Journal articles: 'Regional Mental Health'

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Lewis, G., and M. Booth. "Regional differences in mental health in Great Britain." Journal of Epidemiology & Community Health 46, no. 6 (December 1, 1992): 608–11. http://dx.doi.org/10.1136/jech.46.6.608.

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Cookson, Ian B. "Development of Mental Health Services." Bulletin of the Royal College of Psychiatrists 10, no. 7 (July 1986): 180–81. http://dx.doi.org/10.1192/s0140078900027814.

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In the Mersey Regional Health Authority it has been decided that closure of at least one large mental illness hospital will take place within some 10 years and may be complete by 1992. To facilitate this the region has provided funding for every long-stay patient who might be discharged to the care of voluntary organisations or Social Services Departments and joint assessments of patients have been undertaken by the Health Service and Social Services staff.

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Happell, Brenda, David Scott, Wendy Hoey, and Robert Stanton. "Self-Reported Health, Health Behaviors, Attitudes, and Beliefs of Regional Mental Health Consumers." Perspectives in Psychiatric Care 50, no. 3 (October 24, 2013): 193–200. http://dx.doi.org/10.1111/ppc.12043.

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Craig, Thomas J. H., Peggy A. Hussey, Donald A. Kaye, Kemsey J. Mackey, James Mc Creath, Janine Tremblay, and Michelle S. Vedus. "Family Support Programs in a Regional Mental Health System." Psychiatric Services 38, no. 5 (May 1987): 459–60. http://dx.doi.org/10.1176/ps.38.5.459.

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Henderson, Claire, Graham Thornicroft, and Gyles Glover. "Inequalities in mental health." British Journal of Psychiatry 173, no. 2 (August 1998): 105–9. http://dx.doi.org/10.1192/bjp.173.2.105.

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The Government emphasis on tackling health inequalities and the availability of recent data on mental health inequalities from the Office of Population Censuses and Survey's (OPCS) National Psychiatric Morbidity Survey (NPMS) (Meitzer et al, 1995) suggest that it is time to review the evidence on inequalities in mental health. We aim to summarise the relevant research on rates of psychiatric morbidity within the general population, and define specific populations at high risk of mental disorder. The theories put forward to account for these inequalities are considered, noting the limitations of the data they are based on and highlighting their implications for the data required to facilitate further research. Inequalities in access, provision and appropriateness of services are also discussed. We make policy recommendations for reducing these inequalities at national, regional and district levels.

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Tomasic, Maria. "Asia-Pacific Mental Health Forum brings regional leaders together to tackle the challenges facing mental health." Australasian Psychiatry 21, no. 4 (August 2013): 425–26. http://dx.doi.org/10.1177/1039856213497315g.

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Wright, Eryn, Elizabeth Leitch, Kevin Fjeldsoe, Sandra Diminic, Kate Gossip, Patricia Hudson, and Harvey Whiteford. "Using the National Mental Health Service Planning Framework to support an integrated approach to regional mental health planning in Queensland, Australia." Australian Journal of Primary Health 27, no. 2 (2021): 109. http://dx.doi.org/10.1071/py20150.

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Regional integrated service planning has been identified as a key priority for improving the mental health system in Australia. The National Mental Health Service Planning Framework (NMHSPF) is an integrated planning tool that estimates the resources required to deliver the optimal mix of mental health services to a population. In 2016, Queensland Health commissioned a trial application of the NMHSPF for joint mental health planning between a Primary Health Network (PHN) and the corresponding state Hospital and Health Services (HHSs) in a regional area. The aim of this work was to collaborate with stakeholders from each organisation to collect available data on the delivery and resources of existing mental health services in the region and compare these to NMHSPF estimates to identify potential priority areas for planning. This paper provides mental health planners with an exemplar model for using the NMHSPF to support integrated planning at the regional level and describes the barriers, facilitators and key outcomes of this work.

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Skapinakis, Petros, Glyn Lewis, Ricardo Araya, Kelvyn Jones, and Gareth Williams. "Mental health inequalities in Wales, UK: Multi–level investigation of the effect of area deprivation." British Journal of Psychiatry 186, no. 5 (May 2005): 417–22. http://dx.doi.org/10.1192/bjp.186.5.417.

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BackgroundGeographical variation in the prevalence of common mental disorders has not been explained adequately.AimsTo investigate whether regional mental health differences in Wales would persist after having taken into account the characteristics of individuals and regional social deprivation.MethodData from the 1998 Welsh Health Survey were used. Common mental disorders were assessed with the mental health index included in the Short-Form 36 health survey (SF–36). The data were analysed using a multi–level linear regression model.ResultsOf the total variance in the mental health index, 1.47% occurred at regional level (95% CI 0.56–2.38). Adjustment for individual characteristics did not explain the between-region variation. A higher area deprivation score was associated with a higher score on the mental health index.ConclusionsMental health differences in Wales are partly explained by the level of regional social deprivation.

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Puszka, Stefanie, Kylie M. Dingwall, Michelle Sweet, and Tricia Nagel. "E-Mental Health Innovations for Aboriginal and Torres Strait Islander Australians: A Qualitative Study of Implementation Needs in Health Services." JMIR Mental Health 3, no. 3 (September 19, 2016): e43. http://dx.doi.org/10.2196/mental.5837.

