scholarly journals Managing work-related mental health conditions in family medicine

2019 ◽  
Vol 191 (12) ◽  
pp. E323-E324
Author(s):  
Michael Kidd
Keyword(s):  
Mental Health ◽  
Family Medicine ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Work Related

scholarly journals Diagnosing and managing work‐related mental health conditions in general practice: new Australian clinical practice guidelines

2019 ◽  
Vol 211 (2) ◽  
pp. 76-81 ◽  
Author(s):  
Danielle Mazza ◽  
Samantha P Chakraborty ◽  
Bianca Brijnath ◽  
Heather Nowak ◽  
Cate Howell ◽  
...  
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Work Related

scholarly journals What clinical challenges are associated with diagnosing and managing work-related mental health conditions? A qualitative study in general practice

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037734 ◽  
Author(s):  
Samantha Paubrey Chakraborty ◽  
Jacinta Dermentzis ◽  
Bianca Brijnath ◽  
Eli Ivey ◽  
Danielle Mazza
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Clinical Care ◽  
Care Patient ◽  
Health Conditions ◽  
Diagnostic Tools ◽  
Workers Compensation ◽  
Compensation Scheme ◽  
Mental Health Conditions ◽  
Work Related

ObjectiveWhen providing care for patients with work-related mental health conditions (MHCs), the general practitioner’s (GP) role includes clinical care, patient advocacy and assessment of a patient’s ability to work. GPs can experience difficulty representing these competing roles. As clinical guidelines were being developed to assist GPs in providing this care, our aim was to identify the clinical challenges GPs experience when diagnosing and managing patients with work-related MHCs.DesignQualitative research.SettingThis study was conducted in general practice and workers’ compensation settings across Australia.ParticipantsTwenty-five GPs, seven psychiatrists and nine compensation scheme workers. GPs were eligible to participate if they were actively treating (or treated within the previous three years) patient(s) who had submitted a workers’ compensation claim for a MHC. Psychiatrists and compensation scheme workers were eligible to participate if they were active in these roles, as they are best placed to identify additional clinical challenges GPs themselves did not raise.MethodParticipants were invited by letter to participate in qualitative semi-structured telephone interviews. Prior to each interview, participants were asked to reflect on two case vignettes, each depicting a patient’s illness trajectory over 12 months. Data were thematically analysed using inductive and deductive techniques and then categorised by stages of clinical reasoning.ResultsParticipants reported clinical challenges across four key areas: (1) Diagnosis (identifying appropriate diagnostic tools, determining the severity and work-relatedness of a MHC, and managing the implications of labelling the patient with MHC). (2) Management (determining optimal treatment, recommending work participation). (3) Referral (ambiguity of communication pathways within compensation schemes). (4) Procedure (difficulties navigating compensation systems).ConclusionWe found that GPs experienced clinical challenges at all stages of care for people with work-related MHCs. We were also able to identify systemic and procedural issues that influence a GP’s ability to provide care for patients with work-related MHCs.

scholarly journals Impacts of stigma and discrimination in the workplace on people living with psychosis

2020 ◽  
Author(s):  
Margaret E Hampson ◽  
Bruce D Watt ◽  
Richard Edward Hicks
Keyword(s):  
Mental Health ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Work Related ◽  
Stigma And Discrimination ◽  
Barriers To Employment ◽  
Work Avoidance ◽  
Workplace Stigma ◽  
Related Stress ◽  
Serious Mental Health Conditions

Abstract Background. Employment holds many benefits for people living with psychosis. However, significant barriers to employment for this cohort appear to exist, notably stigma and discrimination against people living with serious mental health conditions. We asked: Would a qualitative sample including multiple stakeholder groups reveal similar results and if so, what would be the main impacts of such stigma and discrimination? Method. This analysis used data from a qualitative study that had applied focus groups and interviews to investigate the employment barriers and support needs of people living with psychosis, including views of the multiple stakeholders (such as those living with mental health conditions, health professionals, and employers). Results: The analyses confirmed the most frequently referenced barriers to employment were stigma and discrimination. The main impacts of workplace stigma and discrimination on people living with psychosis involved five areas: work avoidance, reluctance to disclose mental health conditions to employers, work-related stress, and reduced longevity of employment. Conclusions. As in earlier studies, the main barriers to employment for those living with psychosis were stigma and discrimination, and significant impacts from such stigma and discrimination were found in this study. The findings indicate a need to provide support mechanisms and to change the culture of workplaces to improve employment opportunities and outcomes for people living with psychosis.

