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International Journal of Mental Health Systems

Mikael Selvin, Kjerstin Almqvist, Lars Kjellin, Lars-Olov Lundqvist, Agneta Schröder
Background: Systematic efforts to improve the quality, safety and value of health care have increased over the last decades. Even so, it is hard to choose priorities and to know when the desired results are reached, especially in forensic psychiatric care where there can be a discrepancy between patient and staff expectations of what good quality of care is and how it should be reached. The aim of the present study was to describe and compare patient and staff experiences of quality of care in two forensic psychiatric clinics over a period of 4 years...
2019: International Journal of Mental Health Systems
Asmare Belete, Alemayehu Negash, Mengesha Birkie
Background: Depression in healthy person without cardiac disease has been associated with the development of coronary artery disease and cardiovascular disease also risk factor for development of depression. This has devastating effect the patient's quality of live, illness progression, morbidity and mortality. Despite this fact help seeking behavior of cardiovascular patients with depression has not been addressed in Ethiopia. Objective: To assess help-seeking behaviors of adult cardiovascular patients with depression for their depressive disorders in Jimma university teaching hospital...
2019: International Journal of Mental Health Systems
Skye P Barbic, Adelena Leon, Ian Manion, Sarah Irving, Rebecca Zivanovic, Emily Jenkins, Shelly Ben-David, Pouya Azar, Amy Salmon, Carolyn Helps, Stephanie Gillingham, Tara Beaulieu, Rachal Pattison, Corinne Talon, Oluseyi Oyedele, Karen Tee, Steve Mathias
Background: While considerable progress is being made to understand the health and self-management needs of youth with mental health disorders, little attention has focused on the mental health and recovery needs that the youth themselves identify-this despite a national priority to incorporate patient-oriented research into the development and assessment of mental health services. To address this gap, estimates of the extent to which existing patient-reported outcome measures (PROMs)-originally developed for use amongst adult populations-are clinically meaningful and psychometrically fit for use among youth are needed...
2019: International Journal of Mental Health Systems
Eftu Ahmed, Hailu Merga, Fessahaye Alemseged
Background: Mental, neurological and substance use disorders are highly prevalent in Ethiopia which are known to result in substantial disability. Improving the knowledge, attitude and practice of the primary health care workers is important to reduce this problem. Hence, this study aimed at assessing knowledge, attitude, and practice towards mental illness service provision and associated factors among urban health extension professionals (UHEPs) of Addis Ababa City Administration. Methods: A cross sectional study design was used...
2019: International Journal of Mental Health Systems
Sumaiyah Docrat, Crick Lund, Dan Chisholm
Background: With the implicit neglect for the integration of mental health services into general health service development in South Africa, there is an urgent need for an understanding of the ways in which existing reforms may be leveraged to incorporate the objectives of the National Mental Health Policy Framework and Strategic Plan (MHPF) and the mechanisms by which these reforms can be structured and financed in the context of fiscal constraint. Methods: A situational analysis guided by a newly developed analytical framework for sustainable mental health financing was conducted...
2019: International Journal of Mental Health Systems
Thi Thu Thuy Tran, Ngoc Bich Nguyen, Mai Anh Luong, Thi Hai Anh Bui, Thi Dung Phan, Van Oanh Tran, Thi Huyen Ngo, Harry Minas, Thuy Quynh Nguyen
Background: Hospital nurses are exposed to various work-related factors that may be associated with increased risk of developing different mental disorders. Empirical evidence on the prevalence and correlates of individual mental health problems such as stress, anxiety and depression is widely reported, while a combined pattern of these conditions is unknown. This study aims to examine the co-occurrence of stress, anxiety and depression among clinical nurses, and to explore socio-demographic characteristics of, and working conditions experienced by, nurses that may be associated with these three mental health conditions...
2019: International Journal of Mental Health Systems
Naohiro Yonemoto, Yoshitaka Kawashima, Kaori Endo, Mitsuhiko Yamada
Background: Suicide is a critical global health issue. Japan has had a high suicide rate for the last 12 decades. In 2007, the Japanese Central Government Office issued the "General Principles of Suicide Prevention Policy". An important component of this policy was the gatekeeper training (GKT) program. GKT is a widely recommended suicide prevention intervention. This study aimed to investigate the association between the announcement of the national suicide prevention policy and implementation of GKT programs in Japan...
