scholarly journals P.047 The importance of assessing mental health in transition-aged adolescents with epilepsy

2019 ◽  
Vol 46 (s1) ◽  
pp. S26
Author(s):  
S Healy ◽  
K Mabilangan ◽  
T Fantaneanu ◽  
S Whiting
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
Severe Depression ◽  
Pediatric Epilepsy ◽  
Health Issues ◽  
Adult Care ◽  
Mental Health Assessment ◽  
Transition Clinic ◽  
Health Assessments

Background: When compared to the general population, researchers have reported elevated rates of mental health issues in the pediatric epilepsy population. These issues have been found to be especially problematic around the time of transition from pediatric to adult care. This is significant because depression and/or anxiety have been found to be directly related to worsened seizure outcomes and quality of life. Despite this, no known Canadian pediatric epilepsy centers have integrated mental health assessment into mainstream practice. Methods: To explore the importance of mental health assessments, we looked at the prevalence rates of both depression and anxiety in 91 adolescents with epilepsy aged 14 to 18 (M=16.3, 51 males, 41 females) enrolled into an epilepsy transition clinic. Results: 58.3% of adolescents showed signs of depression (28.6% mild, 21.4% moderate, 6.0% moderately-severe, 2.4% severe), and 51.8% of adolescents showed signs of anxiety (31.8% mild, 10.6% moderate, 9.4% severe). Remarkably, 54.8% of patients presenting with moderate to severe depression and/or anxiety had not been previously identified Conclusions: These results suggest that in order to ensure the best possible outcomes for patients, mental health assessments should be integrated into the standard model of care for transition-aged adolescents with epilepsy.

The Importance of Assessing and Treating Mental Health in Transition-Aged Adolescents with Epilepsy: A 1-Year Follow-up

2020 ◽  
Vol 09 (04) ◽  
pp. 186-192
Author(s):  
Sarah A. Healy ◽  
Tadeu A. Fantaneanu ◽  
Sharon Whiting
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Health Assessment ◽  
Health Impact ◽  
Health Issues ◽  
Adult Care ◽  
Mental Health Issues ◽  
Transition Clinic ◽  
The Impact

AbstractMental health issues become especially problematic when adolescents with epilepsy are preparing to transition from pediatric to adult care. Consistent with guidelines, a transition clinic with ongoing mental health assessment was created, providing treatment to patients scoring in the moderate severity range or higher. In order to examine the effectiveness of our epilepsy transition clinic and the impact of mental health in transition-aged adolescents, baseline and one-year follow-up data were compared in 36 participants (M = 15.82 years, 24 males). Results showed that the majority of participants had improved or comparable mental health scores at follow-up. Furthermore, participants who met threshold for mental health treatment had significantly improved mental health (t = 3.19, p = 0.015), while those who did not showed worsened mental health (t =  − 2.50, p = 0.019). Looking specifically at mental health impact, those with worsened mental health showed significantly worsened quality of life (t = 3.35, p = 0.012). Furthermore, those without mental health issues showed improved transition skills (t =  − 3.86, p = 0.002), while those with mental health issues did not. Results suggest that the transition clinic is effective in helping transition-aged adolescents with their mental health. Additionally, findings suggest that addressing these mental health issues are essential to ensuring successful transitions and the best outcomes in these patients.

‘I was just thinking’

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Ian Hutchby ◽  
Michelle O’Reilly ◽  
Alison Drewett ◽  
Victoria Stafford
Keyword(s):  
Mental Health ◽  
Conversation Analysis ◽  
Cognitive Processing ◽  
Child Mental Health ◽  
Subjective Experience ◽  
Health Assessment ◽  
Health Issues ◽  
Mental Health Assessment ◽  
Mental Health Issues ◽  
Health Assessments

Based on a corpus of child mental health assessment meetings, this article explores how practitioners use reports on their own cognitive processing, such as I was just thinking or I’m just wondering, in interaction with children and adolescents presenting with potential mental health issues. Using the methods of conversation analysis, the findings reveal different ways in which this device is used to encourage the child to engage with a particular topic, interpretation, or version of events from the standpoint of subjective experience; in other words, to produce feelings-talk. The analysis contributes further towards the understanding of child–adult interaction in professional arenas of action: in this case child mental health assessments.

Instruments for Quality of Life and Mental Health Assessment

2020 ◽  
pp. 187-198
Author(s):  
Marianne Abouyared ◽  
Alizabeth Weber ◽  
Jeffrey J. Houlton
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Assessment ◽  
Mental Health Assessment

scholarly journals B.05 The importance of mental health in improving quality of life in transition-aged patients with epilepsy

2019 ◽  
Vol 46 (s1) ◽  
pp. S11
Author(s):  
KC Mabilangan ◽  
S Healy ◽  
T Fantaneanu ◽  
S Whiting
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Issues ◽  
Aged Patients ◽  
Related Data ◽  
Mental Health Issues ◽  
Transition Clinic ◽  
Elevated Rate ◽  
The Individual

Background: Growing evidence has that a suggested that mental health strongly influences quality of life (QoL) in adolescents with epilepsy. In addition, research has suggested that these mental health issues are associated with increased seizure burden and worsened health outcomes. Despite this, and the elevated rate of mental health issues in this population, seizure control tends to be the dominant or sole concern for treating physicians. Methods: In order to look at potential predictors of QoL in adolescents we looked at seizure related data, demographic variables, and comorbid conditions in 70 adolescents with epilepsy aged 14 to 18 (M= 16.3l; 37 males, 33 females) enrolled into an epilepsy transition clinic. Results: Regression analysis found that mental health remained a significant and independent predictor of QoL even when other significant seizure related variables were accounted for (t(58)= -3.44, p= .001). Furthermore, when looking at the individual subscales of patient QoL (e.g., memory, social support, stigma), mental health was consistently found to be the strongest correlate. Conclusions: These results demonstrate that in order to ensure the best outcomes for transition-aged adolescents with epilepsy, it is important to not only manage and treat seizures, but also to assess and treat mental health issues.

