scholarly journals Affective and Sexual Needs of Residents in Psychiatric Facilities: A Qualitative Approach

2020 ◽  
Vol 10 (8) ◽  
pp. 125
Author(s):  
Giulia Landi ◽  
Mattia Marchi ◽  
Mohamed Yassir Ettalibi ◽  
Giorgio Mattei ◽  
Luca Pingani ◽  
...  
Keyword(s):  
Mental Health ◽  
Focus Group ◽  
Mental Health Professionals ◽  
Sexual Behaviors ◽  
Narrative Analysis ◽  
Psychiatric Patients ◽  
Transmitted Disease ◽  
Well Being ◽  
Sexual Relations ◽  
Psychiatric Facilities

Background: The affective and sexual needs of psychiatric patients are often under-considered, although they contribute significantly to their general well-being. Such topics are critical for Residential Psychiatric Facilities Users (RPFUs), whose daily life is paced by therapeutic settings. The aim of this paper is to better understand how sexuality and affectivity are expressed by the RPFUs at the Mental Health Department of Modena, within psychiatric residential settings. Methods: Adult RPFUs took part into two audio recorded focus groups. Digital transcripts were analyzed using MAXQDA software in order to perform qualitative narrative analysis, so as to develop a hierarchical code system a posteriori (derived from the data). Results: Eleven participants (eight RPFUs and three investigators) attended the first focus group, and eight participants (5 RPFUs and 3 investigators) attended the second focus group. 175 interventions were analyzed and coded under seven thematic areas: (a) contraception and sexually transmitted disease prevention (N = 17); (b) affective needs (N = 11); (c) personal experiences (N = 61); (d) regulation of sexual relations (N = 18); (e) Mental Health Professionals’ (MHPs) openness towards the topic (N = 17); (f) MHPs’ responses to RPFUs’ sexual behaviors (N = 33); and (g) RPFUs proposals (N = 18). The highlighted topics suggest that affective and sexual relations commonly occur within residential psychiatric facilities, even if mental health services often fail to recognize and address RPFUs’ affective and sexual needs as well as to provide effective solutions to manage them. Conclusions: RPFUs expressed a request for support to fulfill their affective and sexual needs and dedicated spaces for sexual activities to relieve their discomfort, while MHPs highlighted a need for awareness, training, and shared problem-solving strategies.

scholarly journals Psychological and Emotional Impact of Patients Living in Psychiatric Treatment Communities during Covid-19 Lockdown in Italy

2020 ◽  
Vol 9 (11) ◽  
pp. 3787
Author(s):  
Jessica Burrai ◽  
Paolo Roma ◽  
Benedetta Barchielli ◽  
Silvia Biondi ◽  
Pierluigi Cordellieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Perceived Risk ◽  
Online Survey ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Emergency Situation ◽  
Well Being ◽  
Emotional Impact ◽  
Healthy Controls

Most studies on well-being during the COVID-19 pandemic have focused on the mental health of the general population; far less attention has been given to more specific populations, such as patients with mental illness. Indeed, it is important to examine the psychiatric population, given its vulnerability. The present study aimed at assessing the psychological and emotional impact of isolation on patients in Residential Rehabilitation Communities, compared to healthy controls. A questionnaire was administered cross-sectionally on an online survey platform and both psychiatric patients and healthy controls accessed via a designed link. The results showed significant differences between psychiatric patients and controls on Anxiety, Stress, Worry, and Risk Perception variables. Psychiatric patients scored lower on Stress compared to healthy controls and higher on Anxiety, Perceived Risk of getting infected with COVID-19 and Worry about the emergency situation. The results showed that, during the Italian lockdown, psychiatric patients living in residential communities received unbroken support from peers and mental health professionals, maintained their usual medication treatment, and were informed of COVID-19 consequences. This finding provides insight into the differences between residential and healthy populations and highlights the importance of continuous support for psychiatric patients, especially during stressful situations such as a pandemic.

scholarly journals Interventions to promote psychiatric patients’ compliance to mental health treatment: A systematic review

2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Mosidi B. Serobatse ◽  
Emmerentia Du Plessis ◽  
Magdalena P. Koen
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Professionals ◽  
Mental Health Treatment ◽  
Psychiatric Patients ◽  
Research Question ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Current Evidence ◽  
Health Treatment