2019: International Journal of Mental Health Systems
Jie Li, Yu Fan, Hua-Qing Zhong, Xiao-Ling Duan, Wen Chen, Sara Evans-Lacko, Graham Thornicroft
Background: Care assistant workers as a new pattern of care providers in China play an important role in bridging the mental health treatment gap. Stigma and discrimination against people with mental disorders among care assistant workers is a barrier which adversely influences mental health service delivery. However, programs aimed at reducing stigma among care assistant workers are rare in China. Methods: A total of 293 care assistant workers from four districts of Guangzhou, China were randomly divided into an intervention group (n = 139) and a control group (n = 154)...
2019: International Journal of Mental Health Systems
Bjørg Eva Skogøy, Darryl Maybery, Torleif Ruud, Knut Sørgaard, Gro Christensen Peck, Elin Kufås, Kristin Stavnes, Eivind Thorsen, Terje Ogden
Background: Changes in Norwegian law and health policy require all health professionals to help safeguard the provision of information and follow-up for the children of parents with mental or physical illness, or substance abuse problems, to decrease their risk of psychosocial problems. There is a lack of knowledge on how the national changes have been received by hospital-based health professionals, and if they have led to an increase in family focused practice. Methods: This cross-sectional study examined the adherence of health professionals' ( N  = 280) in five hospitals to new guidelines for family focused practice, using a translated and generic version of Family Focused Mental Health Practice Questionnaire...
2018: International Journal of Mental Health Systems
Manasi Kumar, Mary Wangari Kuria, Caleb Joseph Othieno, Fredrik Falkenström
Background: Psychotherapy and mental health services in Nairobi's public hospitals are increasing. Rather than prematurely imposing psychotherapy protocols developed in Western countries to Kenya, we argue that first studying psychological interventions as they are practiced may generate understanding of which psychological problems are common, what interventions therapists use, and what seems to be effective in reducing psychiatric problems in a lower and middle income country like Kenya...
2018: International Journal of Mental Health Systems
Andreea Raluca Tirintica, Ivana Andjelkovic, Orela Sota, Mihail Cristian Pirlog, Maria Stoyanova, Adriana Mihai, Neal Wallace
Introduction: Access to mental health (MH) services is unequal worldwide and changes are required in this respect. Objectives: Our aim was to identify the delay to the first psychiatry consult and to understand patients' characteristics and perspectives on the factors that may influence the delay, among a sample of participants from three Southeastern European Countries. Materials and methods: The WHO Pathway Encounter Form questionnaire was applied in 400 patients "new cases" and a questionnaire on the factors influencing the access was administered to the same patients, as well as to their caretakers and MH providers...
2018: International Journal of Mental Health Systems
J Ssebunnya, S Kangere, J Mugisha, S Docrat, D Chisholm, C Lund, F Kigozi
Background: In spite of the pronounced adverse economic consequences of mental, neurological, and substance use disorders on households in most low- and middle-income countries, service coverage and financial protection for these families is very limited. The aim of this study was to generate potential strategies for sustainably financing mental health care in Uganda in an effort to move towards increased financial protection and service coverage for these families. Methods: The process of identifying potential strategies for sustainably financing mental health care in Uganda was guided by an analytical framework developed by the Emerging Mental health systems in low and middle income countries (EMERALD project)...
2018: International Journal of Mental Health Systems
Kirsten Celeste Kohler, Bronwynè Jo'sean Coetzee, Christine Lochner
Background: Obsessive-compulsive disorder (OCD) is a highly prevalent and debilitating psychiatric disorder known to interfere with several life domains. Yet little is known about the subjective experiences of living with OCD amongst South Africans and more so, the ways in which it impacts daily functioning and quality of life (QOL). Methods: The aim of this study was to explore daily functioning and QOL among South African adults living with OCD. Qualitative semi-structured interviews were conducted with 20 adults with a primary diagnosis of OCD...