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Background Electronic mental health (e-mental health) interventions offer effective, easily accessible, and cost effective treatment and support for mental illness and well-being concerns. However, e-mental health approaches have not been well utilized by health services to date and little is known about their implementation in practice, particularly in diverse contexts and communities. Objective This study aims to understand stakeholder perspectives on the requirements for implementing e-mental health approaches in regional and remote health services for Indigenous Australians. Methods Qualitative interviews were conducted with 32 managers, directors, chief executive officers (CEOs), and senior practitioners of mental health, well-being, alcohol and other drug and chronic disease services. Results The implementation of e-mental health approaches in this context is likely to be influenced by characteristics related to the adopter (practitioner skill and knowledge, client characteristics, communication barriers), the innovation (engaging and supportive approach, culturally appropriate design, evidence base, data capture, professional development opportunities), and organizational systems (innovation-systems fit, implementation planning, investment). Conclusions There is potential for e-mental health approaches to address mental illness and poor social and emotional well-being amongst Indigenous people and to advance their quality of care. Health service stakeholders reported that e-mental health interventions are likely to be most effective when used to support or extend existing health services, including elements of client-driven and practitioner-supported use. Potential solutions to obstacles for integration of e-mental health approaches into practice were proposed including practitioner training, appropriate tool design using a consultative approach, internal organizational directives and support structures, adaptations to existing systems and policies, implementation planning and organizational and government investment.

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Wong, Yu Ching Ides, Anna Davis, Pattie Hudson, Eryn Wright, Elizabeth Leitch, and John Allan. "National Mental Health Service Planning Framework – Implementation of joined-up regional planning of mental health service delivery." International Journal of Integrated Care 18, s1 (March 12, 2018): 47. http://dx.doi.org/10.5334/ijic.s1047.

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Mason, Paul H., Annika C. Sweetland, Greg J. Fox, Shaun Halovic, Thu Anh Nguyen, and Guy B. Marks. "Tuberculosis and mental health in the Asia-Pacific." Australasian Psychiatry 24, no. 6 (July 10, 2016): 553–55. http://dx.doi.org/10.1177/1039856216649770.

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Objective: This opinion piece encourages mental health researchers and clinicians to engage with mental health issues among tuberculosis patients in the Asia-Pacific region in a culturally appropriate and ethical manner. The diversity of cultural contexts and the high burden of tuberculosis throughout the Asia-Pacific presents significant challenges. Research into tuberculosis and mental illness in this region is an opportunity to develop more nuanced models of mental illness and treatment, while simultaneously contributing meaningfully to regional tuberculosis care and prevention. Conclusions: We overview key issues in tuberculosis and mental illness co-morbidity, highlight ethical concerns and advocate for a regional approach to tuberculosis and mental health that is consistent with the transnational challenges presented by this airborne infectious disease. Integrating tuberculosis and mental health services will go a long way to addressing the needs of vulnerable populations and stopping the transmission of one of the world’s biggest infectious killers.

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Fuller, Jeff, and Jane Edwards. "Data, circumstance and politics: reflections on regional mental health planning." Australian Health Review 27, no. 1 (2004): 93. http://dx.doi.org/10.1071/ah042710093.

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We use our experience as consultants to a regional mental health planning project in South Australia to describe threepractical aspects of regional health planning. First, we systematically summarised various data on socio-demographicindicators, health status and health service use along with qualitative opinion about needs and services fromconsultations with over 200 stakeholders. In addition to these data, we found that attention to two other aspects ofplanning, circumstance and politics, were of critical importance, particularly if the plan was to be implemented andas a way of turning thinking into action.

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Nicholls, Judith E., Carol A. Fernandez, and Andrew F. Clark. "Use of mental health legislation in a regional adolescent unit." Psychiatric Bulletin 20, no. 12 (December 1996): 711–13. http://dx.doi.org/10.1192/pb.20.12.711.

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The use of mental health legislation in a Regional Adolescent Unit over a 10 year period was reviewed. There was a trend of increasing use over time. This was thought to reflect changes in attitude and professional practice subsequent to the introduction of the Children Act 1989. Conversion rates of Section 5(2) were high and practitioners with appropriate training were involved in the majority of sections, indicating good practice.

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Ben-Zeev, Dror. "Mobile Health for All: Public-Private Partnerships Can Create a New Mental Health Landscape." JMIR Mental Health 3, no. 2 (June 6, 2016): e26. http://dx.doi.org/10.2196/mental.5843.

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Research has already demonstrated that different mHealth approaches are feasible, acceptable, and clinically promising for people with mental health problems. With a robust evidence base just over the horizon, now is the time for policy makers, researchers, and the private sector to partner in preparation for the near future. The Lifeline Assistance Program is a useful model to draw from. Created in 1985 by the U.S. Federal Communications Commission (FCC), Lifeline is a nationwide program designed to help eligible low-income individuals obtain home phone and landline services so they can pursue employment, reach help in case of emergency, and access social services and healthcare. In 2005, recognizing the broad shift towards mobile technology and mobile-cellular infrastructure, the FCC expanded the program to include mobile phones and data plans. The FCC provides a base level of federal support, but individual states are responsible for regional implementation, including engagement of commercial mobile phone carriers. Given the high rates of disability and poverty among people with severe mental illness, many are eligible to benefit from Lifeline and research has shown that a large proportion does in fact use this program to obtain a mobile phone and data plan. In the singular area of mobile phone use, the gap between people with severe mental illness and the general population in the U.S. is vanishing. Strategic multi-partner programs will be able to grant access to mHealth for mental health programs to those who will not be able to afford them—arguably, the people who need them the most. Mobile technology manufacturing costs are dropping. Soon all mobile phones in the marketplace, including the more inexpensive devices that are made available through subsidy programs, will have “smart” capabilities (ie, internet connectivity and the capacity to host apps). Programs like Lifeline could be expanded to include mHealth resources that capitalize on “smart” functions, such as secure/encrypted clinical texting programs and mental health monitoring and illness-management apps. Mobile phone hardware and software development companies could be engaged to add mHealth programs as a standard component in the suite of tools that come installed on their mobile phones; thus, in addition to navigation apps, media players, and games, the new Android or iPhone could come with guided relaxation videos, medication reminder systems, and evidence-based self-monitoring and self-management tools. Telecommunication companies could be encouraged to offer mHealth options with their data plans. Operating system updates pushed out by the mobile carrier companies could come with optional mHealth applications for those who elect to download them. In the same manner in which the Lifeline Assistance Program has helped increase access to fundamental opportunities to so many low-income individuals, innovative multi-partner programs have the potential to put mHealth for mental health resources in the hands of millions in the years ahead.

