“I literally had no support”: Barriers and facilitators to supporting the psychosocial wellbeing of young people with mental illness in Tasmania, Australia DOI Creative Commons
Melissa Savaglio, Marie B. H. Yap,

Toni Smith

и другие.

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Апрель 17, 2023

Abstract Background There has been limited focus on understanding the barriers and facilitators to meeting broader psychosocial needs of young people with mental illness, from perspectives themselves. This knowledge is required advance local evidence base inform service design development. Therefore, aim this qualitative study was explore people’s (10–25 years) carers’ experiences health services, focusing services supporting functioning. Method Young living experience illness were involved in all stages research. Semi-structured interviews conducted 32 aged 10–25 years 29 carers (12 parent-child dyads). Qualitative analysis guided by Social-Ecological Framework identify at individual (young person/carer level), interpersonal, service/systemic level. Results identified eight six across various levels. Barriers included, level: (1) complexity (2) lack awareness/knowledge available; interpersonal (3) negative adults (4) fragmented communication between family; systemic (5) services; (6) long waiting periods; (7) accessibility; (8) missing middle. Facilitators education for carers; positive therapeutic relationships carer advocacy/support; flexible or responsive that address factors; safe environments. Conclusions lived-experience recommendations public policy practice, including To better enhance their functioning, want workers provide practical wrap-around support, they integrate social care, are flexible, safe. These findings will co-design development a new community-based youth support wellbeing experiencing severe illness.

Язык: Английский

Effectiveness of Community-Based Outreach Interventions for Individuals Living with Mental Ill-Health in Australia: A Systematic Review DOI Creative Commons
Alayna Carrandi, Yanan Hu, Sarah Wayland

и другие.

Health & Social Care in the Community, Год журнала: 2023, Номер 2023, С. 1 - 17

Опубликована: Июль 14, 2023

Objective. Mental ill-health is a common occurrence globally and represents significant burden of disease. In Australia, the development improvement programs that connect individuals earlier in their mental journey national health priority. However, there are current informational gaps on community-based initiatives associated outcomes. This review aimed to systematically identify, assess, analyse studies reporting outreach interventions for experiencing ill-health. Method. A systematic literature was conducted across 6 electronic databases Google Scholar 01 November 2021 12 June 2022. The National Health Medical Research Council Evidence Hierarchy used assess study quality, PAGER framework synthesise results included studies. Results. Eighty-three met inclusion criteria; 51% (n = 42 studies) incorporated digital technology, 49% 41 involved nonclinical light-touch interventions. Individuals with severe were likely benefit from targeted interventions, mild moderate symptoms involving high levels engagement participants. Conclusion. Results this provide an understanding patterns related effectiveness Knowledge will inform implementation strategies enhance proactive provision services community. Standardised outcome measures needed strengthen evidence base by enabling researchers service providers explore which type intervention what intensity best suited participants varying

Язык: Английский

Процитировано

2
Service intensity of community mental health outreach among people with untreated mental health problems in Japan: A retrospective cohort study DOI Creative Commons
Mai Iwanaga, Sosei Yamaguchi, Sayaka Sato

и другие.

Psychiatry and Clinical Neurosciences Reports, Год журнала: 2023, Номер 2(3)

Опубликована: Сен. 1, 2023

Abstract Aim This study aimed to clarify the association between treatment status (untreated or treated) at start of community mental health outreach services and service intensity. Methods retrospective cohort was conducted using Tokorozawa City users' data. Treatment (exposure variable) intensity (outcome variables) were taken from clinical records. Poisson regression linear analyses conducted. The frequency medical social use 12 months after initiation also calculated. approved by Research Ethics Committee National Center Neurology Psychiatry (No. A2020‐081). Results Of 89 people, 37 (42%) untreated. Family members in untreated group more likely be targets recipients than treated ( b = 0.707, p < 0.001, Bonferroni‐adjusted 0.001). Compared group, received fewer themselves −0.290, 0.005), telephone −0.252, 0.012); contrast, they center 0.478, 0.031) for family support 0.720, 0.024), but these significant differences disappeared Bonferroni adjustment. At least 11% people hospitalized 35% outpatients initiation. Conclusion involvement may a key component people. with without vary location.

