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Статті в журналах з теми "Universal Mental Health Screening"

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Автор: Grafiati

Опубліковано: 7 липня 2024

Оновлено: 7 липня 2024

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1

Humphrey, Neil, and Michael Wigelsworth. "Making the case for universal school-based mental health screening." Emotional and Behavioural Difficulties 21, no. 1 (January 2, 2016): 22–42. http://dx.doi.org/10.1080/13632752.2015.1120051.

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2

Moore, Stephanie A., Oscar Widales-Benitez, Katherine W. Carnazzo, Eui Kyung Kim, Kathryn Moffa, and Erin Dowdy. "Conducting Universal Complete Mental Health Screening via Student Self-Report." Contemporary School Psychology 19, no. 4 (July 16, 2015): 253–67. http://dx.doi.org/10.1007/s40688-015-0062-x.

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3

Gujral, Kritee, Nazanin Bahraini, Lisa A. Brenner, James Van Campen, Donna M. Zulman, Samantha Illarmo, and Todd H. Wagner. "VA’s implementation of universal screening and evaluation for the suicide risk identification program in November 2020 –Implications for Veterans with prior mental health needs." PLOS ONE 18, no. 4 (April 11, 2023): e0283633. http://dx.doi.org/10.1371/journal.pone.0283633.

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Importance United States Veterans are at higher risk for suicide than non-Veterans. Veterans in rural areas are at higher risk than their urban counterparts. The coronavirus pandemic intensified risk factors for suicide, especially in rural areas. Objective To examine associations between Veterans Health Administration’s (VA’s) universal suicide risk screening, implemented November 2020, and likelihood of Veterans being screened, and receiving follow-up evaluations, as well as post-screening suicidal behavior among patients who used VA mental health services in 2019. Methods VA’s Suicide Risk Identification Strategy (Risk ID), implemented October 2018, is a national, standardized process for suicide risk screening and evaluation. In November 2020, VA expanded Risk ID, requiring annual universal suicide screening. As such, we are evaluating outcomes of interest before and after the start of the policy among Veterans who had ≥1 VA mental health care visit in 2019 (n = 1,654,180; rural n = 485,592, urban n = 1,168,588). Regression-adjusted outcomes were compared 6 months pre-universal screening and 6, 12 and 13 months post-universal screening implementation. Measures Item-9 on the Patient Health Questionnaire (I-9, VA’s historic suicide screener), Columbia- Suicide Severity Risk Scale (C-SSRS) Screener, VA’s Comprehensive Suicide Risk Evaluation (CSRE), and Suicide Behavior and Overdose Report (SBOR). Results 12 months post-universal screening implementation, 1.3 million Veterans (80% of the study cohort) were screened or evaluated for suicide risk, with 91% the sub-cohort who had at least one mental health visit in the 12 months post-universal screening implementation period were screened or evaluated. At least 20% of the study cohort was screened outside of mental health care settings. Among Veterans with positive screens, 80% received follow-up CSREs. Covariate-adjusted models indicated that an additional 89,160 Veterans were screened per month via the C-SSRS and an additional 30,106 Veterans/month screened via either C-SSRS or I-9 post-universal screening implementation. Compared to their urban counterparts, 7,720 additional rural Veterans/month were screened via the C-SSRS and 9,226 additional rural Veterans/month were screened via either the C-SSRS or I-9. Conclusion VA’s universal screening requirement via VA’s Risk ID program increased screening for suicide risk among Veterans with mental health care needs. A universal approach to screening may be particularly advantageous for rural Veterans, who are typically at higher risk for suicide but have fewer interactions with the health care system, particularly within specialty care settings, due to higher barriers to accessing care. Insights from this program offer valuable insights for health systems nationwide.

4

Goodman-Scott, Emily, Peg Donohue, and Jennifer Betters-Bubon. "Universal Mental Health Screening: Steps for School Counselors Through Multidisciplinary Teaming." Professional School Counseling 27, no. 1 (January 2023): 2156759X2311713. http://dx.doi.org/10.1177/2156759x231171394.