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Tursunkulovich, Egamberdiev Farmonkul. "Assessment of Regional Tourism Potential and the Role of Andijan Region." International Journal of Psychosocial Rehabilitation 24, no. 5 (May 25, 2020): 6426–35. http://dx.doi.org/10.37200/ijpr/v24i5/pr2020627.

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Klijnsma, Marinus P., Annie E. A. Bartlett, and Andrea Cohen. "Section 136 agreements in a regional health authority." Psychiatric Bulletin 18, no. 1 (January 1994): 36–38. http://dx.doi.org/10.1192/pb.18.1.36.

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The limited previous research on usage of section 136 of the Mental Health Act 1983 (MHA) has either confined itself to description of socio-demographic and clinical data (Dunn ft Fahy, 1990) or considered procedural issues solely in urban areas (Rogers ft Faulkner, 1987). This is despite the repeated concern of the Mental Health Act Commission (1991), which has noted more widespread difficulties in the use of section 136, highlighting individual failures by local services to adhere to the Code of Practice MHA (Department of Health and Welsh Office, 1990). This study attempts a region-wide survey of section 136 agreements and the corresponding frequency of use of the procedures. This is in line with the Reed Committee recommendations (Department of Health/Home Office, 1992), which prioritised early diversion from custody as an area of research, and emphasised the desirability of multi-agency section 136 agreements.

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Pringle, Yolana. "Negotiating South–South cooperation for mental health: the World Health Organization and the African Mental Health Action Group, 1970s–90s." Medical History 65, no. 4 (October 2021): 403–19. http://dx.doi.org/10.1017/mdh.2021.30.

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AbstractThis article explores the African Mental Health Action Group (AMHAG), one of the earliest examples of the World Health Organization’s (WHO) attempts to promote ‘ownership’ over development through the South–South cooperation envisaged in Technical Cooperation in Developing Countries. Formed in 1978, the AMHAG was intended to guide national and regional policy on mental health, while also fostering national and collective self-reliance. For a short period, between the late 1970s and the early 1990s, it was central to the WHO’s strategy for promoting policies of mental health in primary healthcare in Africa. It was a largely ineffective tool, with national governments having different opinions on the value of mental health, and poor coordination between AMHAG countries. Approaching the AMHAG as a regional project and transnational network, however, the article provides explores the importance of regions and regionalism in international health cooperation, as well as the inequities of participation in health development. Drawing on WHO archival material spanning over twenty countries and two national liberation movements, it argues that participating countries were differently positioned not only to navigate relationships between countries, but also to contend with the shifting landscape of international assistance, as well as – for some – contexts of war, violence and political and economic instability. The article not only serves as a case study of power imbalances in a failed development initiative, but also sheds light on the WHO’s engagement with mental health during a period that historians of psychiatry in Africa have tended to overlook.

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Naughton, Michael F. A., Darryl J. Maybery, and Melinda Goodyear. "Prevalence of mental illness within families in a regional child-focussed mental health service." International Journal of Mental Health Nursing 27, no. 2 (September 19, 2017): 901–10. http://dx.doi.org/10.1111/inm.12386.

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Abou-Saleh, Mohammed T., and George N. Christodoulou. "Mental health of refugees: global perspectives." BJPsych. International 13, no. 4 (November 2016): 79–81. http://dx.doi.org/10.1192/s2056474000001379.

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Refugees have high rates of mental health morbidity as a result of conflict. However, their needs for mental healthcare and psychosocial support are often unmet, despite the efforts of professional and humanitarian organisations. The war refugee crisis is a global challenge that needs a global solution. We call on all governments, regional and international organisations to take responsible humanitarian actions to intervene and support people affected by these disasters and for all humanity to unite against the forces of injustice and degradation. The thematic papers in this issue report on the Syrian crisis from a variety of perspectives.

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Akpysharov, N. "Improving Mental Health Care as the Most Pressing Public Health Issue." Bulletin of Science and Practice 6, no. 5 (May 15, 2020): 184–94. http://dx.doi.org/10.33619/2414-2948/54/22.

