Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000270
Francisca Dussaillant, Eugenio Guzmán
An extensive literature on the role of social capital in disaster response highlights the regularity that more robust social networks support more effective coordination and recovery (Aldrich, 2012). Less attention has been paid to the persistent aftereffects of disasters on social capital. Disasters provide stricken communities with the opportunity to strengthen their social bonds by affecting social norms, attitudes, and behavior. We study the enduring impact of disasters on social integrity by examining the after effects of the 2010 earthquake and tsunami on interpersonal trust, a common proxy for social capital
{"title":"Disasters as an Opportunity to Build Social Capital","authors":"Francisca Dussaillant, Eugenio Guzmán","doi":"10.4172/1522-4821.1000270","DOIUrl":"https://doi.org/10.4172/1522-4821.1000270","url":null,"abstract":"An extensive literature on the role of social capital in disaster response highlights the regularity that more robust social networks support more effective coordination and recovery (Aldrich, 2012). Less attention has been paid to the persistent aftereffects of disasters on social capital. Disasters provide stricken communities with the opportunity to strengthen their social bonds by affecting social norms, attitudes, and behavior. We study the enduring impact of disasters on social integrity by examining the after effects of the 2010 earthquake and tsunami on interpersonal trust, a common proxy for social capital","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125566935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000261
Monique A. Fairclough, Sara A Miller-Archie, J. Cone, T. Dechen, C. Ekenga, S. Osahan, S. Perlman, L. Gargano, J. Imasuen, M. Farfel
After the September 11, 2001 World Trade Center (WTC) disaster, recovery and clean-up efforts were concentrated at the WTC site and the Staten Island (SI) Fresh Kills landfill and barges. Research is limited regarding the long-term health effects of human remains exposure during clean-up and recovery work at the SI landfill and barges. We studied 1,592 WTC Health Registry enrollees who worked at the SI landfill, loading piers and barges after the 9/11/01 attacks to assess the relationship between remains exposure and persistent posttraumatic stress disorder (PTSD) 10-11 years later. A dose-response relationship was found between frequency of human remains exposure and persistent PTSD (adjusted odds ratio (AOR): every day (AOR) = 4.77; 95% confidence interval (CI): 2.00-11.52, almost every day (AOR) = 4.35; 95% CI: 1.75-10.80), and some days (AOR) = 2.98; 95% CI: 1.43-6.22). When exposed to human remains, sanitation workers had higher odds of persistent PTSD, compared to firefighters and police. In addition, respondents who scored lower on a social support scale had higher odds of persistent PTSD. The findings highlight the need for strategies to reduce the risk of PTSD associated with exposure to human remains in future disasters.
{"title":"Relationship between Persistent Post-traumatic Stress Disorder and Human Remains Exposure for Staten Island Barge and Landfill Recovery and Clean-up Workers After 9/11","authors":"Monique A. Fairclough, Sara A Miller-Archie, J. Cone, T. Dechen, C. Ekenga, S. Osahan, S. Perlman, L. Gargano, J. Imasuen, M. Farfel","doi":"10.4172/1522-4821.1000261","DOIUrl":"https://doi.org/10.4172/1522-4821.1000261","url":null,"abstract":"After the September 11, 2001 World Trade Center (WTC) disaster, recovery and clean-up efforts were concentrated at the WTC site and the Staten Island (SI) Fresh Kills landfill and barges. Research is limited regarding the long-term health effects of human remains exposure during clean-up and recovery work at the SI landfill and barges. We studied 1,592 WTC Health Registry enrollees who worked at the SI landfill, loading piers and barges after the 9/11/01 attacks to assess the relationship between remains exposure and persistent posttraumatic stress disorder (PTSD) 10-11 years later. A dose-response relationship was found between frequency of human remains exposure and persistent PTSD (adjusted odds ratio (AOR): every day (AOR) = 4.77; 95% confidence interval (CI): 2.00-11.52, almost every day (AOR) = 4.35; 95% CI: 1.75-10.80), and some days (AOR) = 2.98; 95% CI: 1.43-6.22). When exposed to human remains, sanitation workers had higher odds of persistent PTSD, compared to firefighters and police. In addition, respondents who scored lower on a social support scale had higher odds of persistent PTSD. The findings highlight the need for strategies to reduce the risk of PTSD associated with exposure to human remains in future disasters.","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125573973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000246
P. Brown
In Australia, a revolution is in the offing in primary psychiatric service delivery. Mental health nurse specialists are moving out from crisis and community-care teams attached to the public hospitals and community psychiatric clinics. To-date, three levels of psychiatric nursing have evolved: traditional basic mental health nursing; novel advanced nursing; and, advanced nursing with prescribing rights (Keltner & Folks, 1999; Talley & Brooke, 1992). The advanced forms are partnering with primary care physicians in private practice (Fisher, 2005; Hurley et al., 2014). Psychiatrists are beginning to link up with these nurse specialists, at the GP clinics. They are their natural, professional partners, sharing roles and responsibilities (Elsom, Happell, Manias & Lambert, 2007) This article argues for the benefits of models of primary psychiatric care in which the psychiatric nurse is the lynchpin of service delivery.