2018: International Journal of Mental Health Systems
Hui Zhang, Yuming Sun, Donglan Zhang, Chao Zhang, Gang Chen
Background: Schizophrenia is one of the leading public health issues in psychiatry and imposes a heavy financial burden on the healthcare systems. This study aims to report the direct medical costs and the associated factors for patients with schizophrenia in Guangzhou city, Southern China. Methods: This was a retrospective 4-year cohort study. Data were obtained from urban health insurance claims databases of Guangzhou city, which contains patients' sociodemographic characteristics, direct medical costs of inpatient and outpatient care...
2018: International Journal of Mental Health Systems
V Isaak, D Vashdi, O Steiner-Lavi
Background: This study explores the effectiveness of refresher training sessions of an intervention program at reducing the employees' risk of injury due to patient violence in forensic psychiatric hospital. Methods: The original safety intervention program that consisted of a 3 days' workshop was conducted in the maximum-security ward of a psychiatric hospital in Israel. Ever since the original intervention, annual refreshers were conducted highlighting one of the safety elements covered in the original intervention...
2018: International Journal of Mental Health Systems
Kerem Böge, Eric Hahn, Tien Duc Cao, Lukas Marian Fuchs, Lara Kim Martensen, Georg Schomerus, Michael Dettling, Matthias Angermeyer, Van Tuan Nguyen, Thi Minh Tam Ta
Background: In Vietnam, the mental health care infrastructure is on the verge of transformation with an increase in the demand for access to adequate and effective mental health care services. Public attitudes towards mental illness, as well as corresponding treatment options influence help-seeking behaviors of patients and caregivers, affecting the course of their treatment. This study assesses attitudes towards treatment options for depression and schizophrenia, as the two most common psychiatric disorders in Vietnam, accounting for at least 75% of all psychiatric inpatients...
2018: International Journal of Mental Health Systems
Isabel Goicolea, Cecilia Hultstrand Ahlin, Anna-Karin Waenerlund, Bruno Marchal, Monica Christianson, Maria Wiklund, Anna-Karin Hurtig, Miguel San Sebastian
Background: Youth-friendly health care services can facilitate young people's access to health care services and promote their health, including their mental health. In Sweden, a network of youth health centers exist since the 1970s, incorporated within the public health system. Even if such centers take a holistic approach to youth health, the focus has been in sexual and reproductive health care, and the extent of integrating mental health care services is less developed though it varies notably between different centers...
2018: International Journal of Mental Health Systems
Sujit D Rathod, Simone Honikman, Charlotte Hanlon, Rahul Shidhaye
Background: Perinatal depression is associated with negative effects on child behavioural, cognitive and emotional development, birth outcomes, and physical growth. In India, increased priority accorded to mental health programs mean it is now possible to reduce the population-level burden of perinatal depression. In this secondary analysis of two studies, we aimed to describe the epidemiological features of depression among community- and facility-based samples of perinatal women from rural central India, and to describe the help-seeking behaviours from those women who screened positive for depression...
2018: International Journal of Mental Health Systems
June S L Brown
Objectives: Access to psychological treatments has been defined by Gulliford as comprising supply, effectiveness, equity and uptake. In the UK, a recent national programme "Improving Access to Psychological Treatments" has significantly increased supply and assessed effectiveness, but paid less attention to uptake and equity. The model developed by Gask et al. delineating processes relevant to improving access for 'hard-to-engage' groups in the UK, including black and minority groups seems relevant...
2018: International Journal of Mental Health Systems
Carlos Eduardo Amaral, Rosana Onocko-Campos, Pedro Renan Santos de Oliveira, Mariana Barbosa Pereira, Éllen Cristina Ricci, Mayrá Lobato Pequeno, Bruno Emerich, Roseléia Carneiro Dos Santos, Graham Thornicroft
Background: Pathways to care are actions and strategies employed by individuals in order to get help for health-related distress and the related processes of care providers. On several systematic reviews regarding pathways to mental health care (PMHC), studies regarding South American countries were not present. This review synthesizes qualitative and quantitative research about PMHC in Brazil. Methods: LILACS, MEDLINE and SCIELO databases were searched for papers regarding PMHC in Brazil...
2018: International Journal of Mental Health Systems
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