Pub Date : 2023-04-11DOI: 10.1108/jpmh-09-2022-0095
A. Aiyub, S. Jannah, M. Marthoenis, Asnawi Abdullah, H. Sofyan
Purpose This paper aims to investigate the local perspectives, based on culture and beliefs about peer stigma, consequences and strategies to reduce mental health stigma among adolescents in Indonesia. Design/methodology/approach This study included 30 participants, including students, teachers, health professionals and lecturers. Two sessions of focus group discussions and 14 sessions of in-depth interviews were performed to collect the data. A qualitative content analysis was carried out, and some related themes and sub-themes were explored. Findings This study found that peer stigma was prevalent and negatively impacted the psychological, social and intellectual development of adolescents with mental disorders (MD) in Indonesian society. Five strategies to tackle peer stigma were proposed, including increasing mental health literacy (MHL), reducing the harmful effects of stigma, fostering a supportive social environment, expanding access to and improving the quality of mental health care and advocating for public health policies. Research limitations/implications More qualitative research on the experiences and perspectives of victims, perpetrators and society concerning mental health stigma in adolescents is required to fully understand why stigma arises, what causative factors and repercussions it has, as well as how to deal with it. Practical implications Peer stigma still exists among adolescents. It has negative impacts on their mental and psychological well-being. MHL, social environment, the harmful effects of stigma, as well as mental health access and policy were concerns of this study. A school is a place where adolescents spend most of their social time. Schools play a vital part in the stigma-reduction program. Originality/value Mental health stigma among adolescents with MD is an issue that has potentially hindered mental health recovery. Anti-stigma intervention based on local perspectives is valuable in increasing the effectiveness and acceptance of interventions.
{"title":"Peer stigma, consequences, and anti-stigma strategies in adolescents with mental disorders: a qualitative investigation","authors":"A. Aiyub, S. Jannah, M. Marthoenis, Asnawi Abdullah, H. Sofyan","doi":"10.1108/jpmh-09-2022-0095","DOIUrl":"https://doi.org/10.1108/jpmh-09-2022-0095","url":null,"abstract":"\u0000Purpose\u0000This paper aims to investigate the local perspectives, based on culture and beliefs about peer stigma, consequences and strategies to reduce mental health stigma among adolescents in Indonesia.\u0000\u0000\u0000Design/methodology/approach\u0000This study included 30 participants, including students, teachers, health professionals and lecturers. Two sessions of focus group discussions and 14 sessions of in-depth interviews were performed to collect the data. A qualitative content analysis was carried out, and some related themes and sub-themes were explored.\u0000\u0000\u0000Findings\u0000This study found that peer stigma was prevalent and negatively impacted the psychological, social and intellectual development of adolescents with mental disorders (MD) in Indonesian society. Five strategies to tackle peer stigma were proposed, including increasing mental health literacy (MHL), reducing the harmful effects of stigma, fostering a supportive social environment, expanding access to and improving the quality of mental health care and advocating for public health policies.\u0000\u0000\u0000Research limitations/implications\u0000More qualitative research on the experiences and perspectives of victims, perpetrators and society concerning mental health stigma in adolescents is required to fully understand why stigma arises, what causative factors and repercussions it has, as well as how to deal with it.\u0000\u0000\u0000Practical implications\u0000Peer stigma still exists among adolescents. It has negative impacts on their mental and psychological well-being. MHL, social environment, the harmful effects of stigma, as well as mental health access and policy were concerns of this study. A school is a place where adolescents spend most of their social time. Schools play a vital part in the stigma-reduction program.\u0000\u0000\u0000Originality/value\u0000Mental health stigma among adolescents with MD is an issue that has potentially hindered mental health recovery. Anti-stigma intervention based on local perspectives is valuable in increasing the effectiveness and acceptance of interventions.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46628477","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 : 2023-03-27DOI: 10.1108/jpmh-03-2023-160
J. Ashton
{"title":"Editorial","authors":"J. Ashton","doi":"10.1108/jpmh-03-2023-160","DOIUrl":"https://doi.org/10.1108/jpmh-03-2023-160","url":null,"abstract":"","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43672172","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 : 2023-03-07DOI: 10.1108/jpmh-10-2022-0103
R. Higgs, Anne Liao, Tracy Windsor, S. Ben-David
Purpose Previous research has highlighted the importance of engaging people with lived experience (PWLE) in the knowledge creation process. However, diverse approaches to engagement exist. In addition, tensions remain in community-engaged research (CER), including how to address structural inequalities in research settings. This study aims to consider how CER interacts with citizenship within and beyond the research context. Design/methodology/approach This study discusses the authors’ experiences as a majority-PWLE of psychosis research team in Canada, including successes and challenges the authors experienced building their team and navigating research institutions. This study also reflects on the authors’ pathways through citizenship, prior to and during the research process. This study discusses divergent models of CER and their applicability to the cyclical process of citizenship and community participation. Findings Relationships between academic and peer researchers developed organically over time. However, this study was limited by structural barriers such as pay inequality and access to funding. The authors recognize that there are barriers to full citizenship and acknowledge their resources and privilege of being well supported within their communities. Team members built on a foundation of citizenship to access participation in research. This led to opportunities to engage in community spaces, and for PWLE to participate in research as partners and leaders. This study also found that citizenship is a way of giving back, by building a sense of social responsibility. Originality/value Academic and peer researchers can reflect on the authors’ experiences to build more inclusive research teams and communities by using a citizenship approach to research participation.
