scholarly journals Integration of mental health services into HIV healthcare facilities among Thai adolescents and young adults living with HIV

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Tavitiya Sudjaritruk ◽  
Linda Aurpibul ◽  
Wipaporn Natalie Songtaweesin ◽  
Assawin Narkpongphun ◽  
Paul Thisayakorn ◽  
...  
2011 ◽  
Vol 20 (1) ◽  
Author(s):  
Anders Johan W. Andersen ◽  
Tommy Svensson

<span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><p align="left">Psykisk helsearbeid på internett øker i omfang, og verdsettes på grunn av bekvemmelighet, lave kostnader og muligheter for anonymitet. Artikkelen bygger på en kartlegging av norske og svenske nettbaserte eposttjenester for ungdom og unge voksne, og viser at det var 24 nettsteder som tilbød slike tjenester i 2009. Tjenestene hadde opphav i både offentlig og frivillig sektor. Flesteparten av sidene fra offentlig sektor tok utgangspunkt i eksisterende tjenestetilbud, og var en videreutvikling av tjenestene for å styrke tilgjengeligheten av psykisk helsetjenester. Andre sider oppsto som en konsekvens av FNs konvensjon av barns rettigheter. Størsteparten av sidene fra frivillig sektor ble utviklet som følge av et personlig og/eller fagpolitisk engasjement. Fire hovedtema for e-posttjenestene ble identifisert: 1) Kropp, kjønn og seksuell helse; 2) Informasjon og kontakt med voksne; 3) Rus og rusmidler; 4) Psykiske problemer. Studien viser at nettjenestene argumenterer for at det er viktig for ungdoms psykiske helse at de blir inkludert og akseptert i et fellesskap og at de opplever å bli respektert på egne premisser. Samtidig videreføres et ideal om det uavhengige og autonome mennesket, og nettjenestene formidler samlet sett et spenningsfylt budskap om at ungdom er avhengige av andre for å bli og forbli uavhengige individer. Psykisk helsearbeid på internett framstår som en måte å håndtere denne spenningen på, og muliggjør at ungdom kan håndtere en identitet som både avhengige og uavhengige mennesker. Studien viser forskjeller knyttet til begrepsforståelse, og peker på viktigheten av å utforske meningsinnholdet i psykisk helse nærmere.</p><p align="left">Mental health services on the Internet.<br />ENGLISH SUMMARY: The demand for Internet-based mental health services are increasing. The services are valued for their convenience, low cost and opportunities for anonymity. This article is based on a survey of Norwegian and Swedish Internet-based email services for adolescents and young adults. The objective was to explore the ways in which these services mould young people's view on normality and identity and how they contribute to mental health. 24 websites were systematically reviewed. Most of the sites from public sector derived from existing services and can best be understood as an attempt to enhance the availability of the same services for adolescents and young adults. Other sites were closely connected to the UN Convention of children’s rights. A majority of the services from voluntary sector were developed as a result of initiatives taken by professionals or private persons. The email services focused different issues. A qualitative content analysis identified four main themes: 1) Body, gender and sexual health, 2) Information and contact with adults, 3) Drugs and substance abuse, 4) Mental problems.<br />In order to contribute to mental health amongst adolescents and young adults the services emphasise the importance of social inclusion and acceptation. At the same time the services maintain an ideal of the independent and autonomous human being. The services send out a message stating that young people are dependent on others to become and remain independent persons. Internet-based mental health services<br />enables young people to deal with an identity as both dependent and independent. The study reveals differences regarding the concept of mental health, and emphasise the importance of exploring the concept and meaning of mental health more closely.</p></span></span>


2018 ◽  
Vol 34 (S1) ◽  
pp. 18-18
Author(s):  
Angela Ly ◽  
Gilbert A. Tremblay ◽  
Sylvie Beauchamp

Introduction:Current organization of mental health services in Canada imposes a rupture during youth transition to adulthood, when severe mental health disorders start appearing. This can have a major impact on youth recovery and social integration. A health technology assessment (HTA) was initiated to evaluate the efficacy of programs that simultaneously target adolescents and young adults to support decision making.Methods:A systematic review of systematic reviews was conducted. Four databases were searched (MEDLINE, Embase, Applied Social Sciences Index and Abstracts, and CINAHL) for articles published between 2000 and 2017. Article selection and quality assessment (ROBIS tool) were performed and inter-rater agreement was measured. To be included, the systematic review had to study specialized models or programs serving both adolescents and young adults. An analytical framework was constructed based on the categorization of performance measures for early intervention and the five dimensions of recovery. Group and individual interviews were conducted to collect contextual and experiential data.Results:A total of 1,054 references were identified. After applying the selection criteria, five systematic reviews were selected. The majority of programs identified were developed for early psychosis. This HTA did not identify specialized programs for other types of mental illness or at-risk youth. Evidence on early interventions for psychosis is emerging in regards to their efficacy in improving functional and clinical recovery. However, evidence has yet to be established for their impact on access. Contextual and experiential data from our organization validated and completed the scientific findings. Facilitating and constraining factors in the implementation of a person-centered care model and inter-agency collaboration were identified.Conclusions:Services targeting at-risk youth should be developed as part of a continuum of care that is adapted to clinical stages so that all youths living with psychological distress can be treated, regardless of diagnosis or age. These services may draw inspiration from models of early intervention for psychosis. Recommendations from this HTA are currently being put into action in the West Island of Montreal.


2015 ◽  
Vol 34 (2) ◽  
pp. 1-21 ◽  
Author(s):  
Ashley Struthers ◽  
Catherine Charette ◽  
Sunita Bayyavarapu Bapuji ◽  
Shannon Winters ◽  
Xibiao Ye ◽  
...  

This paper presents the findings of a systematic search and review examining the acceptability of e-mental health services for children, adolescents, and young adults and their parents and healthcare providers. Multiple databases were searched and abstracts were screened to determine if they met study inclusion criteria. Findings from included studies were synthesized within five dimensions of acceptability: satisfaction, client expectations, uptake, adherence and patient/provider experiences. Twenty-four studies were included, and findings suggest that although clients are generally satisfied with e-mental health and report positive experiences, adherence and uptake can be challenges. In conclusion, e-mental health appears to be an acceptable intervention option for children, adolescents, and young adults and their parents and healthcare providers. Further research is needed to better understand the effectiveness and acceptability of e-mental health for this population, including adherence, patient and provider experiences and integration into existing health systems.


2020 ◽  
Vol 71 (6) ◽  
pp. 555-561
Author(s):  
Kiara L. Moore ◽  
Lucy Lopez ◽  
David Camacho ◽  
Michelle R. Munson

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