scholarly journals Using a digital physical health screening template to facilitate integrated care for people with mental health problems

2016 ◽  
Vol 16 (6) ◽  
pp. 270 ◽  
Author(s):  
Kate Dale ◽  
Kate Beedle ◽  
David Yeomans ◽  
Katherine Chapman
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Integrated Care ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Screening ◽  
Physical Health Screening

scholarly journals POS1321 MENTAL HEALTH SCREENING IN PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 943.1-943
Author(s):  
S. Eulert ◽  
M. Niewerth ◽  
J. Hörstermann ◽  
C. Sengler ◽  
D. Windschall ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Functional Limitations ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
Psychological Support ◽  
Web Based ◽  
Patient Health

Background:Mental disorders often begin in the vulnerable phase of adolescence and young adulthood. Young people with chronic diseases are particularly at risk. Early recognition of mental health problems is necessary in order to be able to support those affected in a timely and adequate manner. By implementing a web-based generic screening tool for mental health in routine care, patients with juvenile idiopathic arthritis (JIA) and mental health conditions can be identified and provided with targeted treatment.Objectives:To investigate the prevalence of mental health conditions in young people with JIA in routine rheumatology care.Methods:Mental health screening is implemented as an add-on module to the National Paediatric Rheumatology Database (NPRD). The current data was gathered over a period of 24 months. Patients complete the screening tool which includes the Patient Health Questionnaire1 (PHQ-9, score 0-27) and the Generalized Anxiety Disorder scale2 (GAD-7, score 0-21) via a web-based questionnaire. The cut-off for critical values in PHQ-9 and GAD-7 were defined as values ≥ 10. Simultaneously, other data, such as sociodemographic data, disease activity (cJADAS10, score 0-30), functional status (CHAQ, score 0-3) were collected as well.Results:The analysis included 245 patients (75% female) with a mean age of 15.7 years and a mean disease duration of 8.8 years. 38.8% of the patients had oligoarthritis (18.0% OA, persistent/20.8% OA, extended) and 23.3% RF negative polyarthritis. At the time of documentation 49 patients (30.6%) had an inactive disease (cJADAS10 ≤ 1) and 120 (49.4%) no functional limitations (CHAQ = 0). In total, 53 patients (21.6%) had screening values in either GAD-7 or PHD-9 ≥10. Patients with critical mental health screening values showed higher disease activity and more frequent functional limitations than inconspicuous patients (cJADAS10 (mean ± SD): 9.3 ± 6 vs. 4.9 ± 4.9; CHAQ: 0.66 ± 0.6 vs. 0.21 ± 0.42). When compared to males, females were significantly more likely to report either depression or anxiety symptoms (11.7% vs. 24.9%, p = 0.031).17.6% of all patients with valid items for these data reported to receive psychological support, meaning psychotherapeutic support (14.5%) and/or drug therapy (8.6%). Among those with a critical mental health screening score, 38.7% received psychological support (psychotherapeutic support (35.5%) and/or drug therapy (16.1%)).Conclusion:Every fifth young person with JIA reported mental health problems, however, not even every second of them stated to receive psychological support. The results show that screening for mental health problems during routine adolescent rheumatology care is necessary to provide appropriate and targeted support services to young people with a high burden of illness.References:[1]Löwe B, Unützer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the patient health questionnaire-9. Med Care. 2004 Dec;42(12):1194-201.[2]Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22; 166(10):1092-7.[3]The screening data were collected as part of COACH (Conditions in Adolescents: Implementation and Evaluation of Patient-centred Collaborative Healthcare), a project supported by the Federal Ministry of Education and Research (FKZ: 01GL1740F).Disclosure of Interests:Sascha Eulert: None declared, Martina Niewerth: None declared, Jana Hörstermann: None declared, Claudia Sengler: None declared, Daniel Windschall: None declared, Tilmann Kallinich: None declared, Jürgen Grulich-Henn: None declared, Frank Weller-Heinemann Consultant of: Pfizer, Abbvie, Sobi, Roche, Novartis, Ivan Foeldvari Consultant of: Gilead, Novartis, Pfizer, Hexal, BMS, Sanofi, MEDAC, Sandra Hansmann: None declared, Harald Baumeister: None declared, Reinhard Holl: None declared, Doris Staab: None declared, Kirsten Minden: None declared

scholarly journals Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
H. M. Bjorgaas ◽  
I. Elgen ◽  
T. Boe ◽  
M. Hysing
Keyword(s):  
Mental Health ◽  
Cerebral Palsy ◽  
Psychiatric Disorders ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
High Prevalence ◽  
Children With Cerebral Palsy ◽  
Bergen Child Study