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Mental disorders are an acute public health problem in the WHO European region, affecting 25% the entire population every year. WHO activities in the area of mental health promotion at the level of individuals and society as a whole are aimed at improving human mental well-being, preventing mental disorders, protecting human rights and caring for people with mental disorders. The WHO European Conference on Mental Health (2005), 66th Session of the World Health Assembly (2013), 63rd Session of the WHO European Regional Committee (2013) have focused on mental health. In the Kyrgyz Republic, the State policy to change the system of assistance to persons with mental disabilities, to establish a unified mental health service and to change the attitude of society towards mental health and the mentally ill is reflected in the National Program Mental health of the population of the Kyrgyz Republic for 2001–2010, the National Health Reform Program of the Kyrgyz Republic Den Sooluk for 2012–2018, for the Sustainable Development Goals up to 2030, adopted at the Summit by UN members, the Program for Mental Health Protection of the Population of the Kyrgyz Republic for 2018-2030. Given the negative trends in the mental health care system, an important element in addressing the shortcomings is the increased use of new institutional forms of mental health care, such as the Medical Rehabilitation Unit, Intensive Mental Health Care Unit, Psychiatric Dispensaries and Outpatient Psychiatric Rooms, in dispensary monitoring. Priority in the further development of psychiatric care should be given to the most effective and less costly forms of its provision, ahead of the development of outpatient level, inter-agency interaction and integration of psychiatric service with other levels of regional health and social protection.

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Janes, Tina, Tania Signal, and Barbra Zupan. "Mental Health Practitioners’ Understanding of Speech Pathology in a Regional Australian Community." Healthcare 9, no. 11 (November 1, 2021): 1485. http://dx.doi.org/10.3390/healthcare9111485.

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(1) Background: This study aimed to determine the level of knowledge and the perceptions of speech pathology held by a sample of regional mental health practitioners and to explore factors that facilitate understanding of the roles of speech pathologists in mental health. While mental health is recognised as an area of practice by Speech Pathology Australia, the inclusion of speech pathologists in mental health teams is limited. (2) Methods: An anonymous online survey was created using previously validated surveys and author generated questions and distributed to mental health practitioners in Central Queensland, Australia. (3) Results: Mental health practitioners had difficulty identifying speech pathology involvement when presented with case scenarios. Accuracy was poor for language-based cases, ranging from 28.81% to 37.29%. Participants who reported having worked with a speech pathologist were more likely to demonstrate higher scores on the areas of practice questions, [r(53) = 0.301, p = 0.028], and the language scenarios [r(58) = 0.506, p < 0.001]. They were also more likely to agree to statements regarding the connection between speech pathology and mental health, r(59) = 0.527, p < 0.001. (4) Conclusions: As found in this study, contact with speech pathologists is a strong predictor of mental health providers’ knowledge of the speech pathology profession. Thus, the challenge may be to increase this contact with mental health providers to promote inclusion of speech pathologists in the mental health domain.

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Zonda, Tamás, Borbála Paksi, and Gabriella Nagy. "Relationship between religiosity and suicide in Hungary. An analysis of the sub-regional data (1970–2010)." Mentálhigiéné és Pszichoszomatika 15, no. 1 (March 2014): 67–83. http://dx.doi.org/10.1556/mental.15.2014.1.4.

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Skuse, David. "Mental health and the World Health Organization: translating strategy into practice." International Psychiatry 9, no. 4 (November 2012): 80–81. http://dx.doi.org/10.1192/s1749367600003337.

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We asked the programme managers for mental health at the World Health Organization's Regional Offices for Europe, the Eastern Mediterranean and South-East Asia to provide an account of developments in the provision of mental health services within their regions.We are very fortunate that these busy and influential individuals were able to set aside the time to prepare articles that shed a fascinating light on strategic thinking within the World Health Organization.

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Naveed, Ayesha, and Damber Kumar Nirola. "Mental health in Bhutan." International Psychiatry 9, no. 1 (February 2012): 11–12. http://dx.doi.org/10.1192/s1749367600002915.

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The Kingdom of Bhutan lies in the folds of the eastern Himalayas, sandwiched between India to the south and China to the north. It has a total area of 38394 km2, which is roughly the size of Switzerland, and a population of a little over 70 0000 (Royal Government of Bhutan, 2002). It is a mountainous country, except for a small flat strip in the southern foothills. The official language is Dzongha, but English is widely spoken. English is the medium of instruction from pre-primary level onwards. In 1999 Bhutan allowed viewing of television and use of the internet, as a step towards modernisation. In the early 20th century, Bhutan came into contact with the British Empire; Bhutan maintains strong bilateral relations with India. Business Week magazine in 2006 rated Bhutan the happiest country in Asia and the eighth happiest in the world, based on a global survey. Bhutan is in fact the only country where happiness is measured in the form of an index, ‘Gross National Happiness’. The main religion practised in the country is Buddhism, with Hinduism as the second most prevalent. The capital and largest city is Thimphu. In 2007, Bhutan made the transition from absolute monarchy to constitutional monarchy, and held its first general election in 2008. Bhutan is a member of the United Nations and of the South Asian Association for Regional Cooperation (SAARC); it hosted the 16th SAARC summit in April 2010.

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Contributors, Various. "Responses to the Draft Mental Health Bill." International Journal of Mental Health and Capacity Law, no. 8 (September 8, 2014): 373. http://dx.doi.org/10.19164/ijmhcl.v0i8.383.

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Responses and comments on the Draft Mental Health Bill are provided by:The Law SocietyThe Royal College of PsychiatristsLibertyGuy Otten, Regional Chair for Trent, Yorkshire and Northern RegionRobert Brown, Independent Trainer of ASWs and MHA Commissioner

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Muijen, Matt. "Challenging times for mental health services." International Psychiatry 7, no. 1 (January 2010): 1–2. http://dx.doi.org/10.1192/s1749367600000874.

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We are living in significant and challenging times for mental health services across the world. On the one hand, many countries are in the middle of comprehensive reforms of their mental health systems, and these require funding (WHO Europe, 2008). On the other, they are affected by the global financial crisis as regional and national economic recessions threaten to herald a social crisis in many countries. Governments have had to come up with multi-billion-dollar rescue packages. At an individual level, debt status is already high in many countries, owing to falling house prices and high consumption levels, combined with rising commodity prices during the past few years, before the onset of the recession. At a public level, countries will be forced to make stringent cuts in public sector expenditure.

