scholarly journals Mental Illness and BRCA1/2 Genetic Testing Intention Among Multiethnic Women Undergoing Screening Mammography

2020 ◽  
Vol 47 (1) ◽  
pp. E13-E24
Author(s):  
Tarsha Jones ◽  
Katherine Freeman ◽  
Marra Ackerman ◽  
Meghna Trivedi ◽  
Thomas Silverman ◽  
...  
Keyword(s):  
Mental Illness ◽  
Genetic Testing ◽  
Screening Mammography ◽  
Multiethnic Women

Identifying Barriers and Facilitating Factors to Improve Screening Mammography Rates in Women Diagnosed with Mental Illness and Substance Use Disorders

2006 ◽  
Vol 42 (3) ◽  
pp. 111-126 ◽  
Author(s):  
Linda S. Kahn ◽  
Chester H. Fox ◽  
Julie Krause-Kelly ◽  
Diane E. Berdine ◽  
Renee B. Cadzow
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Screening Mammography ◽  
Facilitating Factors

scholarly journals Feasibility Pilot Outcomes of a Mammography Decision Support and Navigation Intervention for Women With Serious Mental Illness Living in Supportive Housing Settings

2019 ◽  
Vol 10 ◽  
pp. 215013271986758
Author(s):  
Lara Weinstein ◽  
Mariana LaNoue ◽  
Katelyn Hurley ◽  
Colleen Payton ◽  
Randa Sifri ◽  
...  
Keyword(s):  
Mental Illness ◽  
Decision Support ◽  
Cancer Screening ◽  
Serious Mental Illness ◽  
Patient Navigation ◽  
Decisional Conflict ◽  
Screening Mammography ◽  
Supportive Housing ◽  
Participatory Methods ◽  
Care Providers

Objective: People with serious mental illness (SMI) experience significant disparities in morbidity and mortality from preventable and treatable medical conditions. Women with SMI have low mammography screening rates. SMI, poverty, and poor access to care can have a significant effect on a woman’s opportunity to learn about and discuss breast cancer screening with health care providers. This study examines the feasibility pilot outcomes of mammography decision support and patient navigation intervention (DSNI) for women with SMI living in supportive housing settings. The primary research question was: Does the DSNI increase knowledge, promote favorable attitudes, and decrease decisional conflict relating to screening mammography? Methods: We developed the intervention with the community using participatory methods. Women (n = 21) with SMI who had not undergone screening mammography in the past year participated in an educational module and decision counseling session and received patient navigation over a 6-month period. We conducted surveys and interviews at baseline and follow-ups to assess mammography decisional conflict. Results: Among study participants, 67% received a mammogram. The mammogram DSNI was feasible and acceptable to women with SMI living in supportive housing settings. From baseline to 1-month follow-up, decisional conflict decreased significantly ( P = .01). The patient navigation process resulted in 270 attempted contacts ( M = 12.86, SD = 10.61) by study staff (phone calls and emails with patient and/or case manager) and 165 navigation conversations ( M = 7.86, SD = 4.84). A barrier to navigation was phone communication, with in-person navigation being more successful. Participants reported they found the intervention helpful and made suggestions for further improvement. Conclusions: The process and outcomes evaluation support the feasibility and acceptability of the mammography DSNI. This project provides initial evidence that an intervention developed with participatory methods can improve cancer screening outcomes in supportive housing programs for people with SMI.

