scholarly journals Implementing out of hours MDT safety huddles at the Ladywell Unit, Lewisham, South London and the Maudsley (SLAM) NHS Foundation Trust

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S229-S230
Author(s):  
Su Yeoh ◽  
Natavan Babayeva ◽  
Hugh Williams ◽  
Emma Jones
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Best Practice ◽  
Management Plan ◽  
Slight Reduction ◽  
List Type ◽  
Physical And Mental Health ◽  
Out Of Hours ◽  
Team Cohesiveness ◽  
Mental And Physical Health

Aims•For 100% of patients admitted OOH (Friday 5pm – Sunday 9am) to have a multi-disciplinary review of their treatment•For 100% of patients with deteriorating physical and mental health to be discussed•To improve multi-disciplinary team (MDT) morale, working relationships and team cohesiveness OOHBackgroundIn most specialties, the standard of best practice is that patients admitted to the ward out of hours (OOH) receive a senior review over the weekend. However this does not usually take place in Psychiatry, and patients routinely wait until Monday to be seen by the ward team. This has been highlighted as problematic in cases where patients are agitated and not receiving any treatment for > 24 hours.We trialled a weekend teleconference safety huddle in Lewisham involving the on call consultant, registrar (SpR), core trainee (CT) and duty senior nurse (DSN).MethodThe weekend huddles were through a teleconference line, with participants dialling in at 9.45am.Issues discussed: 1)Management plan for newly admitted patients OOH.2)Plan for patients with deteriorating mental health or escalating level of aggression.3)Plan for patients with deteriorating physical health.Feedback was collected from CTs, SpRs and consultants focusing on whether the huddle made any difference to the speed of care, cohesiveness of the OOH team, and whether it was generally helpful or not.Result54% of CTs (n = 11) felt that patients admitted OOH had an MDT review, and 90% felt that patients with deteriorating mental and physical health were discussed and a plan put in place. 80% of CTs, 63% of SpRs (n = 8) and 67% of consultants (n = 6) agreed it improved team cohesiveness. 90% of DSNs felt safer and more supported in decision-making OOH.80% of CTs, 63% of SpRs and 83% of consultants found weekend huddles helpful.Data were also collected on violent incidents OOH, and there was a slight reduction in the number of violent incidents in the weeks following introduction of the huddle.ConclusionIntroducing safety huddles in Lewisham has facilitated the prompt discussion of the management of patients admitted OOH, and of those with deteriorating mental and physical health. It has also fostered a greater sense of cohesiveness in the MDT team.In light of this feedback, safety huddles have now been established as part of the weekend schedule in Lewisham, and are being rolled out to other boroughs within SLaM.

scholarly journals Physical Health Profile and Associated Behavior During the COVID-19 Pandemic in Patients With Bipolar Disorder

2021 ◽  
Vol 12 ◽  
Author(s):  
Jon Dyg Sperling ◽  
Nina Dalkner ◽  
Christina Berndt ◽  
Eva Fleischmann ◽  
Michaela Ratzenhofer ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Public Mental Health ◽  
Brief Symptom Inventory ◽  
Self Report ◽  
Control Group ◽  
Healthy Controls ◽  
Physical And Mental Health ◽  
Healthy Control ◽  
Mental And Physical Health