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Martin, Michael S., Anne G. Crocker, Beth K. Potter, George A. Wells, Rebecca M. Grace, and Ian Colman. "Mental Health Screening and Differences in Access to Care among Prisoners." Canadian Journal of Psychiatry 63, no. 10 (February 28, 2018): 692–700. http://dx.doi.org/10.1177/0706743718762099.

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Objective: Disparities in mental health care exist between regional and demographic groups. While screening is recommended as part of a correctional mental health strategy, little work has been done to explore whether it can narrow regional and demographic disparities in access to care. We compared treatment access rates by sex, race, age, and region in relation to screening results. Methods: We conducted a retrospective cohort study using administrative data. All 7965 admissions to the prison system were followed for a median of 14 months. Results: Males and non-Indigenous minority racial groups had lower rates of treatment regardless of screening results; they were less likely both to self-report needs and to receive treatment if these needs were reported. Regional differences revealed higher treatment rates in Atlantic Canada and Ontario, as well as higher rates of inmates self-reporting needs on screening who did not receive treatment in the Atlantic, Québec, and Pacific regions. There were minimal differences between inmates of different age groups. Conclusions: Findings suggest potential resource gaps and/or differences in the performance of screening to detect mental health needs across demographic and regional groups. Screening did not narrow, and may have widened, differences between groups.

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Desai, NimeshG. "Regional cooperation for mental health in South Asia: Opportunities and challenges." Indian Journal of Psychiatry 47, no. 2 (2005): 71. http://dx.doi.org/10.4103/0019-5545.55932.

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Gater, R,, Z. Chew, and Khalid Saeed. "Situational analysis: preliminary regional review of the Mental Health Atlas 2014." Eastern Mediterranean Health Journal 12, no. 7 (July 1, 2015): 467–76. http://dx.doi.org/10.26719/2015.21.7.467.

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Raynaud, J. P. "Child and adolescent mental health: Regional training for primary care physicians." Neuropsychiatrie de l'Enfance et de l'Adolescence 60, no. 5 (July 2012): S103. http://dx.doi.org/10.1016/j.neurenf.2012.05.431.

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Pyper, Zoe, and Jessica L. Paterson. "Fatigue and mental health in Australian rural and regional ambulance personnel." Emergency Medicine Australasia 28, no. 1 (December 12, 2015): 62–66. http://dx.doi.org/10.1111/1742-6723.12520.

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Berghöfer, Anne, Farideh C. Afraz, and Carsten Dreher. "Regional global budgets to promote integrated mental health care in Germany." International Journal of Integrated Care 22, S3 (November 4, 2022): 384. http://dx.doi.org/10.5334/ijic.icic22194.

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Gravel, Ronald, and Yves Béland. "The Canadian Community Health Survey: Mental Health and Well-Being." Canadian Journal of Psychiatry 50, no. 10 (August 1, 2005): 573–79. http://dx.doi.org/10.1177/070674370505001002.

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As part of the Canadian Community Health Survey (CCHS) biennial strategy, the provincial survey component of the first CCHS cycle (Cycle 1.2) focused on different aspects of the mental health and well-being of Canadians living in private dwellings. Moreover, the survey collected data on prevalences of specific mental disorders and problems, use of mental health services, and economic and personal costs of having a mental illness. Data collection began in May 2002 and extended over 8 months. More than 85% of all interviews were conducted face-to-face and used a computer-assisted application. The survey obtained a national response rate of 77%. This paper describes several key aspects of the questionnaire content, the sample design, interviewer training, and data collection procedures. A brief overview of the CCHS regional component (Cycle 1.1) is also given.

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Buckley, David, and Susan Weisser. "Videoconferencing could reduce the number of mental health patients transferred from outlying facilities to a regional mental health unit." Australian and New Zealand Journal of Public Health 36, no. 5 (October 2012): 478–82. http://dx.doi.org/10.1111/j.1753-6405.2012.00915.x.

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Blignault, Ilse, Hend Saab, Lisa Woodland, Klara Giourgas, and Heba Baddah. "Promoting Mental Health and Wellbeing in Multicultural Australia: A Collaborative Regional Approach." International Journal of Environmental Research and Public Health 19, no. 5 (February 26, 2022): 2723. http://dx.doi.org/10.3390/ijerph19052723.

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Migrant communities are often under-served by mental health services. Lack of community engagement results in missed opportunities for mental health promotion and early intervention, delayed care, and high rates of untreated psychological distress. Bilingual clinicians and others who work with these communities lack linguistically and culturally appropriate resources. This article reports on the implementation and evaluation of a community-based group mindfulness program delivered to Arabic and Bangla-speaking communities in Sydney, Australia, including modifications made to the content and format in response to the COVID-19 pandemic. The program was positioned within a stepped-care model for primary mental health care and adopted a collaborative regional approach. In addition to improved mental health outcomes for face-to-face and online program participants, we have documented numerous referrals to specialist services and extensive diffusion of mindfulness skills, mostly to family members, within each community. Community partnerships were critical to community engagement. Training workshops to build the skills of the bilingual health and community workforce increased the program’s reach. In immigrant nations such as Australia, mainstream mental health promotion must be complemented by activities that target specific population groups. Scaled up, and with appropriate adaptation, the group mindfulness program offers a low-intensity in-language intervention for under-served communities.

