4.54 IMPLEMENTATION OF PROJECT AWARE (ADVANCING WELLNESS AND RESILIENCE EDUCATION) IN THREE RURAL NEVADA SCHOOL DISTRICTS TO INCREASE MENTAL HEALTH AWARENESS, EARLY IDENTIFICATION OF MENTAL HEALTH ISSUES, AND INTERVENTION WITH SCHOOL-AGED YOUTH

Author(s):  
Erika Ryst ◽  
Stephen L. Rock ◽  
Eric C. Albers ◽  
Casey A. Everheart
2020 ◽  
Vol 12 (11) ◽  
pp. 89
Author(s):  
Jeavana Sritharan ◽  
Thivia Jegathesan ◽  
Dharshie Vimaleswaran ◽  
Ashvinie Sritharan

OBJECTIVES: The current COVID-19 pandemic continues to have a significant impact on the mental health of frontline workers worldwide. Currently there are limited published studies addressing mental health issues in frontline workers. The objective of this scoping review is to examine the range of existing global literature on mental health issues reported in frontline workers during the COVID-19 pandemic and to understand what mitigating factors exist. METHODS: The scoping review was guided by the Levac Colquhoun and O’Brien’s adapted version of Arkey and O’Malley’s framework. We performed a comprehensive search of three databases, Pubmed, APA PsychINFO, and CINAHL, identifying 684 studies. In total, 16 original studies and 4 letters to editors were included in this review. RESULTS: Of the original studies, 13 were published in China, and the remaining 3 in Italy, Turkey, and Iraq; all letters to editors were published in China. Sources of stress reported in frontline workers across studies included direct contact with COVID-19 patients, isolation, putting loved ones at risk, facing life and death decision making with COVID-19 patients, uncertainty with COVID-19 disease control, limited personal protective equipment, time spent thinking about COVID-19, limited staff/resources/pay, burnout, and stigma. Mental health symptoms and outcomes reported in frontline workers were fear, stress, anxiety, depression, insomnia, burnout, and psychological distress. CONCLUSION: Findings demonstrate the immediate need to increase mental health awareness and resources at an individual and system wide level. Mental health programs need to be catered towards each unique workplace to provide the necessary resources for frontline workers.


2020 ◽  
Vol 14 ◽  
pp. 22-27
Author(s):  
Samidha Dhungel Pokharel ◽  
Ranju Adhikari

Ten to twenty percent of adolescents in the world experience mental health or behavioral problems. Emotional, psychological and social welbeing are the three components of mental health. Awareness on psychosocial wellbeing is an integral part of early identification of mental health issues. This paper describes teachers’ awareness toward psychosocial wellbeing of schoolchildren. Fifty teachers from three schools in Kathmandu metropolitan city were chosen purposively for information collection. Based on exploratory and descriptive research design, both quantitative and qualitative data were collected through self reported technique. Manual for the Youth Self Report and 1991 Profile by Achenbach (1991) on the basis of most commonly reported school children’s behavioral problems in literatures. The findings suggest that school children are going through behavioral issues and a majority of school teachers are aware of this. The findings also suggest that abundant numbers of teachers in schools are unaware of certain mental health issues and never pay attention to those areas. Moreover, teachers with trainings have higher tendency of awareness regarding psychosocial wellbeing of school children. This paper emphasizes need for a training on mental health to improve the current mental health issues in schools.


2020 ◽  
Vol 17 (4) ◽  
pp. 473-500
Author(s):  
Tim Snelson ◽  
William R. Macauley

This article will demonstrate the significant influence that psychiatric consultants exerted on the policy of the British Board of Film Censors (BBFC) and, as a result, on cinematic representations of mental illness and psychiatric practices during what Arthur Marwick (2005) called the ‘long 1960s’. Drawing upon extensive research at the British Board of Film Classification archives, this article complicates dominant narratives of British censorship in highlighting how John Trevelyan, appointed as Secretary of the BBFC in 1958 and frequently depicted as a liberalising force, deferred to psychiatric expertise outside the BBFC in making decisions about film censorship and certification and, in some instances, scriptwriting and editing. This article will explain how a proliferation of American and, later, British films dealing with mental illness caused BBFC examiners to lose confidence in their ability to make censorship decisions in the mid-1960s. Initially, this loss of confidence prompted consultation with the influential British mental health organisation, the National Association for Mental Health (NAMH) and, subsequently, a small group of trusted medical professionals, referred to as ‘psychiatrist friends’, who decided on cuts and certification of films including The Caretakers (1963), The Collector (1965) and Repulsion (1965). As a result, the BBFC moved from a default position of prohibition to one of enabling ‘serious’ films that promoted mental health awareness and discussion of contemporary mental health issues. This article aims to offer new insights into the policies, processes and practices of the BBFC, to contextualise censorship within historical debates about mental health representation and to highlight the mutually productive interactions that took place between the fields of mental health and cinema.


2018 ◽  
Author(s):  
Rhiannon Mary Martel ◽  
Margot Louise Darragh ◽  
Aniva Joanne Lawrence ◽  
Matthew John Shepherd ◽  
Tracey Wihongi ◽  
...  

BACKGROUND In New Zealand (NZ), 1 in 4 adolescents is affected by mental health issues (eg, depression and anxiety) and engages in risk behaviors (eg, harmful drinking and substance abuse), with rates among Māori youth being significantly higher. The majority of NZ secondary school students visit their local primary health care providers (PHPs) at least annually, yet most do not seek help for mental health and risk behavior (MHB) concerns. While youth think it acceptable to discuss sensitive issues during a consultation with their PHPs, unless problems are severe, such conversations are not initiated by PHPs. Early intervention for MHB concerns can prevent long-term health and well-being issues. However, this relies on the early identification of developing problems and youth being offered and accepting help. YouthCHAT is an electronic, multi-item screening tool developed in 2016 to assess MHB concerns among youth. YouthCHAT is completed before a consultation with the PHP, who can access a summary report straight away. A help question allows young people to identify issues that need addressing. A resource pack uses stepped care pathways to guide providers to use appropriate brief interventions. OBJECTIVE This study aimed to explore the utility, feasibility, and acceptability of YouthCHAT when tailored for use with youth in primary care settings with large Māori populations. Objectives of the study are to evaluate the implementation of YouthCHAT in nurse-led youth clinics, school-based clinics, and general practice in Te Tai Tokerau (Northland, NZ); to develop a framework for the scaling up of YouthCHAT across further settings; to assess health provider and youth acceptability of the tool; to improve screening rates for mental health and help-seeking behavior; to enable early identification of emerging problems; and to improve brief intervention delivery. METHODS Using a bicultural mixed-methods co-design approach, 3 phases over a 3-year period will provide an iterative evaluation of the utility, feasibility, and acceptability of YouthCHAT, aiming to create a framework for wider-scale rollout and implementation. RESULTS Recruitment for the first phase began in September 2018. YouthCHAT was implemented at the first site in October 2018 and is expected to be at a further two sites in late January to early February 2019. The study is due for completion at the end of 2021. CONCLUSIONS YouthCHAT has potential as a user-friendly, time efficient, and culturally safe screening tool for early detection of MHB issues in NZ youth. The resource pack assists the clinician to provide appropriate interventions for emerging and developed youth mental health and lifestyle issues. Involving input from community providers, users, and stakeholders will ensure that modifiable elements of YouthCHAT are tailored to meet the health needs specific to each context and will have a positive influence on future mental, physical, and social outcomes for NZ youth. INTERNATIONAL REGISTERED REPOR PRR1-10.2196/12108


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