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School counselors collaborate with multidisciplinary teams to implement universal mental health screening (UMHS) in schools and this work is especially pertinent in light of the U.S. K–12 mental health crisis. Because the school counseling UMHS literature is still emerging, expanding this literature is necessary, particularly to meet students’ mental health concerns. The present study examined the qualitative experiences of school counselors and other multidisciplinary UMHS team members implementing screening. We coded data through a phenomenological lens and used deductive coding from the National Center for School Mental Health’s (2018) eight steps to UMHS. We discuss not only the results but applications and implications, geared toward school counselors at the building and district level to assist with their practice.

5

Wood, Brandon J., and Terry McDaniel. "A preliminary investigation of universal mental health screening practices in schools." Children and Youth Services Review 112 (May 2020): 104943. http://dx.doi.org/10.1016/j.childyouth.2020.104943.

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6

Wissow, Lawrence S., Jonathan Brown, Kate E. Fothergill, Anne Gadomski, Karen Hacker, Peter Salmon, and Rachel Zelkowitz. "Universal Mental Health Screening in Pediatric Primary Care: A Systematic Review." Journal of the American Academy of Child & Adolescent Psychiatry 52, no. 11 (November 2013): 1134–47. http://dx.doi.org/10.1016/j.jaac.2013.08.013.

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7

Nestadt, Paul S., Patrick Triplett, Ramin Mojtabai, and Alan L. Berman. "Universal screening may not prevent suicide." General Hospital Psychiatry 63 (March 2020): 14–15. http://dx.doi.org/10.1016/j.genhosppsych.2018.06.006.

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8

King, Kate. "Screening children for mental health difficulties in school settings." British Journal of Child Health 2, no. 6 (December 2, 2021): 275–87. http://dx.doi.org/10.12968/chhe.2021.2.6.275.

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Rates of probable mental health problems in children and young people in England are increasing while failure to identify and address mental health difficulties early in life affects individuals' long-term functioning and wellbeing. Despite reported benefits of early identification and intervention, there is no school entry screening programme. The aim was to review the evidence for mental health screening and identification programmes based in schools against the UK NSC criteria. We found mixed evidence of the feasibility and acceptability of screening and limited evidence on programmes' effectiveness and cost effectiveness. While there is evidence of effective interventions, there is work to do to enable timely and equitable access to mental health support. Currently there is insufficient evidence to recommend a universal screening programme and any use of validated screening tools in schools should be accompanied by a clear pathway into early intervention services and a robust evaluation of the whole programme.

9

Burt, Heather, Quynh Doan, Taryne Landry, Bruce Wright, and Kenneth W. McKinley. "The Impact of Universal Mental Health Screening on Pediatric Emergency Department Flow." Academic Pediatrics 22, no. 2 (March 2022): 210–16. http://dx.doi.org/10.1016/j.acap.2021.09.021.

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10

Bahraini, Nazanin, Bridget B. Matarazzo, and Lisa A. Brenner. "Universal Suicide Risk Screening to Facilitate Mental Health Treatment: VA Risk ID." Psychiatric Services 74, no. 2 (February 1, 2023): 214. http://dx.doi.org/10.1176/appi.ps.20220415.

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11

Jellinek, Michael S. "Universal Mental Health Screening in Pediatrics: Toward Better Knowing, Treating, or Referring." Journal of the American Academy of Child & Adolescent Psychiatry 52, no. 11 (November 2013): 1131–33. http://dx.doi.org/10.1016/j.jaac.2013.08.007.

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12

McBain, Sacha A., Kylie Cleavenger, Chelsey Bull, Nalin Payakachat, and Melody Greer. "Perceptions of tech-based mental health screening." Trauma Surgery & Acute Care Open 9, no. 1 (February 2024): e001198. http://dx.doi.org/10.1136/tsaco-2023-001198.

