scholarly journals Psychiatric emergencies: assessing parents of dependent children

1997 ◽  
Vol 21 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Barbara Hatfield ◽  
Jeni Webster ◽  
Hadi Mohamad
Keyword(s):  
Mental Health ◽  
Ethnic Minorities ◽  
Mental Health Problems ◽  
Well Being ◽  
Mental Health Crisis ◽  
Affective Psychosis ◽  
Health Crisis ◽  
Dependent Children ◽  
Psychiatric Emergencies ◽  
The Family

Frameworks within which services are delivered to people with mental health problems neglect the specific needs of those with dependent children. These children have been identified as having risks to their development and well-being. A system of monitoring social assessments of mental health crisis is used to examine the characteristics of parents assessed in seven Local Authorities across 3 calendar years. Parents of dependent children are underrepresented, and are more likely to be women and to suffer from affective psychosis. Ethnic minorities are over-represented. Parents are less likely to be detained following assessment. Further work is needed to establish whether the needs of the family as a whole are addressed.

Leveraging Twitter Using Artificial Intelligence to Explore Mental Health Insights in the UK During the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Christopher Marshall ◽  
Kate Lanyi ◽  
Rhiannon Green ◽  
Georgie Wilkins ◽  
Fiona Pearson ◽  
...  
Keyword(s):  
Mental Health ◽  
Artificial Intelligence ◽  
Language Processing ◽  
Mental Health Problems ◽  
Well Being ◽  
Research Activity ◽  
Health Crisis ◽  
Key Topics ◽  
The Uk ◽  
The Impact

BACKGROUND There is increasing need to explore the value of soft-intelligence, leveraged using the latest artificial intelligence (AI) and natural language processing (NLP) techniques, as a source of analysed evidence to support public health research activity and decision-making. OBJECTIVE The aim of this study was to further explore the value of soft-intelligence analysed using AI through a case study, which examined a large collection of UK tweets relating to mental health during the COVID-19 pandemic. METHODS A search strategy comprising a list of terms related to mental health, COVID-19, and lockdown restrictions was developed to prospectively collate relevant tweets via Twitter’s advanced search application programming interface over a 24-week period. We deployed a specialist NLP platform to explore tweet frequency and sentiment across the UK and identify key topics of discussion. A series of keyword filters were used to clean the initial data retrieved and also set up to track specific mental health problems. Qualitative document analysis was carried out to further explore and expand upon the results generated by the NLP platform. All collated tweets were anonymised RESULTS We identified and analysed 286,902 tweets posted from UK user accounts from 23 July 2020 to 6 January 2021. The average sentiment score was 50%, suggesting overall neutral sentiment across all tweets over the study period. Major fluctuations in volume and sentiment appeared to coincide with key changes to any local and/or national social-distancing measures. Tweets around mental health were polarising, discussed with both positive and negative sentiment. Key topics of consistent discussion over the study period included the impact of the pandemic on people’s mental health (both positively and negatively), fear and anxiety over lockdowns, and anger and mistrust toward the government. CONCLUSIONS Through the primary use of an AI-based NLP platform, we were able to rapidly mine and analyse emerging health-related insights from UK tweets into how the pandemic may be impacting people’s mental health and well-being. This type of real-time analysed evidence could act as a useful intelligence source that agencies, local leaders, and health care decision makers can potentially draw from, particularly during a health crisis.

scholarly journals Mediating Effect of Personal Meaning in the Prediction of Life Satisfaction and Mental Health Problems Based on Coronavirus Suffering

2021 ◽  
Vol 12 ◽  
Author(s):  
Gökmen Arslan ◽  
Murat Yıldırım ◽  
Mega M. Leung
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Mediating Effect ◽  
Personal Meaning ◽  
Health Crisis ◽  
Negative Effect ◽  
Health And Well Being

Research Problem: The onset of the COVID-19 pandemic has triggered a multi-faceted crisis worldwide. Researchers and health authorities in various parts of the world echoed the dire condition of the public's mental health. This study sought to examine the mediating effect of personal meaning on the association between coronavirus (COVID-19)-related suffering, mental health problems, and life satisfaction. Participants included 231 adults (mean age = 46.65 ± 13.98; 68% female) and completed measures of suffering related to COVID-19, meaning, life satisfaction, and mental health problems online.Results: Findings from mediation analysis showed that suffering had significant associations with personal meaning, mental health, and well-being. Furthermore, personal meaning was significantly associated with adults' mental health and well-being and mediated the negative effect of suffering on mental health and well-being.Discussion: Overall, results from this study indicate that personal meaning is an important promotive factor that may help to understand the negative effect of coronavirus-related suffering on mental health and well-being amid the public health crisis.

