scholarly journals Co-Designing a Web-Based Decision Aid Tool for Employees Disclosure of Mental Health Conditions: A Participatory Study Design Using Employee and Organizational Preferences (Preprint)

2020 ◽  
Author(s):  
Elizabeth Stratton ◽  
Isabella Choi ◽  
Dorian Peters ◽  
Rafael A Calvo ◽  
Samuel B Harvey ◽  
...  
Keyword(s):  
Mental Health ◽  
Participatory Design ◽  
Decision Aid ◽  
Health Condition ◽  
End Users ◽  
Health Conditions ◽  
Full Time ◽  
Mental Health Condition ◽  
Web Based ◽  
Mental Health Conditions

BACKGROUND Decisions of whether to disclose mental health conditions are extremely personal and require the consideration of multiple factors associated with the disclosure process (eg, weighing the risks and benefits). Decision aid tools help people make these complex decisions. Such an aid needs to be confidential, easily accessible, and easy to use with the potential to access the tool on multiple occasions. Web programs are well suited to meet these requirements and, if properly developed, can provide feasible, accessible, affordable, and effective workplace interventions. OBJECTIVE This study aims to gain insights from potential end users, in this case both employees and organizations, into what type of components including language, style, and content would avoid potential stigma and ensure that elements of clear value for users would be built into a web-based decision aid tool that aims to assist employees in making decisions about the disclosure of their mental health condition at work. METHODS A participatory design approach was used to allow developers, researchers, experts, and end users to collaborate in co-designing the tool. During the user research phase of the development of the web-based tool, a participatory design workshop approach was selected as a part of a larger study of focus groups. Australian employees and managers in rural, suburban, and urban locations participated in an exploratory qualitative study involving participatory workshops designed to elicit their perspectives and preferences for a decision aid tool. RESULTS A total of 2 workshops were conducted with 13 participants. The majority were from a transport company (9/13, 69%), male (8/13, 62%), and employed full time (11/13, 85%). Six employees had previous experience disclosing their own mental health condition, and 7 were in a supervisory role and had previously been disclosed to. In any co-design development, there are certain trade-offs that need to be made between the views of experts, developers, end users, and the available budget. In this specific instance of a very delicate, personal decision, the end users provided valuable design insights into key areas such as language, and they were very antipathetic to a key feature, the avatar, which was thought to be desirable by experts and developers. Findings including aspects of the tool where all stakeholders were in agreement, aspects where some stakeholders disagreed and adaptations were implemented, where disagreements could not be implemented because of financial constraints, and misalignment between stakeholders and how to decide on a balance were shared. CONCLUSIONS The co-design with a lived experience approach is useful for contributing much to the design, language, and features. The key in this study was balancing the needs of the workers and the potential impact for the managers and organizations, while ensuring legislation and regulation requirements were upheld. CLINICALTRIAL

scholarly journals Co-Designing a Web-Based Decision Aid Tool for Employees Disclosure of Mental Health Conditions: A Participatory Study Design Using Employee and Organizational Preferences

10.2196/23337 ◽  
2020 ◽  
Vol 4 (11) ◽  
pp. e23337
Author(s):  
Elizabeth Stratton ◽  
Isabella Choi ◽  
Dorian Peters ◽  
Rafael A Calvo ◽  
Samuel B Harvey ◽  
...  
Keyword(s):  
Mental Health ◽  
Participatory Design ◽  
Decision Aid ◽  
Health Condition ◽  
End Users ◽  
Health Conditions ◽  
Full Time ◽  
Mental Health Condition ◽  
Web Based ◽  
Mental Health Conditions

Background Decisions of whether to disclose mental health conditions are extremely personal and require the consideration of multiple factors associated with the disclosure process (eg, weighing the risks and benefits). Decision aid tools help people make these complex decisions. Such an aid needs to be confidential, easily accessible, and easy to use with the potential to access the tool on multiple occasions. Web programs are well suited to meet these requirements and, if properly developed, can provide feasible, accessible, affordable, and effective workplace interventions. Objective This study aims to gain insights from potential end users, in this case both employees and organizations, into what type of components including language, style, and content would avoid potential stigma and ensure that elements of clear value for users would be built into a web-based decision aid tool that aims to assist employees in making decisions about the disclosure of their mental health condition at work. Methods A participatory design approach was used to allow developers, researchers, experts, and end users to collaborate in co-designing the tool. During the user research phase of the development of the web-based tool, a participatory design workshop approach was selected as a part of a larger study of focus groups. Australian employees and managers in rural, suburban, and urban locations participated in an exploratory qualitative study involving participatory workshops designed to elicit their perspectives and preferences for a decision aid tool. Results A total of 2 workshops were conducted with 13 participants. The majority were from a transport company (9/13, 69%), male (8/13, 62%), and employed full time (11/13, 85%). Six employees had previous experience disclosing their own mental health condition, and 7 were in a supervisory role and had previously been disclosed to. In any co-design development, there are certain trade-offs that need to be made between the views of experts, developers, end users, and the available budget. In this specific instance of a very delicate, personal decision, the end users provided valuable design insights into key areas such as language, and they were very antipathetic to a key feature, the avatar, which was thought to be desirable by experts and developers. Findings including aspects of the tool where all stakeholders were in agreement, aspects where some stakeholders disagreed and adaptations were implemented, where disagreements could not be implemented because of financial constraints, and misalignment between stakeholders and how to decide on a balance were shared. Conclusions The co-design with a lived experience approach is useful for contributing much to the design, language, and features. The key in this study was balancing the needs of the workers and the potential impact for the managers and organizations, while ensuring legislation and regulation requirements were upheld.