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Dhemaid, M., W. Abbes, A. Kerkeni, S. Bader, M. Abbes, K. Medhaffer, K. Zitoun, and L. Ghanmi. "Covid19 pandemic impacts on mental health of tunisian health care workers." European Psychiatry 64, S1 (April 2021): S287—S288. http://dx.doi.org/10.1192/j.eurpsy.2021.771.

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Introduction Covid19 pandemic in Tunisia has disturbed the health system. Health care workers, who were in the frontline to face this disease, had experienced reactions of anxiety, depression and distress.ObjectivesTo assess the level of anxiety and depression among health care workers of regional hospital of Gabes (south of Tunisia) and its associated factors.Methods We conducted a cross-sectional study, from April 19, 2020, to May 5, 2020 on healthcare workers in Gabes regional Hospital. All hospital departments and units were included. We used a self-administered anonymous questionnaire containing sociodemographic and clinical data. Hospital Anxiety and Depression Scale (HAD) validated in the Tunisian dialectal version was used to assess anxiety and depression.ResultsAmong the 289 responding participants, 100 (34.6%) were frontline health care workers directly engaged in managing patients with coronavirus disease. Our study revealed that 43.6% of health care workers were suffering from anxiety and 44.3 % from depression. There was a significant association between anxiety and female gender (p<0.001), being married (p=0.006), mental health conditions (p<0.001) especially anxiety disorders (p<0.001) and depressive disorders (p=0.03), personal medical history of dysthyroidism (p=0.013) and smoking (p=0.005). Nurses experienced more likely anxiety symptoms than other occupation (p=0.021). There was significant relationship between depression and female gender (p<0.001), married status (p=0.02), age under 50 (p=0.032) and mental health conditions (p<0.001) such as anxiety disorders (p=0.001) and depressive disorders (p=0.013).ConclusionsIt is crucial to provide care for health care workers with mental health problems during their struggle with covid19.

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Kron, Michael, Rupinder Grewal, John Idso, Michael Prough, Cassandra Sundaram, Scott Klein, John Nida, Desmond Jumbam, and Kaya Garringer. "Mental health indicators in APEC." International Journal of Social Psychiatry 65, no. 2 (December 29, 2018): 92–97. http://dx.doi.org/10.1177/0020764018819631.

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Background: The World Economic Forum (2011) concluded that the economic impact of mental illness is the single most important contributor among all non-communicable diseases to loss of productivity. The 21 economies represented by Asia Pacific Economic Cooperation (APEC) responded to that information with efforts to address mental health as an integral component of economic development. Aim: In order to help assess the progress of APEC region compared to other regions of the world, the World Health Organization (WHO) granted us access to a subset of the 2014 Mental Health Atlas database containing health indicators from all 21 APEC economies. Methods: APEC-specific data were extracted using the same format used by WHO in its Mental Health Atlas to compare/contrast data in APEC versus the six WHO regions of the world. Results: It was observed that mental health workforces in APEC include a higher number of psychiatrist providers compared with WHO regions. Suicide rates reported in three APEC economies are among the highest in the world. All APEC economies continue their individual and coordinated efforts to support their ‘ APEC Roadmap to Promote Mental Wellness in a Healthy Asia Pacific (2014–2020)’. Conclusion: Significant challenges for APEC members exist to coordinate regional efforts to improve mental health due to highly variable income levels, existing health infrastructures and social preferences. The findings in this report may serve as a helpful baseline for measuring success within the APEC region by 2020, the year in which progress in support of economic development will be reassessed.

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COSTA-FONT, JOAN, LUIS SALVADOR-CARULLA, JUAN M. CABASES, JORDI ALONSO, and DAVID McDAID. "Tackling Neglect and Mental Health Reform in a Devolved System of Welfare Governance." Journal of Social Policy 40, no. 2 (July 13, 2010): 295–312. http://dx.doi.org/10.1017/s0047279410000553.

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AbstractA system of devolved welfare governance, it is argued, increases participation in welfare services. However, limited empirical evidence has been reported on how it influences welfare reform. This paper draws upon evidence from the mental health system in Spain, where health care is devolved to the regional states (autonomous communities), to examine whether policy reform of neglected policy areas may be triggered through heightened policy awareness and better participation of interested stakeholders. We find that regional devolution has helped to scale up mental health in some of Spain's autonomous regions relative to support for other services. Evidence suggests that whilst fragmentation and certain historical legacies remain path dependent, regional devolution has indeed enhanced experimentation, reform and policy innovation in mental health care. However, the expansion of mental health care coverage has been constrained by the lack of a clear definition of public coverage, as well as the need to meet the demands of evidence-based policy in an era of cost-containment. Inequalities in access to mental health care remain; they are compounded by the stigma and discrimination experienced by people with mental health problems, which is a common challenge for all health systems in Europe.

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Gentle, Emma, Paul Linsley, and John Hurley. "“Their story is a hard road to hoe”: how art-making tackles stigma and builds well-being in young people living regionally." Journal of Public Mental Health 19, no. 2 (January 31, 2020): 109–18. http://dx.doi.org/10.1108/jpmh-10-2019-0087.

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Purpose Remote and regional Australia have comparatively fewer mental health services than their urban counterparts, what is more, mental health remains profoundly stigmatised. This study aims to understand how, if at all, the process of group art-making then publicly displaying the artworks can contribute to stigma reduction for young people (YP) experiencing mental health challenges in regional Australia. Design/methodology/approach Interviews were conducted with six young artists who use regional mental health services and 25 people who viewed their displayed art using a thematic analysis of the coded interview data. Findings Findings of this study demonstrated how art-making as a process increased self-esteem, social interaction and artistic expression; while the viewers experienced an emotional connection to the art. The viewer’s response enhanced YP’s confidence in their abilities. Originality/value Incorporating art-making and exhibiting the art in public spaces could be incorporated into YP’s mental health services to support well-being and inform the perception the general public hold of mental health, thus reducing stigma.