Background: The COVID-19 pandemic has led to an increased psychological strain on public mental health and may impact behavioral, mental, and physical health, presumably with effects on patients with severe mental disorders. This study examines pandemic-related physical and mental health and (compensatory) behavioral changes, in patients with BD as compared to healthy control individuals.Method: Physical and mental health and self-reported changes in daily structure and behavior due to the pandemic were assessed using a self-constructed questionnaire and the brief symptom inventory (BSI) in Germany, Austria, and Denmark in individuals with BD and a healthy control group.Results: The present study included 118 individuals with BD and 215 healthy controls. Individuals with BD reported statistically significant higher physical risk burden, increased weight gain, more physical comorbidities, and a decrease in physical activity and they further reported higher rates of COVID-19 testing, had more worries concerning health, and experienced more anxiety but less social distancing.Conclusion: The COVID-19 pandemic seems to have a greater impact on physical health in individuals with BD than in healthy controls. Individuals with BD appear to be having more difficulties compensating their behavior due to the pandemic which could amplify the effect of risk factors associated with poorer physical health. This highlights the necessity for optimizing and targeting the overall treatment of both mental and physical health in patients with BD during periods with far-reaching changes such as the COVID-19 pandemic.Limitations: Sampling issues and self-report forms, selectivity (missing elderly, and those lacking access or knowledge of technology).

scholarly journals Association of Household Food Insecurity with the Mental and Physical Health of Low-Income Urban Ecuadorian Women with Children

2016 ◽  
Vol 2016 ◽  
pp. 1-14 ◽  
Author(s):  
M. Margaret Weigel ◽  
Rodrigo X. Armijos ◽  
Marcia Racines ◽  
William Cevallos ◽  
Nancy P. Castro
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Physical Health ◽  
Low Income ◽  
Household Food Insecurity ◽  
Health Complaints ◽  
Physical And Mental Health ◽  
Epidemiologic Transition ◽  
Household Food ◽  
Mental And Physical Health

Chronic physical and mental health conditions account for a rising proportion of morbidity, mortality, and disability in the Americas region. Household food insecurity (HFI) has been linked to chronic disease in US and Canadian women but it is uncertain if the same is true for low- and middle-income Latin American countries in epidemiologic transition. We conducted a survey to investigate the association of HFI with the physical and mental health of 794 women with children living in low-income Quito, Ecuador, neighborhoods. Data were collected on HFI and health indicators including self-reported health (SF-1), mental health (MHI-5), blood pressure, and self-reported mental and physical health complaints. Fasting blood glucose and lipids were measured in a subsample. The multivariate analyses revealed that HFI was associated with poorer self-rated health, low MHI-5 scores, and mental health complaints including stress, depression, and ethnospecific illnesses. It was also associated with chest tightness/discomfort/pain, dental disease, and gastrointestinal illness but not other conditions. The findings suggest that improving food security in low-income households may help reduce the burden of mental distress in women with children. The hypothesized link with diabetes and hypertension may become more apparent as Ecuador moves further along in the epidemiologic transition.

scholarly journals Treatment Regret, Mental and Physical Health Indicators of Psychosocial Well-Being among Prostate Cancer Survivors

2021 ◽  
Vol 28 (5) ◽  
pp. 3900-3917 ◽  
Author(s):  
Cassidy Bradley ◽  
Gabriela Ilie ◽  
Cody MacDonald ◽  
Lia Massoeurs ◽  
Jasmine Dang Cam-Tu ◽  
...  
Keyword(s):  
Mental Health ◽  
Prostate Cancer ◽  
Physical Health ◽  
Protective Factor ◽  
Health Indicators ◽  
Well Being ◽  
Physical And Mental Health ◽  
Prostate Cancer Survivors ◽  
Spiritual Well Being ◽  
Mental And Physical Health

Prostate cancer (PCa) patients and survivors are at high risk of mental health illness. Here, we examined the contribution of treatment regret, mental and physical health indicators to the social/family, emotional, functional and spiritual well-being of PCa survivors. The study assessed 367 men with a history of PCa residing in the Maritimes Canada who were surveyed between 2017 and 2021. The outcomes were social/family, emotional, functional and spiritual well-being (FACT-P,FACIT-Sp). Predictor variables included urinary, bowel and sexual function (UCLA-PCI), physical and mental health (SF-12), and treatment regret. Logistic regression analyses were controlled for age, income, and survivorship time. Poor social/family, emotional, functional and spiritual well-being was identified among 54.4%, 26.5%, 49.9% and 63.8% of the men in the sample. Men who reported treatment regret had 3.62, 5.58, or 4.63 higher odds of poor social/family, emotional, and functional well-being, respectively. Men with low household income had 3.77 times higher odds for poor social/ well-being. Good mental health was a protective factor for poor social/family, emotional, functional, or spiritual well-being. Better physical and sexual health were protective factors for poor functional well-being. Seeking to promote PCa patients’ autonomy in treatment decisions and recognizing this process’ vulnerability in health care contexts is warranted.