scholarly journals Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Signe Heuckendorff ◽  
Martin Nygård Johansen ◽  
Søren Paaske Johnsen ◽  
Charlotte Overgaard ◽  
Kirsten Fonager
Keyword(s):  
Mental Health ◽  
Healthcare Services ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Parental Mental Health ◽  
Mental Health Conditions ◽  
First Year Of Life ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked. We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. Methods This register-based cohort study included all live-born children born in Denmark from 2000 to 2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Negative binominal regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life. Results The analyses included 964,395 children. Twenty percent of the mothers and 12 % of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04–1.06) and out-of-hour IRR 1.20 (CI95% 1.18–1.22)). Risks were higher for maternal mental health conditions (GP IRR 1.18 (CI95% 1.17–1.19) and out-of-hour IRR 1.39 (CI95% 1.37–1.41)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.25 (CI95% 1.23–1.27) and out-of-hour contacts IRR 1.49 (CI95% 1.45–1.54)), including minor mental health condition (GP IRR 1.22 (CI95% 1.21–1.24) and out-of-hour IRR 1.37 (CI95% 1.34–1.41)). This pattern was the same for all types of healthcare contacts. Conclusions Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning.

Prevalence of parental mental health conditions among children aged 0–16 years in Denmark: A nationwide register-based cross-sectional study

2021 ◽  
pp. 140349482110454
Author(s):  
Amanda M.S. Christesen ◽  
Camilla K. Knudsen ◽  
Kirsten Fonager ◽  
Martin N. Johansen ◽  
Signe Heuckendorff
Keyword(s):  
Mental Health ◽  
Geographical Variation ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Sectional Study ◽  
Parental Mental Health ◽  
Cross Sectional ◽  
Mental Health Conditions

Aim: Parental mental health conditions adversely affect the children. Information on the prevalence of parental mental health conditions is needed to help policymakers allocate resources appropriately. Therefore, the aim of this study was to estimate the prevalence of children with parental mental health conditions in Denmark and further estimate the age-specific prevalence and geographical variation. Methods: In this nationwide register-based cross-sectional study, we included all children born between 2000 and 2016 if they resided in Denmark on 31 December 2016. Information on both maternal and paternal mental health conditions was retrieved from primary and secondary healthcare registers. Parental mental health conditions were categorised in three severity groups: minor, moderate, and severe. We estimated the proportion of children with parental mental health conditions on 31 December 2016. Results: Of the 1,106,459 children aged 0–16 years, 39.1% had at least one parent with a mental health condition. The prevalence increased with age of the children until the age of six years. Geographical variation in the prevalence ranged from 29.0% to 48.3% in the 98 municipalities. Minor parental mental health conditions (23.5%) were more common than moderate (13.5%) and severe parental mental health conditions (2.2%). Hospital-diagnosed parental mental health conditions were prevalent in 12.8% of the children. Conclusions: Two in five children aged 0–16 years in Denmark have parents with a mental health condition and geographical variation exists. The high prevalence of children with parental mental health conditions is an important public health challenge, which calls for attention.

scholarly journals Higher Education Completion Rates for Domestic Undergraduate Students Who Access Mental Health Services Using A Multi-Agency Matched Population Cohort

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Lewis Cowie ◽  
Luke Hendrickson
Keyword(s):  
Mental Health ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Service Use ◽  
Randomised Control Trial ◽  
Completion Rates ◽  
Mental Health Condition ◽  
Mental Health Conditions ◽  
Wide Range ◽  
The Impact

