scholarly journals PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care

2021 ◽  
Vol Volume 14 ◽  
pp. 2841-2849
Author(s):  
Mojtaba Vaismoradi ◽  
Shazia Jamshed ◽  
Stefan Lorenzl ◽  
Piret Paal
Keyword(s):  
Mental Health ◽  
Home Care ◽  
Older People ◽  
Mental Health Disorders ◽  
Medicines Management ◽  
Health Disorders

scholarly journals M.I.C.E—Mental Health Intervention for Children with Epilepsy: a randomised controlled, multi-centre clinical trial evaluating the clinical and cost-effectiveness of MATCH-ADTC in addition to usual care compared to usual care alone for children and young people with common mental health disorders and epilepsy—study protocol

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sophie D. Bennett ◽  
◽  
J. Helen Cross ◽  
Anna E. Coughtrey ◽  
Isobel Heyman ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Usual Care ◽  
Psychological Intervention ◽  
Mental Health Disorders ◽  
Long Term Conditions ◽  
Children And Young People ◽  
Health Disorders ◽  
Randomised Controlled

Abstract Background Mental health disorders in the context of long-term conditions in children and young people are currently overlooked and undertreated. Evidence-based psychological treatments for common childhood mental health disorders (anxiety, depression and disruptive behaviour disorders) have not been systematically evaluated in young people with epilepsy despite their high prevalence in this population. The aim of this multi-site randomised controlled trial is to determine the clinical and cost-effectiveness of adding a modular psychological intervention to usual care for the mental health disorders in comparison to assessment-enhanced usual care alone. Methods In total, 334 participants aged 3–18 years attending epilepsy services will be screened for mental health disorders with the Strengths and Difficulties Questionnaire (SDQ) and the diagnostic Development and Wellbeing Assessment (DAWBA). Those identified as having a mental health disorder and consenting to the trial will be randomised to either receive up to 22 sessions of the modular psychological intervention (MATCH-ADTC) delivered over the telephone over 6 months by non-mental health professionals in addition to usual care or to assessment-enhanced usual care alone. Outcomes will be measured at baseline, 6 months and 12 months post-randomisation. It is hypothesised that MATCH-ADTC plus usual care will be superior to assessment-enhanced usual care in improving emotional and behavioural symptoms. The primary outcome is the SDQ reported by parents at 6 months. Secondary outcomes include parent-reported mental health measures such as the Revised Children’s Anxiety and Depression Scale, quality of life measures such as the Paediatric Quality of Life Inventory and physical health measures such as the Hague Seizure Severity Scale. Outcome assessors will be blinded to group assignment. Qualitative process evaluations and a health economic evaluation will also be completed. Discussion This trial aims to determine whether a systematic and integrated approach to the identification and treatment of mental health disorders in children and young people with epilepsy is clinically and cost-effective. The findings will contribute to policies and practice with regard to addressing mental health needs in children and young people with other long-term conditions. Trial registration ISRCTN ISRCTN57823197. Registered on 25 February 2019.

scholarly journals Cerebral malaria is associated with long-term mental health disorders: a cross sectional survey of a long-term cohort

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Richard Idro ◽  
Angelina Kakooza-Mwesige ◽  
Benjamin Asea ◽  
Keron Ssebyala ◽  
Paul Bangirana ◽  
...  
Keyword(s):  
Mental Health ◽  
Cerebral Malaria ◽  
Mental Health Disorders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Disorders

scholarly journals Diagnosed Prevalence and Health Care Expenditures of Mental Health Disorders Among Dual Eligible Older People

2012 ◽  
Vol 53 (2) ◽  
pp. 334-344 ◽  
Author(s):  
Terry Y. Lum ◽  
Shriram Parashuram ◽  
Tetyana P. Shippee ◽  
Andrea Wysocki ◽  
Nathan D. Shippee ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Older People ◽  
Health Care Expenditures ◽  
Mental Health Disorders ◽  
Dual Eligible ◽  
Health Disorders

Mental Health Disorders in Elderly People Receiving Home Care

2016 ◽  
Vol 65 (2) ◽  
pp. 107-116 ◽  
Author(s):  
Jinjiao Wang ◽  
Joan A. Kearney ◽  
Haomiao Jia ◽  
Jingjing Shang
Keyword(s):  
Mental Health ◽  
Home Care ◽  
Elderly People ◽  
Mental Health Disorders ◽  
Health Disorders