scholarly journals Physical and mental health impacts of the COVID-19 pandemic among college students who are undocumented or have undocumented parents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annie Ro ◽  
Victoria E. Rodriguez ◽  
Laura E. Enriquez
Keyword(s):  
Mental Health ◽  
College Students ◽  
Physical Health ◽  
Health Effects ◽  
Resource Use ◽  
Undocumented Students ◽  
Health Impacts ◽  
Primary Data ◽  
Physical And Mental Health ◽  
Mental And Physical Health

Abstract Background The COVID-19 pandemic may have disproportionately affected the mental and physical health of undocumented students and students with undocumented parents. Methods We analyzed primary data from 2111 California college students collected March–June 2020. We estimated the odds of mental or physical health being affected “a great deal” by COVID by immigration group and then examined whether this was moderated by campus belonging or resource use. Results Students with undocumented parents were least likely to report COVID-related mental and physical health effects. Undocumented students and students whose parents have lawful immigration status did not differ in their COVID-related physical and mental health. For all students, more campus resource use and higher campus belonging were associated with negative mental and physical health effects. Discussion Negative COVID-related mental and physical health was widespread. Separation from campus-based resources was detrimental during the early stages of the pandemic.

scholarly journals Relationships Between Changes in Self-Reported Physical Activity and Sedentary Behaviours and Health During the Coronavirus (COVID-19) Pandemic in France and Switzerland

2020 ◽  
Author(s):  
Boris Cheval ◽  
Hamsini Sivaramakrishnan ◽  
Silvio Maltagliati ◽  
Layan Fessler ◽  
Cyril Forestier ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Physical Health ◽  
Health Consequences ◽  
Physical And Mental Health ◽  
Sedentary Behaviours ◽  
Mental And Physical Health

The coronavirus disease 2019 (COVID-19) pandemic may have detrimental effects on physical and mental health, but physical activity can help people to cope with stress, thereby mitigating its potential negative health consequences. In our study, we investigated whether changes in physical activity and sedentary behaviours are associated with changes in mental and physical health during the COVID-19 lockdown.

Comparing Learning Outcomes for Mental Health Simulation Training Delivered to Entire Clinical Teams Versus Professionals Not Working Together Clinically

2017 ◽  
Vol 41 (S1) ◽  
pp. S301-S301
Author(s):  
L. Valdearenas ◽  
C. Attoe ◽  
S. Cross
Keyword(s):  
Mental Health ◽  
Human Factors ◽  
Physical Health ◽  
Learning Outcomes ◽  
Simulation Training ◽  
Course Evaluation ◽  
Physical And Mental Health ◽  
Health Simulation ◽  
Mental And Physical Health ◽  
Health Comorbidities

IntroductionWorking effectively with colleagues using a multidisciplinary and interprofessional approach is vital in healthcare, particularly mental health, where the interface between physical and mental health is often missed due to involvement with different specialties. Collaborative clinical practice is essential to provide the best clinical care to people experiencing mental and physical health comorbidities. Simulation training encourages experiential learning for human factors (or non-technical) skills, such as teamwork and interprofessional collaboration. This study explored the differences in learning outcomes between team and non-team training for physical and mental health comorbidities.Aims and objectivesThis project aimed to establish differences in human factors learning, confidence and knowledge, following training for teams that work together versus interprofessional groups from various teams. The project hoped to continue improving mental health simulation training and promote and enhance human factor skills that are basic pillars of multi-disciplinary and interprofessional care.MethodsThe human factors skills for healthcare instrument (HFSHI), alongside confidence and knowledge measures were administered to all participants pre and post simulation training on interacting mental and physical health. A post-course evaluation survey with open questions was used to collect qualitative feedback on the impact of the training course.ResultsWith data collection ongoing, preliminary results indicate differences between team and non-team simulation training, with particularly interesting qualitative findings.ConclusionsLearning outcomes may differ for team versus non-team simulation training, evidencing the different value of these two training set-ups.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Relationships between Physical and Mental Health in Adolescents from Low-Income, Rural Communities: Univariate and Multivariate Analyses