Background: Non-compliance to treatment remains one of the greatest challenges in mental healthcare services, and how to improve this remains a problem.Aim: The aim of this study was to critically synthesise the best available evidence from literature regarding interventions to promote psychiatric patients’ compliance to mental health treatment. The interventions can be made available for mental health professionals to use in clinical practice.Method: A systematic review was chosen as a design to identify primary studies that answered the following research question: What is the current evidence on interventions to promote psychiatric patients’ compliance to mental health treatment? Selected electronic databases were thoroughly searched. Studies were critically appraised and identifid as answeringthe research questions. Evidence extraction, analysis and synthesis were then conducted by means of evidence class rating and grading of strength prescribed in the American Dietetic Association’s manual.Results: The systematic review identifid several interventions that can improve patients’ compliance in mental health treatment, for example adherence therapy and motivational interviewing techniques during in-hospital stay.Conclusions: Conclusions were drawn and recommendations formulated for nursing practice, education and research.Agtergrond: Geen-samewerking met behandeling bly steeds een van die grootste uitdagings in geestesgesondheidsorgdienste, en genoegsame kennis oor hoe om dit te verbeter, is steeds ’n probleem.Doelwit: Die doel van hierdie studie was om die beskikbare bewyse vanuit literatuur aangaande intervensies ter bevordering van psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling krities te sintetiseer. Hierdie intervensies kan aan professionele gesondheidsorgpersoneel beskikbaar gestel word ter bevordering van psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling.Metode: ’n Sistematiese literatuuroorsig is gekies as die ontwerp om primêre studieste identifieer wat die volgende navorsingsvraag beantwoord: Wat is die huidige kennis ten opsigte van intervensies wat psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling bevorder?Resultate: Studies is ingesluit vir kritiese gehalte-beoordeling ten opsigte van metodologie, en is uiteindelik geïdentifieer as bronne van bewyse wat die literatuuroorsigvraag toepaslik beantwoord. Bewysonttrekking, -analise en -sintese is gedoen deur middel van die beoordeling van bewysklas en -gradering van bewyssterkte, soos voorgeskryf in die American Dietetic Association se handleiding. Die sistemiese literatuuroorsig het aangedui datdaar heelparty intervensies is wat psigiatriese pasiënte se samewerking met behandeling kan verbeter, byvoorbeeld samewerkingsterapie en motiveringsonderhoudstegnieke.Gevolgtrekking: Gevolgtrekkings is gemaak en aanbevelings is geformuleer vir die verpleegpraktyk, verpleegonderrig en navorsing in verpleging.

scholarly journals Different forms of informal coercion in psychiatry – a qualitative study

2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

Hope and Adolescent Mental Health

2017 ◽  
Author(s):  
Xu Jiang ◽  
Kristin L. Otis ◽  
Marco Weber ◽  
E. Scott Huebner
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Well Being ◽  
Adolescent Mental Health ◽  
Developmental Perspective ◽  
Hope Theory ◽  
Future Directions ◽  
Research Findings ◽  
Children’S Hope Scale

This chapter begins with a description of the tenets of hope theory and then addresses the importance of hope during adolescence from a developmental perspective. Next, two accompanying instruments for measuring hope in adults and adolescents, the Adult Hope Scale and the Children’s Hope Scale, are described. Then the chapter summarizes the research findings on the relations between hope and adolescent mental health, focusing on the findings related to emotional, psychological, and social well-being, respectively. In addition, the Making Hope Happen intervention is introduced. Finally, the chapter explores future directions in adolescent hope research, along with implications for use by mental health professionals.

Introduction

2020 ◽  
pp. 1-19
Author(s):  
Philip J. Lazarus ◽  
Shannon M. Suldo ◽  
Beth Doll
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Factor Model ◽  
Well Being ◽  
Health Service Delivery ◽  
Risk And Resilience ◽  
Whole Child ◽  
Mental Health Service Delivery ◽  
School Based

In this introduction, the authors discuss the purpose of this book, which is (a) to provide school-based mental health professionals with the knowledge and tools to help promote students’ emotional well-being and mental health, (b) to describe how to implement new models of mental health service delivery in schools, and (c) to prescribe practical strategies that bolster the likelihood that our youth will thrive in school and in life. The authors recommend conceptualizing student mental health through a dual-factor model that encompasses both promoting wellness and reducing pathology. They advocate for a change in educational priorities—one that supports the whole child, in mind, body, and spirit. They then discuss the prevalence of psychological distress in youth, risk and resilience research, the dual-factor model of mental health, happiness studies, new frameworks for the delivery of services, and the organization and structure of the text.