scholarly journals The profundity of mental health during the COVID-19 pandemic

2021 ◽  
Vol 10 (2) ◽  
pp. 104-105
Author(s):  
Avilasha Singh
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
The Future ◽  
Physical Health Problems

Mental health has always been stigmatised and overlooked. Since, anxiety and stress are natural responses while facing a threat of new diseases. Hence, this pandemic has shown us the importance of mental health. During this time there have been many triggers that have caused repercussions in people’s mental health. Mental health crisis is on the rise. So, it is important to be able to tackle mental health problems as effectively as physical health problems, not only now but in the future as well, once and for all.

scholarly journals COVID-19: Emergence of Mental Health Upheaval and Transition in Human Future Perspectives: A Qualitative Study

2020 ◽  
Vol 2 (6) ◽  
pp. 94-100
Author(s):  
Saba Khurshid ◽  
Sidra Mumtaz ◽  
Hafsa Khalil Toor ◽  
Rubina Hanif
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Services ◽  
Mental Health Crisis ◽  
Future Perspectives ◽  
Health Crisis ◽  
Major Transition

The outbreak of COVID-19 pandemic is constantly posing warning and creating mental health crisis among people without any discrimination. Therefore, the current study purpose is to explore mental health upheaval and transition in future perspectives due to COVID-19. Using exploratory study design, semi structure interviews were conducted. Interviews were recorded, transcribed and analyzed by using Thematic Content Analysis. The major themes which were identified showed that COVID-19 is constantly eliciting panic and mental health issues such as anxiety, stress, and depression, fears of death, xenophobia, OCD and uncertainty about future among general population. Results also indicated the major transition in public future perspectives and perception. Concern related to adjustability in life after pandemic is major emerging future concern among Pakistani People. During pandemic outbreak, people are becoming vulnerable to different mental health problems. To overcome these issues successfully, role of mental health professionals cannot be denied. There is strong need to devise activities and strategies which help people to increase resilience and build strong relationships during the period of social distancing. This paper gives a deep insight into mental health problems among general population due to COVID-19 and it also implicates need of psychological services to overcome these issues.

scholarly journals Acute day units in non-residential settings for people in mental health crisis: the AD-CARE mixed-methods study

2021 ◽  
Vol 9 (18) ◽  
pp. 1-122
Author(s):  
David Osborn ◽  
Danielle Lamb ◽  
Alastair Canaway ◽  
Michael Davidson ◽  
Graziella Favarato ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Well Being ◽  
Service Users ◽  
Mental Health Crisis ◽  
Work Package ◽  
Crisis Resolution ◽  
Data Set ◽  
Health Crisis ◽  
Crisis Resolution Teams

