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Minority mental health

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https://www.readbyqxmd.com/read/28632071/impact-of-serious-mental-illness-online-training-for-certified-nursing-assistants-in-long-term-care
#1
Victor Molinari, John V Hobday, Rosalyn Roker, Mark E Kunik, Rosalie Kane, Merrie J Kaas, Chandra Mehrotra, Christine L Williams, Joyce C Robbins, Debra Dobbs
Certified nurse assistants (CNAs) spend the most staff time with nursing home residents, yet they receive little training in addressing the mental health needs of residents with serious mental illness (SMI). Forty CNAs from four long-term-care facilities took the online interactive CARES-(®) Serious Mental Illness(™) training consisting of two modules guided by the Recovery Movement philosophy of care. Responses from pre-post testing, Likert-type items, and open-ended questions indicated that CNAs gained information, changed their perspectives, and had more confidence in dealing with SMI...
September 22, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/28630877/male-partnered-sexual-minority-women-sexual-identity-disclosure-to-health-care-providers-during-the-perinatal-period
#2
Abbie E Goldberg, Lori E Ross, Melissa H Manley, Jonathan J Mohr
Male-partnered sexual minority women (SMW) have received little research attention, despite the fact that they represent a large proportion of SMW - particularly child-bearing SMW. Male-partnered SMW are less "out" than female-partnered SMW and will likely be "read" as heterosexual by perinatal providers. Given this, and evidence that pregnant women have unique mental health care needs, the current study focuses on male-partnered SMW (n = 28) during the perinatal period, recruited from Toronto, Canada and Massachusetts, USA, in an effort to understand disclosure and concealment processes in general and to perinatal heath care providers specifically...
March 2017: Psychology of Sexual Orientation and Gender Diversity
https://www.readbyqxmd.com/read/28629296/atypical-antipsychotic-use-and-outcomes-in-an-urban-maternal-mental-health-service
#3
Susan Hatters Friedman, Charmian Moller-Olsen, Chandni Prakash, Abigail North
Objective Despite many women suffering from psychosis in their childbearing years, limited data exist about the use of atypical antipsychotic agents in pregnancy. Atypical antipsychotic agents are often used to treat bipolar disorder, instead of lithium or valproate because of the known teratogenicity of those agents. As well, atypical antipsychotics are often prescribed in anxiety disorders and depression. This study sought to describe pregnancy outcomes for women prescribed atypical antipsychotics during pregnancy...
August 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28622809/racial-and-ethnic-differences-in-mental-healthcare-utilization-consistent-with-potentially-effective-care-the-role-of-patient-preferences
#4
Anika L Hines, Lisa A Cooper, Leiyu Shi
OBJECTIVE: Ethnic minorities are less likely than Whites to initiate and continue mental healthcare. Minorities also prefer non-medical approaches to address mental health issues. We evaluated sector-type as a modifier of the association of race/ethnicity with service utilization for mental health. We hypothesized that minorities utilize non-mental health sectors at rates consistent with guidelines and similar to Whites. METHODS: We examined data from the Collaborative Psychiatric Epidemiologic Studies (CPES) (n=3803)...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28617170/adherence-of-heart-transplant-recipients-to-prescribed-medication-and-recommended-lifestyle-habits
#5
Y Brocks, A Zittermann, D Grisse, G Schmid-Ott, S Stock-Gießendanner, U Schulz, J Brakhage, A Benkler, J Gummert, Katharina Tigges-Limmer
INTRODUCTION: Nonadherence may cause severe health problems in heart transplant (HTx) recipients. RESEARCH QUESTIONS: The present study aimed to investigate adherence to prescribed medication and recommended lifestyle habits in post-HTx patients and to assess associations between adherence, quality of life (QOL), and psychological well-being. DESIGN: A questionnaire package was sent to all HTx patients from our clinic (n = 858) to answer questions anonymously on medication adherence, dietary recommendations (avoidance of raw animal products and ice cream), pet keeping (risk of zoonosis), anxiety and depression, QOL, and posttraumatic stress disorders...
June 2017: Progress in Transplantation
https://www.readbyqxmd.com/read/28617143/does-ethno-cultural-betrayal-in-trauma-affect-asian-american-pacific-islander-college-students-mental-health-outcomes-an-exploratory-study
#6
Jennifer M Gómez
OBJECTIVES: Interpersonal trauma has deleterious effects on mental health (1) , with college students experiencing relatively high rates of lifetime trauma (2) . Asian American/Pacific Islanders (AAPIs) have the lowest rate of mental health care utilization (4) . According to cultural betrayal trauma theory (CBTT) (9, 10, 11) , societal inequality may impact within-group violence in minority populations, thus having implications for mental health. In the current exploratory study, between-group (interracial) and within-group (ethno-cultural betrayal) trauma and mental health outcomes were examined in AAPI college students...
