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Help-seeking pathways

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https://www.readbyqxmd.com/read/27909250/conditional-disclosure-on-pathways-to-care-coping-preferences-of-young-people-at-risk-of-psychosis
#1
Petra C Gronholm, Graham Thornicroft, Kristin R Laurens, Sara Evans-Lacko
The interrelationship between stigma and help-seeking is under-researched among children and adolescents. This study explored stigma in relation to pathways to care among young people putatively in an early stage of increased risk of developing psychotic disorders. "Pathways to care" was defined as help-seeking and support from informal and formal resources, and increased risk was determined through the presence of persistent psychotic-like experiences and internalizing/externalizing psychopathology. Twenty-nine qualitative interviews were analyzed using thematic analysis...
November 30, 2016: Qualitative Health Research
https://www.readbyqxmd.com/read/27893185/women-s-pathways-to-abortion-care-in-south-carolina-a-qualitative-study-of-obstacles-and-supports
#2
Judy Margo, Lois McCloskey, Gouri Gupte, Melanie Zurek, Seema Bhakta, Emily Feinberg
CONTEXT: Women seeking timely and affordable abortion care may face myriad challenges, including high out-of-pocket costs, transportation demands, scheduling difficulties and stigma. State-level regulations may exacerbate these burdens and impede women's access to a full range of care. Women's reports of their experiences can inform efforts to improve pathways to abortion care. METHODS: In 2014, semistructured qualitative interviews were conducted with 45 women obtaining abortions in South Carolina, which has a restrictive abortion environment...
November 28, 2016: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/27876052/implementing-the-united-kingdom-s-ten-year-teenage-pregnancy-strategy-for-england-1999-2010-how-was-this-done-and-what-did-it-achieve
#3
Alison Hadley, Roger Ingham, Venkatraman Chandra-Mouli
BACKGROUND: In 1999, the UK Labour Government launched a 10-year Teenage Pregnancy Strategy for England to address the country's historically high rates and reduce social exclusion. The goal was to halve the under-18 conception rate. This study explores how the strategy was designed and implemented, and the features that contributed to its success. METHODS: This study was informed by examination of the detailed documentation of the strategy, published throughout its 10-year implementation...
November 22, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27852712/perceived-barriers-to-accessing-mental-health-services-among-black-and-minority-ethnic-bme-communities-a-qualitative-study-in-southeast-england
#4
Anjum Memon, Katie Taylor, Lisa M Mohebati, Josefin Sundin, Max Cooper, Thomas Scanlon, Richard de Visser
OBJECTIVE: In most developed countries, substantial disparities exist in access to mental health services for black and minority ethnic (BME) populations. We sought to determine perceived barriers to accessing mental health services among people from these backgrounds to inform the development of effective and culturally acceptable services to improve equity in healthcare. DESIGN AND SETTING: Qualitative study in Southeast England. PARTICIPANTS: 26 adults from BME backgrounds (13 men, 13 women; aged >18 years) were recruited to 2 focus groups...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27824775/evaluation-of-bipolar-disorder-in-children-and-adolescents-referred-to-a-mood-service-diagnostic-pathways-and-manic-dimensions
#5
Ana P Ferreira-Maia, Alexandre C Boronat, Miguel A Boarati, Lee Fu-I, Yuan-Pang Wang
OBJECTIVES: Few studies have examined pediatric mental health services for early-onset bipolar disorder (BD). The goal of this study was to describe diagnostic pathways and manic dimensions in BD among referred children and adolescents. METHODS: Data were obtained from a review of the charts of 814 subjects, 2 to 17 years of age, with a complaint of mood disturbances who were referred between 2003 and 2012 to a university-based child and adolescent clinic that specializes in mood disorders...
November 2016: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/27805737/do-concepts-of-depression-predict-treatment-pathways-a-closer-look-at-explanatory-models-among-clinical-and-nonclinical-samples-in-uganda
#6
Laura Renee Johnson, Eu Gene Chin, Mayanja Kajumba, Erin Buchanan, Simon Kizito, Paul Bangirana
OBJECTIVE: Explanatory models (EMs) are a collection of beliefs about a disorder that can help us understand help-seeking and treatment pathways in diverse contexts. In 2 related studies, we explore EMs about depression held among both clinical and nonclinical samples in Uganda. To explore the potential of EMs to predict help seeking, we assessed the relationship between 2 main aspects of the EM: problem conceptualization and treatment. METHOD: In Study 1, we interviewed and assessed EMs of depression for 135 lay community members and 111 professional practitioners using a vignette...
November 2, 2016: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27803893/pathways-to-care-of-alcohol-dependent-patients-an-exploratory-study-from-a-tertiary-care-substance-use-disorder-treatment-center
#7
Yatan Pal Singh Balhara, Sathya Prakash, Rishab Gupta
BACKGROUND: No study from India has examined pathways to care in alcohol using population systematically. OBJECTIVES: The present study aimed to understand the pathways to care among alcohol-dependent individuals seeking help at a tertiary care center. PATIENTS AND METHODS: It was a cross-sectional, observational study. A total of 58 subjects diagnosed with alcohol- dependence syndrome as per DSM-IV-TR were included in the study. Pathways to care were assessed using the world health organization encounter form...
