scholarly journals Booking system, video conferencing (VC) solution and online forms for improving child psychiatric services in Pohjois-Savo region

2017 ◽  
Vol 9 (2-3) ◽  
pp. 259
Author(s):  
Kirsi Bykachev ◽  
Outi Turunen ◽  
Marjorita Sormunen ◽  
Jussi Karppi ◽  
Kirsti Kumpulainen ◽  
...  
Keyword(s):  
Mental Health Problems ◽  
Child And Adolescent Psychiatry ◽  
Psychiatric Services ◽  
Background Information ◽  
Professional Collaboration ◽  
Outpatient Services ◽  
Related Factors ◽  
Global Challenge ◽  
Child Psychiatric ◽  
Online Forms

Abstract Purpose Early detection and timely treatment of child psychiatric problems require multi-professional collaboration and interaction between primary and specialized health care. The “eHealth Services for Child and Adolescent Psychiatry (eCAP), 2015-2018” project aims at improving child psychiatric services in peripheral areas by developing eHealth tools facilitating better cooperation between professionals working with children with mental health problems. Methods The online booking system allows the primary healthcare professionals in Pohjois-Savo region to book a video conference (VC) with experts in child psychiatry for consultation, supervision or follow-up of care. Background information gathered from the parents, teacher and the child by online forms helps the consult to prepare for the meeting, which can be carried out on computer, laptop, table or smartphone. The developed services will be evaluated based on the log data and user experiences from the pilot phase. Results The services will improve the quality, availability and cost-effectiveness of child psychiatric outpatient services in the region. Increased multi-professional collaboration among professionals will support preventive work, early identification and treatment in natural developmental environments of children. The travel needs for families are expected to decrease. Conclusions eHealth can help to meet the global challenge of providing sufficient, timely child psychiatric services in remote, sparsely populated areas with limited resources, but information security and compatibility of different technical applications require innovative solutions. Furthermore, the people-related factors are crucial in introducing a sustainable change: the users must understand the benefits and receive training to adopt the new tools and routines for their work.

scholarly journals “Smartphone Apps Are Cool, but Do They Help Me?”: A Qualitative Interview Study of Adolescents’ Perspectives on Using Smartphone Interventions to Manage Nonsuicidal Self-Injury

2021 ◽  
Vol 18 (6) ◽  
pp. 3289
Author(s):  
Anja Čuš ◽  
Julian Edbrooke-Childs ◽  
Susanne Ohmann ◽  
Paul L. Plener ◽  
Türkan Akkaya-Kalayci
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Health Interventions ◽  
Structured Interviews ◽  
Related Factors ◽  
Self Injury ◽  
Qualitative Interview Study ◽  
Mental Health Interventions ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is a major mental health problem associated with negative psychosocial outcomes and it most often starts in early adolescence. Despite this, adolescents are rarely involved in informing the development of interventions designed to address their mental health problems. This study aimed to (1) assess adolescents’ needs and preferences about future interventions that are delivered through smartphones and (2) develop a framework with implications for designing engaging digital mental health interventions. Fifteen adolescent girls, aged 12–18 years, who met diagnostic criteria for a current NSSI disorder and were in contact with mental health services, participated in semi-structured interviews. Following a reflexive thematic analysis approach, this study identified two main themes: (1) Experiences of NSSI (depicts the needs of young people related to their everyday experiences of managing NSSI) and (2) App in Context (portrays preferences of young people about smartphone interventions and reflects adolescents’ views on how technology itself can improve or hinder engaging with these interventions). Adolescent patients expressed interest in using smartphone mental health interventions if they recognize them as helpful, relevant for their life situation and easy to use. The developed framework suggests that digital mental health interventions are embedded in three contexts (i.e., person using the intervention, mental health condition, and technology-related factors) which together need to inform the development of engaging digital resources. To achieve this, the cooperation among people with lived experience, mental health experts, and human computer interaction professionals is vital.