{"title":"Meeting in the middle: experiences of citizenship in community-engaged psychosis research","authors":"R. Higgs, Anne Liao, Tracy Windsor, S. Ben-David","doi":"10.1108/jpmh-10-2022-0103","DOIUrl":"https://doi.org/10.1108/jpmh-10-2022-0103","url":null,"abstract":"\u0000Purpose\u0000Previous research has highlighted the importance of engaging people with lived experience (PWLE) in the knowledge creation process. However, diverse approaches to engagement exist. In addition, tensions remain in community-engaged research (CER), including how to address structural inequalities in research settings. This study aims to consider how CER interacts with citizenship within and beyond the research context.\u0000\u0000\u0000Design/methodology/approach\u0000This study discusses the authors’ experiences as a majority-PWLE of psychosis research team in Canada, including successes and challenges the authors experienced building their team and navigating research institutions. This study also reflects on the authors’ pathways through citizenship, prior to and during the research process. This study discusses divergent models of CER and their applicability to the cyclical process of citizenship and community participation.\u0000\u0000\u0000Findings\u0000Relationships between academic and peer researchers developed organically over time. However, this study was limited by structural barriers such as pay inequality and access to funding. The authors recognize that there are barriers to full citizenship and acknowledge their resources and privilege of being well supported within their communities. Team members built on a foundation of citizenship to access participation in research. This led to opportunities to engage in community spaces, and for PWLE to participate in research as partners and leaders. This study also found that citizenship is a way of giving back, by building a sense of social responsibility.\u0000\u0000\u0000Originality/value\u0000Academic and peer researchers can reflect on the authors’ experiences to build more inclusive research teams and communities by using a citizenship approach to research participation.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44058984","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 : 2023-03-03DOI: 10.1108/jpmh-08-2022-0081
Thi Truc Quynh Ho, Thi Khanh Linh Tran, S. Huynh
Purpose The purpose of this paper is to examine the mediating effect of cyber-victimization (CV) and the moderating effect of academic stress (AS) in the link between smartphone addiction (SPA) and psychological distress (PD) among a sample of Vietnamese college students. Design/methodology/approach A total of 423 college students participated in this study. Measures of SPA, CV, AS and PD were used for data collection. Using PROCESS macro software (Model 4 and Model 1) and the bootstrapping method, the author performed a mediation analysis and a moderation analysis. Findings Results indicated a significant mediating effect of CV in the link between SPA and PD. Moreover, this relationship was moderated by AS. Originality/value The findings could serve as a guide for future research and mental health professionals.