September 2016: International Journal of High Risk Behaviors & Addiction
https://www.readbyqxmd.com/read/27747961/inequity-in-cardiovascular-care-in-the-english-national-health-service-nhs-a-scoping-review-of-the-literature
#8
Sheena Asthana, Graham Moon, Alex Gibson, Trevor Bailey, Paul Hewson, Chris Dibben
There is a general understanding that socioeconomically disadvantaged people are also disadvantaged with respect to their access to NHS care. Insofar as considerable NHS funding has been targeted at deprived areas, it is important to better understand whether and why socioeconomic variations in access and utilisation exist. Exploring this question with reference to cardiovascular care, our aims were to synthesise and evaluate evidence relating to access to and/or use of English NHS services around (i) different points on the care pathway (i...
October 16, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27726051/community-schools-a-public-health-opportunity-to-reverse-urban-cycles-of-disadvantage
#9
Catherine Diamond, Nicholas Freudenberg
Community schools link students, families, and communities to educate children and strengthen neighborhoods. They have become a popular model for education in many US cities in part because they build on community assets and address multiple determinants of educational disadvantage. Since community schools seek to have an impact on populations, not just the children enrolled, they provide an opportunity to improve community health. Community schools influence the health and education of neighborhood residents though three pathways: building trust, establishing norms, and linking people to networks and services...
October 10, 2016: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/27692194/presence-of-drug-free-family-and-friends-in-the-personal-social-networks-of-people-receiving-treatment-for-opioid-use-disorder
#10
Michael Kidorf, Carl Latkin, Robert K Brooner
The present study evaluated the presence of drug-free family and friends in the personal social networks of individuals seeking treatment for opioid use disorder, and the willingness of patients to bring these individuals to the treatment program to support recovery efforts. Patients at a community medication-assisted treatment program (n=355) completed a clinical survey to identify drug-free social network members. Results showed that almost all patients (98%) reported having at least one drug-free family or friend in their personal network (M=3...
November 2016: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27683912/chemogenetic-activation-of-an-extinction-neural-circuit-reduces-cue-induced-reinstatement-of-cocaine-seeking
#11
Isabel F Augur, Andrew R Wyckoff, Gary Aston-Jones, Peter W Kalivas, Jamie Peters
UNLABELLED: The ventromedial prefrontal cortex (vmPFC) has been shown to negatively regulate cocaine-seeking behavior, but the precise conditions by which vmPFC activity can be exploited to reduce cocaine relapse are currently unknown. We used viral-mediated gene transfer of designer receptors (DREADDs) to activate vmPFC neurons and examine the consequences on cocaine seeking in a rat self-administration model of relapse. Activation of vmPFC neurons with the Gq-DREADD reduced reinstatement of cocaine seeking elicited by cocaine-associated cues, but not by cocaine itself...
September 28, 2016: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/27677830/psychiatric-evaluation-of-youths-with-disruptive-behavior-disorders-and-psychopathic-traits-a-critical-review-of-assessment-measures
#12
Gabriele Masi, Annarita Milone, Paola Brovedani, Simone Pisano, Pietro Muratori
Disruptive Behavior Disorders (DBDs) are stable and impairing disorders, heterogeneous in presentation, developmental pathways, and treatment needs. Disentangling subtypes according to psychopathological dimensions is helpful for timely diagnoses, precise prognoses and tailored interventions. Psychopathic traits are relevant in subtyping DBDs with severe antisocial and aggressive behaviors. Three psychopathy dimensions have been found: 1) an affective dimension, the callous-unemotional (CU) trait, with lack of empathy and remorse, and with short-lived emotions; 2) an interpersonal dimension, the narcissistic domain, with manipulative abilities, superficial charm, egocentricity and grandiosity; 3) a behavioral dimension, the impulsivity or impulsive-irresponsibility, with irresponsibility, proneness to boredom, and novelty seeking...
September 25, 2016: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/27652218/the-impact-of-ejaculatory-dysfunction-upon-the-sufferer-and-his-partner
#13
REVIEW
Carmita Helena Najjar Abdo
Ejaculatory function cannot be evaluated outside the dyadic process and without taking into account the men's and women's cognition of the condition and how their subjective perception impacts on the evaluation of the relationship and sexual quality. Although the distress of the sufferer and his partner has been a motivating factor in leading men with ejaculatory dysfunction to seek medical help, few objective or prospective evaluations of the effects on the couple have been reported. Specialized literature has been dealing with ejaculatory disorders in a heterogeneous manner...