Journey to diagnosis for women with autism

2019 ◽  
Vol 5 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Dori Zener
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Well Being ◽  
Research Literature ◽  
Clinical Approach ◽  
Autism Diagnosis ◽  
Mental Strain ◽  
Content Type ◽  
Case Examples ◽  
Autism Phenotype

PurposeThe purpose of this paper is to review the barriers that girls and women face in receiving an accurate and timely autism diagnosis. The journey to late-in-life diagnosis will be explored with a focus on mental health and well-being. The aim is to improve the awareness of the female autism phenotype to provide access to early identification and appropriate supports and services.Design/methodology/approachThe author’s clinical experience as an individual, couple and family therapist specializing in girls and women with autism informs the paper. Research on co-occurring mental health experience and diagnoses are reviewed and combined with case examples to outline the themes leading to and obscuring autism diagnosis.FindingsFemales with autism are less likely to be diagnosed or are identified much later than their male counterparts. Living with unidentified autism places significant mental strain on adults, particularly females. Achieving a late-in-life diagnosis is very valuable for adults and can improve self-awareness and access to limited support.Practical implicationsMental health professionals will develop a better understanding of the overlap between autism and psychiatric conditions and should consider autism in females who are seeking intervention.Originality/valueThis paper provides a clinical approach to working with autistic girls and women. This knowledge can complement the existing research literature and help build the foundation for a greater understanding of the female autism phenotype.

scholarly journals Intimate Partner Violence

2013 ◽  
Vol 58 (6) ◽  
pp. E1-E15 ◽  
Author(s):  
Donna E Stewart ◽  
Harriet MacMillan ◽  
Nadine Wathen
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Chronic Pain ◽  
Personality Disorders ◽  
Mental Health Professionals ◽  
Low Income ◽  
Well Being ◽  
Health Problems ◽  
Pain Syndromes ◽  
Chronic Pain Syndromes

• IPV is an underrecognized problem that occurs in all countries, cultures, and socioeconomic groups. • IPV has an enormous impact on personal health, and economic and social well-being. • IPV may occur in heterosexual and LGBTQ relationships and may be perpetrated by either sex. • Canadian data from 1999 show about equal proportions of men and women had been victims of physical (seven and eight per cent, respectively) and psychological (18 and 19 per cent, respectively) IPV in the previous five years. • Exposure to IPV has deleterious effects on children and other family members. • Some populations are at greater risk or have special needs for IPV. These include immigrant women, Aboriginal women, LGBTQ communities, people with ALs, pregnant women, dating adolescents, older people, alcohol and other substance abusing people, low-income people, and those without a current partner (that is, IPV perpetrated by a former partner). • Mental health problems associated with IPV include depression, anxiety disorders, chronic pain syndromes, eating disorders, sleep disorders, psychosomatic disorders, alcohol and other substance abuse, suicidal and self-harm behaviours, nonaffective psychosis, some personality disorders, and harmful health behaviours, such as risk taking and smoking. As IPV is a major determinant of mental health, it is of vital importance to mental health professionals. • Physical health problems associated with IPV include death, a broad range of injuries, reproductive disorders, gastrointestinal disorders, chronic pain syndromes, fibromyalgia, poor physical functioning, and lower health-related quality of life. Sexually transmitted diseases, unwanted pregnancies and physical inactivity are also increased. • Children's exposure to IPV may have short- and long-term health impacts on the child, especially mental health effects. • Perpetrators of IPV most frequently have personality disorders, but substance abuse and other types of mental illness or brain dysfunction may also occur.

Prospective acceptance of distinct mobile mental health features in psychiatric patients and mental health professionals

2019 ◽  
Vol 109 ◽  
pp. 126-132 ◽  
Author(s):  
Leonie Hendrikoff ◽  
Lana Kambeitz-Ilankovic ◽  
Rüdiger Pryss ◽  
Fanny Senner ◽  
Peter Falkai ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Patients ◽  
Mobile Mental Health ◽  
Health Features

scholarly journals Optimal Well-Being After Major Depression

2019 ◽  
Vol 7 (3) ◽  
pp. 621-627 ◽  
Author(s):  
Jonathan Rottenberg ◽  
Andrew R. Devendorf ◽  
Vanessa Panaite ◽  
David J. Disabato ◽  
Todd B. Kashdan
Keyword(s):  
Mental Health ◽  
United States ◽  
Major Depression ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Well Being ◽  
The United States ◽  
Global Burden ◽  
Leverage Points ◽  
Midlife Development

Can people achieve optimal well-being and thrive after major depression? Contemporary epidemiology dismisses this possibility, viewing depression as a recurrent, burdensome condition with a bleak prognosis. To estimate the prevalence of thriving after depression in United States adults, we used data from the Midlife Development in the United States study. To count as thriving after depression, a person had to exhibit no evidence of major depression and had to exceed cutoffs across nine facets of psychological well-being that characterize the top 25% of U.S. nondepressed adults. Overall, nearly 10% of adults with study-documented depression were thriving 10 years later. The phenomenon of thriving after depression has implications for how the prognosis of depression is conceptualized and for how mental health professionals communicate with patients. Knowing what makes thriving outcomes possible offers new leverage points to help reduce the global burden of depression.

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