{"title":"Smartphone addiction and psychological distress among Vietnamese college students: cyber-victimization as a mediator and academic stress as a moderator","authors":"Thi Truc Quynh Ho, Thi Khanh Linh Tran, S. Huynh","doi":"10.1108/jpmh-08-2022-0081","DOIUrl":"https://doi.org/10.1108/jpmh-08-2022-0081","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to examine the mediating effect of cyber-victimization (CV) and the moderating effect of academic stress (AS) in the link between smartphone addiction (SPA) and psychological distress (PD) among a sample of Vietnamese college students.\u0000\u0000\u0000Design/methodology/approach\u0000A total of 423 college students participated in this study. Measures of SPA, CV, AS and PD were used for data collection. Using PROCESS macro software (Model 4 and Model 1) and the bootstrapping method, the author performed a mediation analysis and a moderation analysis.\u0000\u0000\u0000Findings\u0000Results indicated a significant mediating effect of CV in the link between SPA and PD. Moreover, this relationship was moderated by AS.\u0000\u0000\u0000Originality/value\u0000The findings could serve as a guide for future research and mental health professionals.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44110065","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 : 2023-03-02DOI: 10.1108/jpmh-06-2022-0055
G. Jordan, C. Mutschler, S. Kidd, M. Rowe, S. Iyer
Purpose Varying stakeholders have highlighted how recovery-oriented mental health services such as youth mental health services have traditionally focused on supporting individual resources to promote recovery (e.g., agency) to the exclusion of addressing structural issues that influence recovery (e.g. poverty). One response to this criticism has been work helping people with mental health problems recover a sense of citizenship and sense of belonging in their communities. Work on citizenship has yet to influence youth mental healthcare in Canada’s provinces and territories. This paper aims to highlight ways that youth mental healthcare can better help youth recover a sense of citizenship. Design/methodology/approach The arguments described in this paper were established through discussion and consensus among authors based on clinical experience in youth mental health and an understanding of Canada’s healthcare policy landscape, including current best practices as well as guidelines for recovery-oriented care by the Mental Health Commission of Canada. Findings Here, this study proposes several recommendations that can help young with mental health problems recover their sense of citizenship at the social, systems and service levels. These include addressing the social determinants of health; developing a citizenship-based system of care; addressing identity-related disparities; employing youth community health workers within services; adapting and delivering citizenship-based interventions; and connecting youth in care to civic-oriented organizations. Originality/value This paper provides the first discussion of how the concept of citizenship can be applied to youth mental health in Canada in multiple ways. The authors hope that this work provides momentum for adopting policies and practices that can help youth in Canada recover a sense of citizenship following a mental health crisis.
{"title":"Making the case for citizenship-oriented mental healthcare for youth in Canada","authors":"G. Jordan, C. Mutschler, S. Kidd, M. Rowe, S. Iyer","doi":"10.1108/jpmh-06-2022-0055","DOIUrl":"https://doi.org/10.1108/jpmh-06-2022-0055","url":null,"abstract":"\u0000Purpose\u0000Varying stakeholders have highlighted how recovery-oriented mental health services such as youth mental health services have traditionally focused on supporting individual resources to promote recovery (e.g., agency) to the exclusion of addressing structural issues that influence recovery (e.g. poverty). One response to this criticism has been work helping people with mental health problems recover a sense of citizenship and sense of belonging in their communities. Work on citizenship has yet to influence youth mental healthcare in Canada’s provinces and territories. This paper aims to highlight ways that youth mental healthcare can better help youth recover a sense of citizenship.\u0000\u0000\u0000Design/methodology/approach\u0000The arguments described in this paper were established through discussion and consensus among authors based on clinical experience in youth mental health and an understanding of Canada’s healthcare policy landscape, including current best practices as well as guidelines for recovery-oriented care by the Mental Health Commission of Canada.\u0000\u0000\u0000Findings\u0000Here, this study proposes several recommendations that can help young with mental health problems recover their sense of citizenship at the social, systems and service levels. These include addressing the social determinants of health; developing a citizenship-based system of care; addressing identity-related disparities; employing youth community health workers within services; adapting and delivering citizenship-based interventions; and connecting youth in care to civic-oriented organizations.\u0000\u0000\u0000Originality/value\u0000This paper provides the first discussion of how the concept of citizenship can be applied to youth mental health in Canada in multiple ways. The authors hope that this work provides momentum for adopting policies and practices that can help youth in Canada recover a sense of citizenship following a mental health crisis.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41757433","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 : 2023-02-20DOI: 10.1108/jpmh-09-2022-0096
Kimberly R. Laurene, Godslove K. Bonnah, Swetank M Patel, D. Kenne
Purpose Mental health training programs exist to assist the public with aiding people experiencing mental distress. This study aims to examine the five steps of the Mental Health First Aid (MHFA) ALGEE action plan to assess which steps were used most frequently and how personal characteristics were associated with utilization. Design/methodology/approach Individuals completing MHFA either at public schools with students ranging in age from 5 to 18 or at a university in the Northern central area of the USA were invited to participate. Prior to MHFA, participants completed an initial questionnaire, which included demographic questions and questions assessing the use of the MHFA ALGEE action plan, which is a plan to provide help to someone experiencing mental distress. Follow-up questionnaires were completed every quarter to assess the ALGEE action plan utilization at three-, six- and nine-months after completion of MHFA. A comparison group of individuals, not completing MHFA, was also included. Findings After completing MHFA, individuals demonstrated an increase in using the ALGEE action plan at three- and six-months, but by nine-months there was a reduction in utilization. In general, age, gender and race did not usually influence the usage of the ALGEE action plan. Originality/value Although other studies have measured the efficacy of MHFA, those studies have focused on participant predicted behaviors. The present study measured self-reported behavior and compared the behaviors to a comparison group over time.
