scholarly journals School Counselors� Perspectives of a Web-Based Stepped Care Mental Health Service for Schools: Cross-Sectional Online Survey (Preprint)

2017 ◽  
Author(s):  
Bridianne O'Dea ◽  
Catherine King ◽  
Mirjana Subotic-Kerry ◽  
Kathleen O'Moore ◽  
Helen Christensen
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
School Counselors ◽  
Mental Health Problems ◽  
School Context ◽  
Stepped Care ◽  
Successful Implementation ◽  
Cross Sectional ◽  
Web Based

BACKGROUND Mental health problems are common among youth in high school, and school counselors play a key role in the provision of school-based mental health care. However, school counselors occupy a multispecialist position that makes it difficult for them to provide care to all of those who are in need in a timely manner. A Web-based mental health service that offers screening, psychological therapy, and monitoring may help counselors manage time and provide additional oversight to students. However, for such a model to be implemented successfully, school counselors’ attitudes toward Web-based resources and services need to be measured. OBJECTIVE This study aimed to examine the acceptability of a proposed Web-based mental health service, the feasibility of providing this type of service in the school context, and the barriers and facilitators to implementation as perceived by school counselors in New South Wales (NSW), Australia. METHODS This study utilized an online cross-sectional survey to measure school counselors’ perspectives. RESULTS A total of 145 school counselors completed the survey. Overall, 82.1% (119/145) thought that the proposed service would be helpful to students. One-third reported that they would recommend the proposed model, with the remaining reporting potential concerns. Years of experience was the only background factor associated with a higher level of comfort with the proposed service (P=.048). Personal beliefs, knowledge and awareness, Internet accessibility, privacy, and confidentiality were found to influence, both positively and negatively, the likelihood of school counselors implementing a Web-based school mental health service. CONCLUSIONS The findings of this study confirmed that greater support and resources are needed to facilitate what is already a challenging and emotionally demanding role for school counselors. Although the school counselors in this study were open to the proposed service model, successful implementation will require that the issues outlined are carefully addressed.

scholarly journals School Counselors’ Perspectives of a Web-Based Stepped Care Mental Health Service for Schools: Cross-Sectional Online Survey

2017 ◽  
Vol 4 (4) ◽  
pp. e55 ◽  
Author(s):  
Bridianne O'Dea ◽  
Catherine King ◽  
Mirjana Subotic-Kerry ◽  
Kathleen O'Moore ◽  
Helen Christensen
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
School Counselors ◽  
Mental Health Problems ◽  
School Context ◽  
Stepped Care ◽  
Successful Implementation ◽  
Cross Sectional ◽  
Web Based

Background Mental health problems are common among youth in high school, and school counselors play a key role in the provision of school-based mental health care. However, school counselors occupy a multispecialist position that makes it difficult for them to provide care to all of those who are in need in a timely manner. A Web-based mental health service that offers screening, psychological therapy, and monitoring may help counselors manage time and provide additional oversight to students. However, for such a model to be implemented successfully, school counselors’ attitudes toward Web-based resources and services need to be measured. Objective This study aimed to examine the acceptability of a proposed Web-based mental health service, the feasibility of providing this type of service in the school context, and the barriers and facilitators to implementation as perceived by school counselors in New South Wales (NSW), Australia. Methods This study utilized an online cross-sectional survey to measure school counselors’ perspectives. Results A total of 145 school counselors completed the survey. Overall, 82.1% (119/145) thought that the proposed service would be helpful to students. One-third reported that they would recommend the proposed model, with the remaining reporting potential concerns. Years of experience was the only background factor associated with a higher level of comfort with the proposed service (P=.048). Personal beliefs, knowledge and awareness, Internet accessibility, privacy, and confidentiality were found to influence, both positively and negatively, the likelihood of school counselors implementing a Web-based school mental health service. Conclusions The findings of this study confirmed that greater support and resources are needed to facilitate what is already a challenging and emotionally demanding role for school counselors. Although the school counselors in this study were open to the proposed service model, successful implementation will require that the issues outlined are carefully addressed.

scholarly journals Experience of stigma among mental health service users in Hong Kong: Are there changes between 2001 and 2017?

2018 ◽  
Vol 65 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Ka-Fai Chung ◽  
Samson Tse ◽  
Chit-Tat Lee ◽  
Michael Ming-Cheuk Wong ◽  
Wing-Man Chan
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Baseline Survey ◽  
Service Users ◽  
Cross Sectional ◽  
Over Time

Background: Public expenditure on mental health education has grown exponentially in the past two decades. Does the experience of stigma among people with mental health problems improve over time? Our study aims to compare the levels of perceived stigmatization, rejection experiences and stigma–coping among mental health service users in Hong Kong between 2001 and 2017 using longitudinal and repeated cross-sectional study design. Method: The baseline survey was completed by 193 psychiatric outpatients in 2001. They were traced for re-assessment in 2017. Another sample of 193 outpatients matched in age, gender and psychiatric diagnosis was recruited in 2017 for cross-sectional comparison. Participants completed a 39-item questionnaire on stigma experiences, Beck Depression Inventory and Disability Assessment Schedule at both time points. Results: In total, 109 of 193 participants (56.5%) of the 2001 survey were re-assessed. No significant change in perceived stigmatization, rejection experiences and stigma–coping was found among the 109 participants interviewed in 2001 and 2017. For cross-sectional comparison, significant differences in two perceived stigma items were observed upon Bonferroni correction (chi-square test, p < .005) and remained significant after controlling for confounding factors by regression analysis. Improvements in perceived stigmatization were on marriage and friendship, while viewpoints on trustworthiness, dangerousness, devaluation, avoidance and personal failure remained unchanged, and there was no improvement in rejection experiences and stigma–coping. Conclusion: Positive attitude changes over time are unlikely to occur if there is no targeted intervention on stigma. Our findings highlight that evidence-based antistigma interventions are urgently needed.

