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Community-based rehabilitation for people with psychosocial disabilities in low- and middle-income countries: a systematic review of the grey literature Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-03-14 Ana-Maria Butura, Grace K. Ryan, Tom Shakespeare, Olusegun Ogunmola, Olubukola Omobowale, Rachel Greenley, Julian Eaton
Community based rehabilitation (CBR) aims to promote the inclusion and participation of people with disabilities, particularly in low- and middle-income countries (LMICs). Yet people with psychosocial disabilities are often excluded from CBR programmes. The restrictive inclusion criteria used by previous reviews make it difficult to identify promising examples that could otherwise help to inform the
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Can computer simulation support strategic service planning? Modelling a large integrated mental health system on recovery from COVID-19 Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-03-07 Livia Pierotti, Jennifer Cooper, Charlotte James, Kenah Cassels, Emma Gara, Rachel Denholm, Richard Wood
COVID-19 has had a significant impact on people’s mental health and mental health services. During the first year of the pandemic, existing demand was not fully met while new demand was generated, resulting in large numbers of people requiring support. To support mental health services to recover without being overwhelmed, it was important to know where services will experience increased pressure,
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Factors associated with satisfaction and perceived helpfulness of mental healthcare: a World Mental Health Surveys report Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-03-01 Meredith G. Harris, Alan E. Kazdin, Richard J. Munthali, Daniel V. Vigo, Dan J. Stein, Maria Carmen Viana, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Laura Helena Andrade, Brendan Bunting, Stephanie Chardoul, Oye Gureje, Chiyi Hu, Irving Hwang, Elie G. Karam, Fernando Navarro-Mateu, Daisuke Nishi, Ricardo Orozco, Nancy A. Sampson, Kate M. Scott, Cristian Vladescu, Bogdan Wojtyniak, Miguel
Mental health service providers are increasingly interested in patient perspectives. We examined rates and predictors of patient-reported satisfaction and perceived helpfulness in a cross-national general population survey of adults with 12-month DSM-IV disorders who saw a provider for help with their mental health. Data were obtained from epidemiological surveys in the World Mental Health Survey Initiative
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Mapping awareness-raising and capacity-building materials on developmental disabilities for non-specialists: a review of the academic and grey literature Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-02-24 Elisa Genovesi, Yuan Ishtar Yao, Emily Mitchell, Michal Arad, Victoria Diamant, Areej Panju, Charlotte Hanlon, Bethlehem Tekola, Rosa A. Hoekstra
Most children with developmental disabilities (DD), such as intellectual disabilities and autism, live in low- and middle-income countries (LMICs), where services are usually limited. Various governmental, non-governmental and research organisations in LMICs have developed awareness-raising campaigns and training and education resources on DD in childhood relevant to LMICs. This study aimed to comprehensively
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Mapping mental health care services for children and youth population in Colombia’s Pacific: potential for boundary spanning between community and formal services Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-02-15 Sanne Weber, Francy Carranza, Juan Roberto Rengifo, Camilo Romero, Sergio Arrieta, Karina Martínez, Mónica Pinilla-Roncancio, Sarah-Jane Fenton, Germán Casas, Paul Jackson, Juan Pablo Aranguren
Conflict and violence can impact on the mental health of children and young people, who are in a crucial stage of their personal growth. Not much is known about the provision of mental health care to young people in conflict-affected areas. Community-based care can be essential, as state-led services are often scarce in conflict contexts, like Colombia’s Pacific region where this research was conducted
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Assessing support for mental health policies among policy influencers and the general public in Alberta and Manitoba, Canada Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-02-15 Candace I. J. Nykiforuk, Mathew Thomson, Kimberley D. Curtin, Ian Colman, T. Cameron Wild, Elaine Hyshka
There is a need to improve mental health policy in Canada to address the growing population burden of mental illness. Understanding support for policy options is critical for advocacy efforts to improve mental health policy. Our purpose was to describe support for population-level healthy public policies to improve mental health among policy influencers and the general public in Alberta and Manitoba;
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A roadmap for sustainable implementation of vocational rehabilitation for people with mental disorders and its outcomes: a qualitative evaluation Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-02-10 Yvonne Noteboom, Femke van Nassau, Astrid R. Bosma, Eric J. E. van der Hijden, Maaike A. Huysmans, Johannes R. Anema
People suffering from mental health disorders have lower work participation compared to people without mental challenges. To increase work participation within this group vocational rehabilitation interventions are often offered. Collaboration between the mental health care and social security sectors is needed to enable professionals to perform optimally when carrying out these interventions. Yet