{"title":"Utilization of the mental health first aid ALGEE action plan: a longitudinal study","authors":"Kimberly R. Laurene, Godslove K. Bonnah, Swetank M Patel, D. Kenne","doi":"10.1108/jpmh-09-2022-0096","DOIUrl":"https://doi.org/10.1108/jpmh-09-2022-0096","url":null,"abstract":"\u0000Purpose\u0000Mental health training programs exist to assist the public with aiding people experiencing mental distress. This study aims to examine the five steps of the Mental Health First Aid (MHFA) ALGEE action plan to assess which steps were used most frequently and how personal characteristics were associated with utilization.\u0000\u0000\u0000Design/methodology/approach\u0000Individuals completing MHFA either at public schools with students ranging in age from 5 to 18 or at a university in the Northern central area of the USA were invited to participate. Prior to MHFA, participants completed an initial questionnaire, which included demographic questions and questions assessing the use of the MHFA ALGEE action plan, which is a plan to provide help to someone experiencing mental distress. Follow-up questionnaires were completed every quarter to assess the ALGEE action plan utilization at three-, six- and nine-months after completion of MHFA. A comparison group of individuals, not completing MHFA, was also included.\u0000\u0000\u0000Findings\u0000After completing MHFA, individuals demonstrated an increase in using the ALGEE action plan at three- and six-months, but by nine-months there was a reduction in utilization. In general, age, gender and race did not usually influence the usage of the ALGEE action plan.\u0000\u0000\u0000Originality/value\u0000Although other studies have measured the efficacy of MHFA, those studies have focused on participant predicted behaviors. The present study measured self-reported behavior and compared the behaviors to a comparison group over time.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46814723","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 : 2022-11-03DOI: 10.1108/jpmh-03-2022-0029
K. Southby, Timothy Bidey, Duncan Grimes, Zoe Khor, J. South, A. Bagnall
Purpose Living in an area experiencing economic and social disadvantage is a known risk factor to poor mental health and well-being. This paper aims to understand how some communities experiencing disadvantage appear to be more resilient to the enduring challenges they face and display better mental health outcomes. Design/methodology/approach A qualitative case study approach was used. Semi-structured interviews (total = 74) were undertaken remotely with residents (n = 39) and voluntary, community and social enterprise groups, community leaders and other local stakeholders (n = 35) in four case study areas. Data analysis was cross-case, thematic analysis. Community analysis workshops (n = 4) and resilience mapping workshops (n = 4) in each site corroborated emerging insights. Findings Four overlapping and interacting themes support community resilience: community hubs and local voluntary, community and social enterprise (VCSE) networks; opportunities to participate and make connections within communities; open and supportive environments to talk about mental health and well-being; and community identities and collective narratives. Differences in access to these resources was a cross-cutting theme. Originality/value Community resilience can be understood in terms of the amount of resources – articulated in terms of capital – that communities can draw on in response to challenges, and how well these resources are mobilised. A thriving VCSE sector is important for community resilience in communities experiencing disadvantage as a mechanism for both sustainably building and mobilising community resources in the face of daily and enduring challenges.
