These concerns have placed new pressures on collegementalhealth services to keep campuses safe but sometimes without appropriate strategic planning. While there may be circumstances in which sharing clinical information or mandated medical leaves might be appropriate, these pressures have increased the challenge and conflict experienced by campus clinicians to keep patient care the primary goal of the clinical interaction. Lowering the threshold for communication is likely to erode the often fragile trust between a troubled student and the campus mentalhealth systems and/or university administrators. 14 Role of psychiatry
Prevalence and risk of mentalhealth issues in college. It is more common than you think and you are not alone, people just do not advertise it. Everyone should take care of their mentalhealth since there are increased risks during college. Mentalhealth is affected by the stress of college life. It can happen to anybody. Everyone has problems, stresses and challenges in life and sometimes need help to address them. More people than you realize are getting help. Everyone will experience a mentalhealth issue at some point in their lives and need to be aware of it so it is not detrimental to their health.
Taking into account the emotional responses from both CYP and their parents, it is clear that some mentalhealth crises can produce unpleasant and traumatic experiences. However, if parents and CYP are taken seriously, fully sup- ported during their mentalhealth crisis treatment journey, and if their experience of mentalhealth crisis treatment is improved, this may contribute towards a reduction of nega- tive experiences or emotional reactions. Often, changes of the staff members can be a cause of concern as this may have a considerable effect on the therapeutic alliance. The importance of the therapeutic alliance is well documented and supported with research evidence, which shows that a good therapeutic alliance is the strong predictor of the posi- tive treatment outcomes . Changes of staff members can contribute towards the need for CYP to repeat their story, and become disengaged from future care. Moreover, Future in Mind recommends that CYP should tell their story only once .
Chinese scholars put forward the concept of psychological suzhi for how to improve mentalhealth status of college students. Psychological suzhi is based on the physiological condition, internalizes the obtained stimuli from external world as psychological quality which is stable, basic, and implicit, has basic, derived and devel- opment capabilities, and keeps in close contact with social adaptive behavior and creative behavior. Psycholog- ical suzhi is a mental quality system, which consists of three dimensions namely cognition quality, personality quality, and adaptability (adaptive capacity). There are crucial differences between psychological suzhi and mentalhealth: psychological suzhi is a kind of “quality”, and mentalhealth is a kind of “state”. Psychological suzhi is an endogenous element of mentalhealth, which can be seen as psychological fitness (constitution) of individual fitness (constitution) -. Cognition quality refers to individual characteristics which express in the cognitive process. Personality quality refers to personality characteristics which express in everyday life. Cognition quality and personality quality are all content elements of psychological suzhi. Adaptability (adaptive capacity) is theoretically an individual on the basis of cognitive quality and personality quality through interac- tion within a specific situation which includes the selection, adaptation and change in the environment. It is the habitual behaviour when an individual is able to get along well with the surroundings. It belongs to the function elements of psychological suzhi . The relationship between psychological suzhi and mentalhealth was dis- cussed by many researchers since the concept of psychological suzhi has been put forward. The theoretical re- search of the relationship showed that “psychological suzhi is a trait, but mentalhealth is a state, the state is un
By using a cross-sectional design, this study borrowed existing data from the Healthy Mind Study (HMS), 2016- 2017. The HMS is an online mentalhealth survey of college students in the US. As an annual web-based survey, HMS monitors mentalhealth of undergraduate and graduate students in the US. The study collects rich data on SES, mentalhealth status, mental service utilization, and common barriers against health care use (stigma, trust, etc.) [37,38]. Since 2007, HMS has been collecting data from more than 150 US colleges/universities, with more than 175,000 participants. The HMS has three standard survey modules: 1) demographic module, 2) mentalhealth module, and 3) mentalhealth service module. The HMS is conducted annually. The current analysis used HMS 2016–2017 data. The HMS study protocol was approved by the University of Michigan (UM) Institutional Review Board (IRB). The study protects its participants with a Certificate of Confidentiality received from the National Institutes of Health (NIH). All participants provide informed consent. The survey was performed anonymously.