June 15, 2017: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/28616935/service-use-and-unmet-needs-for-substance-use-and-mental-disorders-in-canada
#7
Karen Urbanoski, Dakota Inglis, Scott Veldhuizen
OBJECTIVE: To investigate patterns and predictors of help seeking and met/unmet needs for mental health care in a national population health survey. METHOD: Participants were respondents to the 2012 Canadian Community Health Survey on Mental Health (CCHS-MH; n = 25,133). We used regression to identify the diagnostic and sociodemographic predictors of the use of informal supports, primary care, and specialist care, as well as perceived unmet needs. RESULTS: Eleven percent of Canadians reported using professionally led services for mental health or substance use in 2012, while another 9% received informal supports...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28616807/skin-deep-enhanced-variable-may-help-explain-racial-disparities-in-type-2-diabetes-and-prediabetes
#8
Celia C Lo, Joanna Lara, Tyrone C Cheng
INTRODUCTION: The study refined definitions of type 2 diabetes and prediabetes (Pre-/T2D) via its four-category outcome variable. Respondents were identified as Pre-/T2D on the basis of (a) doctor's diagnosis only (i.e., managed Pre-/T2D); (b) biomarker only (i.e., undiagnosed Pre-/T2D); or (c) both diagnosis and biomarker (i.e., unmanaged Pre-/T2D). The reference was Pre-/T2D not indicated. We linked the outcome to social structural and social support factors, health care-related factors, mental disorder, and lifestyle variables, for each racial/ethnic group...
June 14, 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28616632/dispensing-of-psychotropic-medication-among-400-000-immigrants-in-the-netherlands
#9
Fabian Termorshuizen, Jean-Paul Selten, Eibert R Heerdink
PURPOSE: Previously, a high prevalence of certain psychiatric disorders was shown among non-Western immigrants. This study explores whether this results in more prescriptions for psychotropic medication. METHODS: Data on dispensing of medication among adults living in the four largest Dutch cities in 2013 were linked to demographic data from Statistics Netherlands. Incident (i.e., following no dispensing in 2010-2012) and prevalent dispensing among immigrants was compared to that among native Dutch (N = 1,043,732) and analyzed using multivariable Poisson and logistic regression...
June 14, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28615762/prevalence-of-depression-among-school-going-adolescents-in-an-urban-area-of-bihar-india
#10
Kunal Kishor Jha, Satyajeet Kumar Singh, Santosh Kumar Nirala, Chandramani Kumar, Pragya Kumar, Neeraj Aggrawal
INTRODUCTION: Depression is one of the under-recognized health problems in adolescents. Emotional instability resulted from childhood to adulthood transition makes adolescents vulnerable to depression. AIMS: The aim of the study was to explore the prevalence of depression and its associated sociodemographic factors among school-going adolescents. MATERIALS AND METHODS: This cross-sectional study was undertaken from January 2016 to June 2016 in adolescents studying in 9-12(th) standard from forty schools located in an urban area of Patna, Bihar...
May 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/28608402/does-the-severity-of-psychopathology-of-italian-students-receiving-counselling-services-increase-over-time-a-5-year-analysis-and-a-comparison-with-a-clinical-and-non-clinical-sample
#11
Maria Grazia Strepparava, Marco Bani, Federico Zorzi, Umberto Mazza, Francesca Barile, Giorgio Rezzonico
Psychological problems-from the most minor such as exams anxiety to the more severe such as personality disorders-are not rare in young adults. University Counselling Services often present the only opportunity for undergraduates to meet health professionals and to be confronted with their difficulties in a non-clinical setting or-in cases of more severe psychopathology-to be referred to mental health services. Recent research attests to the increasing severity of psychological problems among undergraduate and graduate university students...
June 13, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28608294/internalized-homophobia-and-drug-use-in-a-national-cohort-of-gay-and-bisexual-men-examining-depression-sexual-anxiety-and-gay-community-attachment-as-mediating-factors
#12
Raymond L Moody, Tyrel J Starks, Christian Grov, Jeffrey T Parsons
The minority stress process of internalized homophobia (IH) has been associated with a range of adverse health outcomes among gay and bisexual men (GBM). However, evidence is mixed regarding the effect of IH on drug use, suggesting the potential role of multiple mediated pathways. Researchers have linked depression, sexual anxiety, and gay community attachment with IH. Depression, sexual anxiety, and gay community attachment have also been linked with drug use and drug-related problems suggesting potential mediating roles...
June 12, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28602558/public-health-information-in-crisis-affected-populations-a-review-of-methods-and-their-use-for-advocacy-and-action
#13
REVIEW
Francesco Checchi, Abdihamid Warsame, Victoria Treacy-Wong, Jonathan Polonsky, Mark van Ommeren, Claudine Prudhon
Valid and timely information about various domains of public health underpins the effectiveness of humanitarian public health interventions in crises. However, obstacles including insecurity, insufficient resources and skills for data collection and analysis, and absence of validated methods combine to hamper the quantity and quality of public health information available to humanitarian responders. This paper, the second in a Series of four papers, reviews available methods to collect public health data pertaining to different domains of health and health services in crisis settings, including population size and composition, exposure to armed attacks, sexual and gender-based violence, food security and feeding practices, nutritional status, physical and mental health outcomes, public health service availability, coverage and effectiveness, and mortality...