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BackgroundAn estimated one-third of patients experience post-traumatic stress disorder (PTSD) or depression in the year following a traumatic injury. The American College of Surgeons requires postinjury PTSD and depression screening in trauma centers, although implementation has been limited. Tech-based solutions have been proposed to improve uptake of postinjury mental health screening. The goals of this pilot study were to assess the usability and acceptability of Blueprint, a tech-based mental health screening platform, and explore attitudes toward tech-based screening and intervention.MethodsThis pilot study included trauma patients (n=10) admitted to the trauma service. Participants completed the PTSD Checklist-5 and Patient Health Questionnaire-9 using Blueprint to test usability and acceptability of the platform. Participants completed the System Usability Scale (SUS) and a semi-structured interview to assess several domains including attitudes toward tech-based screening, potential barriers to implementation, and its usefulness in a postinjury context. Summative Template Analysis, a data abstraction procedure, was used to analyze qualitative data.ResultsBlueprint received an average SUS score of 93.25/100 suggesting participants found the interface to be an ‘excellent’ means to assess postinjury mental health concerns. Participants were supportive of universal screening and identified several benefits to engaging in tech-based routine monitoring of postinjury PTSD and depressive symptoms including convenience, personalization, and trauma-informed care. Regarding intervention, patients valued web-based psychoeducation on topics related to their overall care and local resources.ConclusionsTech-based mental health screening was highly usable and valuable to trauma patients at risk for postinjury PTSD and depression. Participants valued web-based psychoeducation and resources, but overall preferred Blueprint be used to facilitate access to in-person mental health services. Further evaluation of Blueprint as a means of assessment, intervention, and referral is needed.

13

Volpe, Robert J., Amy M. Briesch, and Sandra M. Chafouleas. "Linking Screening for Emotional and Behavioral Problems to Problem-Solving Efforts: An Adaptive Model of Behavioral Assessment." Assessment for Effective Intervention 35, no. 4 (August 31, 2010): 240–44. http://dx.doi.org/10.1177/1534508410377194.

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This paper addresses several objectives of the special issue on universal screening by addressing gaps in the current research base concerning universal screening for mental, emotional, and behavioral health and by providing a framework for addressing the limitations of extant approaches. Specifically, an adaptive model of behavioral assessment (AMBA) is proposed as a conceptual framework for linking screening and progress monitoring and designing tier 2 interventions.

14

Nwoke, Chinenye Nmanma, Oluwagbohunmi A. Awosoga, Sheila McDonald, Glenda T. Bonifacio, and Brenda M. Y. Leung. "African Immigrant Mothers’ Views of Perinatal Mental Health and Acceptability of Perinatal Mental Health Screening: Quantitative Cross-sectional Survey Study." JMIR Formative Research 7 (January 27, 2023): e40008. http://dx.doi.org/10.2196/40008.