{"title":"Together through tough times: a qualitative study of community resilience to protect against mental health issues in the UK","authors":"K. Southby, Timothy Bidey, Duncan Grimes, Zoe Khor, J. South, A. Bagnall","doi":"10.1108/jpmh-03-2022-0029","DOIUrl":"https://doi.org/10.1108/jpmh-03-2022-0029","url":null,"abstract":"\u0000Purpose\u0000Living in an area experiencing economic and social disadvantage is a known risk factor to poor mental health and well-being. This paper aims to understand how some communities experiencing disadvantage appear to be more resilient to the enduring challenges they face and display better mental health outcomes.\u0000\u0000\u0000Design/methodology/approach\u0000A qualitative case study approach was used. Semi-structured interviews (total = 74) were undertaken remotely with residents (n = 39) and voluntary, community and social enterprise groups, community leaders and other local stakeholders (n = 35) in four case study areas. Data analysis was cross-case, thematic analysis. Community analysis workshops (n = 4) and resilience mapping workshops (n = 4) in each site corroborated emerging insights.\u0000\u0000\u0000Findings\u0000Four overlapping and interacting themes support community resilience: community hubs and local voluntary, community and social enterprise (VCSE) networks; opportunities to participate and make connections within communities; open and supportive environments to talk about mental health and well-being; and community identities and collective narratives. Differences in access to these resources was a cross-cutting theme.\u0000\u0000\u0000Originality/value\u0000Community resilience can be understood in terms of the amount of resources – articulated in terms of capital – that communities can draw on in response to challenges, and how well these resources are mobilised. A thriving VCSE sector is important for community resilience in communities experiencing disadvantage as a mechanism for both sustainably building and mobilising community resources in the face of daily and enduring challenges.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48922529","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 : 2022-10-24DOI: 10.1108/jpmh-08-2022-0082
Lucy Hunn, Tim Clarke, Amit Bhaduri, S. Maxwell, Jon Wilson
Purpose Young people can often “fall through the gaps” between Child and Adolescent Mental Health services (CAMHS) and Adult Mental Health services (AMHS). This discursive viewpoint study aims to reflect a conversation among the authors on how CAMHS and AMHS psychiatry came together to develop and embed a UK community “Youth Mental Health Service”. Design/methodology/approach This reflective viewpoint study explores the perspectives of three of the lead CAMHS and AMHS psychiatrists from the implementation phase of a community youth mental health service. It explores, in a discursive way, these individuals’ views on some of the key facilitators and barriers in the development of the service that aimed to “bridge the gap” for young people. Findings These clinicians’ reflections recognise the importance of strong clinical leadership in enabling a youth/young adult model of mental health to be implemented. They also recognise how culture internal and external to a service has a key role to play in the success and sustainment of implementing an innovative model. This study describes a merging of CAMHS and AMHS psychiatry to meet the needs of young people in the most developmentally appropriate way. Originality/value This reflective study highlights the need for services and systems to think creatively about how they can allow flexibility for CAMHS and AMHS psychiatrists to learn and plan together, as well as gain experiences across the age ranges, to facilitate collaborative working that is developmentally appropriate and meets the needs of young people in a way that is accessible to them.