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Evaluation of a flexible assertive community treatment (FACT) program for patients with severe mental illness: an observational study in Salzburg, Austria Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-02-09 Matthias Gerhard Tholen, Anna Martin, Theresa Stemeseder, Thomas Vikoler, Barbara Wageneder, Wolfgang Aichhorn, Andreas Kurt Kaiser
Inpatient treatment of severe mentally ill patients binds substantial resources and creates the dilemma of “revolving-door hospitalizations”. Evidence suggests that these patients benefit more from an assertive outreach community psychiatric treatment. This descriptive study evaluates the implementation of a new treatment program for severe mentally ill patients provided by a flexible assertive community
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Mental health integrated care models in primary care and factors that contribute to their effective implementation: a scoping review Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-02-09 Anton N. Isaacs, Eleanor K. L. Mitchell
In the state of Victoria, Australia, the 111-day lockdown due to the COVID-19 pandemic exacerbated the population’s prevailing state of poor mental health. Of the 87% of Australians who visit their GP annually, 71% of health problems they discussed related to psychological issues. This review had two objectives: (1) To describe models of mental health integrated care within primary care settings that
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Trends in mental health before and after the onset of the COVID-19 pandemic: a longitudinal survey of a conflict-affected population in Colombia Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-02-05 Rodrigo Moreno-Serra, Sebastian Leon-Giraldo, Nicolas Jater-Maldonado, German Casas, Oscar Bernal
Focusing on the Meta region in Colombia, we investigated the relationship between mental health, the COVID-19 pandemic, and social determinants of health influenced by over five decades of civil conflict. We studied the post-2016 peace agreement trends in mental health for the population of Meta, before and after the local onset of the pandemic. We conducted three rounds of a longitudinal health survey
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An exploration of the Indonesian lay mental health workers’ (cadres) experiences in performing their roles in community mental health services: a qualitative study Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-01-17 Herni Susanti, Helen Brooks, Ice Yulia, Heni D. Windarwati, Estin Yuliastuti, Hasniah Hasniah, Budi A. Keliat
Volunteers trained to support community mental health programs in Indonesia are known as ‘mental health cadres.’ These are lay people trained to provide basic support for people with mental illness in their local communities. The role of cadres in community mental health services is to provide health promotion activities and support for people with mental illness, such as home visits and family assistance
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Prescriptive factors for intensive home treatment in acute psychiatry: a secondary analysis of a randomised controlled trial Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-01-03 Ansam Barakat, Matthijs Blankers, Jurgen E Cornelis, Nick M Lommerse, Aartjan TF Beekman, Jack JM Dekker
Intensive home treatment (IHT) aims to prevent psychiatric hospitalisation. Although this intervention is well tested, it is still unknown for whom this intervention works best. Therefore, this study aims to explore prescriptive factors that moderate the effect of IHT compared to care as usual (CAU) on symptom severity. Using data from a randomised controlled trial, 198 participants that experience
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Social skills interventions for Thai adolescents with Autism Spectrum Disorder (ASD): a qualitative study of the perceptions and experiences of Thai adolescents, their caregivers and healthcare professionals Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2024-01-02 Nadlada Tawankanjanachot, Maria Truesdale, Pornpun Orachon, Lisa Kidd
Social skills interventions (SSIs) are effective for enhancing social skills and decreasing mental health problems in adolescents with autism spectrum disorder (ASD). However, these interventions have been designed and their effectiveness has been established in Western countries. Lack of culturally acceptable SSIs for Asian nations is a possible barrier to implementing effective and tailored interventions
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Family UNited: piloting of a new universal UNODC family skills programme to improve child mental health, resilience and parenting skills in Indonesia and Bangladesh Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-11 Karin Haar, Aala El-Khani, Narendra Narotama, Amir Hussain, Eva Fitri, Aip Badrujaman, Eka Wahyuni, Shah Mohammad Naheeaan, Ali Yassine, Wadih Maalouf
Family is one of the most influential social institutions and caregivers act as the main protective factors for children’s mental health and resilience skills. Family skills programmes support caregivers to be better parents and strengthen positive age-specific and age-appropriate family functioning and interactions. We developed a universal, brief and light programme for implementation in low-resource
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Predictors of time until return to work and duration of sickness absence in sick-listed precarious workers with common mental disorders: a secondary data-analysis of two trials and one cohort study Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-08 Yvonne B. Suijkerbuijk, Frederieke G. Schaafsma, Lyanne P. Jansen, Selwin S. Audhoe, Lieke Lammerts, Johannes R. Anema, Karen Nieuwenhuijsen