scholarly journals Impacts of stigma and discrimination in the workplace on people living with psychosis

2020 ◽  
Author(s):  
Margaret E Hampson ◽  
Bruce D Watt ◽  
Richard Edward Hicks
Keyword(s):  
Mental Health ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Work Related ◽  
Stigma And Discrimination ◽  
Barriers To Employment ◽  
Work Avoidance ◽  
Workplace Stigma ◽  
Related Stress ◽  
Serious Mental Health Conditions

Abstract Background. Employment holds many benefits for people living with psychosis. However, significant barriers to employment for this cohort appear to exist, notably stigma and discrimination against people living with serious mental health conditions. We asked: Would a qualitative sample including multiple stakeholder groups reveal similar results and if so, what would be the main impacts of such stigma and discrimination? Method. This analysis used data from a qualitative study that had applied focus groups and interviews to investigate the employment barriers and support needs of people living with psychosis, including views of the multiple stakeholders (such as those living with mental health conditions, health professionals, and employers). Results: The analyses confirmed the most frequently referenced barriers to employment were stigma and discrimination. The main impacts of workplace stigma and discrimination on people living with psychosis involved five areas: work avoidance, reluctance to disclose mental health conditions to employers, work-related stress, and reduced longevity of employment. Conclusions. As in earlier studies, the main barriers to employment for those living with psychosis were stigma and discrimination, and significant impacts from such stigma and discrimination were found in this study. The findings indicate a need to provide support mechanisms and to change the culture of workplaces to improve employment opportunities and outcomes for people living with psychosis.

scholarly journals Impacts of stigma and discrimination in the workplace on people living with psychosis

2020 ◽  
Author(s):  
Margaret E Hampson ◽  
Bruce D Watt ◽  
Richard Edward Hicks
Keyword(s):  
Mental Health ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Work Related ◽  
Stigma And Discrimination ◽  
Barriers To Employment ◽  
Work Avoidance ◽  
Workplace Stigma ◽  
Related Stress ◽  
Serious Mental Health Conditions

Abstract Background. Employment holds many benefits for people living with psychosis. However, significant barriers to employment for this cohort appear to exist, notably stigma and discrimination against people living with serious mental health conditions. We asked: Would an Australian qualitative sample reveal similar results and if so, what would be the main impacts of such stigma and discrimination? Method. This analysis used data from a qualitative study that had investigated the employment barriers and support needs of people living with psychosis, including the views of multiple stakeholder groups (such as those living with mental health conditions, health professionals, and employers). Results. The analyses confirmed the most frequently referenced barriers to employment were stigma and discrimination. The main impacts of workplace stigma and discrimination on people living with psychosis included five areas: work avoidance, reluctance to disclose mental health conditions to employers, work-related stress, and reduced longevity of employment. Conclusions. As in overseas studies, the main barriers to employment for those living with psychosis were stigma and discrimination, and there were significant impacts from such stigma and discrimination. The findings indicate a need to change the culture of workplaces to improve employment opportunities and outcomes for people living with psychosis.

70-LB: Fat Mass and Obesity-Associated rs9939609 Gene Variant Is Related to Fasting Glucose in Children with Mental Health Conditions

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 70-LB
Author(s):  
ALEJANDRA M. WIEDEMAN ◽  
YING FAI NGAI ◽  
AMANDA M. HENDERSON ◽  
CONSTADINA PANAGIOTOPOULOS ◽  
ANGELA M. DEVLIN
Keyword(s):  
Mental Health ◽  
Fat Mass ◽  
Fasting Glucose ◽  
Health Conditions ◽  
Gene Variant ◽  
Mental Health Conditions
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