Background For people in mental health crisis, acute day units provide daily structured sessions and peer support in non-residential settings as an alternative to crisis resolution teams. Objectives To investigate the provision, effectiveness, intervention acceptability and re-admission rates of acute day units. Design Work package 1 – mapping and national questionnaire survey of acute day units. Work package 2.1 – cohort study comparing outcomes during a 6-month period between acute day unit and crisis resolution team participants. Work package 2.2 – qualitative interviews with staff and service users of acute day units. Work package 3 – a cohort study within the Mental Health Minimum Data Set exploring re-admissions to acute care over 6 months. A patient and public involvement group supported the study throughout. Setting and participants Work package 1 – all non-residential acute day units (NHS and voluntary sector) in England. Work packages 2.1 and 2.2 – four NHS trusts with staff, service users and carers in acute day units and crisis resolution teams. Work package 3 – all individuals using mental health NHS trusts in England. Results Work package 1 – we identified 27 acute day units in 17 out of 58 trusts. Acute day units are typically available on weekdays from 10 a.m. to 4 p.m., providing a wide range of interventions and a multidisciplinary team, including clinicians, and having an average attendance of 5 weeks. Work package 2.1 – we recruited 744 participants (acute day units, n = 431; crisis resolution teams, n = 312). In the primary analysis, 21% of acute day unit participants (vs. 23% of crisis resolution team participants) were re-admitted to acute mental health services over 6 months. There was no statistically significant difference in the fully adjusted model (acute day unit hazard ratio 0.78, 95% confidence interval 0.54 to 1.14; p = 0.20), with highly heterogeneous results between trusts. Acute day unit participants had higher satisfaction and well-being scores and lower depression scores than crisis resolution team participants. The health economics analysis found no difference in resource use or cost between the acute day unit and crisis resolution team groups in the fully adjusted analysis. Work package 2.2 – 36 people were interviewed (acute day unit staff, n = 12; service users, n = 21; carers, n = 3). There was an overwhelming consensus that acute day units are highly valued. Service users found the high amount of contact time and staff continuity, peer support and structure provided by acute day units particularly beneficial. Staff also valued providing continuity, building strong therapeutic relationships and providing a variety of flexible, personalised support. Work package 3 – of 231,998 individuals discharged from acute care (crisis resolution team, acute day unit or inpatient ward), 21.4% were re-admitted for acute treatment within 6 months, with women, single people, people of mixed or black ethnicity, those living in more deprived areas and those in the severe psychosis care cluster being more likely to be re-admitted. Little variation in re-admissions was explained at the trust level, or between trusts with and trusts without acute day units (adjusted odds ratio 0.96, 95% confidence interval 0.80 to 1.15). Limitations In work package 1, some of the information is likely to be incomplete as a result of trusts’ self-reporting. There may have been recruitment bias in work packages 2.1 and 2.2. Part of the health economics analysis relied on clinical Health of the Nations Outcome Scale ratings. The Mental Health Minimum Data Set did not contain a variable identifying acute day units, and some covariates had a considerable number of missing data. Conclusions Acute day units are not provided routinely in the NHS but are highly valued by staff and service users, giving better outcomes in terms of satisfaction, well-being and depression than, and no significant differences in risk of re-admission or increased costs from, crisis resolution teams. Future work should investigate wider health and care system structures and the place of acute day units within them; the development of a model of best practice for acute day units; and staff turnover and well-being (including the impacts of these on care). Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 18. See the NIHR Journals Library website for further project information.

Crisis assessment and management

2015 ◽  
Author(s):  
Reena Kapoor
Keyword(s):  
Mental Health ◽  
Video Recording ◽  
Well Being ◽  
Health Staff ◽  
Mental Health Crisis ◽  
Mental Health Staff ◽  
Health Crisis ◽  
Course Of Action ◽  
Correctional Settings ◽  
Many Sources

Crisis calls are a common occurrence in correctional settings. Psychiatrists are often called upon to triage and manage such events. Requests for urgent psychiatric evaluations can come from many sources, including security staff, non-psychiatric physicians, mental health staff, courts, attorneys, and family members. Psychiatrists responding to these requests for evaluation may feel tremendous pressure to reach a conclusion that is consistent with the opinions of the requesting party. However, maintaining an independent and therapeutic stance when conducting crisis evaluations is crucial. Some aspects of psychiatric evaluations in crisis situations are unique to the correctional environment: evaluations at cell-side, video recording, and leadership by security staff rather than medical professionals. Nonetheless, correctional psychiatrists should be guided by the same principles of medical ethics that apply to patient care in the community, placing the patient’s well-being above all other concerns. They should strive, when possible, to conduct a thorough assessment in a confidential setting. In considering how best to resolve the crisis and care for the patient, they should err on the side of caution and recommend placement in a safe and therapeutic setting, at least until a multidisciplinary team can consider other options. Finally, they should document the encounter carefully, articulating the rationale for the chosen course of action. This chapter reviews the pragmatics of evaluating and managing many common correctional events that lead to mental health crisis calls and discusses the range of concerns, the typical practices and procedures used in correctional settings, and the types of interventions that are best used.

What Twitter Can Tell Us About User Experiences of Crisis Text Lines: A Qualitative Study (Preprint)

2021 ◽  
Author(s):  
Alanna Coady ◽  
Keeley Lainchbury ◽  
Rebecca Godard ◽  
Susan Holtzman
Keyword(s):  
Mental Health ◽  
Text Messaging ◽  
Mental Health Problems ◽  
Health Problems ◽  
Research Literature ◽  
Mental Health Crisis ◽  
User Experiences ◽  
Health Crisis ◽  
Crisis Services ◽  
Communication Modalities