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Background Mental health disorders are the most common perinatal conditions. They affect mothers, babies, partners, and support networks. However, <15% of pregnant and postpartum women seek timely help for their mental health care. Low perinatal mental health knowledge and universal screening unacceptability are cited as important deterrents to obtaining timely mental health care. Objective The purpose of this quantitative cross-sectional study was 2-fold: (1) to determine African immigrant mothers’ views of perinatal mental health and to identify predictors of those views and (2) to identify African immigrant mothers’ views regarding perinatal mental health screening and to determine factors associated with those views. Methods A cross-sectional survey was conducted using a convenience sample of African immigrant women from the province of Alberta, Canada. Respondents were eligible to participate if they were aged ≥18 years, had a live birth, and the infant was aged ≤2 years. Questions were drawn from the Edinburgh Postnatal Depression Scale, the Generalized Anxiety Disorder-7 scale, and additional questions were developed using the Alberta Maternal Mental Health 2012 survey as a guide and tested to reflect the immigrant context. Descriptive and multivariable regression analyses were conducted. Results Among the 120 respondents, 46.5% (53/114) were aged 31-35 years, 76.1% (89/117) were employed or on maternity leave, 92.5% (111/120) were married, and 55.6% (65/117) had younger infants aged 0 to 12 months. Significantly more respondents had higher levels of knowledge of postnatal (109/115, 94.8%) than prenatal (57/110, 51.2%) mental health (P<.001). Only 25.4% (28/110) of the respondents accurately identified that prenatal anxiety or depression could negatively impact child development. Personal knowledge of postpartum anxiety and depression was a significant predictor of prenatal and postnatal mental health knowledge. Most respondents strongly agreed or agreed that all women should be screened in the prenatal (82/109, 75.2%) and postnatal (91/110, 82.7%) periods. Respondents reported that their partner would be their first choice when seeking help and support. The acceptability of postnatal screening was a significant predictor of prenatal mental health knowledge (P<.001), whereas the acceptability of prenatal screening was a significant predictor of postnatal mental health knowledge (P=.03). Prenatal mental health knowledge was a significant predictor of both prenatal (P<.001) and postnatal (P=.001) screening acceptability. Conclusions Although African mothers’ knowledge of postnatal mental health is high, their prenatal mental health knowledge and its influence on child development are limited. Perinatal mental health interventions for African immigrant mothers in Alberta should target these knowledge gaps. The high acceptability of universal perinatal mental health screening among African mothers provides a promising strategy for perinatal mental health literacy initiatives to achieve optimal perinatal mental health.

15

Goodman-Scott, Emily, Peg Donohue, and Jennifer Betters-Bubon. "A Phenomenological Investigation of Universal Mental Health Screening: Making Meaning for School Counseling." Professional School Counseling 27, no. 1 (January 2023): 2156759X2211500. http://dx.doi.org/10.1177/2156759x221150008.

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In the United States, K–12 schools have been going through a double pandemic: the COVID-19 pandemic and ongoing systemic racial injustices. Multitiered systems of support (MTSS), including universal mental health screening (UMHS), are highly recommended to assist students through these pandemics. While research on MTSS for school counselors is ample, school counseling UMHS literature is much more limited. As such, in the present study, we conducted a phenomenological investigation of participants’ experiences with UMHS, recruiting multidisciplinary, school-based UMHS team members, particularly school counselors. In describing the essence of participants’ experiences with UMHS, we identified 2 themes. The first theme is UMHS shifting the school culture, with subthemes (a) prioritizing prevention, (b) increasing collaboration, (c) using data, (d) gaining a holistic perspective, and (e) advocating for school counseling. The second theme is working through roadblocks, with subthemes (a) liability, (b) screener concerns, (c) resistance, (d) lack of time, and (e) staff wellness.

16

Skaar, Nicole R., Matt Townsley, and Bridget Ross. "Supporting Students’ Mental Health Needs: A Primer for Secondary School Leaders." NASSP Bulletin 106, no. 1 (March 2022): 32–54. http://dx.doi.org/10.1177/01926365221084269.

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Students are struggling with mental health difficulties that impact their ability to learn while in school, and many students lack access to mental health providers in their communities. School administrators are in a prime position to lead systemic change aimed at supporting student mental health. The purpose of this paper is to provide secondary school leaders with a primer for developing and implementing universal screening and comprehensive systems to support student mental health.

17

Dowdy, Erin, Michael Furlong, Tara C. Raines, Bibliana Bovery, Beth Kauffman, Randy W. Kamphaus, Bridget V. Dever, Martin Price, and Jan Murdock. "Enhancing School-Based Mental Health Services With a Preventive and Promotive Approach to Universal Screening for Complete Mental Health." Journal of Educational and Psychological Consultation 25, no. 2-3 (November 4, 2014): 178–97. http://dx.doi.org/10.1080/10474412.2014.929951.

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18

Atwal, Amanbir, Punit Virk, Bruce Wright, and Quynh Doan. "49 Exploring parental acceptability of universal psychosocial screening in the pediatric emergency department." Paediatrics & Child Health 26, Supplement_1 (October 1, 2021): e34-e35. http://dx.doi.org/10.1093/pch/pxab061.038.