Helms, & Terrel, 1994, Snowden, 2001). As expected, we found that Middle Eastern college students had more negative attitudes toward seeking mentalhealth services than African American and Caucasian students. Middle Eastern descent individuals suffering from psychological problems have a tendency to be ashamed to admit to others that they have a problem or see a mentalhealth professional (Erickson & Al-Timimi, 2001). They also feel less favorable toward people suffering from mental disorders (Hamdan-Mansour & Wardam, 2009; Al-Darmaki & Sayed, 2009). Their negative attitudes about help-seeking behavior most likely cause them to underutilize psychological services, thus seeking mentalhealth treatment less often than African Americans and Caucasians. This is a trend that has been seen in African Americans and other minority groups who have negative attitudes concerning seeking mentalhealth services (Buser, 2009; Gray, 2010). However, in contrast to most other studies, we found that African American and Caucasian college students were similar in their attitudes on mentalhealth services. This could be a sample characteristic unique to Wayne State University, but also a reflection of African American students being enrolled in a psychology course. Previous research indicates a lack of trust in efficacy of psychological treatment, rather than fear of stigma and shame, among the African American culture (Nickerson, Helms, & Terrel, 1994; Snowden, 2001). By exposure to psychology courses, one could assume a reduction in people’s ambiguity about whether or not such services really work. This could help improve negative attitudes about seeking psychological services.
Recent high-profile tragedies exemplify the dire consequences to student-athletes and their communities when mentalhealth issues go undetected and untreated. For instance, on January 17, 2015, Madison Holleran, a first year cross-country athlete at the University of Pennsylvania, died by suicide. She was a popular, star high school runner, soccer player, and student from Allendale, New Jersey, who, after entering college developed severe anxiety and depression that resulted in her suicide during the spring semester of her first year. Madison’s family, friends, and college coaches did not understand the full extent of her suffering; her suicide was largely a surprise (Fagan, 2017). Other well-known sports figures have also openly shared their personal stories about struggles with mentalhealth. For instance, Olympic swimmer Michael Phelps, winner of 23 gold medals, came out publicly about his battle with depression and thoughts of suicide. Professional athletes including Rick Ankiel, Mardy Fish, Imani Boyette, and Royce White, have also shared their personal stories, creating a new awareness about the struggles athletes have with mentalhealth and wellness (Gleeson & Brady, 2017).
• Support the Senior Academic in Nursing in developing and sustaining strong partnership relationships with a range of external bodies including: the East Midlands Strategic Health Authority, the local Health Communities and Trusts, and other Higher Education Institutions in the region.
This article compares the MHL and some relevant con- cerns regarding involuntary assessment and treatment for people suffering with mental illness in these four countries. While their colonial heritages are similar, their healthcare systems vary considerably [8–10]. Despite this variation in healthcare systems, their goals to develop mentalhealth services and reform their legislation in order to ensure proper care for this vulnerable group are comparable. Notwithstanding geographical, cultural, his- torical and linguistic diversity, commonalties have been identified when laws and some psychiatric clinical prac- tices have been compared across nations [11–14].
Despite these limitations, this study identified important mentalhealth trends that could help to identify predictors of risk for underrepresented students transitioning to college at predominantly white, upper-middle class universities, as well as to develop efficient and effective emotional support for these students. Future research should aim to increase generalizability by exploring these questions within various higher education settings, including community colleges, universities in suburban and urban settings, and larger universities. In addition, studies should seek to recruit larger samples with increased ethnic and gender diversity among underrepresented students. Future analysis should also compare the influence of multiple, intersecting social identities including gender, low-income, first-generation, immigrant, and ethnic minority statuses in order to isolate the key mechanisms of attrition among specific subgroups of UR. For example, although sample size was not sufficient to fully explore these issues in the current sample, one aspect of social identity, low-income status, appeared to be most consistently correlated (all r’s > ±0.30; all p’s < 0.05) with perceived stress and depressive symptoms at follow up. Moreover, issues of income and social status came up in the interviews. The quote below illustrates how perceived income-status seemed to affect even NR:
subpoena without written authorization from the patient if the department and probable cause panel of the appropriate board, if any, find reasonable cause to believe that a health care practitioner has submitted a claim, statement, or bill using a billing code that would result in payment greater in amount than would be paid using a billing code that accurately describes the services performed, requested payment for services that were not performed by that health care practitioner, used information derived from a written report of an automobile accident generated pursuant to chapter 316 to solicit or obtain patients personally or through an agent regardless of whether the information is derived directly from the report or a summary of that report or from another person, solicited patients fraudulently, received a kickback as defined in s. 456.054, violated the patient brokering provisions of s. 817.505, or presented or caused to be presented a false or fraudulent insurance claim within the meaning of s. 817.234(1)(a), and also find that, within the meaning of s. 817.234(1)(a), patient authorization cannot be obtained because the patient cannot be located or is deceased, incapacitated, or suspected of being a participant in the fraud or scheme, and if the subpoena is issued for specific and relevant records.
their study on the caregivers of bipolar affective disorder and alcohol dependence syndrome patients recruited from the psychiatric outpatient department (OPD) of hospitals which provided clinical services to J.J.M. Medical College also concurred that domains such as physical and mentalhealth, caregiver’s routine, and spouse related showed highest amount of burden, followed by external support, patient behavior, caregiver’s strategy, taking responsibility, and support of patient. Least burden was seen in the areas of other relations.
volumetrics, at least 5 portions of fruits and vegetables; up to three low-calorie, meal/snack-replacement shakes; two packaged entrees of less than 300 calories each and other low calorie items, 2 shake mixes from Health Management Resources (HMR) daily (110 kcal per serving). Activity: Optional. A game board aiming to increase number of steps. Behaviour: praise, problem solving, reward system. Carers could assist if needed.