2021 ◽  
Vol 18 (4) ◽  
pp. 1372
Author(s):  
Robyn Feiss ◽  
Melissa M. Pangelinan
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Cluster Analysis ◽  
Body Image ◽  
Body Composition ◽  
Physical Health ◽  
Low Income ◽  
Physical And Mental Health ◽  
Health Burdens ◽  
Mental And Physical Health

Environment (i.e., rural vs. urban) and socioeconomic status (SES) are moderating factors of physical (i.e., obesity and/or physical activity) and internalizing mental health (i.e., stress, anxiety, and depressive symptoms) in adolescents. Relationships between physical and mental health have been shown in adolescents; however, research has not addressed these relationships in those from low-income, rural backgrounds. Thus, the present study characterized physical and mental health in rural, low-SES adolescents and investigated relationships between physical and mental health in this population. Data were collected from 253 10th and 11th-grade students from Title I schools in rural Alabama. Self-report measures of mental health, self-esteem, body image, and physical activity were obtained, in addition to functional fitness and physical health assessments completed at each school. Relationships between mental and physical health were assessed using Pearson correlations and multivariate data-driven cluster analysis. Positive correlations were observed between body composition and mental health symptoms, while negative correlations were observed between body image and mental health and body composition. However, sex differences were present in these relationships. The multivariate cluster analysis identified groups of individuals based on profiles of mental and physical health. This individual-level analysis identified students with greater mental and/or physical health burdens (n = 53 and n = 40) who may benefit from targeted interventions. Overall, these results provide evidence of elevated mental and physical health burdens among rural, low-income adolescents. Moreover, targeted programs are needed to provide education about the relationship between physical and mental health to reduce health burdens in both domains in this population.

scholarly journals COVID-19 and Mental Stress among the Urban Youths of Dhaka City

2021 ◽  
Author(s):  
Sarah Farheen Khan
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Dhaka City ◽  
Health Issues ◽  
Physical And Mental Health ◽  
Mental Health Issues ◽  
Wide Range ◽  
Negative Affects ◽  
Age Range ◽  
Mental And Physical Health

The COVID-19 pandemic has imposed threats on both physical and mental health since its outbreak. This paper aims to highlight the mental and physical health challenges amongst the home-quarantined youths of Dhaka city. A total of 150 young adults were surveyed, within the age range of (12-30). The participation was voluntary and was completed online.The findings suggest, many youngsters are currently suffering a wide range of mental health issues related to anxiety, fear, isolation, depression, feeling lonely, emotional outburst, insomnia, and other sleeping/ eating habit disturbances during COVID 19 pandemic. Many are emotionally vulnerable after losing their close ones, losing jobs, uncertain education or by staying indoors for months. Many get agitated wearing protective gear like masks or using sanitizers. The panic caused by the infection from physical proximity has reached such a level that everything now is shifted from physically going out to virtual conferences and many other significant shifts in people's behavior. But, in spite of all the trauma and negative affects the pandemic has put us through, there is some hope that the new focus on mental health issues may reduce stigma and increase availability of support services. Finally the paper recommends some way forward for effective mitigation against the harmful effects of limited or indoor physical activity on mental and physical health due to social distancing and quarantine based on the collected data.

scholarly journals Exploring the mental health impact on private flat owners in residential buildings with external combustible cladding