June 7, 2017: Lancet
https://www.readbyqxmd.com/read/28602472/neglect-educational-success-and-young-people-in-out-of-home-care-cross-sectional-and-longitudinal-analyses
#14
Nicholas G Tessier, Aoife O'Higgins, Robert J Flynn
Maltreated young persons in out-of-home care often have poor educational outcomes, heightening their risk of long-term psychosocial disadvantage (Forsman, Brännström, Vinnerljung, & Hjern, 2016). In their systematic reviews, Romano, Babchishin, Marquis, and Fréchette (2014) and O'Higgins, Sebba, and Gardner (in press) found evidence that neglect was more often linked with low academic achievement, whereas abuse was more likely to be associated with behavioral difficulties. In large samples of young persons in out-of-home care in Ontario, Canada, who had experienced mainly neglect, we investigated risk and protective factors as predictors of educational success...
June 8, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28601943/examining-the-impact-of-migrant-status-on-ethnic-differences-in-mental-health-service-use-preceding-a-first-diagnosis-of-schizophrenia
#15
Kelly K Anderson, Kwame J McKenzie, Paul Kurdyak
PURPOSE: Some ethnic groups have more negative contacts with health services for first-episode psychosis, likely arising from a complex interaction between ethnicity, socio-economic factors, and immigration status. Using population-based health administrative data, we sought to examine the effects of ethnic group and migrant status on patterns of health service use preceding a first diagnosis of schizophrenia or schizoaffective disorder among people aged 14-35 over a 10-year period. METHODS: We compared access to care and intensity of service use for first-generation ethnic minority groups to the general population of Ontario...
June 10, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28601831/risk-factor-modifications-and-depression-incidence-a-4-year-longitudinal-canadian-cohort-of-the-montreal-catchment-area-study
#16
Xiangfei Meng, Alain Brunet, Gustavo Turecki, Aihua Liu, Carl D'Arcy, Jean Caron
OBJECTIVE: Few studies have examined the effect of risk factor modifications on depression incidence. This study was to explore psychosocial risk factors for depression and quantify the effect of risk factor modifications on depression incidence in a large-scale, longitudinal population-based study. METHODS: Data were from the Montreal Longitudinal Catchment Area study (N=2433). Multivariate modified Poisson regression was used to estimate relative risk (RR). Population attributable fractions were also used to estimate the potential impact of risk factor modifications on depression incidence...
June 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28601620/sexual-orientation-health-inequality-evidence-from-understanding-society-the-uk-longitudinal-household-study
#17
Cara L Booker, Gerulf Rieger, Jennifer B Unger
Few studies from the United Kingdom have fully investigated inequalities between members of different sexual minority groups and heterosexuals over range of health outcomes. Using data from over 40,000 individuals, this study explores the health inequalities of sexual minority UK adults. We include respondents who identify as other and those who prefer not to say (PNS). Data come from wave three (2011-2012) of the nationally-representative Understanding Society, the UK Household Longitudinal Study. Sexual orientation was asked in the self-completion portion of the study...
June 8, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28597945/specific-psychosocial-exposures-for-workers-mental-health-a-population-based-study
#18
Albert Navarro, Mireia Utzet, Sergio Salas, Clara Llorens, Emilia Molinero-Ruiz, Salvador Moncada
BACKGROUND: In order to plan interventions it is important to obtain evidence on the relation between a health outcome and specific exposures. However, there are few studies that identify the effect of specific psychosocial work exposures on poor mental health. This is the aim of this study. METHODS: Population-based cross-sectional study in Catalonia. We estimated prevalence ratios (PR) of minor psychiatric disorder associated with several psychosocial work exposures...
June 9, 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/28594744/probability-of-opioid-prescription-refilling-after-surgery-does-initial-prescription-dose-matter
#19
Shaina Sekhri, Nonie S Arora, Hannah Cottrell, Timothy Baerg, Anthony Duncan, Hsou Mei Hu, Michael J Englesbe, Chad Brummett, Jennifer F Waljee
OBJECTIVE: We sought to determine the correlation between the probability of postoperative opioid prescription refills and the amount of opioid prescribed, hypothesizing that a greater initial prescription yields a lower probability of refill. BACKGROUND: Although current guidelines regarding opioid prescribing largely address chronic opioid use, little is known regarding best practices and postoperative care. METHODS: We analyzed Optum Insight claims data from 2013 to 2014 for opioid-naïve patients aged 18 to 64 years who underwent major or minor surgical procedures (N = 26,520)...
June 7, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28593529/bisexual-specific-minority-stressors-psychological-distress-and-suicidality-in-bisexual-individuals-the-mediating-role-of-loneliness
#20
Ethan H Mereish, Sabra L Katz-Wise, Julie Woulfe
Bisexual individuals are at higher risk for poor mental health outcomes compared to heterosexual as well as lesbian and gay individuals and experience minority stressors, such as discrimination, from both heterosexual and sexual minority communities. However, there is little research examining the negative effects of bisexual-specific minority stressors on bisexual individuals' mental health as well as psychological factors that might help explain minority stressors' deleterious effects. This research examined the effects of distal minority stressors (i...
June 7, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
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