Introduction. Children with cerebral palsy (CP), one of the most common childhood neurological disorders, often have associated medical and psychological symptoms. This study assesses mental health problems compared to population controls and the ability of a mental health screening tool to predict psychiatric disorders and to capture the complexity of coexisting symptoms.Methods. Children with CP (N=47) were assessed according to DSM-IV criteria using a psychiatric diagnostic instrument (Kiddie-SADS) and a mental health screening questionnaire (SDQ). Participants from the Bergen Child Study, a large epidemiological study, served as controls.Results. Children with CP had significantly higher means on all problem scores including impact scores. Two in three children scored above 90th percentile cutoff on Total Difficulties Score (TDS), and 57% met criteria for a psychiatric disorder, yielding a sensitivity of 0.85 and a specificity of 0.55. Mental health problems coexisted across symptom scales, and peer problems were highly prevalent in all groups of psychiatric disorders.Conclusion. A high prevalence of mental health problems and cooccurrence of symptoms were found in children with CP compared to controls. Screening with SDQ detects mental health problems, but does not predict specific disorders in children with CP. ADHD is common, but difficult to diagnose due to complexity of symptoms. Mental health services integrated in regular followup of children with CP are recommended due to high prevalence and considerable overlap of mental health symptoms.

How writing and using Insight Poetry helped me to overcome my illness

2003 ◽  
Vol 27 (2) ◽  
pp. 71-72 ◽  
Author(s):  
Anonymous
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
The Past ◽  
Mental And Physical Health

In 1986 I suffered a severe mental breakdown. I have had serious mental health problems for 15 years. Over the past 15 months, my mental and physical health have improved considerably. During this time, I have been writing and using Insight Poetry to help overcome my illness.

Improving physical health of patients with mental health problems

2011 ◽  
Vol 26 (S2) ◽  
pp. 1234-1234
Author(s):  
F. Cheema ◽  
J. Graham ◽  
D. Moffat ◽  
C. Gordon
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Community Mental Health ◽  
Physical Health ◽  
Health Monitoring ◽  
Mental Health Problems ◽  
Health Problems ◽  
Community Mental Health Service ◽  
Individual Parameter ◽  
Mental Health Difficulties

It is well recognised that individuals with severe mental health difficulties have increased risks of significant physical health problems and that some of the treatments for mental health problems can cause physical health difficulties as side effects. It is also known that people with mental health difficulties do not present themselves regularly for physical health monitoring as suggested by national and international guidelines. We show how a secondary care community mental health service cooperated with primary care general medical services to increase the take up of physical health monitoring by patients with severe and enduring mental health problems.Staff in the community mental health team which served a rural/small urban population identified patients with severe and enduring mental health difficulties or those patients on medications linked to physical problems and contacted the primary care physicians responsible for the patients’ general care with patient details and encouraged patient attendance for physical health monitoring. Physical monitoring included blood pressure, ECG, glucose, thyroid, lipids, height and weight. Post-intervention attendance figures show an increase of 30% in patients attending physical health reviews compared with pre-intervention figures. The intervention has been now rolled out to a larger catchment area of 25000 persons.[Physical health monitoring by individual parameter]

scholarly journals The profundity of mental health during the COVID-19 pandemic

2021 ◽  
Vol 10 (2) ◽  
pp. 104-105
Author(s):  
Avilasha Singh
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
The Future ◽  
Physical Health Problems

Mental health has always been stigmatised and overlooked. Since, anxiety and stress are natural responses while facing a threat of new diseases. Hence, this pandemic has shown us the importance of mental health. During this time there have been many triggers that have caused repercussions in people’s mental health. Mental health crisis is on the rise. So, it is important to be able to tackle mental health problems as effectively as physical health problems, not only now but in the future as well, once and for all.

scholarly journals WOMEN’S RECEPTION ON SOCIAL SUPPORT IN INSTAGRAM ACCOUNT @gethappy.id

2020 ◽  
Vol 19 (1) ◽  
pp. 40
Author(s):  
Sari Monik Agustin ◽  
Agatha Josephine
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Social Media ◽  
Physical Health ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Female Group ◽  
Physical And Mental Health ◽  
Physical Health Problems

Previous research also shows that social media has positive and negative roles related to interpersonal relationships and mental health. The social media used significantly increases social capital and mental well-being, which benefits people with low self-esteem and life satisfaction. Some psychotherapists even use an Instagram platform as their therapeutic medium. This preliminary study frameworks are Stuart Hall’s reception theory, the concept elaborations of social support and online social support, as well as a discussion of the character of social media, Instagram. This paper is based on a qualitative research with data from interviews with 3 female informants on 20-29 years old and gethappy.id account followers. This research succeeded in identifying 2 receptions that emerged from the female group of Instagram account followers gethappy.id. The dominant reader comes from informants who have severe physical health problems and mental health problems related to these physical health problems. Meanwhile, negotiating reader arise from informants who do not have personal physical and mental health problems, but who have a social environment with physical and mental health problems. Another important finding is that the main social support remains family and friends. Social media support is needed when the two main social supports are not present.