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Rutz, Wolfgang. "The European WHO mental health programme and the World Health Report 2001: input and implications." British Journal of Psychiatry 183, no. 1 (July 2003): 73–74. http://dx.doi.org/10.1192/bjp.183.1.73.

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When the mental health programme of the World Health Organization (WHO) Regional Office for Europe was ‘resurrected’ in 1999, a review of the situation in the European Region of the WHO provided a surprisingly diverse picture. In this Region, which stretches from Greenland to Malta, from Ireland to Kamchatka, dramatic differences were noted in life expectancy and suicidality, income, housing, employment and social cohesion, as well as services, social support, human rights and the accessibility of basic care. In many societies, stigma and discrimination effectively excluded the mentally vulnerable from society and its basic services. Stigmatisation also hindered early intervention, rehabilitation and reintegration into society (WHO Regional Office for Europe, 1999, 2001).

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Wilkes, T. C. R., and D. Cawthorpe. "Evidence Supporting the Historical Context for Current Views on Unmet need in Child and Adolescent Mental Health." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70611-x.

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Objective:In over 60 years little has changed in children's mental health and the flag waving continues: It is time for action in the trenches. It is imperative to focus health policy on the need to provide basic mental health succor to children and their families. A failure to alter the situation related to children's mental health will no doubt have catastrophic consequences for our society. We review the level of progress made in reforming regional mental health services since 2002.Methods:Using population-based representation of regional service utilization capacity permits comparison of regional, provincial and national rates of child and adolescent mental disorder.Results:Regional services in the last 6 years have served at most approximately 1% of the 0-18 year old population annually. This rate represents an increase from about 0.6% in 2002.Conclusions:Rationing the scant professional resources that exist to serve children's mental health will become increasingly difficult. For example, it is estimated that three percent of 0-18 year-olds are estimated to suffer a debilitating mental problem. Implication for policy are that our results point to service gaps in need of immediate policy development to meet basic needs of children. Several strategies are considered.

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Wilkes, T. C. R., and D. Cawthorpe. "Evidence Supporting the Historical Context for Current Views on Unmet Need in Child and Adolescent Mental Health." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71019-3.

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Objective:In over 60 years little has changed in children's mental health and the flag waving continues: It is time for action in the trenches. It is imperative to focus health policy on the need to provide basic mental health succor to children and their families. A failure to alter the situation related to children's mental health will no doubt have catastrophic consequences for our society. We review the level of progress made in reforming regional mental health services since 2002.Methods:Using population-based representation of regional service utilization capacity permits comparison of regional, provincial and national rates of child and adolescent mental disorder.Results:Regional services in the last 6 years have served at most approximately 1% of the 0-18 year old population annually. This rate represents an increase from about 0.6% in 2002.Conclusions:Rationing the scant professional resources that exist to serve children's mental health will become increasingly difficult. For example, it is estimated that three percent of 0-18 year-olds are estimated to suffer a debilitating mental problem. Implication for policy are that our results point to service gaps in need of immediate policy development to meet basic needs of children. Several strategies are considered.

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Ussai, Silvia, Giulio Castelpietra, Ilaria Mariani, Andrea Casale, Eduardo Missoni, Marco Pistis, Lorenzo Monasta, and Benedetta Armocida. "What Is Next for Public Health after COVID-19 in Italy? Adopting a Youth-Centred Care Approach in Mental Health Services." International Journal of Environmental Research and Public Health 19, no. 22 (November 13, 2022): 14937. http://dx.doi.org/10.3390/ijerph192214937.

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Although endeavours to protect mental well-being during the COVID-19 pandemic were taken at national and regional levels, e.g., mental support in school, a COVID-19 emergency toll-free number for psychological support, these were sporadic conjunctural financing interventions. In this Communication, the authors conducted a systematic search for programmatic and policy documents and reports with a solid literature and policy analysis concerning the main objective, which is to analyse the appropriateness in implementing gender- and age-sensitive, integrated, youth-centred mental health services in Italy. The Italian National Action Plan for Mental Health reports a highly fragmented situation in the Child and Adolescent Neuropsychiatry services, in terms of an integrated and comprehensive regional network of services for the diagnosis, treatment, and rehabilitation of neuropsychological disorders in young people. Wide-ranging interventions, systemic actions should be implemented, funded, and included in an overall structural strengthening of the healthcare system, including those dedicated to transition support services. In this context, the National Recovery and Resilience Plan (NRRP), may represent an opportunity to leverage specific funds for mental health in general, and for youth in particular. Finally, mental health service governance should be harmonized at both national and regional EU levels—with the adoption of best practices implemented by other Member States. This includes, among others, health information system and data collection, which is critical for analysing epidemiological trends and for monitoring and evaluating services, to offer a public and integrated system for the care and protection of young people, in line with the Convention on the Rights of the Child.

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Beard, John R., Uta C. Dietrich, Lyndon O. Brooks, Robert T. Brooks, Kathy Heathcote, and Brian Kelly. "Incidence and Outcomes of Mental Disorders in a Regional Population: The Northern Rivers Mental Health Study." Australian & New Zealand Journal of Psychiatry 40, no. 8 (August 2006): 674–82. http://dx.doi.org/10.1080/j.1440-1614.2006.01867.x.