Язык: Английский

Процитировано

2
Effectively supporting Culturally and Linguistically Diverse (CALD) young people with their mental health and wellbeing – does this matter or exist in Australia? DOI
Betty Luu,

Levi Fox,

Mary Jo McVeigh

и другие.

Social Work in Mental Health, Год журнала: 2023, Номер 22(2), С. 171 - 197

Опубликована: Ноя. 5, 2023

This paper presents a systematic review that assessed the different types of mental health programs and interventions available for young people from Culturally Linguistically Diverse (CALD) backgrounds in Australia, identified core elements practice supporting CALD youth, key barriers preclude youth engaging with services. A total 19 articles met inclusion criteria six distinct practices were identified: (1) personalization, identity recognition trauma; (2) creative expression; (3) cultural competence; (4) self-efficacy empowerment; (5) social connections relationships; (6) information content delivery. Key related to engagement included language literacy barriers, stigma shame, service providers' limited competency, lack diverse understandings wellbeing. The findings this suggest several avenues ensuring effectively meets unique needs reduces their access engagement.

Язык: Английский

Процитировано

2
Assessing adverse childhood experiences among people with mental health problems during community outreach support: A retrospective cohort study DOI Creative Commons
Kaori Usui, Mai Iwanaga,

Asami Itokuri

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Апрель 5, 2024

Abstract Background Adverse childhood experiences (ACEs) have lifelong effects on mental health. However, actual situations among users of community comprehensive outreach support with various health problems are unclear. The study comprehensively explored users’ ACEs, associated factors, and when these disclosed during the service process. Methods In this retrospective conducted using records dating October 1, 2015 to April 30, 2023 from in Tokorozawa city, Japan, we collected demographic clinical characteristics, along number variety ACEs shared by participants six assessment points. Results Of 143 whose data were analyzed, 54.5% had at least one ACE, lower age receiving public welfare for economic deprivation. Further, assessed increased until two years after initiation then leveled off. Conclusions This highlights that more than half ACEs; is particularly true younger individuals those facing challenges. findings emphasize potential need trauma care settings. Service may as long share staff, traumatic be a long-term process involves engagement building.

Язык: Английский

Процитировано

0
Burden of mental disorders and risk factors in the Western Pacific region from 1990 to 2021 DOI

Yaxin Xu,

Xiaoli Niu,

Wen-Chang Jia

и другие.

World Journal of Psychiatry, Год журнала: 2024, Номер 15(1)

Опубликована: Дек. 18, 2024

The burden of mental disorders (MD) in the Western Pacific Region (WPR) remains a critical public health concern, with substantial variations across demographics and countries. To analyze MD WPR from 1990 to 2021, along associated risk factors, reveal changing trends emerging challenges. We used data Global Burden Disease analyzing prevalence, incidence, disability-adjusted life years (DALYs) 2021. Statistical methods included age-standardisation uncertainty analysis address population structure completeness. Between prevalence rose 174.40 million cases [95% interval (UI): 160.17-189.84] 234.90 (95%UI: 219.04-252.50), corresponding DALYs increasing 22.8 17.22-28.79) 32.07 24.50-40.68). During this period, shifted towards older age groups. Depressive anxiety were predominant, females showing higher for depressive disorders, males more affected by conduct attention-deficit hyperactivity disorder, autism spectrum disorders. Australia, New Zealand, Malaysia reported highest burdens, whereas Vietnam, China, Brunei Darussalam lowest. Additionally, childhood sexual abuse bullying, intimate partner violence emerged as significant factors. This study highlights WPR, age, gender, nation. coronavirus disease 2019 pandemic has exacerbated situation, emphasizing need coordinated response.