By linking Education, Health, and Welfare data in the Multi-Agency Data Integration Project (MADIP), our analysis looked at the impact of poor mental health on the likelihood of completing an undergraduate degree in Australia. IntroductionCompletion of a bachelor degree is important to both the student and the government, as it provides lifelong benefits and prevents investment loss. Previous research has reported conflicting findings regarding whether students with mental ill health are less likely to complete a degree, with an estimated 25 per cent of young adult university students experiencing mental ill-health each year. Objectives and ApproachOur research analysed national mental health service use and related pharmaceutical prescriptions linked with education data to determine the extent and effect of known mental health conditions on undergraduate student six-year completion rates. We followed a de-identified cohort of 120,000 students who commenced an undergraduate degree for the first time in 2011 for six years. Summary statistics and a binomial logit was used on a matched sample to confirm significance. ResultsWe found that students with a known mental health condition had a significantly lower six-year completion rate (58 per cent) than those students with no known mental health condition (71 per cent). By simulating a randomised control trial controlling for a wide range of demographics, we showed that these results held and that completion rates worsened with increasing severity of mental health conditions, as measured by usage of psychiatric services. ConclusionIntegrated data assets such as MADIP help us better understand the interaction between student success and mental health conditions which in turn will help us improve policy and better evaluate programs.

The Impact of Family Functioning and Mental Health Condition on the Child's Behavioral Problems

2015 ◽  
Vol 43 (7) ◽  
pp. 1135-1145 ◽  
Author(s):  
Qian Wang ◽  
Ting Zhou
Keyword(s):  
Mental Health ◽  
Family Functioning ◽  
Behavioral Problems ◽  
Health Condition ◽  
Health Conditions ◽  
Depression Symptoms ◽  
Unique Contribution ◽  
Mental Health Condition ◽  
Mental Health Conditions ◽  
Reported Data

We examined correlates of mental health conditions among family members and explored the effects of mothers' and fathers' mental health and family functioning on their child's behavioral problems. Participants were 119 couples in China, of whom the majority were parents in 1-child families. These parents reported their own anxiety and depression symptoms, behavioral problems of their child, and perceived family functioning. Results indicated that the mental health condition of the father, mother, and child were closely correlated, and that parental mental health was positively correlated with family functioning. Further, the couples had relatively high consistency in their ratings of family functioning and the child's behavioral problems, with rating discrepancies being positively correlated with mental health conditions. Finally, paternal mental health made a unique contribution to prediction of the child's behavioral problems when father-reported data were used, but this effect was not significant when the mother-reported data were applied.

scholarly journals Parental mental health conditions and use of healthcare services in children the first year of life – a register-based, nationwide study

2020 ◽  
Author(s):  
Signe Heuckendorff ◽  
Martin Nygård Johansen ◽  
Søren Paaske Johnsen ◽  
Charlotte Overgaard ◽  
Kirsten Fonager
Keyword(s):  
Mental Health ◽  
Healthcare Services ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Parental Mental Health ◽  
Mental Health Conditions ◽  
First Year Of Life ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked.We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. Methods This register-based cohort study included all live-born children born in Denmark from 2000-2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Poisson regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life.Results The analyses included 964395 children. Twenty percent of the mothers and twelve percent of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04-1.05) and out-of-hour IRR 1.20 (CI95% 1.18-1.21)). Risks were higher for maternal mental health conditions (GP IRR 1.17 (CI95% 1.17-1.18) and out-of-hour IRR 1.38 (CI95% 1.37-1.37)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.24 (CI95% 1.23-1.25) and out-of-hour contacts IRR 1.48 (CI95% 1.45-1.51)), including minor mental health condition (GP IRR 1.22 (CI95% 1.22-1.23) and out-of-hour IRR 1.37 (CI95% 1.35-1.39)). This pattern was the same for all types of healthcare contacts.Conclusions Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning.

scholarly journals Finishing College Classes During COVID-19

2020 ◽  
Vol 17 (7) ◽  
Author(s):  
Michelle Mullen ◽  
Deirdre Logan
Keyword(s):  
Mental Health ◽  
College Students ◽  
College Student ◽  
Young Adult ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Mental Health Conditions ◽  
Adult College Students ◽  
College Classes

This is a tough time for everyone. College students have been asked to leave campus and finish the semester remotely, which may not be something they are used to. While this is a hard adjustment for most college students, this change may be more difficult for young adult college students with mental health conditions. Since trying to finish the semester remotely can be a challenge, we’ve collected some tips that may be helpful. Many of these tips are adapted from our Supporting College Students with Mental Health Conditions in the Wake of COVID-19 here on our website. Michelle Mullen also held a webinar Are You a College Student with a Mental Health Condition? Managing the Wake of COVID: Strategies & Tools to Finish Your Semester that you can find here on our website.