{"title":"A child and adult psychiatrist discussion on the development of a youth mental health service","authors":"Lucy Hunn, Tim Clarke, Amit Bhaduri, S. Maxwell, Jon Wilson","doi":"10.1108/jpmh-08-2022-0082","DOIUrl":"https://doi.org/10.1108/jpmh-08-2022-0082","url":null,"abstract":"\u0000Purpose\u0000Young people can often “fall through the gaps” between Child and Adolescent Mental Health services (CAMHS) and Adult Mental Health services (AMHS). This discursive viewpoint study aims to reflect a conversation among the authors on how CAMHS and AMHS psychiatry came together to develop and embed a UK community “Youth Mental Health Service”.\u0000\u0000\u0000Design/methodology/approach\u0000This reflective viewpoint study explores the perspectives of three of the lead CAMHS and AMHS psychiatrists from the implementation phase of a community youth mental health service. It explores, in a discursive way, these individuals’ views on some of the key facilitators and barriers in the development of the service that aimed to “bridge the gap” for young people.\u0000\u0000\u0000Findings\u0000These clinicians’ reflections recognise the importance of strong clinical leadership in enabling a youth/young adult model of mental health to be implemented. They also recognise how culture internal and external to a service has a key role to play in the success and sustainment of implementing an innovative model. This study describes a merging of CAMHS and AMHS psychiatry to meet the needs of young people in the most developmentally appropriate way.\u0000\u0000\u0000Originality/value\u0000This reflective study highlights the need for services and systems to think creatively about how they can allow flexibility for CAMHS and AMHS psychiatrists to learn and plan together, as well as gain experiences across the age ranges, to facilitate collaborative working that is developmentally appropriate and meets the needs of young people in a way that is accessible to them.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45478904","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 : 2022-10-21DOI: 10.1108/jpmh-03-2022-0028
M. Zirakashvili, M. Gabunia, N. Mebonia, T. Mikiashvili, G. Lomidze, S. Bishop, B. Leventhal, Y. Kim
Purpose Even though 95% of children with neurodevelopmental disorders, including autism spectrum disorder (ASD), live in low- and middle-income countries, there is a dearth of studies from these countries, including the Republic of Georgia. Several ASD screening tools are available, but few are validated for use in Georgian or other smaller countries. This study aims to adapt and validate the autism spectrum screening questionnaire (ASSQ) for use in Georgia. Design/methodology/approach The ASSQ was administered for all third-grade students in 402 schools in the five main Georgian cities, n = 27,336. Prior to use, the 27-item ASSQ was translated, back-translated and adapted for use in Georgia. A total of 16,556 students (approximately 61%) were assessed by a parent and/or teacher. Optimal cutoff scores were estimated. Randomly chosen children who screened positive (n = 173) and negative (n = 127) were offered comprehensive assessment using standardized diagnostic procedures. Findings Data from 15,510 parents- and 13,517 teachers-administered ASSQ revealed statistically significant differences in median and cutoff scores between parents and teachers: 7 versus 4 and 9 versus 6, respectively. Cutoff score = 14, on either parent or teacher ASSQ, had sensitivity of 0.94, indicating that it can be used in school settings. Originality/value The Georgian adaptation of the ASSQ creates opportunity for further ASD research, while also providing a valid screening tool for clinicians. Data from Georgia will add to the growing understanding of the broader ASD phenotype.
尽管95%患有神经发育障碍(包括自闭症谱系障碍)的儿童生活在低收入和中等收入国家，但这些国家(包括格鲁吉亚共和国)缺乏相关研究。有几种ASD筛查工具可用，但很少有在格鲁吉亚或其他较小的国家得到验证。本研究的目的是适应和验证自闭症谱系筛查问卷(ASSQ)在格鲁吉亚的使用。设计/方法/方法对格鲁吉亚五个主要城市402所学校的所有三年级学生进行了ASSQ, n = 27,336。在使用之前，27项ASSQ被翻译，反翻译和改编以供格鲁吉亚使用。共有16,556名学生(约61%)接受了家长和/或老师的评估。估计最佳分数线。随机选择筛查阳性(n = 173)和阴性(n = 127)的儿童，采用标准化诊断程序进行综合评估。来自15,510名家长和13,517名教师的ASSQ数据显示，父母和教师之间的中位数和分数线在统计上存在显著差异:分别为7比4和9比6。截断分数= 14，无论是家长还是教师的ASSQ，敏感性为0.94，表明它可以在学校设置中使用。格鲁吉亚对asq的改编为进一步的ASD研究创造了机会，同时也为临床医生提供了有效的筛查工具。来自格鲁吉亚的数据将增加对更广泛的ASD表型的日益增长的理解。
