This exegesis outlines research about the way the key competencies of the New Zealand curriculum related to music therapy practice at a transition school for adolescents with mental health needs. Secondary analysis of data, informed by grounded theory methods, was carried out in order to develop a theory about the relationship between music therapy and the key competencies. The competencies, which are focused on supporting students to develop broad skills that will help them in their education and throughout their lives, guided all work with students at the school, including music therapy practice. While educative in nature, the competencies also seemed to have some naturally therapeutic purposes, and this study focused on understanding how they related to music therapy in practice. Data that had been collected in the natural environment of the school to meet the requirements of the placement as a student music therapist were analysed. The findings showed that there was a significant relationship between music therapy practice and the competencies. This contributed an additional perspective and dimension to the way the competencies could be addressed with students. In particular, music therapy provided students with opportunities to try out different ways of being with each other and supported them to experience feelings of hope and empowerment.</p>


1991 ◽  
Author(s):  
Joel A. Dvoskin ◽  
Patricia A. Griffin ◽  
Eliot Hartstone ◽  
Ronald Jemelka ◽  
Henry J. Steadman ◽  
...  

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