Family Predictors of Child Mental Health Conditions

2017 ◽  
Vol 39 (4) ◽  
pp. 935-959
Author(s):  
Jenny Nguyen ◽  
Melanie Sberna Hinojosa ◽  
Sara Strickhouser Vega ◽  
Rameika Newman ◽  
Emily Strohacker ◽  
...  
Keyword(s):  
Mental Health ◽  
Race And Ethnicity ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Family Resources ◽  
Minority Children ◽  
White Children ◽  
Mental Health Conditions ◽  
Race Ethnicity

Research suggests that minority children with one mental health condition are more likely than White children to have a secondary mental health condition. However, there are no current studies that test the interaction between race and family resources to examine this apparent racial difference in mental health conditions in children. Yet research suggests that family resources vary by race/ethnicity. This study examines the interaction between family structure and socioeconomic status by race and ethnicity to understand how it predicts the number of mental health conditions among children. Our findings are consistent with the existing literature that children in resource-poor families (single parent, step-parent families, and lower income families) have higher counts of mental health conditions. Yet we also found that children in resource-rich families (two-parent biological families with higher levels of income) in some cases also had higher counts of mental health conditions and this varied by race/ethnicity.

scholarly journals The Role of Mental Health Conditions in the Diagnosis of Neurocognitive Impairment in People Living with HIV

Diagnostics ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 543
Author(s):  
Irene Portilla-Tamarit ◽  
Nicolás Ruiz-Robledillo ◽  
Marcos Díez-Martínez ◽  
Rosario Ferrer-Cascales ◽  
Cristian Alcocer-Bruno ◽  
...  
Keyword(s):  
Mental Health ◽  
Antiretroviral Treatment ◽  
Neurocognitive Impairment ◽  
Health Condition ◽  
Health Conditions ◽  
People Living With Hiv ◽  
Mental Health Condition ◽  
Hiv Viral Load ◽  
Mental Health Conditions ◽  
Living With Hiv

The aims of the present study were to evaluate the prevalence of undiagnosed mental health conditions (UMHC) in people living with HIV (PLWHIV) on antiretroviral treatment and with long-term suppressed HIV viremia, and its association with neurocognitive impairment (NCI). A cross-sectional observational study on HIV subjects, ≥18 years old, on stable antiretroviral treatment and with HIV viral load <50 copies/mL was carried out. Patients with known comorbidities, substances abuse, anxiety or depression were excluded. UMHC were evaluated by the Millon Clinical Multiaxial Inventory-III and NCI by Frascati criteria. The association between NCI and sociodemographic, clinical HIV variables and mental health conditions was analyzed. Further, the relationship between mental health conditions scores and NCI diagnosis was evaluated. Eighty patients were included, 37.5% had at least one undiagnosed mental health condition, and 26.3% had NCI. The most frequent mental health conditions were: anxiety (21.3%); bipolar disorder (11.3%); and substance dependence (8.8%). Only longer time since HIV diagnosis (p = 0.030) and at least one mental health condition diagnosis (p = 0.002) showed an association with NCI. Participants with NCI presented higher scores in anxiety, alcohol dependence and post-traumatic stress. Undiagnosed mental health conditions are frequent in PLWHIV. These disorders cannot be identified by HIV clinicians or basic screening questionnaires, and they are not usually self-reported by patients. UMHC could act as confounders in the evaluation of NCI.

scholarly journals Parental mental health conditions and use of healthcare services in children the first year of life – a register-based, nationwide study

2020 ◽  
Author(s):  
Signe Heuckendorff ◽  
Martin Nygård Johansen ◽  
Søren Paaske Johnsen ◽  
Charlotte Overgaard ◽  
Kirsten Fonager
Keyword(s):  
Mental Health ◽  
Healthcare Services ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Parental Mental Health ◽  
Mental Health Conditions ◽  
First Year Of Life ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked.We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. Methods This register-based cohort study included all live-born children born in Denmark from 2000-2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Negative binominal regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life.Results The analyses included 964395 children. Twenty percent of the mothers and twelve percent of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04-1.06) and out-of-hour IRR 1.20 (CI95% 1.18-1.22)). Risks were higher for maternal mental health conditions (GP IRR 1.18 (CI95% 1.17-1.19) and out-of-hour IRR 1.39 (CI95% 1.37-1.41)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.25 (CI95% 1.23-1.27) and out-of-hour contacts IRR 1.49 (CI95% 1.45-1.54)), including minor mental health condition (GP IRR 1.22 (CI95% 1.21-1.24) and out-of-hour IRR 1.37 (CI95% 1.34-1.41)). This pattern was the same for all types of healthcare contacts.Conclusions Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning.

Sign in / Sign up

Export Citation Format

Share Document