In addition to what has already been discussed regarding the reporting of adverse incidents (sentinel events) to the Joint Commission, Florida law mandates the reporting to its Agency for Health Care Administration (AHCA) within 15 calendar days from their occurrence a set of serious adverse events associated with and occurring possibly as a result of medical intervention and which have resulted in an adverse outcome. To assure that this occurs, the JCAHO accredited facility must have in place a well developed risk management program which includes an incident reporting system requiring all healthcare providers and employees to report adverse incidents to the risk manager or his or her designee within 3 business days of the incident. Florida law defines an
Mass violence incidents, including terror attacks, are a global problem. There is much potential for learning from responses in other countries. After the terror attacks in Oslo and Utøya Island in 2011, survivors, mainly young people, dispersed across the country. The Norwegian government approved a national primary care based outreach strategy coordinated by the Norwegian Center for Violence and Traumatic Stress Studies, which used crisis teams in each affected municipality. Survivors were identified from a list of those attending a summer camp on the island. 6 All were contacted directly after the attack and municipalities were recommended to assign each a contact person who would provide initial support, ensure continuity, and set up screening assessments. A follow-up study found that most (84%) had had communication with a contact person in the first four to five months, but this was not maintained; nearly half reported no communication between initial contact and 15 months after the attack. 7 No contact was associated with lower use of mentalhealth services, and
of London, London, UK. 144 Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK. 145 Sheba Medical Center, Tel Hashomer, Israel. 146 Applied Molecular Genomics Unit, VI.B. Department of Molecular Genetics, University of Antwerp, Antwerp, Belgium. 147 Centre for Integrative Sequencing, iSEQ, Aarhus University, Aarhus, Denmark. 148 Department of Biomedicine, Aarhus University, Aarhus, Denmark. 149 First Department of Psychiatry, University of Athens Medical School, Athens, Greece. 150 Department of Psychiatry, University College Cork, Ireland. 151 Department of Medical Genetics, Oslo University Hospital, Oslo, Norway. 152 Cognitive Genetics and Therapy Group, School of Psychology and Discipline of Biochemistry, National University of Ireland Galway, Ireland. 153 Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois, USA. 154 Department of Psychiatry and Behavioral Sciences, NorthShore University HealthSystem, Evanston, Illinois, USA. 155 Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, London, UK. 156 Department of Child and Adolescent Psychiatry, University Clinic of Psychiatry, Skopje, Republic of Macedonia. 157 Department of Psychiatry, University of Regensburg, Regensburg, Germany. 158 Department of General Practice, Helsinki University Central Hospital, Helsinki, Finland. 159 Folkha ¨lsan Research Center, Helsinki, Finland. 160 National Institute for Health and Welfare, Helsinki, Finland. 161 Translational Technologies and Bioinformatics, Pharma Research and Early Development, F. Hoffman-La Roche, Basel, Switzerland. 162 Department of Psychiatry, Georgetown University School of Medicine, Washington, District Of Columbia, USA. 163 Department of Psychiatry, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA. 164 Department of Psychiatry, Virginia Commonwealth University School
hockey. 7,9,10,75,76,105 Thus, it is difficult to generalize findings to former athletes that are younger, female, and from sports with lower levels of contact. Second, with the exception of a few recent studies, 11,105,106 prior research has relied on single-item questions and has made limited use of validated scales to assess mentalhealth outcomes. Third, in many cases, only concussions sustained during professional careers were considered in analyses. However, some of the “non-exposed” athletes (i.e., no professional sport concussions) in previous studies may have sustained concussions in other sport-related and non-sport-related settings. This could lead to biased effect estimates. A moderate correlation was found between the reported number of concussions sustained during one’s professional and collegiate career; 100 however, it would be more appropriate to consider a complete concussion history that includes all sport-related and non-sports related concussions sustained across the lifespan. Researchers have limited concussion history to those concussions sustained during college and professional sports because former athletes probably have better recall of these