Carmen H Logie, Moses Okumu, Jean-Luc Kortenaar, Lesley Gittings, Naimul Khan, Robert Hakiza, Daniel Kibuuka Musoke, Aidah Nakitende, Brenda Katisi, Peter Kyambadde, Torsum Khan, Richard Lester, Lawrence Mbuagbaw
BACKGROUND: Although mental health challenges disproportionately affect people in humanitarian contexts, most refugee youth do not receive the mental health support needed. Uganda is the largest refugee-hosting nation in Africa, hosting over 1.58 million refugees in 2022, with more than 111,000 living in the city of Kampala. There is limited information about effective and feasible interventions to improve mental health outcomes and mental health literacy, and to reduce mental health stigma among urban refugee adolescents and youth in low- and middle-income countries (LMICs)...
December 8, 2022: JMIR Research Protocols
Amy Rusch, Isabel Carley, Pratiksha Badola, Celeste Liebrecht, Melvin McInnis, Kelly A Ryan, Shawna N Smith
The Life Goals (LG) application is an evidence-based self-management tool intended to help individuals with bipolar disorder (BD) by aligning symptom coping strategies with personal goals. The program has traditionally been offered in-person or via the web, but has recently been translated into an individualized, customizable mobile intervention to improve access to care and reduce provider burden. The LG app previously showed acceptability with ease of use and satisfaction with user interface, but less success in encouraging self-management...
2022: Frontiers in digital health
Mark Goodhew, Jo River, Yvonne Samuel, Chris Gough, Kevin Street, Candice Gilford, Natalie Cutler, Fiona Orr
Alcohol and other drugs (AOD) use is a significant public health issue and is associated with high mortality and morbidity rates. Despite this, people who use drugs are often reluctant to seek care due to the lack of trauma-informed treatment and harm reduction treatment options, as well as experiences of stigma and discrimination in health services. Arguably, AOD education that is co-produced with people who use alcohol and drugs can enhance future health professionals' ability to practice in ways that support the needs of this population...
December 7, 2022: International Journal of Mental Health Nursing
Lauren S Chernick, Mona Bugaighis, Laura Britton, Andrea T Cruz, Monika K Goyal, Rakesh D Minstry, Jennifer L Reed, Susanne Bakken, John Santelli, Peter S Dayan
BACKGROUND: Health care professionals (HCPs) in the emergency department (ED) frequently must decide whether to conduct or forego confidential conversations with adolescent patients about sensitive topics, such as those related to mental health, substance use, and sexual and reproductive health. The objective of this multi-center qualitative analysis was to identify factors that influence the conduct of confidential conversations with adolescent patients in the ED. METHODS: In this qualitative study, we conducted semi-structured interviews of ED HCPs from five academic, pediatric EDs in distinct geographic regions...
December 8, 2022: Academic Emergency Medicine
Konstantinos Tzartzas, Pierre-Nicolas Oberhauser, Régis Marion-Veyron, Stéphane Saillant
BACKGROUND: Mental disorders are frequent in primary care settings, which is challenging for primary care physicians. In Neuchâtel (Switzerland), a Consultation-Liaison psychiatrist integrated three primary care group practices, proposing both clinical interventions and supervisions/psychiatric training. Primary care physicians' experience regarding this collaboration was investigated. METHODS: A qualitative study was conducted. Three focus groups were organized in each primary care group practice involved in the project (10 primary care physicians participated in focus groups)...
December 7, 2022: BMC Prim Care
Sheila Linz, Bonnie Jerome-D'Emilia
BACKGROUND: Women with severe mental illness (SMI) are diagnosed with breast cancer at later stages, with greater mortality rates than the general population. Although breast cancer screening is an acknowledged strategy for early breast cancer detection, women with SMI are 32% to 50% less likely to have regular mammography screenings, yet the specific factors related to the disparity in this population have not been determined. AIM: The purpose of this study was to identify the barriers and facilitators toward breast cancer screening in women diagnosed with SMI...
December 7, 2022: Journal of the American Psychiatric Nurses Association
Rachel L Boska, Shawn Dunlap, Todd M Bishop, David Goldstrom, Drew Tomberlin, Sheila Baxter, Marek Kopacz, Karen S Quigley, J Irene Harris
Chaplains are an integral part of mental health treatment within the Veterans Health Administration (VHA) and over the past decade, efforts have been made to integrate chaplain services into behavioral health treatment. One unique duty of chaplains is to conduct spiritual assessments, which are characterized as collaborative discussions with veterans to understand their overall religious and belief system, identify spiritual injuries, and how to integrate one's spiritual values into medical care. Although spiritual assessments in Veterans Affairs Medical Centers have evolved throughout the years to adopt a more structured approach, spiritual assessments can vary depending on site, clinical setting, and medical center...