Common mental disorders (CMD) are highly prevalent among sick-listed precarious workers and often lead to long-term sickness-absence, work disability and unemployment. This study aimed to identify predictors of a longer time until return to work (RTW) and prolonged duration of sickness absence in sick-listed precarious workers with CMD. We conducted a secondary Cox regression analysis using existing
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Impact of the COVID-19 pandemic on mental health care and people with mental health conditions in Ethiopia: the MASC mixed-methods study Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-06 Awoke Mihretu, Wubalem Fekadu, Azeb Asaminew Alemu, Beakal Amare, Dereje Assefa, Eleni Misganaw, Abebaw Ayele, Ousman Esleman, Zewdu Assefa, Atalay Alem, Graham Thornicroft, Charlotte Hanlon
The COVID-19 pandemic has had far-reaching effects on the mental health of populations around the world, but there has been limited focus on the impact on people with existing mental health conditions in low-income countries. The aim of this study was to examine impact of the pandemic on mental health care and people with mental health conditions in Ethiopia. A convergent mixed methods study was conducted
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A quantitative analysis of human rights-related attitude changes towards people with mental health conditions and psychosocial, intellectual, or cognitive disabilities following completion of the WHO QualityRights e-training in Ghana Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-05 Emma Poynton-Smith, Martin Orrell, Akwasi Osei, Sally-Ann Ohene, Joana Ansong, Leveana Gyimah, Caitlin McKenzie, Maria Francesca Moro, Nathalie Drew-Bold, Florence Baingana, Mauro Giovanni Carta, Priscilla Tawiah, Kwaku Brobbey, Michelle Funk
Despite growing recognition of essential human rights, people with mental health conditions and psychosocial, intellectual, or cognitive disabilities’ rights are known to be frequently violated in mental healthcare worldwide, with common use of coercive practices and limited recognition of people’s right to exercise their legal capacity and make decisions for themselves on treatment and other issues
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Experience of traumatic events in people with severe mental illness in a low-income country: a qualitative study Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-05 Lauren C. Ng, Kimberly Hook, Maji Hailemariam, Medhin Selamu, Abebaw Fekadu, Charlotte Hanlon
This study describes the trauma experiences of people with severe mental illness (SMI) in Ethiopia and presents a model of how SMI and trauma exposure interact to reduce functioning and quality of life in this setting. A total of 53 participants living and working in a rural district in southern Ethiopia were interviewed: 18 people living with SMI, 21 caregivers, and 14 primary health care providers
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Clinical and sociodemographic predictors of inpatient admission after presentation in a psychiatric emergency room: an observational study Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-05 Gianna L. Gisy, Sermin Toto, Stefan Bleich, Hannah B. Maier, Johanna Seifert
The admission decision after presentation in the psychiatric emergency room (PER) has potentially far-reaching consequences for the patient and the community. In a short amount of time, information must be collected and evaluated for a well-founded admission decision. The present study aimed to identify risk factors associated with inpatient psychiatric admission (IPA) after previous emergency presentation
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Would you choose to be a psychiatrist again? A large-sample nationwide survey of psychiatrists and psychiatry residents in China Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-05 Mengyue Gu, Liucheng Zheng, Jingyang Gu, Song Wang, Yudong Shi, Feng Jiang, Huanzhong Liu, Yi-lang Tang
The mental health workforce sustainability in China suffers high rates of attrition and the intention to leave. Among current professionals, the intention to choose the same career is an interesting way to gauge their job satisfaction and other factors, and it may affect the career choices of younger generations. We aimed to survey the intention of psychiatrists and psychiatry residents to choose the
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Validation and psychometric testing of the Arabic version of the mental health literacy scale among the Saudi Arabian general population Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-12-05 Nasser F. BinDhim, Nora A. Althumiri, Yasser Ad-Dab’bagh, Mohammed M. J. Alqahtani, Ahmad Kassab Alshayea, Sulaiman M. Al-Luhaidan, Anton Svendrovski, Rashed Abdullah Al-Duraihem, Abdulhameed Abdullah Alhabeeb
This study aimed to validate the Arabic Version of the Mental Health Literacy Scale (Arabic-MHLS) among the Saudi Arabian general population, assessing its internal consistency, test-retest reliability, and structural validity. A total of 700 Arabic-speaking Saudi adults were randomly selected to complete the electronic questionnaire in May 2023, which generated 544 participants. Data were coded and
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Cascade training for scaling up care for perinatal depression in primary care in Nigeria Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-11-20 Bibilola D. Oladeji, Olatunde O. Ayinde, Toyin Bello, Lola Kola, Neda Faregh, Jibril Abdulmalik, Phyllis Zelkowitz, Soraya Seedat, Oye Gureje