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S268-S269
Author(s):  
William Martin
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Residential Buildings ◽  
Health Impact ◽  
Direct Result ◽  
Free Text ◽  
List Type ◽  
Physical And Mental Health ◽  
Human Right ◽  
The Uk

AimsTo explore the mental health of private flat owners in residential buildings with external combustible cladding, which require remediation following the 2017 Grenfell tower fire.The speed at which the fire at Grenfell spread, killing 72 people, is largely attributed to external combustible cladding. It is increasingly suspected that there are ongoing profound effects on the mental health of people living in flats with external combustible cladding like Grenfell both in the UK and abroad. The issue has left flat owners facing severe financial hardship, the threat of bankruptcy and concerns about safety in their own homes.MethodAn exploratory ‘Google Forms’ online mental health survey comprising multiple choice and free text questions over 47 sections was distributed to flat owners in affected buildings. The survey remained open for 6 weeks to allow response. 550 individual responses were studied.Result550 individuals completed the survey, from 143 buildings across 45 UK councils.As a direct result of external combustible cladding: 89.5% said their mental health had deteriorated,22.5% reported having suicidal feelings or a desire to self-harm,71.1% reported having difficulty sleeping,93.8% said they were suffering from worry and anxiety,59.6% used coping strategies to deal with their situation,35.1% said that existing physical and mental health conditions had been exacerbated,84.1% said they cannot move on with their lives and57.9% of people had concerns about seeking help or treatment for mental/physical health problems caused by their situation during the pandemic.In addition, free text responses reflected feelings of anxiety and low mood attributed to the constant fear of fire, and an inability to plan families and future homes. One person said, “I have been left utterly broken by this. My mental and physical health has worsened, I have severe anxiety, depression and PTSD. I struggle each day to keep myself alive.”ConclusionSafe housing is a basic human right. The results show the current situation is having a detrimental impact on flat owners’ mental health and makes a strong case for the provision of specific services offering support - particularly given it is 3.5 years since Grenfell and a viable solution for all is yet to be found.

scholarly journals Intimate partner violence: A key correlate of women’s physical and mental health in informal settlements in Nairobi, Kenya

2020 ◽  
Author(s):  
Samantha Winter ◽  
Lena Moraa Obara ◽  
Sarah McMahon
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Health Outcomes ◽  
Physical Health ◽  
Partner Violence ◽  
Informal Settlements ◽  
Intimate Partner ◽  
Physical And Mental Health ◽  
Women's Experiences ◽  
Mental And Physical Health

Globally, one billion people live in informal settlements, and that number is expected to triple by 2050. Studies suggests that health in informal settlements is a serious and growing concern, yet there is a paucity of research focused on health outcomes and the correlates of health in these settlements. Studies cite individual, environmental and social correlates to health in informal settlements, but they often lack empirical evidence. In particular, research suggests that high rates of violence against women (VAW) in informal settlements may be associated with detrimental effects on women’s health, but few studies have investigated this link. The purpose of this study was to fill this gap by empirically exploring associations between women’s experiences of intimate partner violence (IPV) and their physical and mental health. Data for this study were collected in August 2018 in Mathare Valley Informal Settlement in Nairobi, Kenya. A total of 550 randomly-selected women participated in surveys; however, analyses for this study were run on a subpopulation of the women (n=361). Multivariate logistic regressions were used to investigate the link between psychological, sexual, and emotional IPV and women’s mental and physical health. Results suggest that while some socioeconomic, demographic, and environmental variables were significantly associated with women’s mental and physical health outcomes, all types of IPV emerged key correlates in this context. In particular, women’s experiences of IPV were associated with lower odds of normal-high physical health component scores (based on SF-36); higher odds of gynecological and reproductive health issues, psychological distress (based on K-10), depression, suicidality, and substance use. Findings from this study suggest that policies and interventions focused on prevention and response to VAW in informal settlements may make critical contributions to improving health for women in these rapidly growing settlements.

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