{"title":"Nursing Revolution in Australian Primary Mental Health","authors":"P. Brown","doi":"10.4172/1522-4821.1000246","DOIUrl":"https://doi.org/10.4172/1522-4821.1000246","url":null,"abstract":"In Australia, a revolution is in the offing in primary psychiatric service delivery. Mental health nurse specialists are moving out from crisis and community-care teams attached to the public hospitals and community psychiatric clinics. To-date, three levels of psychiatric nursing have evolved: traditional basic mental health nursing; novel advanced nursing; and, advanced nursing with prescribing rights (Keltner & Folks, 1999; Talley & Brooke, 1992). The advanced forms are partnering with primary care physicians in private practice (Fisher, 2005; Hurley et al., 2014). Psychiatrists are beginning to link up with these nurse specialists, at the GP clinics. They are their natural, professional partners, sharing roles and responsibilities (Elsom, Happell, Manias & Lambert, 2007) This article argues for the benefits of models of primary psychiatric care in which the psychiatric nurse is the lynchpin of service delivery.","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132065898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000E197
S. Johnson
{"title":"Assessing Physical Batterers and Sexual Predators: The Importanceof Finding the Offenders Pornography Stash","authors":"S. Johnson","doi":"10.4172/1522-4821.1000E197","DOIUrl":"https://doi.org/10.4172/1522-4821.1000E197","url":null,"abstract":"","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134072620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000378
Linda Bucay-Harari, N. Krawczyk, K. Page, Yvonne P. Robles, C. Castillo-Salgado
Over the last decade, Baltimore has become a non-traditional Sanctuary City, receiving an unprecedented influx of Latino immigrants. Undocumented immigrants, especially ones coming from Central America’s Northern Triangle, are often exposed to traumatic experiences before, during and after migration, increasing their risk of mental health distress. The purpose of the study was to explore the nature and frequency of healthcare utilization for mental health problems among Latinos who received outpatient care at the Johns Hopkins Hospital between July 2012 and June 2015. We performed a descriptive analysis of Latino participants in The Access Partnership of Johns Hopkins Medicine (TAP) program. The TAP program covers primary and specialty services to uninsured patients living within zip codes in the Johns Hopkins Hospital and Bayview catchment area without regard to documentation status. We assessed the frequency of visits for symptoms and conditions associated with mental health diagnoses. Among all health conditions, mental health disorder was the most common diagnostic category and accounted for 14.88% of all encounters. Within this category, mood disorders (78%) and anxiety disorders (16%) were the most prevalent diagnoses. This descriptive study presents a unique opportunity to explore the burden and nature of mental health disorders among an emerging Latino community for which health care information is rarely attainable. The high use of mental health services in this population highlights the need to develop culturally competent screening mechanisms and interventions to address the stressors faced by emergent Latino communities.