scholarly journals Caregiver strain in progressive supranuclear palsy and corticobasal syndromes

2021 ◽  
Author(s):  
Lukas Kellermair ◽  
Alexandra Fuchs ◽  
Christian Eggers ◽  
Petra Schwingenschuh ◽  
Mariella Kögl ◽  
...  
Keyword(s):  
Progressive Supranuclear Palsy ◽  
Caregiver Burden ◽  
Mental Health Problems ◽  
Family Relationship ◽  
Caregiver Strain ◽  
High Educational Level ◽  
Family Status ◽  
Related Factors ◽  
Richardson’S Syndrome ◽  
High Educational

AbstractProgressive supranuclear palsy (PSP) and corticobasal syndrome (CBS) progress relentlessly and lead to a need for care. Caregiving is often burdensome. Little is known about the course of caregiver burden (CB) in PSP and CBS patients. Longitudinal analysis of CB in family members caring for PSP and CBS patients. Single-center longitudinal pilot study in 68 newly diagnosed patients with probable PSP and CBS (52 Richardson’s syndrome; 1 progressive gait freezing of PSP; 15 CBS). Demographic, educational, occupational parameters, family status, motor functions (UPDRSIII, Hoehn and Yahr Score, Tinetti) and neuropsychological performance (CERAD Plus, Frontal Assessment Battery) were assessed, as well as behavioral and neuropsychiatric impairments (Frontal Behavioral Inventory, Neuropsychiatric Inventory), activities of daily living (ADL) and caregiver burden using the Caregiver Strain Index (CSI), in most patients also the Zarit Burden Interview (ZBI). Patients were followed up every 6 months for up to 2 years. Caregivers reported mild to moderate CB at baseline, which increased by 25–30% in 2 years and was significantly greater in PSP than in CBS. Risk for mental health problems increased over time, especially in female caregivers (depression). Important patient-related factors were apathy, aspontaneity, depression, irritability, disorganization, poor judgment, impairment of language, impairments in ADL, a high educational level of the patient and close family relationship. Behavioral symptoms and impaired ADL are the main patient-related factors of CB in PSP and CBS. CB can be severe and needs to be assessed repeatedly from the time of diagnosis to provide comprehensive support.

Gendered experiences of unemployment, suicide and self-harm: a population-level record linkage study

2021 ◽  
pp. 1-9
Author(s):  
R. Cunningham ◽  
A. Milner ◽  
S. Gibb ◽  
V. Rijnberg ◽  
G. Disney ◽  
...  
Keyword(s):  
Mental Health ◽  
Employment Status ◽  
Mental Health Problems ◽  
Labour Force ◽  
Antidepressant Medication ◽  
Population Level ◽  
Related Factors ◽  
Data Infrastructure ◽  
Increased Risk ◽  
Self Harm

Abstract Background Unemployment and being not in the labour force (NILF) are risk factors for suicide, but their association with self-harm is unclear, and there is continuing debate about the role of confounding by prior mental health conditions. We examine associations between employment status and self-harm and suicide in a prospective cohort, taking into account prior mental-health-related factors. Methods We used linked data from the New Zealand Integrated Data Infrastructure. The outcomes were chosen to be hospital presentation for self-harm and death by suicide. The exposure was employment status, defined as employed, unemployed, or NILF, measured at the 2013 Census. Confounders included demographic factors and mental health history (use of antidepressant medication, use of mental health services, and prior self-harm). Logistic regression was used to model effects. Analyses were stratified by gender. Results For males, unemployment was associated with an increased risk of suicide [odds ratio (OR): 1.48, 95% confidence interval (CI): 1.20–1.84] and self-harm (OR: 1.55, 95% CI: 1.45–1.68) after full adjustment for confounders. NILF was associated with an increased risk of self-harm (OR: 1.43, 95% CI: 1.32–1.55), but less of an association was seen with suicide (OR: 1.19, 95% CI: 0.94–1.49). For females, unemployment was associated with an increased risk of suicide (OR: 1.30, 95% CI: 0.93–1.80) and of self-harm (OR: 1.52, 95% CI: 1.43–1.62), and NILF was associated with a similar increase in risk for suicide (OR: 1.31, 95% CI: 0.98–1.75) and self-harm (OR: 1.32, 95% CI: 1.26–1.40). Discussion Exclusion from employment is associated with a considerably heightened risk of suicide and self-harm for both men and women, even among those without prior mental health problems.

