scholarly journals Addressing the Unmet Need for Maternal Mental Health Services in Low- and Middle-Income Countries: Integrating Mental Health Into Maternal Health Care

2017 ◽  
Vol 62 (6) ◽  
pp. 657-660 ◽  
Author(s):  
Molly E. Lasater ◽  
Madeleine Beebe ◽  
Ashley Gresh ◽  
Kirsten Blomberg ◽  
Nicole Warren
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Maternal Health ◽  
Mental Health Services ◽  
Health Services ◽  
Maternal Mental Health ◽  
Unmet Need ◽  
Maternal Health Care ◽  
Middle Income ◽  
Middle Income Countries

Population needs for mental health services. Introduction to the theme

1997 ◽  
Vol 6 (S1) ◽  
pp. 3-12
Author(s):  
Ville Lehtinen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Unmet Need ◽  
Health Resources ◽  
Economic Recession ◽  
Health Care Expenditures ◽  
Public And Private

All over the world large sums of both public and private money are expended on the operation of psychiatric health care services. In most of the European countries mental health care expenditures, as well as the total health care budget, increased quite rapidly during the 80s. But in the 90s the economic recession has forced to cut down costs which has meant a decrease in mental health resources and, evidently, an increase of the unmet need for these services in the population.The problem is that the development of mental health services has been, for the most part, merely accidental and random, usually not clearly planned and based neither on real knowledge of the population needs nor on setting priorities when all needs can not be satisfied. During the period of increasing resources there was no real need for priority setting; somewhat exaggerating one can say that every emerging demand for services could be met by allocating new resources. During the recession, on the other hand, the cutting of costs have been the main goal, leading again to an unplanned development: the cuts of resources have been rather forced and panicky, not based on consideration of true population needs or the consequences of the development.

Barriers to improvement of mental health services in low-income and middle-income countries

The Lancet ◽  
2007 ◽  
Vol 370 (9593) ◽  
pp. 1164-1174 ◽  
Author(s):  
Benedetto Saraceno ◽  
Mark van Ommeren ◽  
Rajaie Batniji ◽  
Alex Cohen ◽  
Oye Gureje ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Low Income ◽  
Middle Income ◽  
Middle Income Countries

scholarly journals The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Bethany Kotlar ◽  
Emily Gerson ◽  
Sophia Petrillo ◽  
Ana Langer ◽  
Henning Tiemeier
Keyword(s):  
Mental Health ◽  
Maternal Health ◽  
Pregnant Women ◽  
Scoping Review ◽  
Maternal Mental Health ◽  
Epidemiological Studies ◽  
Anxiety And Depression ◽  
Comprehensive Overview ◽  
Middle Income ◽  
Middle Income Countries

Abstract Introduction The Covid-19 pandemic affects maternal health both directly and indirectly, and direct and indirect effects are intertwined. To provide a comprehensive overview on this broad topic in a rapid format behooving an emergent pandemic we conducted a scoping review. Methods A scoping review was conducted to compile evidence on direct and indirect impacts of the pandemic on maternal health and provide an overview of the most significant outcomes thus far. Working papers and news articles were considered appropriate evidence along with peer-reviewed publications in order to capture rapidly evolving updates. Literature in English published from January 1st to September 11 2020 was included if it pertained to the direct or indirect effects of the COVID-19 pandemic on the physical, mental, economic, or social health and wellbeing of pregnant people. Narrative descriptions were written about subject areas for which the authors found the most evidence. Results The search yielded 396 publications, of which 95 were included. Pregnant individuals were found to be at a heightened risk of more severe symptoms than people who are not pregnant. Intrauterine, vertical, and breastmilk transmission were unlikely. Labor, delivery, and breastfeeding guidelines for COVID-19 positive patients varied. Severe increases in maternal mental health issues, such as clinically relevant anxiety and depression, were reported. Domestic violence appeared to spike. Prenatal care visits decreased, healthcare infrastructure was strained, and potentially harmful policies implemented with little evidence. Women were more likely to lose their income due to the pandemic than men, and working mothers struggled with increased childcare demands. Conclusion Pregnant women and mothers were not found to be at higher risk for COVID-19 infection than people who are not pregnant, however pregnant people with symptomatic COVID-19 may experience more adverse outcomes compared to non-pregnant people and seem to face disproportionate adverse socio-economic consequences. High income and low- and middle-income countries alike faced significant struggles. Further resources should be directed towards quality epidemiological studies. Plain English summary The Covid-19 pandemic impacts reproductive and perinatal health both directly through infection itself but also indirectly as a consequence of changes in health care, social policy, or social and economic circumstances. The direct and indirect consequences of COVID-19 on maternal health are intertwined. To provide a comprehensive overview on this broad topic we conducted a scoping review. Pregnant women who have symptomatic COVID-19 may experience more severe outcomes than people who are not pregnant. Intrauterine and breastmilk transmission, and the passage of the virus from mother to baby during delivery are unlikely. The guidelines for labor, delivery, and breastfeeding for COVID-19 positive patients vary, and this variability could create uncertainty and unnecessary harm. Prenatal care visits decreased, healthcare infrastructure was strained, and potentially harmful policies are implemented with little evidence in high and low/middle income countries. The social and economic impact of COVID-19 on maternal health is marked. A high frequency of maternal mental health problems, such as clinically relevant anxiety and depression, during the epidemic are reported in many countries. This likely reflects an increase in problems, but studies demonstrating a true change are lacking. Domestic violence appeared to spike. Women were more vulnerable to losing their income due to the pandemic than men, and working mothers struggled with increased childcare demands. We make several recommendations: more resources should be directed to epidemiological studies, health and social services for pregnant women and mothers should not be diminished, and more focus on maternal mental health during the epidemic is needed.

scholarly journals Insurance Status, Use of Mental Health Services, and Unmet Need for Mental Health Care in the United States

2015 ◽  
Vol 66 (6) ◽  
pp. 578-584 ◽  
Author(s):  
Elizabeth Reisinger Walker ◽  
Janet R. Cummings ◽  
Jason M. Hockenberry ◽  
Benjamin G. Druss
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Unmet Need ◽  
The United States ◽  
Insurance Status

scholarly journals The use of indicators for the management of Mental Health Services

2021 ◽  
Vol 29 ◽  
Author(s):  
Inacia Bezerra de Lima ◽  
Filipe Andrade Bernadi ◽  
Diego Bettiol Yamada ◽  
Andre Luiz Teixeira Vinci ◽  
Rui Pedro Charters Lopes Rijo ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Selection Process ◽  
Health Indicators ◽  
High Income ◽  
System Level ◽  
Middle Income ◽  
Middle Income Countries ◽  
Final Study

Objective: to identify indicators that can be used in the management of Mental Health Services. Method: an integrative review in which we adopted the Population, Concept, and Context strategy to formulate the following Guiding Question: “Which indicators can be used for the management of mental health services?”. Results: a total of 22 articles were included and divided into two main groups: countries with initial high income (54%) as well as low- and middle-income countries (46%). We identified 5 studies that had experienced the use of indicators, 5 studies that had reported partial implementation, 9 studies that did not report use or implementation, 1 study on the indicator selection process, 1 as an implementation pilot, and a final study with a discussion for implementation. High-income countries also find it difficult to implement mental health indicators. The main difficulties in adopting the use of indicators are lack of basic mental health services, financial resources, legislation, political interest, and guidelines for its management. Conclusion: it is unusual to find a descriptive comparison of quality monitoring programs at the system level in the technical-scientific literature related to mental health indicators.

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