Task-shared care is a demonstrated approach for integrating mental health into maternal and child healthcare (MCH) services. Training and continued support for frontline providers is key to the success of task sharing initiatives. In most settings this is provided by mental health specialists. However, in resource constrained settings where specialists are in short supply, there is a need to explore
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Provider perceptions of the anticipated benefits, barriers, and facilitators associated with implementing a stepped care model for the delivery of addiction and mental health services in New Brunswick: a mixed-methods observational implementation study Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-11-15 Alesha King, Laura M. Harris-Lane, Stéphane Bérubé, Katie Burke, AnnMarie Churchill, Peter Cornish, Bernard Goguen, Alexia Jaouich, Joshua A. Rash
Providers who work within addiction and mental health (A&MH) services in New Brunswick (NB), Canada completed training in Stepped Care 2.0 and One-at-a-Time (OAAT) therapy as part of a provincial practice change initiative to implement a provincial stepped care model. The present study aimed to identify: (1) the perceived acceptability and feasibility of the SC2.0 model; (2) the perceived benefits
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Detection of traumatic stress in the presence of traumatic experiences: the role of resilience factors in foster care children five years or younger Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-11-15 Kimberly I. Tumlin, Amanda Crowley, Brian Turner, Elizabeth Riley, John Lyons
Children less than five years of age comprised approximately 30% in 2020 of foster care entries in the United States, and they are consistently the largest foster care entry group. Very young children can respond differently to the same adverse life events. Detection of complex interpersonal traumas is core to providing appropriate interventions and prevention of reoccurring negative outcomes in these
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Treatment rates and barriers to mental health service utilisation among university students in South Africa Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-11-09 Jason Bantjes, Molly J. Kessler, Xanthe Hunt, Dan J. Stein, Ronald C. Kessler
Mental health problems are common and impairing among university students, yet only a minority of students with psychological disorders access treatment. Understanding barriers to treatment is integral to planning services, especially in resource constrained settings like South Africa (SA). Data collected across 17 institutions in the online SA National Student Mental Health Survey were used to: (1)
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Cost structure in specialist mental healthcare: what are the main drivers of the most expensive episodes? Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-11-09 Yeujin Ki, Andrew Athan McAleavey, Tron Anders Moger, Christian Moltu
Mental disorders are one of the costliest conditions to treat in Norway, and research into the costs of specialist mental healthcare are needed. The purpose of this article is to present a cost structure and to investigate the variables that have the greatest impact on high-cost episodes. Patient-level cost data and clinic information during 2018–2021 were analyzed (N = 180,220). Cost structure was
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Shifting drug markets in North America - a global crisis in the making? Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-25 Maximilian Meyer, Jean N. Westenberg, Kerry L. Jang, Fiona Choi, Stefanie Schreiter, Nickie Mathew, Conor King, Undine E. Lang, Marc Vogel, R. Michael Krausz
Understanding drug market dynamics and their underlying driving factors is paramount to developing effective responses to the overdose crisis in North America. This paper summarises the distinct drug market trends observed locally and internationally over the past decade to extrapolate future drug market trajectories. The emergence of fentanyl on North American street markets from 2014 onwards led
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Piloting a community-based psychosocial group intervention designed to reduce distress among conflict-affected adults in Colombia: a mixed-method study of remote, hybrid, and in-person modalities during the COVID-19 pandemic Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-24 Michel Rattner, Leah Emily James, Juan Fernando Botero, Hernando Chiari, Guillermo Andrés Bastidas Beltrán, Mateo Bernal, Juan Nicolás Cardona, Carlos Gantiva
Community members in Quibdó (Choco, Colombia) are highly vulnerable to psychosocial problems associated with the internal armed conflict, poverty, and insufficient public services, and exacerbated by the COVID-19 pandemic. A pilot study was conducted with conflict-affected adults in Quibdó to assess feasibility and outcomes of a community-based psychosocial support group intervention using three different
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“You can create a little bit more closure in your own story when someone really connects with it”: exploring how involvement in youth peer support work can promote peer development Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-24 Tanya Halsall, Mardi Daley, Lisa D. Hawke, Jo Henderson, Kimberly Matheson
Peer support relates to the provision of social/emotional support that is delivered by individuals with lived experience of a key characteristic that is shared with clients. Although the main objective of peer support is to enhance client outcomes, through their involvement, peers derive a secondary benefit to their own personal development. This study applied a hybrid participatory-realist approach