scholarly journals COVID-19 Pandemic: Scoping Review through the Lens of 9-Month-based Knowledge and Brief Snapshots of 10 Cases and Five Family Units, Riyadh, Saudi Arabia

2020 ◽  
pp. 14-47
Author(s):  
Naseem Akhtar Qureshi ◽  
Abdulhameed Abdullah Al- Habeeb
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Physical Health ◽  
Mental Health Problems ◽  
Vaccine Development ◽  
Clinical Manifestations ◽  
Case Series ◽  
Health Problems ◽  
The World ◽  
Mental And Physical Health

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has questioning origin in Wuhan, an industrial city of China. The novel coronavirus 2 (NCV2) was first identified in December 2019, and World Health Organization (WHO) declared the outbreak a global public health emergency on 30 January 2020, officially named it as COVID-19 on February 11 2020, and a pandemic on 11 March 2020. COVID-19 causes physical and mental health problems of variable severity and outcomes among people around the world. Objective: This study has two aims;1) to conduct a scoping review of COVID-19’s epidemiological trend, clinical manifestations, therapeutics, diagnosis, and progress on vaccine development; and 2) to describe a case series of ten consultees’ and conveniently selected five family units’ mental and physical health effects of COVID-19 over the past 9 months, December to August 31, 2020. Methods: We used keywords and Boolean Operators for conducting electronic searches of published literature in three largest databases on COVID-19 and regularly received notifications from COVID-19 resource centers, scientific journals, international and national research and economic institutions, and various websites, which helped to retain 82 articles after iterative screening for this review. In addition, 10 cases and the heads of 5 family units were interviewed virtually for assessing the mental and physical health of all family members affected by COVID-19. Results: COVID-19 pandemic presents with variable clinical manifestations and outcomes attributable to the persons’ immune system, age and gender, physical and mental comorbidities, and adversely affects the biopsychosocial, cultural and economic fabrics of the world population. Basic preventive precautions and nonspecific drug interventions against COVID-19 are relatively effective with inconstant morbidity and mortality, and vaccine development researches (phase I-III) are in progress around the world. All persons in case series, not corona positive except one, presented with mental and physical health problems of wider nature that required integrated treatment interventions while majority of family unit members were less affected mentally or physically by COVID-19 and improved with preventive precautions. Conclusion: COVID-19 is highly virulent disease linked with variable mental health problems, greater morbidity and mortality, severe strains on healthcare organizations and economic downturn around the world. Despite difficult access to services, overall our case series and family members showed good outcome. Information concerning COVID-19 is continuously evolving and, hence, further scoping reviews, randomized clinical trials and surveys concerning its several perspectives are needed in Saudi Arabia and elsewhere in the Gulf countries.

scholarly journals Relationship between obesity and health problems in help-seeking military veterans

2019 ◽  
pp. jramc-2019-001155
Author(s):  
Victoria Williamson ◽  
A Rossetto ◽  
D Murphy
Keyword(s):  
Mental Health ◽  
General Population ◽  
Physical Health ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Psychological Treatment ◽  
Mental Healthcare ◽  
Armed Forces ◽  
Health Problems ◽  
Physical And Mental Health

BackgroundUK Armed Forces (UK AF) veterans may be particularly vulnerable to obesity and its comorbid physical and mental health problems.AimTo examine the relationship between body mass index (BMI), physical health problems, mental health disorders and sociodemographic characteristics in UK AF veterans engaged in psychological treatment.MethodsInformation regarding veteran BMI, demographic characteristics, physical health conditions and mental health problems was collected and analysed using univariate and multivariate regression analyses. Rates of veteran obesity were also compared with the UK general population.ResultsOf the 384 help-seeking veterans, 37.5% (n=151) were overweight (BMI 26–30) and 35.5% (n=143) were obese. Obesity in help-seeking male veterans was two to four times higher than that of the general population of UK. Higher scores on measures of anger and common mental health problems were significantly associated with greater BMI. Problems with physical systemic functioning and mobility were also significantly associated with greater BMI.ConclusionsThe results indicate that treatment-seeking UK AF veterans exhibit higher levels of obesity compared with the general population, and clinically significant physical and mental comorbidities. The findings highlight a need for mental health services to offer treatments that effectively integrate physical and mental healthcare in the treatment of people with mental health problems.

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