Язык: Английский

Процитировано

0
Using Intervention Mapping to co-design a psychosocial service with youth experiencing mental illness DOI Creative Commons
Melissa Savaglio, Marie B. H. Yap,

Grace Mitchell

и другие.

Evaluation and Program Planning, Год журнала: 2024, Номер 108, С. 102513 - 102513

Опубликована: Окт. 18, 2024

Язык: Английский

Процитировано

0
The association of child protection contact with mental health‐related hospitalisations of adolescents, and their costs DOI

Paul Rex Hotton

The Medical Journal of Australia, Год журнала: 2024, Номер unknown

Опубликована: Окт. 21, 2024

Язык: Английский

Процитировано

0
Community-Based Mental Health Improvement Initiatives: A Narrative Review and Indiana Case Study DOI

William M. Tierney,

Cassidy McNamee,

Sydney S. Harris

и другие.

Population Health Management, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 7, 2024

There is a global mental health crisis: illness underrecognized, underdiagnosed, and undertreated with adverse effects on mental, physical, social health. In the United States, there an insufficient number of traditional psychiatric psychological resources to provide care needed solve this crisis. Community-based interventions could be important adjunct care. An evaluation peer-reviewed articles was performed describing community-based identified 3 approaches some evidence effectiveness: (1) that enhance community literacy improve recognition early signs for engagement community, family, peer support; (2) clinics providing social, medical, support transition-age youth (15-25 years); (3) networking activities interactions among elders suffering from isolation loneliness. Multisector, multidisciplinary, multicomponent involving providers organizations had best effectiveness should target elders.

Язык: Английский

Процитировано

0
Development of the psychopathological vulnerability index for screening at-risk youths: a Rasch model approach DOI Creative Commons

Yujing Liao,

Haitao Shen,

Wenjie Duan

и другие.

npj Mental Health Research, Год журнала: 2024, Номер 3(1)

Опубликована: Дек. 2, 2024

Accumulating research on mental health emphasizes the general factor of psychopathology (p-factor) that unites various issues. This study develops a psychopathological vulnerability assessment for youths, evaluating its psychometric properties and clinical utility. An umbrella review conceptualized multifactor vulnerability, leading to 57-item pool. A total 11,224 individuals participated in this study. The resulting 22-item index (PVI) fitted unidimensional Rasch model, demonstrating person separation reliability 0.78 Cronbach's alpha 0.84. Cut-off points 11 5, derived from latent class analysis, were used distinguish vulnerable high-protection populations. PVI's concurrent predictive hit rates ranged 36.00% 53.57% samples. PVI concretized vulnerability–stress model identifying at-risk youths may facilitate universal interventions by integrating theoretical foundations bifactor S-1 models with key symptoms network theoretically grounded approaches.

Язык: Английский

Процитировано

0
A qualitative study of the experiences of young people with severe mental health problems and complex needs regarding youth flexible assertive community treatment DOI Creative Commons
Martin Berg Johansen, Hanne Kilen Stuen, Eva Brekke

и другие.

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Дек. 6, 2024

Youth Flexible Assertive Community Treatment (Youth ACT) is a service model for children and young people with severe mental health problems complex needs aimed at providing integrated, continuous holistic care. Studies on people's experiences of ACT or similar models are scarce. The present qualitative study to explore describe how experience follow-up treatment provided by teams. Semi-structured interviews were conducted 14 (age range, 15-19 years) who being followed up team. Qualitative content analysis was used, the following two overarching themes characterizing teams identified: (1) trusting collaborative relationships, (2) organization matters. participants experienced more personal relationship staff, behaved like friends paid attention resources, interests, solutions their context. emphasized valued components that coincided model, indicating match between what needed wanted supposed provide. team these relationships youth-friendly developmentally sensitive care appeared be facilitated organized, flexible accessible while multifaceted help systemic follow-up.

Язык: Английский

Процитировано

0