Mental health disorders in home care elders: An integrative review

2016 ◽  
Vol 37 (1) ◽  
pp. 44-60 ◽  
Author(s):  
Jinjiao Wang ◽  
Jingjing Shang ◽  
Joan A. Kearney
Keyword(s):  
Mental Health ◽  
Home Care ◽  
Mental Health Disorders ◽  
Integrative Review ◽  
Health Disorders

Mortality Associated with Incident Mental Health Disorders After Stroke

2007 ◽  
Vol 41 (3) ◽  
pp. 274-281 ◽  
Author(s):  
Osvaldo P. Almeida ◽  
Jianguo Xiao
Keyword(s):  
Mental Health ◽  
Psychotic Disorders ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Stroke Patients ◽  
Post Stroke ◽  
Australian Community ◽  
History Of ◽  
Health Disorders

Objective: Sparse information is currently available about the incidence of the major psychiatric syndromes following a stroke and their long-term contribution to morbidity and mortality. This study was designed to determine: (1) the incidence of first ever mental health disorder in amongst stroke patients; (2) the 10-year mortality associated with incident post-stroke mental health disorders. Methods: Design: Retrospective cohort study. Setting: Entire Western Australian community. Participants: First-ever stroke in 1990. Subjects with a prior recorded history of any mental health disorder were excluded from the study. Main outcomes of interest: Incident mental health diagnoses and 10-year mortality. Results: 1,129 hospital stroke contacts were recorded in 1990, with 21 people dying on the same day of contact. Between 1990-2002 36.6% of the survivors received a mental health diagnosis (6.1 per 1,000 person-years): alcohol-related disorders (16.2%), dementia (12.1%), delirium (7.6%), psychotic disorders (6.7%), and depression (5.5%). Mental health disorder onset was usually within 6 months of the stroke. Patients with an incident psychotic disorder were twice as likely to die during the subsequent 10 years as post-stroke controls with no mental health disorder (risk ratio = 2.03, 95%CI = 1.39-2.95). Being a widow (HR = 1.61, 95%CI = 1.13-2.30) or having been born in ‘other countries’ as opposed to Australia (HR = 1.56, 95%CI = 1.15-2.11) was also associated with increased death hazard. Conclusions: Approximately 1 in 3 patients develop a mental health disorder after stroke, although incidence estimates are relatively low. Post-stroke psychosis is associated with greater 10-year mortality, but the mechanisms underlying such an association are yet to be determined.

scholarly journals Local, Early, and Precise: Designing a Clinical Decision Support System for Child and Adolescent Mental Health Services

2020 ◽  
Vol 11 ◽  
Author(s):  
Thomas Brox Røst ◽  
Carolyn Clausen ◽  
Øystein Nytrø ◽  
Roman Koposov ◽  
Bennett Leventhal ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Decision ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Mental Health Disorders ◽  
Evidence Based ◽  
Health Disorders

Mental health disorders often develop during childhood and adolescence, causing long term and debilitating impacts at individual and societal levels. Local, early, and precise assessment and evidence-based treatment are key to achieve positive mental health outcomes and to avoid long-term care. Technological advancements, such as computerized Clinical Decision Support Systems (CDSSs), can support practitioners in providing evidence-based care. While previous studies have found CDSS implementation helps to improve aspects of medical care, evidence is limited on its use for child and adolescent mental health care. This paper presents challenges and opportunities for adapting CDSS design and implementation to child and adolescent mental health services (CAMHS). To highlight the complexity of incorporating CDSSs within local CAMHS, we have structured the paper around four components to consider before designing and implementing the CDSS: supporting collaboration among multiple stakeholders involved in care; optimally using health data; accounting for comorbidities; and addressing the temporality of patient care. The proposed perspective is presented within the context of the child and adolescent mental health services in Norway and an ongoing Norwegian innovative research project, the Individualized Digital DEcision Assist System (IDDEAS), for child and adolescent mental health disorders. Attention deficit hyperactivity disorder (ADHD) among children and adolescents serves as the case example. The integration of IDDEAS in Norway intends to yield significantly improved outcomes for children and adolescents with enduring mental health disorders, and ultimately serve as an educational opportunity for future international approaches to such CDSS design and implementation.

Sign in / Sign up

Export Citation Format

Share Document