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A systematic review of measures of the personal recovery orientation of mental health services and staff Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-17 Mary Leamy, Una Foye, Anne Hirrich, Dagfin Bjørgen, Josh Silver, Alan Simpson, Madeline Ellis, Karl Johan-Johanson
This review aimed to update and extend the Williams and colleagues 2012 systematic review of measures of recovery-orientation of mental health services by examining whether any of the specific knowledge gaps identified in this original review had subsequently been addressed. A systematic review using CINAHL, ASSIA, Embase, PsycINFO, Medline and other sources, searched from 2012 until 2021. The conceptualisation
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A randomized controlled trial of mindfulness: effects on university students’ mental health Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-13 Giovana Gonçalves Gallo, Daniela Fernandez Curado, Mayra Pires Alves Machado, Marília Ignácio Espíndola, Vitor Villar Scattone, Ana Regina Noto
The development of mental health disorders is common in the university population, and mindfulness-based interventions (MBIs) seem to be effective in addressing them in different contexts. Thus, this study investigated the impact of an 8-week MBI adapted to university students from the Mindfulness-Based Relapse Prevention (MBSR) on different symptoms related to mental health problems, specifically
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Assessing the quality of the care offer for people with personality disorders in Italy: the QUADIM project. A multicentre research based on the database of use of Mental Health services Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-13 Michele Sanza, Matteo Monzio Compagnoni, Giulia Caggiu, Liliana Allevi, Angelo Barbato, Jeannette Campa, Flavia Carle, Barbara D’avanzo, Teresa Di Fiandra, Lucia Ferrara, Andrea Gaddini, Alessio Saponaro, Salvatore Scondotto, Valeria D Tozzi, Stefano Lorusso, Cristina Giordani, Giovanni Corrao, Antonio Lora
Italy can be viewed as a laboratory to assess the quality of mental healthcare delivered in a community-oriented system, especially for severe mental disorders, such as personality disorders. Although initiatives based on clinical indicators for assessing the quality of mental healthcare have been developed by transnational-organisations, there is still no widespread practice of measuring the quality
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Mental health treatment programs for children and young people in secure settings: A systematic review Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-12 Valerie Schutte, Evangeline Danseco, Gabrielle Lucente, Purnima Sundar
While there are mental health treatment programs for children and young people in secure settings (i.e., secure treatment programs) in many countries, there is a lack of transparency and consistency across these that causes confusion for stakeholders and challenges for the design and delivery of high-quality, evidence-based programs. This systematic review addresses two questions: What do mental health
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Implementing digital mental health interventions at scale: one-year evaluation of a national digital CBT service in Ireland Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-10-10 Siobhán Harty, Angel Enrique, Selin Akkol-Solakoglu, Adedeji Adegoke, Hannah Farrell, Graham Connon, Fiona Ward, Conor Kennedy, Derek Chambers, Derek Richards
In recent years, exponential growth in digital innovations and internet access has provided opportunities to deliver health services at a much greater scale than previously possible. Evidence-based technology-enabled interventions can provide cost-effective, accessible, and resource-efficient solutions for addressing mental health issues. This study evaluated the first year of a supported digital cognitive
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The battle for mental well-being in Ukraine: mental health crisis and economic aspects of mental health services in wartime Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-09-25 Violetta Seleznova, Irina Pinchuk, Inna Feldman, Volodymyr Virchenko, Bo Wang, Norbert Skokauskas
The ongoing war in Ukraine is having profound impacts on both the local and global economy, as well as the infrastructure and overall well-being of the people. The prolonged duration of the conflict, coupled with its many related consequences such as total uncertainty, unfavorable economic conditions, and a distressing media backdrop, have a lasting impact on the mental health of the population. The
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Progress towards universal health coverage in the context of mental disorders in India: evidence from national sample survey data Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-09-19 Alok Ranjan, Jewel E Crasta
Universal health coverage (UHC) has emerged as one of the important health policy discourses under the current sustainable development goals in the world. UHC in individual disease conditions is a must for attaining overall UHC. This study measures progress towards UHC in terms of access to health care and financial protection among individuals with mental disorders in India. Data from the 75th Round
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Attitude of mental healthcare providers toward tele-psychiatry services and associated factors at public referral hospitals in Addis Ababa city, Ethiopia Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-09-12 Jibril Bashir Adem, Mequannent Sharew Melaku, Tirualem Zeleke, Muluken Tesfaye, Firaol Lemessa Kitila, Agmasie Damtew Walle
