scholarly journals mHealth for mental health: readiness among perinatal adolescents in Nigeria (Preprint)

2020 ◽  
Author(s):  
Lola Kola ◽  
Dolapo Abiona ◽  
Adeyinka Olufolake Adefolarin ◽  
Dror Ben-Zeev
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Mobile Phone ◽  
Mobile Phones ◽  
Adolescent Mothers ◽  
Text Messages ◽  
Health Interventions ◽  
Young Mothers

BACKGROUND There are several barriers that may hamper adolescent mothers’ utilization of available health interventions for perinatal depression. Innovative treatment approaches are needed to increase their access to mental health care for improved maternal and child health outcomes. Mobile phones have the potential to serve as important conduits to mental health care in Africa. However mobile phone pattern of use and needs of young mothers in Nigeria are unknown. OBJECTIVE This study sought to document the prevalence of mobile phone use among perinatal adolescents and report their pattern of use, as well as the openness of young mothers to mHealth mental health interventions. METHODS We surveyed two hundred and sixty (260) adolescent mothers aged between 16 -19 years in their perinatal or postnatal periods of pregnancies in thirty-three (33) primary health care clinics in Ibadan, Oyo State, Nigeria between 24th February and 23rd March 2020. Respondents were included if they were pregnant with gestation age of >4 weeks, or were with babies of not more than 12 months. RESULTS The total study sample consisted of 260 adolescent mothers with a mean age of 18.4 (SD = 0.88). The majority of the respondents (233, 89.6%) owned mobile phones, 22 (8.5%) had access to phones that belonged to relatives who live in the same house with them (for an average of eighty (80) minutes per day), while 5 (1.9) had access only to public paid phones. On average, respondents reported 15.5 (SD = 2.06) years as the age when they first started using a mobile phone. The majority of respondents (222, 85.4%) use their phones averagely for 45 minutes daily for calls to family members. Facebook was the most used social media site among internet users (122, 83.4%), The majority responded being “interested and “very interested in the use of mobile phones for preventive (250, 96.2%) and treatment (243, 93.5%) information on a mental illness such as depression and “hearing voices." Half of the respondents (126, 50.4%) preferred to receive such information as text messages, while very few (26, 10.4%) wanted, such as videos on phone applications. CONCLUSIONS Findings from this study support a broad willingness to engage in mHealth initiatives for the delivery of care for mental illness among perinatal adolescents. A variety of smartphone device supported interventions can be considered as promising in this population because of their high literacy rate. CLINICALTRIAL NA

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.

Differentiating Between Rights-Based and Relational Ethical Approaches

2009 ◽  
Vol 16 (3) ◽  
pp. 283-291 ◽  
Author(s):  
Irena Trobec ◽  
Majda Herbst ◽  
Boštjan Žvanut
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Formal Education ◽  
Personal Values ◽  
Ethical Approach ◽  
Bachelor's Degrees ◽  
Ethical Approaches ◽  
Health Institutions

When forced treatment in mental health care is under consideration, two approaches guide clinicians in their actions: the dominant rights-based approach and the relational ethical approach. We hypothesized that nurses with bachelor's degrees differentiate better between the two approaches than nurses without a degree. To test this hypothesis a survey was performed in major Slovenian health institutions. We found that nurses emphasize the importance of ethics and personal values, but 55.4% of all the nurse participants confused the two approaches. The results confirmed our hypothesis and indicate the importance of nurses' formal education, especially when caring for patients with mental illness.

scholarly journals 'Unheard voices’: Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis

2021 ◽  
Vol 39 (3) ◽  
Author(s):  
Vijayalakshmi Poreddi ◽  
S. Sai Nikhil Reddy ◽  
Sailaxmi Gandhi ◽  
Marimuthu P ◽  
Suresh BadaMath
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Domestic Violence ◽  
Mental Illness ◽  
Mental Health Care ◽  
Physical Violence ◽  
Tertiary Care ◽  
Routine Screening ◽  
Health Care Settings ◽  
Nursing Professionals

Objective. To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings. Methods. This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India. Results. Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals). Conclusion. Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.

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