{"title":"Mental Health Needs of an Emerging Latino Community in a MidAtlantic City: The Case of Baltimore City (2012-2015)","authors":"Linda Bucay-Harari, N. Krawczyk, K. Page, Yvonne P. Robles, C. Castillo-Salgado","doi":"10.4172/1522-4821.1000378","DOIUrl":"https://doi.org/10.4172/1522-4821.1000378","url":null,"abstract":"Over the last decade, Baltimore has become a non-traditional Sanctuary City, receiving an unprecedented influx of Latino immigrants. Undocumented immigrants, especially ones coming from Central America’s Northern Triangle, are often exposed to traumatic experiences before, during and after migration, increasing their risk of mental health distress. The purpose of the study was to explore the nature and frequency of healthcare utilization for mental health problems among Latinos who received outpatient care at the Johns Hopkins Hospital between July 2012 and June 2015. We performed a descriptive analysis of Latino participants in The Access Partnership of Johns Hopkins Medicine (TAP) program. The TAP program covers primary and specialty services to uninsured patients living within zip codes in the Johns Hopkins Hospital and Bayview catchment area without regard to documentation status. We assessed the frequency of visits for symptoms and conditions associated with mental health diagnoses. Among all health conditions, mental health disorder was the most common diagnostic category and accounted for 14.88% of all encounters. Within this category, mood disorders (78%) and anxiety disorders (16%) were the most prevalent diagnoses. This descriptive study presents a unique opportunity to explore the burden and nature of mental health disorders among an emerging Latino community for which health care information is rarely attainable. The high use of mental health services in this population highlights the need to develop culturally competent screening mechanisms and interventions to address the stressors faced by emergent Latino communities.","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132980044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000385
R. Rudd, Lisa Capizzi Marain, L. Crandall
The purpose of this study was to examine the experiences of bereaved parents and caregivers, who experienced a sudden unexpected infant or child death, an infant death attributed to Sudden Infant Death Syndrome (SIDS) or a child death attributed to Sudden Unexplained Death in Childhood (SUDC), with hospital practices and staff upon the child’s arrival at the emergency department. A convenience sample of 139 parents, caregivers and guardians responded. Data collected were descriptive and narrative. Narrative data was analyzed using phenomenological qualitative analyses. The study addressed the parents’ experience with: the ambulance service, contact with professionals, information received about procedures, access to or holding the child, extended family’s access to the child, perceived respect and support of the hospital staff, obtaining keepsakes or the child’s belongings and the parent’s aftercare instructions upon leaving the hospital. Implications to improve or revise current hospital procedures are discussed.
{"title":"Bereaved Parents Experiences of Hospital Practices and Staff Reactions after the Sudden Unexpected Death of a Child","authors":"R. Rudd, Lisa Capizzi Marain, L. Crandall","doi":"10.4172/1522-4821.1000385","DOIUrl":"https://doi.org/10.4172/1522-4821.1000385","url":null,"abstract":"The purpose of this study was to examine the experiences of bereaved parents and caregivers, who experienced a sudden unexpected infant or child death, an infant death attributed to Sudden Infant Death Syndrome (SIDS) or a child death attributed to Sudden Unexplained Death in Childhood (SUDC), with hospital practices and staff upon the child’s arrival at the emergency department. A convenience sample of 139 parents, caregivers and guardians responded. Data collected were descriptive and narrative. Narrative data was analyzed using phenomenological qualitative analyses. The study addressed the parents’ experience with: the ambulance service, contact with professionals, information received about procedures, access to or holding the child, extended family’s access to the child, perceived respect and support of the hospital staff, obtaining keepsakes or the child’s belongings and the parent’s aftercare instructions upon leaving the hospital. Implications to improve or revise current hospital procedures are discussed.","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132855877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000300
Donika Ð.D
Improvement of medical care is the topical issue of the health care system; its solution requires significant economic investment, based on the results of sociological research. In this regard, the author conducted a comprehensive study of the social and psychological parameters of the doctor’s professional role with a view to explicate its possible deviations. The study was conducted within the sociology of medicine, using its qualitative and quantitative methods, as well as a number of psycho-diagnostic tests. The results showed that the discrepancy between the level of the neuro-emotional and physical stress of medical practice and the institutional and professional valuation parameters leads to deviations in the professional role of the doctor, which is explicated as professional deformations of two types: general professional and special.
{"title":"The Study of Professional Deformations of Doctors as Deviations of Their Professional Role","authors":"Donika Ð.D","doi":"10.4172/1522-4821.1000300","DOIUrl":"https://doi.org/10.4172/1522-4821.1000300","url":null,"abstract":"Improvement of medical care is the topical issue of the health care system; its solution requires significant economic investment, based on the results of sociological research. In this regard, the author conducted a comprehensive study of the social and psychological parameters of the doctor’s professional role with a view to explicate its possible deviations. The study was conducted within the sociology of medicine, using its qualitative and quantitative methods, as well as a number of psycho-diagnostic tests. The results showed that the discrepancy between the level of the neuro-emotional and physical stress of medical practice and the institutional and professional valuation parameters leads to deviations in the professional role of the doctor, which is explicated as professional deformations of two types: general professional and special.","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114753952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000296
Lise Haddouk
The field of mental health has evolved a lot since 20 years, with the emergence of the ICT (Information and Communication Technologies) and in the context of cyberculture. Telepsychology is defined by APA (2013) as the provision of psychological services using telecommunication technologies. It includes many types of remote communication like written exchanges (tchat, emails, SMS), voice exchange (phone, VOIP) or videoconference. Technologies may augment traditional in-person services, or be used as standalone services (e.g., therapy or leadership development provided over videoconferencing). Different technologies may be used in various combinations and for different purposes during the provision of telepsychology services.