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Objectives: To estimate the incidence of mental disorders in a cohort of previously symptom-free individuals who are representatives of a regional Australian population. To map changing patterns of diagnosis and comorbidity within the cohort over a 2 year period. Method: Two year follow-up of a community-based cohort drawn from a telephone screening of 9191 randomly selected adults. Subjects were administered a comprehensive face-to-face interview which included the Composite International Diagnostic Interview. A total of 1407 subjects were interviewed at baseline, and 968 subjects were reinterviewed (a 68.8% follow-up rate). Results: There was considerable change in disorder status over the study period, and analysis of the Composite International Diagnostic Interview scoring suggests that these changes reflected real changes in symptomatology. Of subjects interviewed at both baseline and follow-up, 638 were classified as disorder-free at their entry to the study. After 2 years, 98 of these met criteria for a mental disorder during the preceding 12 months. After adjusting for sampling and gender, the 12 month incidence of any mental disorder among subjects who had been disorder-free 2 years previously was 9.95 per hundred person-years at risk. At baseline, a further 330 subjects met ICD-10 criteria for a mental disorder during the previous 12 months. Two years later, 167 of these subjects (50.6%) were disorder-free, and 163 still met the criteria for a mental disorder, although there had often been considerable change in their diagnosis. Subjects with a mental disorder at the commencement of the study were significantly more likely than those without a disorder to have a positive diagnosis 2 years later (p < 0.001). The number of diagnoses at baseline was a strong predictor of the number of diagnoses at follow-up (p < 0.001), and each additional comorbid diagnosis at baseline also increased the probability of a persisting disorder at follow-up (p < 0.001). Conclusions: Over a 2 year period, the majority of subjects with a mental disorder will become disorder-free, while a significant number of previously disorder-free individuals will develop a positive diagnosis. Health services need to be designed to meet this labile demand.

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Ito, Hiroto, Richard G. Frank, Yukiko Nakatani, and Yusuke Fukuda. "Mental Health Care Reforms in Asia: The Regional Health Care Strategic Plan: The Growing Impact of Mental Disorders in Japan." Psychiatric Services 64, no. 7 (July 2013): 617–19. http://dx.doi.org/10.1176/appi.ps.201200518.

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Langley, G. E. "The Mental Health Act 1983—Second Opinions under Section 58." Bulletin of the Royal College of Psychiatrists 9, no. 5 (May 1985): 92–94. http://dx.doi.org/10.1192/s0140078900001917.

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Section 58 of the Mental Health Act 1983 provides for statutory control of certain treatments given to detained patients through an obligation to obtain their consent or secure the approval of a doctor called as a second opinion through the Regional Office of the Mental Health Act Commission.

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Lumerman, Jose, and Sarah Conover. "Development of a sustainable community mental health program in a remote region: the Austral Institute for Mental Health." Cadernos Saúde Coletiva 21, no. 1 (March 2013): 80–84. http://dx.doi.org/10.1590/s1414-462x2013000100012.

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This paper described a community-based rehabilitation program in a remote region of Argentina. The program is located in Neuquén Province, in the Patagonia region. At the time it was initiated, about 20 years ago, the province had an excellent system of primary care, but one in which mental disorders were neglected. There were only a few psychiatrists in the province, and none involved in community care of people with severe mental disorders. Starting from this point, the "Austral" program was developed by making use of the local resources (such as primary care doctors) that were available, and it later earned a reputation as a model program.In 2012, Neuquén became a site of the RedeAmericas, a National Institute of Mental Health funded regional mental health network in Latin America.

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Spencer, D. A. "Psychiatric education in Yorkshire." Psychiatric Bulletin 13, no. 3 (March 1989): 138–40. http://dx.doi.org/10.1192/pb.13.3.138.

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The Yorkshire Regional Psychiatric Association is a group of psychiatrists, general practitioners, psychologists, nurses, social workers, occupational therapists, chaplains, health managers and others working in the field of mental health. Its main functions are to promote vocational, academic and social discourse between members of the professions with an interest in mental health and handicap. It has about 300 members. The Association was founded in January 1949 as the Leeds Regional Psychiatric Association. This became the Yorkshire Regional Psychiatric Association in 1982. In 1989 the Association reaches its 40th anniversary. The Association can claim the distinction of being the first multi-professional society of workers in mental health to be established in the United Kingdom.

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Lim, Ji Hye. "Regional Differences of Mental Health Status and Associated Factors: Based on the Community Health Survey." Osong Public Health and Research Perspectives 9, no. 4 (August 31, 2018): 175–84. http://dx.doi.org/10.24171/j.phrp.2018.9.4.06.

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Waring, Trevor, Trevor Hazell, Philip Hazell, and Jane Adams. "Youth Mental Health Promotion in the Hunter Region." Australian & New Zealand Journal of Psychiatry 34, no. 4 (August 2000): 579–85. http://dx.doi.org/10.1080/j.1440-1614.2000.00763.x.

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Objective: To describe the work of the Hunter Institute of Mental Health, with special emphasis on its role in mental health promotion and prevention with adolescents. Method and Results: The Ottawa Charter for Health Promotion is used as a framework to describe the varied functions of this organisation. Four youth mental health promotion programs are given as examples of the Institute's work. Results of preliminary evaluation of the Youth Suicide Prevention — National University Curriculum Project are provided. Conclusion: The Hunter Institute of Mental Health, a self-funding unit of the Hunter Area Health Service, provides innovative health promotion programs as part of its role as a provider of mental health education and training. The model may be particularly applicable to mental health services in regional Australia.

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Journal articles on the topic 'Regional Mental Health'

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