{"title":"Adaptation of autism spectrum screening questionnaire (ASSQ) for use in Georgian school settings","authors":"M. Zirakashvili, M. Gabunia, N. Mebonia, T. Mikiashvili, G. Lomidze, S. Bishop, B. Leventhal, Y. Kim","doi":"10.1108/jpmh-03-2022-0028","DOIUrl":"https://doi.org/10.1108/jpmh-03-2022-0028","url":null,"abstract":"\u0000Purpose\u0000Even though 95% of children with neurodevelopmental disorders, including autism spectrum disorder (ASD), live in low- and middle-income countries, there is a dearth of studies from these countries, including the Republic of Georgia. Several ASD screening tools are available, but few are validated for use in Georgian or other smaller countries. This study aims to adapt and validate the autism spectrum screening questionnaire (ASSQ) for use in Georgia.\u0000\u0000\u0000Design/methodology/approach\u0000The ASSQ was administered for all third-grade students in 402 schools in the five main Georgian cities, n = 27,336. Prior to use, the 27-item ASSQ was translated, back-translated and adapted for use in Georgia. A total of 16,556 students (approximately 61%) were assessed by a parent and/or teacher. Optimal cutoff scores were estimated. Randomly chosen children who screened positive (n = 173) and negative (n = 127) were offered comprehensive assessment using standardized diagnostic procedures.\u0000\u0000\u0000Findings\u0000Data from 15,510 parents- and 13,517 teachers-administered ASSQ revealed statistically significant differences in median and cutoff scores between parents and teachers: 7 versus 4 and 9 versus 6, respectively. Cutoff score = 14, on either parent or teacher ASSQ, had sensitivity of 0.94, indicating that it can be used in school settings.\u0000\u0000\u0000Originality/value\u0000The Georgian adaptation of the ASSQ creates opportunity for further ASD research, while also providing a valid screening tool for clinicians. Data from Georgia will add to the growing understanding of the broader ASD phenotype.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41527343","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}
Purpose Undergraduate students are known to be a high-risk group for mental health problems. The purpose of this paper is to constitute a repeated cross-sectional study on the trend of depression over the years and factors associated with depression among undergraduates. Design/methodology/approach Cross-sectional data from five surveys between 2013 and 2020 (N = 1,578) among the undergraduates of Universiti Tunku Abdul Rahman, a private university in Kampar Malaysia, were combined. The Depression Anxiety and Stress Scale-21 was used to screen for depression. Cochran’s Armitage test was used to detect trend in depression. Logistic regression, random forest regression and extra gradient boosting regression were used to identify risk factors and classification. Findings The prevalence of depressive symptoms was found to be between 26.4% and 36.8% between the years with an average of 29.9%. There was no significant time trend in the prevalence. The risk of depressive symptoms was higher among female students, those who were dependent on family for financial support and those who were stressed. Practical implications Periodical screening for depression is warranted for the identification of students at risk for depression. Professional cognitive-behavioral therapies, peer support and consulting services should be made available to the students in need. Originality/value Depression among students had been studied widely, but the trend over years remains unexplored, especially in developing countries.
{"title":"The prevalence of depression among students in higher education institution: a repeated cross-sectional study","authors":"Wei Shan Cheong, Karunanithy Degeras, Khairul Rizuan Suliman, Mohan Selvaraju, K. Subramaniam","doi":"10.1108/jpmh-12-2021-0152","DOIUrl":"https://doi.org/10.1108/jpmh-12-2021-0152","url":null,"abstract":"\u0000Purpose\u0000Undergraduate students are known to be a high-risk group for mental health problems. The purpose of this paper is to constitute a repeated cross-sectional study on the trend of depression over the years and factors associated with depression among undergraduates.\u0000\u0000\u0000Design/methodology/approach\u0000Cross-sectional data from five surveys between 2013 and 2020 (N = 1,578) among the undergraduates of Universiti Tunku Abdul Rahman, a private university in Kampar Malaysia, were combined. The Depression Anxiety and Stress Scale-21 was used to screen for depression. Cochran’s Armitage test was used to detect trend in depression. Logistic regression, random forest regression and extra gradient boosting regression were used to identify risk factors and classification.\u0000\u0000\u0000Findings\u0000The prevalence of depressive symptoms was found to be between 26.4% and 36.8% between the years with an average of 29.9%. There was no significant time trend in the prevalence. The risk of depressive symptoms was higher among female students, those who were dependent on family for financial support and those who were stressed.\u0000\u0000\u0000Practical implications\u0000Periodical screening for depression is warranted for the identification of students at risk for depression. Professional cognitive-behavioral therapies, peer support and consulting services should be made available to the students in need.\u0000\u0000\u0000Originality/value\u0000Depression among students had been studied widely, but the trend over years remains unexplored, especially in developing countries.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46679985","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}
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