Health systems around the world are struggling with the massive numbers of people with mental disorders who require professional care. The treatment gap for mental disorders is high all over the world, with between 76 and 85% of people in low- and middle-income countries with severe mental disorders receiving no treatment for their mental health conditions. Tele-psychiatry is used as an alternative
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Co-producing research on psychosis: a scoping review on barriers, facilitators and outcomes Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-08-30 C. E. Jakobsson, E. Genovesi, A. Afolayan, T. Bella-Awusah, O. Omobowale, M. Buyanga, R. Kakuma, G. K. Ryan
Co-production is a collaborative approach to service user involvement in which users and researchers share power and responsibility in the research process. Although previous reviews have investigated co-production in mental health research, these do not typically focus on psychosis or severe mental health conditions. Meanwhile, people with psychosis may be under-represented in co-production efforts
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“I decided to participate….because I saw it as benefiting our community and families”: a qualitative study of lay providers’ experiences with delivering an evidence-based mental health intervention for families in Uganda Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-08-21 Ozge Sensoy Bahar, William Byansi, Josephine Nabayinda, Joshua Kiyingi, Phionah Namatovu, Fithi Embaye, Mary M. McKay, Kimberly Hoagwood, Fred M. Ssewamala
Children and adolescents who live in resource-limited communities in sub-Saharan Africa (SSA) experience significant mental health problems, including behavioral problems. In SSA, one of the most significant impediments to expanding services is a scarcity of mental health specialists. Task-shifting can effectively solve the mental health care gap in low-resource settings, yet it is underutilized in
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Using the National Mental Health Service Planning Framework to inform integrated regional planning: a case study in Tasmania, Australia Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-07-22 Kate Gossip, Claudia Pagliaro, Charlotte Comben, Kevin Fjeldsoe, Harvey Whiteford, Sandra Diminic
The aim of this study was to demonstrate the application of a needs-based mental health service planning model in Tasmania, Australia to identify indicative directions for future service development that ensure the equitable provision of mental health services across the State. The activity and capacity of Tasmania’s 2018–19 mental health services were compared to estimates of required care by: (1)
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The mental health toll of COVID-19: significant increase in admissions to ICU for voluntary self-inflicted injuries after the beginning of the pandemic Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-07-15 Silvia Mongodi, Giulia Salve, Marta Ravasi, Damiano Rizzi, Matteo Mangiagalli, Valeria Musella, Catherine Klersy, Luca Ansaloni, Francesco Mojoli
COVID-19 outbreak deeply impacted on mental health, with high rate of psychological distress in healthcare professionals, patients and general population. Current literature on trauma showed no increase in ICU admissions for deliberate self-inflicted injuries in the first weeks after the beginning of COVID-19. We tested the hypothesis that self-inflicted injuries/harms of any method requiring ICU admission
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A framework for precision “dosing” of mental healthcare services: algorithm development and clinical pilot Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-07-05 Jonathan Knights, Victoria Bangieva, Michela Passoni, Macayla L. Donegan, Jacob Shen, Audrey Klein, Justin Baker, Holly DuBois
One in five adults in the US experience mental illness and over half of these adults do not receive treatment. In addition to the access gap, few innovations have been reported for ensuring the right level of mental healthcare service is available at the right time for individual patients. Historical observational clinical data was leveraged from a virtual healthcare system. We conceptualize mental
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Dynamics of hospitalizations and staffing of Ukraine’s mental health services during the Russian invasion Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-06-24 Irina Pinchuk, Ryunosuke Goto, Oleksiy Kolodezhny, Nataliia Pimenova, Norbert Skokauskas
Since February 2022, the people of Ukraine have experienced devastating losses due to the Russian invasion, increasing the demand for mental healthcare across the nation. Using longitudinal data on mental health facilities across the nation up to summer 2022, we aimed to provide an updated picture of Ukrainian mental health services during the 2022 Russian invasion. We conducted a nationwide longitudinal
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Towards measuring effective coverage: critical bottlenecks in quality- and user-adjusted coverage for major depressive disorder in São Paulo metropolitan area, Brazil Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-06-16 Mariane Henriques Franca, Chrianna Bharat, Ercole Novello, Irving Hwang, Maria Elena Medina-Mora, Corina Benjet, Laura Helena Andrade, Daniel V. Vigo, Maria Carmen Viana
Major depressive disorder (MDD) contributes to a significant proportion of disease burden, disability, economic losses, and impact on need of treatment and health care in Brazil, but systematic information about its treatment coverage is scarce. This paper aims to estimate the gap in treatment coverage for MDD and identify key bottlenecks in obtaining adequate treatment among adult residents in the