Community interest in predictive genetic testing for susceptibility to major depressive disorder in a large national sample

2010 ◽  
Vol 41 (8) ◽  
pp. 1605-1613 ◽  
Author(s):  
A. Wilde ◽  
B. Meiser ◽  
P. B. Mitchell ◽  
D. Hadzi-Pavlovic ◽  
P. R. Schofield
Keyword(s):  
Mental Illness ◽  
Genetic Testing ◽  
Stressful Life Events ◽  
Large Population ◽  
National Sample ◽  
Predictive Genetic Testing ◽  
Community Dwelling ◽  
Average Risk ◽  
Structured Interviews ◽  
Community Interest

BackgroundDespite international concern about unregulated predictive genetic testing, there are surprisingly few data on both the determinants of community interest in such testing and its psychosocial impact.MethodA large population-based public survey with community-dwelling adults (n=1046) ascertained through random digit dialling. Attitudes were assessed by structured interviews.ResultsThe study found strong interest in predictive genetic testing for a reported susceptibility to depression. Once the benefits and disadvantages of such testing had been considered, there was significantly greater interest in seeking such a test through a doctor (63%) compared to direct-to-consumer (DTC; 40%) (p<0.001). Personal history of mental illness [odds ratio (OR) 2.58,p<0.001], self-estimation of being at higher than average risk for depression (OR 1.92,p<0.001), belief that a genetic component would increase rather than decrease stigma (OR 1.62,p<0.001), and endorsement of benefits of genetic testing (OR 3.47,p<0.001) significantly predicted interest in having such a test.ConclusionsDespite finding attitudes that genetic links to mental illness would increase rather than decrease stigma, we found strong community acceptance of depression risk genotyping, even though a predisposition to depression may only manifest upon exposure to stressful life events. Our results suggest that there will be a strong demand for predictive genetic testing.

Genetic Disorders in the Fetus from Diagnosis to Treatment

2020 ◽  
Author(s):  
Tayebeh Rabaninia ◽  
Nooshin Amjadi
Keyword(s):  
Mental Illness ◽  
Heart Disease ◽  
Genetic Counseling ◽  
Genetic Testing ◽  
Genetic Disease ◽  
Genetic Disorders ◽  
Genetic Diseases ◽  
Medical Knowledge ◽  
Gene Mutations ◽  
Prevention Of Disability

Background: Today there are many diseases that genetics contributes to these, including diabetes, hypertension, cancer, heart disease, various types of cancers and even mental illness, and by the advancement of medical knowledge The number of genetic diseases is increasing now. most people think about genetic diseases as inherited diseases, which are mostly caused by gene mutations and other genetically inherited factors. Most of the genetic disorders currently do not have 100% treatment, and the only way is to preventing the prevalence of them before marriage.   Methods: Eligible articles were identified by search of databases including NCBI, PubMed, ISI Web of Knowledge and Google scholar up to July 2017.   Results: In the field of prevention of disability and genetic disorders, many members who are at risk of genetic disease should have genetic counseling to get useful information about it. Without genetic counseling, genetic testing is meaningless, as people do not go to the laboratory without a doctor's visit; Genetic counselors won’t be able to stop people from getting married, but they provide solutions to prevent them from possible disorders.   Conclusions: This study provides information on genetic diseases and prevents them in newborns and suggests new solutions for the treatment of these diseases.

scholarly journals Mental Illness and Use of Screening Mammography Among Medicaid Beneficiaries

2012 ◽  
Vol 42 (6) ◽  
pp. 606-609 ◽  
Author(s):  
Siran M. Koroukian ◽  
Paul M. Bakaki ◽  
Negar Golchin ◽  
Carl Tyler ◽  
Sana Loue
Keyword(s):  
Mental Illness ◽  
Screening Mammography ◽  
Medicaid Beneficiaries

scholarly journals Breast density in multiethnic women presenting for screening mammography

2017 ◽  
Vol 24 (3) ◽  
pp. 334-338 ◽  
Author(s):  
Bridget A. Oppong ◽  
Chiranjeev Dash ◽  
Suzanne O'Neill ◽  
Yinan Li ◽  
Kepher Makambi ◽  
...  
Keyword(s):  
Breast Density ◽  
Screening Mammography ◽  
Multiethnic Women

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
American Psychological Association ◽  
The United States ◽  
Psychotropic Medications ◽  
American Psychological ◽  
Training Requirements ◽  
Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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