BACKGROUND Mental health problems are the leading cause of disability worldwide. Despite the prevalence and cost of mental illness, there are insufficient health services to meet this demand. Crisis hotlines have a number of advantages for addressing mental health challenges and reducing barriers to support. Further, mental health crisis services have recently expanded beyond telephone hotlines to include other communication modalities such as crisis chat and text messaging services, largely in response to the increased use of mobile phones and text messaging for social communication. OBJECTIVE Despite the high uptake of crisis text line services (CTLs) and rising mental health problems worldwide, CTLs remain understudied. Thus the current study aimed to address an urgent need to evaluate user experiences with text-based crisis services. METHODS The current study explored user experiences of CTLs by accessing users’ publicly available Twitter posts that describe personal use and experience with CTLs. Data were qualitatively analysed using inductive thematic analysis. RESULTS Six main themes were identified from 776 tweets: (1) approval of CTLs, (2) helpful counselling, (3) invalidating or unhelpful counselling, (4) problems with how the service is delivered, (5) features of the service that facilitate accessibility, and (6) indication that the service suits multiple needs. CONCLUSIONS Overall, there was strong evidence to support the value of text-based crisis support, as many users reported positive experiences of effective counselling that provided helpful coping skills, de-escalation, and reduction of harm. Results also identified areas in need of improvement, particularly ensuring more timely service delivery and effective communication of empathy and support. Text-based services may require targeted training to apply methods that effectively convey empathy in this medium. Moving forward, CTL services will require systematic attention in the clinical research literature to ensure their continued success and popularity among users.

scholarly journals Does COVID-19 pose a challenge to the diagnoses of anxiety and depression? A psychologist's view

2020 ◽  
pp. 1-4 ◽  
Author(s):  
Lucy Johnstone
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Anxiety And Depression ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Normal Human ◽  
Way Of Thinking ◽  
Fear And Anxiety

Summary The COVID-19 pandemic has led to predictions of a widespread mental health crisis. However, this makes little sense when fear and anxiety are so understandable in context. The individualisation and medicalisation of normal human reactions disconnects us from our feelings and from the appropriate solutions, in relation to the pandemic and more generally. We have an opportunity to challenge this pervasive way of thinking, and thus be in a position to create a fairer society that is better for everyone's emotional well-being.

scholarly journals Mental Health Crisis and Stress Coping among Healthcare College Students Momentarily Displaced from Their Campus Community Because of COVID-19 Restrictions in Japan

2021 ◽  
Vol 18 (14) ◽  
pp. 7245
Author(s):  
Masatoshi Tahara ◽  
Yuki Mashizume ◽  
Kayoko Takahashi
Keyword(s):  
Mental Health ◽  
College Students ◽  
Health Status ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Health Problems ◽  
Poor Mental Health ◽  
Stress Coping ◽  
Mental Health Crisis ◽  
Health Crisis

College students are one of the most affected groups by self-quarantine due to COVID-19, as they may live in loneliness and anxiety, increasing their risk of mental health crisis. This study aimed to identify risk factors for poor mental health and stress coping strategies among healthcare college students during the COVID-19 pandemic in Japan. A cross-sectional survey was conducted over 7 consecutive days starting on 28 April 2020 using a web-based questionnaire. The survey assessed socioeconomic characteristics and the General Health Questionnaire-12 score, self-reported health status, anxiety, and satisfaction with daily life, work, leisure, and new activities. Approximately 70% of 223 respondents had poor mental health. Less communication with friends was the main risk factor for mental health problems. Good health status and satisfaction with leisure and new activities were associated with reduced risk of mental health problems. Students with poor mental health tended to seek social support as a stress coping strategy. This study showed that the mental health of students declined during self-quarantine, and loneliness could be the major reason. There is a need for a new form of communication and learning that deals with the isolation and loneliness of students, especially for students living alone.

scholarly journals Drayton Park, an alternative to hospital admission for women in acute mental health crisis

2000 ◽  
Vol 24 (3) ◽  
pp. 101-104 ◽  
Author(s):  
Helen Killaspy ◽  
Joy Dalton ◽  
Shirley McNicholas ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Hospital Admission ◽  
Mental Health Problems ◽  
Clinical Implications ◽  
Mental Health Crisis ◽  
Safe Alternative ◽  
Health Crisis ◽  
Case Files ◽  
The Uk ◽  
Depressive Episodes

Aims and MethodTo describe Drayton Park, the first women-only residential mental health crisis facility in the UK and to investigate whether it is succeeding in its remit of providing a viable alternative to hospital admission. We randomly selected case files from 100 women admitted to Drayton Park since its opening and examined variables including demographic details, the reasons for referral, diagnosis and the source of referral.ResultsOur findings show that the service is able to respond quickly to referrals and appears to be functioning safely. The women admitted have a relatively short length of stay, half suffer from depressive episodes and one-third have a relapse of schizophrenia or bipolar disorder.Clinical ImplicationsThis project appears to be succeeding in providing a safe alternative to hospital admission for women with severe and enduring mental health problems.

Sign in / Sign up

Export Citation Format

Share Document