scholarly journals Coping with stigma and discrimination: evidence from mental health service users in England

2017 ◽  
Vol 27 (6) ◽  
pp. 577-588 ◽  
Author(s):  
A. Isaksson ◽  
E. Corker ◽  
J. Cotney ◽  
S. Hamilton ◽  
V. Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Stigma ◽  
Service Users ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stigma And Discrimination

Aims.Mental health stigma and discrimination are significant problems. Common coping orientations include: concealing mental health problems, challenging others and educating others. We describe the use of common stigma coping orientations and explain variations within a sample of English mental health service users.Methods.Cross-sectional survey data were collected as part of the Viewpoint survey of mental health service users’ experiences of discrimination (n = 3005). Linear regression analyses were carried out to identify factors associated with the three stigma coping orientations.Results.The most common coping orientation was to conceal mental health problems (73%), which was strongly associated with anticipated discrimination. Only 51% ever challenged others because of discriminating behaviour, this being related to experienced discrimination, but also to higher confidence to tackle stigma.Conclusions.Although stigma coping orientations vary by context, individuals often choose to conceal problems, which is associated with greater anticipated and experienced discrimination and less confidence to challenge stigma. The direction of this association requires further investigation.

scholarly journals Literasi Kesehatan Mental Orang Dewasa dan Penggunaan Pelayanan Kesehatan Mental

2020 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Trisni Handayani ◽  
Dian Ayubi ◽  
Dien Anshari
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Mental Health Literacy ◽  
Mental Health Problems ◽  
Health Problems ◽  
Cross Sectional

ABSTRAK Latar belakang. Prevalensi penduduk Indonesia yang menderita gangguan mental emosional mengalami peningkatan, dimana prevalensi sebesar 6% pada tahun 2013 meningkat menjadi 9,8% pada tahun 2018. Pelayanan kesehatan jiwa bagi setiap orang dengan masalah kejiwaan (ODMK) belum diwujudkan secara optimal di wilayah Kecamatan Bogor Timur. Masih sedikit ODMK yang memanfaatkan pelayanan kesehatan jiwaTujuan. Penelitian ini bertujuan untuk mengetahui hubungan literasi kesehatan mental dengan pemanfaatan pelayanan kesehatan jiwa.Metode. Penelitian ini menggunakan desain cross-sectional dengan pendekatan kuantitatif. Responden adalah orang dengan masalah kejiwaan yang bertempat tinggal di Kecamatan Bogor Timur. Teknik multistage random sampling digunakan untuk memilih 139 responden. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Data dianalisis menggunakan uji regresi logistik ganda.Hasil. Nilai rerata literasi kesehatan mental sebesar 73,08 (skala 100). Sebanyak 56,1% ODMK telah memanfaatkan pelayanan kesehatan jiwa dan 57,6% responden berumur ≥30 tahun. Pada mereka yang mempunyai literasi kesehatan mental tinggi, sebanyak 64,9% telah memanfaatkan pelayanan kesehatan jiwa. Hasil analisis multivariat menunjukkan hubungan signifikan antara literasi kesehatan mental dengan perilaku pemanfaatan pelayanan kesehatan jiwa pada ODMK setelah variabel jenis kelamin dan ketersediaan pelayanan kesehatan jiwa dikendalikan.Kesimpulan. Orang dengan literasi kesehatan mental yang tinggi cenderung memanfaatkan pelayanan kesehatan jiwa dibanding dengan mereka dengan literasi rendah.  ABSTRACTBackground. In Indonesia, prevalence of emotional mental disorder has increased from 6% in 2013 to 9.8% in 2018. Mental health service has not optimally utilized by people with mental health problems in East Bogor sub-district. Objective. This study aimed to determine the relationship of mental health literacy with mental health service use. Method. This study used a cross sectional design with a quantitative approach. Respondents were people with mental health problems who lived in East Bogor Sub-District. A total of 139 respondents were selected using multistage random sampling technique. Data were collected by in-person interview using a questionnaire. Data were analysed using a multiple logistic regression test for multivariate model selection. Results. The results of this study showed that the mean score of mental health literacy was 73.08 (scale of 100). There were 56.1% respondents utilized mental health services. As many as 57.6% respondents aged ≥30 years. Among those who have high mental health literacy, 64.9% of them have utilized mental health services.  Results from multivariate analysis showed that there was a significant relationship between mental health literacy and the use of mental health service in people with mental health problems, after adjustment with gender and mental health service availability.Conclusion. People with high mental health literacy tended to use mental health services compared to those with low literacy.

scholarly journals A child and adolescent mental health service for children with intellectual disabilities – 8 years on

2010 ◽  
Vol 34 (5) ◽  
pp. 195-199
Author(s):  
Barry Wright ◽  
Chris Williams ◽  
Marcella Sykes
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Intellectual Disabilities ◽  
Child Mental Health ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
Adolescent Mental Health Service

SummaryThis paper reports on the last 8 years in the development of a child mental health learning disability service. The growth, challenges and pitfalls faced by the service are charted here. The paper also shows how a service can cope with rising demand without the development of waiting lists and how a specialist service can be embedded within a generic child and adolescent mental health service (CAMHS) as a tier 3 team, thus creating synergies and commonalities of purpose, while avoiding service gaps that inevitably arise from separate services with specific referral criteria. This is a healthy service model that meets the needs of local children with moderate to severe intellectual disabilities and concomitant child mental health problems.

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