Detained – what's my choice? Part 1: Discussion

2008 ◽  
Vol 14 (3) ◽  
pp. 172-180 ◽  
Author(s):  
Glenn Roberts ◽  
Eluned Dorkins ◽  
James Wooldridge ◽  
Elaine Hewis
Keyword(s):  
Mental Health ◽  
Personal Experience ◽  
Social Inclusion ◽  
Mental Health Problems ◽  
Personal Responsibility ◽  
Health Problems ◽  
Psychiatric Services ◽  
Psychiatric Practice ◽  
Personal Recovery ◽  
Collaborative Dialogue

Choice, responsibility, recovery and social inclusion are concepts guiding the ‘modernisation’ and redesign of psychiatric services. Each has its advocates and detractors, and at the deep end of mental health/psychiatric practice they all interact. In the context of severe mental health problems choice and social inclusion are often deeply compromised; they are additionally difficult to access when someone is detained and significant aspects of personal responsibility have been temporarily taken over by others. One view is that you cannot recover while others are in control. We disagree and believe that it is possible to work in a recovery-oriented way in all service settings. This series of articles represents a collaborative dialogue between providers and consumers of compulsory psychiatric services and expert commentators. We worked together, reflecting on the literature and our own professional and personal experience to better understand how choice can be worked with as a support for personal recovery even in circumstances of psychiatric detention. We were particularly interested to consider whether and how detention and compulsion could be routes to personal recovery. We offer both the process of our co-working and our specific findings as part of a continuing dialogue on these difficult issues.

Mental Disorders in Chronically Ill Children: Parent-Child Discrepancy and Physician Identification

PEDIATRICS ◽  
1992 ◽  
Vol 90 (5) ◽  
pp. 692-696
Author(s):  
Emily Harris Canning ◽  
Suzanne B. Hanser ◽  
Kathryn A. Shade ◽  
W. Thomas Boyce
Keyword(s):  
Mental Disorders ◽  
Psychiatric Disorders ◽  
Mental Health Problems ◽  
Chronically Ill ◽  
Diagnostic Interview ◽  
Child Reports ◽  
Children And Parents ◽  
Child Psychiatric ◽  
Chronically Ill Children ◽  
Threshold Criteria

Mental disorders affect 18% to 20% of children and adolescents. The rate in children with chronic illness is probably higher. This study of chronically ill children addresses the discrepancy between parent and child reports of child psychiatric disorders and the extent to which pediatricians agree with reports by children and parents regarding such problems. Eighty-three subjects, aged 9 to 18 (mean = 12.6), were recruited; they had the following diagnoses: cystic fibrosis, diabetes, inflammatory bowel disease, and cancer. Subjects and one parent were interviewed separately, using the Diagnostic Interview Schedule for Children (DISC-2.1). The subject's physician completed a questionnaire asking about the presence of a range of mental disorders. Forty-one (49%) subjects reached threshold criteria for a psychiatric diagnosis, using both parent and child as informants. Psychiatric disorders were identified in only 22 subjects (54%) by the child and in 28 (68%) by parent alone. Thus, reliance on one informant resulted in failure to identify one third to one half of psychiatric disorders. Physicians' ratings agreed significantly with children's reports but not with parental reports, suggesting that physicians are sensitive to children's concerns but may underestimate the value and importance of parents' reports. Clinical and research evaluations of chronically ill children, as well as clinician identification of mental health problems, will be influenced by the choice of informant.