August 2016: Translational Andrology and Urology
https://www.readbyqxmd.com/read/27626509/what-s-wrong-with-me-seeking-a-coherent-understanding-of-recovery-after-mild-traumatic-brain-injury
#14
Deborah L Snell, Rachelle Martin, Lois J Surgenor, Richard J Siegert, E Jean C Hay-Smith
PURPOSE: Qualitative research examining experiences of recovering from mild traumatic brain injury (MTBI) is limited. Findings from quantitative studies regarding predictors of persisting symptoms are inconsistent with limited attention directed to capturing broad perspectives and priorities of the wider stakeholders. More flexible research approaches may help advance the field. We used a mixed method design to generate patient perspectives of MTBI recovery, integrating these with quantitative investigation to isolate factors that might contribute to divergent MTBI outcomes...
September 14, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27611863/hsp70-may-be-a-molecular-regulator-of-schistosome-host-invasion
#15
Kenji Ishida, Emmitt R Jolly
Schistosomiasis is a debilitating disease that affects over 240 million people worldwide and is considered the most important neglected tropical disease following malaria. Free-swimming freshwater cercariae, one of the six morphologically distinct schistosome life stages, infect humans by directly penetrating through the skin. Cercariae identify and seek the host by sensing chemicals released from human skin. When they reach the host, they burrow into the skin with the help of proteases and other contents released from their acetabular glands and transform into schistosomula, the subsequent larval worm stage upon skin infection...
September 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/27609793/integrating-care-for-neurodevelopmental-disorders-by-unpacking-control-a-grounded-theory-study
#16
Gustaf Waxegård, Hans Thulesius
BACKGROUND: To establish integrated healthcare pathways for patients with neurodevelopmental disorders (ND) such as autism spectrum disorder and attention-deficit hyperactivity disorder is challenging. This study sets out to investigate the main concerns for healthcare professionals when integrating ND care pathways and how they resolve these concerns. METHODS: Using classic grounded theory (Glaser), we analysed efforts to improve and integrate an ND care pathway for children and youth in a Swedish region over a period of 6 years...
2016: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/27535766/synthetic-genome-engineering-forging-new-frontiers-for-wine-yeast
#17
Isak S Pretorius
Over the past 15 years, the seismic shifts caused by the convergence of biomolecular, chemical, physical, mathematical, and computational sciences alongside cutting-edge developments in information technology and engineering have erupted into a new field of scientific endeavor dubbed Synthetic Biology. Recent rapid advances in high-throughput DNA sequencing and DNA synthesis techniques are enabling the design and construction of new biological parts (genes), devices (gene networks) and modules (biosynthetic pathways), and the redesign of biological systems (cells and organisms) for useful purposes...
August 18, 2016: Critical Reviews in Biotechnology
https://www.readbyqxmd.com/read/27528411/a-framework-for-improving-early-detection-of-breast-cancer-in-sub-saharan-africa-a-qualitative-study-of-help-seeking-behaviors-among-malawian-women
#18
Racquel E Kohler, Satish Gopal, Anna R Miller, Clara N Lee, Bryce B Reeve, Bryan J Weiner, Stephanie B Wheeler
OBJECTIVE: Many women in Africa are diagnosed with advanced breast cancer. We explored Malawian breast cancer patients' perspectives about their diagnosis and ability to access care to identify help-seeking behaviors and to describe factors influencing delay. METHODS: We purposively sampled 20 Malawian breast cancer patients to conduct in-depth interviews. Transcripts were double coded to identify major themes of breast cancer help-seeking behaviors and what delayed or facilitated access to care...
August 9, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27526643/perceived-barriers-and-facilitators-towards-help-seeking-for-eating-disorders-a-systematic-review
#19
Kathina Ali, Louise Farrer, Daniel B Fassnacht, Amelia Gulliver, Stephanie Bauer, Kathleen M Griffiths
OBJECTIVE: To systematically review the literature on perceived barriers and facilitators of help-seeking for eating disorders. METHOD: Three databases (PubMed, PsychInfo, Cochrane) were searched using keywords and Medical Subject Headings (MeSH) terms. Retrieved abstracts (N = 3493) were double screened and relevant papers (n = 13) were double coded. Qualitative and quantitative studies were included if they reported perceived barriers and facilitators towards seeking help for eating disorders...
August 16, 2016: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/27513286/adolescent-functioning-in-housing-and-family-contexts-a-mixed-methods-study
#20
Margaret C Elliott, Elizabeth A Shuey, Tama Leventhal
Although adolescents begin to seek autonomy and strive to be out of the home on their own, the housing context remains the primary setting of their daily lives. Using survey and ethnographic data from (e.g., Winston et al., 1999), this study explored quantitatively and qualitatively how two salient aspects of the housing context, physical housing problems and household size, were associated with low-income adolescents' emotional and academic functioning, and how these associations were modified by mother-adolescent relationships (specifically, trust and communication) and gender...
September 2016: Journal of Family Psychology: JFP
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