{"title":"Presence in Telepsychotherapy. Towards a Video-Interview Framework","authors":"Lise Haddouk","doi":"10.4172/1522-4821.1000296","DOIUrl":"https://doi.org/10.4172/1522-4821.1000296","url":null,"abstract":"The field of mental health has evolved a lot since 20 years, with the emergence of the ICT (Information and Communication Technologies) and in the context of cyberculture. Telepsychology is defined by APA (2013) as the provision of psychological services using telecommunication technologies. It includes many types of remote communication like written exchanges (tchat, emails, SMS), voice exchange (phone, VOIP) or videoconference. Technologies may augment traditional in-person services, or be used as standalone services (e.g., therapy or leadership development provided over videoconferencing). Different technologies may be used in various combinations and for different purposes during the provision of telepsychology services.","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114891535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000351
Sowunmi Oa, Onifade Po, A. Ogunwale
Introduction: Research has shown that persons with schizophrenia and bipolar affective disorder constitute a significant proportion of patients with severe mental illnesses who have a risk of substance use disorders. There are few previous studies directly comparing level of risk for drug related adverse treatment outcomes and treatment needs for substance use disorders in these two disorders. The aim of the present study was to compare level of risk and treatment needs for substance use disorders between patients with schizophrenia and those with bipolar affective disorder. Methods: Equal number of participants (n = 75 per group) with SCHIZ and BAD at the outpatient clinic of the Neuropsychiatric Hospital Aro were interviewed with a socio-demographic questionnaire and the Alcohol smoking and substance involvement screening test (ASSIST). Result: Patients with bipolar disorder had higher risk for adverse effects of pain medication use, while schizophrenia patients had higher risk of adverse effects of tobacco, cannabis, stimulants, alcohol and sedatives. Age, sex, marital status and level of education had significant associations with elevated risk for psychoactive substance use disorders. Conclusions: Adverse treatment outcomes related to psychoactive substance use among individuals with severe mental disorders remain a burden in patient care. Routine screening for substance use at the out-patient department should evaluate risk for adverse effects of these substances and not only substance dependence.
{"title":"Treatment Needs for Psychoactive Substance Use Disorders among Outpatients with Severe Mental Illness (SMI): A Comparative Study","authors":"Sowunmi Oa, Onifade Po, A. Ogunwale","doi":"10.4172/1522-4821.1000351","DOIUrl":"https://doi.org/10.4172/1522-4821.1000351","url":null,"abstract":"Introduction: Research has shown that persons with schizophrenia and bipolar affective disorder constitute a significant proportion of patients with severe mental illnesses who have a risk of substance use disorders. There are few previous studies directly comparing level of risk for drug related adverse treatment outcomes and treatment needs for substance use disorders in these two disorders. The aim of the present study was to compare level of risk and treatment needs for substance use disorders between patients with schizophrenia and those with bipolar affective disorder. \u0000Methods: Equal number of participants (n = 75 per group) with SCHIZ and BAD at the outpatient clinic of the Neuropsychiatric Hospital Aro were interviewed with a socio-demographic questionnaire and the Alcohol smoking and substance involvement screening test (ASSIST). \u0000Result: Patients with bipolar disorder had higher risk for adverse effects of pain medication use, while schizophrenia patients had higher risk of adverse effects of tobacco, cannabis, stimulants, alcohol and sedatives. Age, sex, marital status and level of education had significant associations with elevated risk for psychoactive substance use disorders. \u0000Conclusions: Adverse treatment outcomes related to psychoactive substance use among individuals with severe mental disorders remain a burden in patient care. Routine screening for substance use at the out-patient department should evaluate risk for adverse effects of these substances and not only substance dependence.","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115126694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4172/1522-4821.1000E181
C. Rubinstein.
when asked how older a person with mental illness, the answer is that these patients patient aging has the same characteristics as that of any other person, added to their disease risks, such as visual and hearing impairment, poor dental and oral health, excessive medication, difficulty in detecting associated problems, poor access to medical care and poor research of mental diseases of old age (World Health Organization, 2003).
{"title":"Latin America is Prepared to Face the Challenges of an AgingPopulation","authors":"C. Rubinstein.","doi":"10.4172/1522-4821.1000E181","DOIUrl":"https://doi.org/10.4172/1522-4821.1000E181","url":null,"abstract":"when asked how older a person with mental illness, the answer is that these patients patient aging has the same characteristics as that of any other person, added to their disease risks, such as visual and hearing impairment, poor dental and oral health, excessive medication, difficulty in detecting associated problems, poor access to medical care and poor research of mental diseases of old age (World Health Organization, 2003).","PeriodicalId":358022,"journal":{"name":"International Journal of Emergency Mental Health and Human Resilience","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114540129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}