scholarly journals Factors in Mental Health Problems among Japanese Dialysis Patients Living in Heavily Damaged Prefectures Two Years after the Great East Japan Earthquake

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Hidehiro Sugisawa ◽  
Hiroaki Sugisaki ◽  
Seiji Ohira ◽  
Toshio Shinoda ◽  
Yumiko Shimizu ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Problems ◽  
Disaster Planning ◽  
Health Problems ◽  
Great East Japan Earthquake ◽  
Specific Factor ◽  
Dialysis Patients ◽  
Related Factors ◽  
Mitigating Factors

This study examined the prevalence of mental health problems and related factors among dialysis patients living in prefectures that were heavily damaged by the Great East Japan Earthquake. Research was conducted two years following the disaster, and data of 1500 residents of the prefectures were analyzed. This study examined disaster related stressors, gender, socioeconomic status, health problems prior the earthquake, and social support, all of which have been identified as aggravating/mitigating factors in previous research on disaster survivors. We also examined advanced awareness of emergency planning as a dialysis specific factor. Mental health problems after the disaster were categorized into three types: PTSD and depression comorbidity, PTSD only, and depression only. Results indicated that people with comorbidity, PTSD, and depression comprised 7.5%, 25.0%, and 2.9% of the sample, respectively. Not only disaster related stressors but also health problems prior to the disaster had an aggravating direct effect on comorbidity and PTSD. In addition, social support and advanced awareness of disaster planning had a mitigating effect on comorbidity. These results suggest that advanced awareness of disaster planning is a dialysis specific factor that could decrease the occurrence of comorbidity among dialysis patients following a disaster.

scholarly journals COVID-19 and its impact on child and adolescent psychiatry – a German and personal perspective

2020 ◽  
Vol 37 (3) ◽  
pp. 243-245 ◽  
Author(s):  
Jörg M. Fegert ◽  
Ulrike M. E. Schulze
Keyword(s):  
Child Protection ◽  
Psychiatric Care ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
University Teaching ◽  
Personal Perspective ◽  
Outpatient Services ◽  
Day Care Centers ◽  
Federal States ◽  
Voluntary Basis

As in other European countries, the current COVID-19 pandemic has not only massively restricted normal life in Germany but it is also having a significant effect on medical treatment, particularly in the areas of child and adolescent psychiatric care, as well as on university teaching. The federal structure of Germany and epidemiological differences between individual federal states have had a crucial impact on the regulations issued and their success. During the last number of weeks, tele-child-psychiatry and psychotherapy have increased, and outpatient services have been used cautiously and sparingly. Medical staff numbers will be augmented by doctors and nurses returning from retirement and also by medical students on a voluntary basis. The federal government has warned that discrepancies in education will increase due to the closure of schools. Questions of child protection are currently of particular importance in the context of such closures and the non-availability of day-care centers.

Psychiatric In-Patients and Out-Patients: A Reply to Mezey and Evans

1972 ◽  
Vol 120 (557) ◽  
pp. 433-436 ◽  
Author(s):  
D. G. Morgan ◽  
R. M. Compton
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Social Security ◽  
Patient Care ◽  
National Health ◽  
Recent Article ◽  
Psychiatric Services ◽  
Outpatient Services ◽  
Department Of Health

Department of Health and Social Security statistics show a steady rise in the use of outpatient services from the inception of the National Health Service; since the Mental Health Act of 1959, the numbers of new outpatient and clinic attendances have increased by one-third and one-fifth respectively (D.H.S.S., 1971). However, as our knowledge of the actual functions of out-patient services and their relationship to in-patient care is at best only rudimentary, the recent article by Mezey and Evans (Journal, June 1971, 118, p. 609) is a much needed contribution towards evaluating these different facilities of the psychiatric services.

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