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Impact of COVID-19 on the lives of people with severe mental illness—front-line community psychiatry workers observation from a provincial survey of assertive community treatment teams in Ontario, Canada Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-06-16 Aly Kassam, Michaela Beder, Saadia Sediqzadah, Matthew Levy, Madeleine Ritts, John Maher, Nicole Kirwan, Samuel Law
Using an online survey distributed to members of the provincial organization that represents the 88 Assertive Community Treatment (ACT) and Flexible ACT teams in Ontario, Canada, this descriptive study relied on the unique vantage points and observations of the front-line community psychiatry workers who maintained contact with patients through outreach and telecommunication during the height of COVID-19
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Managers as peer workers’ allies: A qualitative study of managers’ perceptions and actions to involve peer workers in Norwegian mental health and substance use services Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-06-12 Kristina Bakke Åkerblom, Torbjørn Mohn-Haugen, Rita Agdal, Ottar Ness
Citizens with experience and knowledge about what it is like to use mental health and substance use services are increasingly employed within similar services as peer workers. Peer workers are portrayed as achieving societal obligations and help ensure that the outputs from service provision are more effective. Even though peer workers have worked in mental health and substance use services for a while
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What does receiving autism diagnosis in adulthood look like? Stakeholders’ experiences and inputs Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-06-08 Parisa Ghanouni, Liam Seaker
The age of diagnosis is crucial for optimal health outcomes; however, some individuals with Autism Spectrum Disorder (ASD) may not be diagnosed until adulthood. Limited information is available about the lived experience of receiving a diagnosis during adulthood. Thus, we aimed to investigate stakeholders’ experiences about the ASD diagnosis during adulthood. We interviewed 18 individuals including
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Values and practice of collaboration in a mental health care system in the Netherlands: a qualitative study Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-06-08 Suzanne J.C. Kroon, Manna A. Alma, Meike Bak, Lian van der Krieke, Richard Bruggeman
To offer optimal care, the mental health system needs new routes for collaboration, involving both interprofessional and interorganizational aspects. The transition from intramural to extramural mental health care has given rise to new dynamics between public and mental health care, introducing a challenge for interprofessional and interorganizational collaboration. This study aims to determine values
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Translation of the mental health literacy questionnaire for young adults into Chichewa for use in Malawi: preliminary validation and reliability results Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-06-08 Sandra Jumbe, Joel Nyali, Chris Newby
Mental Health Literacy (MHL) is the ability to recognise mental disorders, have knowledge of professional help available, effective self-help strategies, skills to give support to others, and knowledge of how to prevent mental disorders. Sufficient MHL is linked to better help seeking behaviour and management of mental illness. Assessing MHL importantly helps identify knowledge gaps and inaccurate
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Preparing for the unexpected: a comparative study of policies addressing post-terror health reactions in Norway and France Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-05-26 Lisa Govasli Nilsen, Lise Eilin Stene
In the wake of terrorist attacks, protecting the health and psychosocial wellbeing of those affected and the general population, are important tasks for the healthcare system. The responses to such emergencies are often complex, including different phases and many actors, and may unveil insufficiencies that incite reforms to existing systems. Recently, initiatives have been promoted to strengthen cooperation
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Indonesia free from pasung: a policy analysis Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-05-03 Muhamad Taufik Hidayat, Candice Oster, Eimear Muir-Cochrane, Sharon Lawn
Many people with mental illnesses remain isolated, chained, and inside cages, called Pasung in Indonesia. Despite numerous policies introduced to eradicate Pasung, Indonesia has made slow progress in decreasing this practice. This policy analysis examined existing policies, plans and initiatives in Indonesia targeted at eradicating Pasung. Policy gaps and contextual constraints are identified in order
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Mental illness stigma and associated factors among Arabic-speaking refugee and migrant populations in Australia Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-05-03 Ritesh Chimoriya, Yaser Mohammad, Russell Thomson, Cheryl Webster, Rachel Dunne, Michaels Aibangbee, David Ip, Shameran Slewa-Younan
Arabic-speaking refugee and migrant populations form a significant proportion of Australia’s population. Despite high levels of psychological distress among Arabic-speaking populations, low uptake of mental health services has been demonstrated. Evidence suggests poor levels of mental health literacy (MHL) and high levels of stigmatising attitudes among Arabic-speaking populations, which may act as
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Mental health related stigma, service provision and utilization in Northern India: situational analysis Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-04-27 Amanpreet Kaur, Sudha Kallakuri, Ankita Mukherjee, Syed Shabab Wahid, Brandon A. Kohrt, Graham Thornicroft, Pallab K. Maulik