December 5, 2022: Psychological Services
John J Reilly, Salome Aubert, Javier Brazo-Sayavera, Yang Liu, Jonathan Y Cagas, Mark S Tremblay
The global transition to current low levels of habitual physical activity among children and adolescents began in the second half of the last century. Low physical activity harms health in both the short term (during childhood and adolescence) and long term (during adulthood). In turn, low physical activity could limit progress towards several sustainable development goals, undermine noncommunicable disease prevention, delay physical and mental health recovery from the coronavirus disease 2019 pandemic, increase health-care costs and hinder responses to climate change...
December 1, 2022: Bulletin of the World Health Organization
Linda Birt, Kathleen Lane, Jason Corner, Kristy Sanderson, Diane Bunn
INTRODUCTION: The COVID-19 pandemic had an unprecedented effect on those living and working in care-homes for older people, as residents were particularly vulnerable to contracting the SARS-CoV-2 virus, associated with high morbidity and mortality. Often undervalued, care-home nurses (RNs) are leaders, managing complex care while working in isolation from their professional peers. The pandemic made this more apparent, when care and treatments for COVID-19 were initially unknown, isolation increased due to withdrawal of many professional health services, accompanied by staff shortages...
December 4, 2022: Journal of Nursing Scholarship
Paul Farrand, Alexander Hamilton, Sam Strickland
BACKGROUND: Many people with kidney disease experience comorbid mental health difficulties that result in worse physical health outcomes alongside greater personal, treatment and societal costs. PROBLEM: Workforce expansion to treat comorbid mental health difficulties has focussed on psychological practitioners. This fails to capitalise on benefits arising from embedding roles to address biopsychosocial outcomes directly within the renal specialty. A competency framework to inform development and training for such a role has not been developed...
December 3, 2022: Journal of Renal Care
J Gensichen, K Lukaschek, C Jung-Sievers, P Falkai, A Schmitt, P Henningsen, T Dreischulte, G Pitschel-Walz, H Krcmar, M Böhm, B Prommegger, K Linde, A Drescher, P Schönweger, C Haas, C Brand, P Younesi, J Vukas, V Brisnik, H Schillok, J Raub, L Kaupe, K Biersack, F Gökce, J Eder, L Hattenkofer, Ph Reindl-Spanner, V von Schrottenberg, C Teusen, Ph Sterner, M Bühner, A Schneider
BACKGROUND: The interdisciplinary research training group (POKAL) aims to improve care for patients with depression and multimorbidity in primary care. POKAL includes nine projects within the framework of the Chronic Care Model (CCM). In addition, POKAL will train young (mental) health professionals in research competences within primary care settings. POKAL will address specific challenges in diagnosis (reliability of diagnosis, ignoring suicidal risks), in treatment (insufficient patient involvement, highly fragmented care and inappropriate long-time anti-depressive medication) and in implementation of innovations (insufficient guideline adherence, use of irrelevant patient outcomes, ignoring relevant context factors) in primary depression care...
December 2, 2022: BMC Prim Care
Celia Cruz-Cobo, María Ángeles Bernal-Jiménez, Rafael Vázquez-García, María José Santi-Cano
BACKGROUND: Coronary artery disease is the main cause of death and loss of disability-adjusted life years worldwide. Information and communication technology has become an important part of health care systems, including the innovative cardiac rehabilitation services through mobile phone and mobile health (mHealth) interventions. OBJECTIVE: In this study, we aimed to determine the effectiveness of different kinds of mHealth programs in changing lifestyle behavior, promoting adherence to treatment, and controlling modifiable cardiovascular risk factors and psychosocial outcomes in patients who have experienced a coronary event...
December 2, 2022: JMIR MHealth and UHealth
Keith L Hullenaar, Frederick P Rivara, Jin Wang, Douglas F Zatzick
Collaborative care is a multicomponent intervention delivered by frontline social work, nursing, and physician providers to address patients' physical, emotional, and social needs. We argued that collaborative care may particularly benefit patients with a violent victimization history because it practices three principles of trauma-informed care: patient-provider collaboration, preventing repeat trauma in clinical and community settings, and delivering comprehensive mental and physical healthcare. We conducted an exploratory secondary data analysis of a collaborative care randomized clinical trial involving patients who presented with traumatic physical injury at a Level I trauma center in Washington state between 2006 and 2009...