Referral for Management of Emotional Health Issues During the Perinatal Period: Does Mental Health Assessment Make a Difference?

Birth ◽  
2013 ◽  
Vol 40 (4) ◽  
pp. 297-306 ◽  
Author(s):  
Nicole Reilly ◽  
Sheree Harris ◽  
Deborah Loxton ◽  
Catherine Chojenta ◽  
Peta Forder ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Health ◽  
Health Assessment ◽  
Perinatal Period ◽  
Health Issues ◽  
Mental Health Assessment

An audit of assessment rooms for mental health assessments in Ireland’s emergency departments

2020 ◽  
pp. 1-6
Author(s):  
A. Jeffers ◽  
R. Jennings ◽  
J. O’Mahony
Keyword(s):  
Mental Health ◽  
Chief Executive Officers ◽  
Emergency Departments ◽  
Health Assessment ◽  
Chief Executive ◽  
Risk Assessments ◽  
Clinical Nurse Specialists ◽  
Mental Health Assessment ◽  
Health Assessments ◽  
Executive Officers

Objectives To audit compliance of mental health assessment rooms in Irish adult emergency departments (EDs) which are open 24 hours on 7 days a week with standards identified by the Psychiatric Liaison Accreditation Network (PLAN). Methods A self-audit tool was sent via email to Clinical Nurse Specialists and Consultant Psychiatrists in Ireland’s 26 Adult EDs that are open 24 hours on seven days a week. Results were collated and are presented ensuring anonymity. Results A response rate of 100% was achieved. Full or substantial compliance with PLAN standards was recorded in 73% of services. In seven services, the rooms used for mental health assessments were unsuitable when measured against the PLAN standards. A number of services identified the presence of ligature points within the rooms. Conclusion The Health Service Executive (HSE) National Clinical Programme for the Assessment and Management of patients presenting to the ED following self-harm is committed to achieving 100% compliance with PLAN standards in all services. Recommendations include introducing formal ligature risk assessments and risk assessments of the use of the assessment rooms. The Chief Executive Officers of all hospital groups were informed of the results of the audits and advised on recommendations for each hospital ED.

scholarly journals A Mental Health Assessment Model of College Students Using Intelligent Technology

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Keke Li ◽  
Weifang Yu
Keyword(s):  
Neural Network ◽  
Mental Health ◽  
College Students ◽  
Health Assessment ◽  
Colleges And Universities ◽  
Assessment Model ◽  
Prediction Algorithm ◽  
Mental Health Assessment ◽  
Health Assessments ◽  
Intelligent Technology

College students are under increasing competition pressure, which has a negative impact on their mental health, as the pace of learning and life accelerates, as well as the increasingly difficult employment situation. As a result, emphasizing the importance of college students’ mental health and fully addressing it has become a top priority in the work of colleges and universities. However, some students and even teachers are currently unconcerned about mental illness, making it difficult for students with psychological abnormalities to receive timely detection and effective treatment. As a result, it is the responsibility of student management for colleges and universities to identify and intervene early in the mental health problems of college students. Through the use of multimodal data and neural network models, it is now possible to evaluate and predict the mental state of college students in real time, thanks to the advancement of intelligent technology. Therefore, a novel multimodal neural network model is proposed in this paper. Our model is divided into two branches in particular. The traditional mental health assessment and prediction algorithm, which is based on the improved BP neural network and the International Mental Health Scale SCL-90, is one of the branches. Given how difficult it is to meet the requirements for the accuracy of college students’ mental health assessments using this method, our other branch is computer vision-based facial emotion recognition of college students, which is used to aid in the evaluation of mental health assessments. Our model demonstrates competitive performance through simulation and comparative experiments.

scholarly journals Responsibility inoculation: Constructing ‘good parent’ accounts when accessing child mental health services

2021 ◽  
pp. 263440412199996
Author(s):  
Michelle O’Reilly ◽  
Nikki Kiyimba
Keyword(s):  
Mental Health ◽  
Child Mental Health ◽  
Health Assessment ◽  
Medical Intervention ◽  
Best Interest ◽  
Mental Health Assessment ◽  
Health Assessments ◽  
Discursive Positioning ◽  
Normative Practices

With the prevalence of child mental health conditions rising, the role of the initial mental health assessment is crucial in determining need. Utilising a critical discursive analytic framework, we explored the ways in which parents during these mental health assessments constructed the child’s difficulties as medicalised and doctorable as opposed to systemic and familial. Through this discursive positioning, we examined the ways in which parents mitigated blame and accounted for the child’s behaviours and emotions. Parents engaged in three accounting practices to construct the child’s problems as dispositional and to mitigate against an alternative familial system interpretation. First, they drew upon normative cultural repertoires of parenting. Second, they mediated ways whereby normative practices were deviated from in the best interest of the child. Third, they rhetorically positioned overcoming systemic difficulties by illustrating cooperative parenting in separated families. Our findings have implications for how parents build a case for the need for medical intervention in assessment settings.

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