Stigma, discrimination, poor help seeking, dearth of mental health professionals, inadequate services and facilities all adversely impact the mental health treatment gap. Service utilization by the community is influenced by cultural beliefs and literacy levels. We conducted a situational analysis in light of the little information available on mental health related stigma, service provision and utilization
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Community mental health care network: an evaluative approach in a Brazilian state Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-04-19 Vívian Andrade Araújo Coelho, Carlos Alberto Pegolo da Gama, Leonardo Isolani e Andrade, Mariana Arantes e Silva, Denise Alves Guimarães, Eliete Albano de Azevedo Guimarães, Celina Maria Modena
In recent decades, public policies of the Unified Health System (SUS) in Brazil have structured a community mental health care network (RAPS) based on various community actions and services. This study carried out evaluative research on the implementation of the structure and process dimensions of this care network in Minas Gerais, the second most populous state of Brazil, generating indicators that
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International rates of receipt of psychological therapy for psychosis and schizophrenia: systematic review and meta-analysis Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-03-31 Susanna Burgess-Barr, Emily Nicholas, Bethany Venus, Niharika Singh, Abigail Nethercott, Gemma Taylor, Pamela Jacobsen
International clinical practice guidelines commonly recommend the provision of psychological therapies for psychosis and schizophrenia as an adjunct to medication. However, access to recommended therapies in routine clinical practice is limited. The aim of this review was to synthesise the available data on the provision of recommended psychological therapies for psychosis and schizophrenia across
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Challenges and opportunities for implementation and dissemination of a task- sharing counselling intervention for depression at primary health care level in South Africa Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-03-30 One Selohilwe, Lara Fairall, Arvin Bhana, Tasneem Kathree, Babalwa Zani, Naomi Folb, Crick Lund, Graham Thornicroft, Inge Petersen
The treatment gap for mental health services is a growing public health concern. A lay-counselling service located at primary health care (PHC) level could potentially help to close the large treatment gap for common mental disorders in South Africa. The aim of this study was to understand multilevel factors contributing to implementation and potential dissemination of such a service for depression
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Reprioritising global mental health: psychoses in sub-Saharan Africa Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-03-28 O. O Omigbodun, G. K Ryan, B Fasoranti, D Chibanda, R Esliker, A Sefasi, R Kakuma, T Shakespeare, J Eaton
Arthur Kleinman’s 2009 Lancet commentary described global mental health as a “moral failure of humanity”, asserting that priorities should be based not on the epidemiological and utilitarian economic arguments that tend to favour common mental health conditions like mild to moderate depression and anxiety, but rather on the human rights of those in the most vulnerable situations and the suffering that
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Bi-stability and critical transitions in mental health care systems: a model-based analysis Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-03-24 Adam Skinner, Jo-An Occhipinti, Ante Prodan, Yun Ju Christine Song, Ian B. Hickie
Delayed initiation and early discontinuation of treatment due to limited availability and accessibility of services may often result in people with mild or moderate mental disorders developing more severe disorders, leading to an increase in demand for specialised care that would be expected to further restrict service availability and accessibility (due to increased waiting times, higher out-of-pocket
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Access to mental health and addiction services for youth and their families in Ontario: perspectives of parents, youth, and service providers Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-03-14 Toula Kourgiantakis, Roula Markoulakis, Eunjung Lee, Amina Hussain, Carrie Lau, Rachelle Ashcroft, Abby L. Goldstein, Sugy Kodeeswaran, Charmaine C. Williams, Anthony Levitt
Canadian youth (aged 16–24) have the highest rates of mental health and addiction concerns across all age groups and the most unmet health care needs. There are many structural barriers that contribute to the unmet mental health care needs of youth including lack of available and appropriate services, high costs, long wait times, fragmented and siloed services, lack of smooth transition between child
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Facilitating change processes in group-based behaviour change interventions in rural African contexts: practical lessons from Ghana Int. J. Ment. Health Syst. (IF 3.463) Pub Date : 2023-02-06 Richard Appiah
Evidence from implementation research suggests that group-based behaviour change interventions (GBCIs) can encourage the development of peer support, promote psychosocial skills, and facilitate collaborative therapeutic relationships. However, although the mechanisms of action that mediate the behaviour change process have been extensively described in other settings, less is known about the implementation