December 2, 2022: Journal of Interpersonal Violence
Filipe Prazeres, Luiz M Santiago, José A Simões
INTRODUCTION: Given the number of patients with mental conditions who receive treatment within the primary care (PC) context, and the high prevalence of multimorbidity (especially in older people), there is a need to study mental-physical multimorbidity (MPM) in this population and context. This study sought to identify the impact on health-related quality of life (QoL) of MPM in adults aged 60 years and older. MATERIAL AND METHODS: Secondary analysis of data derived from 251 primary health individuals...
2022: Archives of Medical Science: AMS
Inge Petersen, One Selohilwe, Daniella Georgeu-Pepper, Christy-Joy Ras, Babalwa Zani, Ruwayda Petrus, Lauren Anderson, Ntokozo Mntambo, Tasneem Kathree, Arvin Bhana, Graham Thornicroft, Lara Fairall
INTRODUCTION: A task-sharing collaborative care model for integrated depression care for South Africa's burgeoning primary health care population with chronic conditions was developed and tested through two pragmatic cluster randomized controlled trials. One trial focused on patients with hypertension and was located in one district where a collaborative care model was co-designed with district stakeholders. The other trial, focused on patients on antiretroviral treatment, was located in the same district site, with the addition of a second neighbouring district, without adaptation of the original model...
December 1, 2022: BMC Health Services Research
Linnet N Masese, Natasha T Ludwig-Barron, Loice Mbogo, Brandon L Guthrie, Helgar Musyoki, David Bukusi, William Sinkele, Esther Gitau, Carey Farquhar, Aliza Monroe-Wise
BACKGROUND: In Kenya, harm reduction organizations have adopted evidence-based peer educator (PE) programs, where former people who inject drugs (PWID) serve as community health liaisons to engage PWID in HIV, HCV and harm reduction services. While PEs play an integral role in healthcare delivery, little data exists on their roles, risks and experiences working with PWID, which may be used to inform local harm reduction policy. METHODS: PE's from two harm reduction sites in Nairobi were randomly and purposively selected to participate in semi-structured in-depth interviews...
2022: PloS One
Brioney Gee, Helen Nicholls, Sam Rivett, Tim Clarke, Jon Wilson, Larissa Prothero
INTRODUCTION: The ambulance service provides vital front line mental healthcare for young people in crisis, but there is a lack of evidence to guide best practice in this area. The lived experiences of service users can offer important insights to guide service development, therefore we carried out a qualitative evaluation of care provided by the ambulance service to young people experiencing a mental health-related emergency. METHODS: Ten participants aged 16-25 years who had used the ambulance service due to a mental health crisis within the past 2 years were interviewed about their experiences and view of the care they received...
June 1, 2022: British paramedic journal
Vandad Sharifi, Zahra Shahrivar, Hadi Zarafshan, Sheida Beiky Ashezary, Fariba Arabgol, Mojgan Khademi, Morteza Jafarinia, Ahmad Hajebi, Farid Abolhassani, Soheila Emami, Ali Beiki Ashkezari, Elizabeth A Stuart, Ramin Mojtabai, Lawrence Wissow
IMPORTANCE: Integrated care for children is rarely studied, especially in low- and middle-income countries, where generalists often provide mental health care. OBJECTIVES: To explore the effect of adding a child and youth component to an existing adult collaborative care program on mental health outcomes and receipt of care. DESIGN, SETTING, AND PARTICIPANTS: This cluster randomized trial was conducted within an adult collaborative care program in Tehran, Iran...
November 30, 2022: JAMA Psychiatry
Stephanie Scott, Victoria J McGowan, Josephine M Wildman, Elaine Bidmead, Jane Hartley, Claire Mathews, Becky James, Claire Sullivan, Clare Bambra, Sarah Sowden
BACKGROUND: The Voluntary Community and Social Enterprise sector has a crucial role in supporting the health and wellbeing of people who are marginalised or who have multiple complex needs. We aimed to understand perceptions of those working in the sector and examine the short-term, medium-term, and long-term effects of COVID-19 on Voluntary Community and Social Enterprise organisations in northern England as they respond to the needs of marginalised communities. This research formed one component of a regional multiagency Health Inequalities Impact Assessment...
November 2022: Lancet
Emma H Cassinelli, Michelle C McKinley, Lisa Kent, Kelly-Ann Eastwood, Danielle Schoenaker, Laura McGowan
BACKGROUND: Preconception health and care strategies can substantially improve maternal and infant outcomes, and thus optimise intergenerational health. Given the burden of high-risk preconception health and social risk factors, as well as the absence of a review of preconception health and care policies and recommendations in the UK and Ireland since 2013, an update is now warranted. We undertook a scoping review to assess the nature of and summarise preconception health and care strategies, policies, guidelines, frameworks, and recommendations available in the UK and Ireland...
November 2022: Lancet
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