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Abstract Primary Subject area Mental Health Background Mental health concerns among children and adolescents presenting to the emergency department (ED) are on the rise. Universal screening can facilitate early identification and management of these concerns, mitigating significant long-term morbidity and mortality. The efficacy of psychosocial screening in the ED is not only determined by accurate identification of concerns, but by downstream resource-seeking behaviours to address these concerns. For many children and adolescents, parents hold a key role in determining their access to care. Thus, parental attitudes and perceptions of psychosocial screening may influence resource-seeking behaviours and predict a youth’s ability to access support. Objectives Given the limited understanding of parental perceptions of psychosocial screening in the ED, we aimed to qualitatively explore parents’ attitudes towards screening with MyHEARTSMAP, an electronic self/proxy administered psychosocial screening tool. We also quantified resource-seeking behaviours and explored barriers to seeking care. Design/Methods This was a nested qualitative study conducted during the 30-day follow-up period of a larger prospective cohort study. Eligible youth and their accompanying parent/guardian completed a self/proxy psychosocial screen using MyHEARTSMAP. Youth who screened positive were provided with recommendations and resources for support. 30 days (+ 5 days) after their ED visit, parents participated in semi-structured follow-up interviews to share their attitudes, perceptions, and thoughts around the screening and care-seeking process. Results Of the 171 participants requiring resources for support, 124 (72.5%; 95% CI 65.2-79.1%) completed the follow-up interview. Most parents endorsed positive perceptions of the screening process, describing it as an “eye-opening” process that “sparked conversation”.74.2% (95% CI 65.6-81.6%) of participants also agreed with the support recommendations they received during their ED visit. In terms of resource seeking, as displayed in Figure 1, only 41 participants (33.1%; 95% CI 24.9-42.1%) attempted to access support services. Other families felt identified concerns were mild and “not serious enough” to warrant resources, though many expressed an intention to seek care if the concerns escalated. Conclusion Parental perceptions of psychosocial screening in the ED were favourable and encouraging, with a majority of participants expressing an understanding and appreciation of the process. This lends support to the implementation of universal psychosocial screening in the ED. Despite positive attitudes towards screening, only a fraction actually attempted to access care. This incongruence may reflect the persisting view that mental health holds low priority and suggests a need for increased education on the importance of seeking timely mental health care.

19

Vander Stoep, Ann, Elizabeth Mccauley, Kelly A. Thompson, Jerald R. Herting, Elena S. Kuo, David G. Stewart, Cheryl A. Anderson, and Siri Kushner. "Universal Emotional Health Screening at the Middle School Transition." Journal of Emotional and Behavioral Disorders 13, no. 4 (October 2005): 213–23. http://dx.doi.org/10.1177/10634266050130040301.

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20

Kroshus, Emily. "Variability in Institutional Screening Practices Related to Collegiate Student-Athlete Mental Health." Journal of Athletic Training 51, no. 5 (May 1, 2016): 389–97. http://dx.doi.org/10.4085/1062-6050-51.5.07.

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Context: Universal screening for mental health concerns, as part of the preparticipation examination in collegiate sports medicine settings, can be an important and feasible strategy for facilitating early detection of mental health disorders. Objective: To assess whether sports medicine departments at National Collegiate Athletic Association (NCAA) member colleges have policies related to identifying student-athlete mental health problems, the nature of preparticipation examination screening related to mental health, and whether other departmental or institutional screening initiatives are in place. I also aimed to characterize the variability in screening by institutional characteristics. Design: Cross-sectional study. Setting: College sports medicine departments. Patients or Other Participants: Team physicians and head athletic trainers at NCAA member colleges (n = 365, 30.3% response rate). Main Outcome Measure(s): Electronic survey of departmental mental health screening activities. Results: A total of 39% of respondents indicated that their institution had a written plan related to identifying student-athletes with mental health concerns. Fewer than half reported that their sports medicine department administers a written or verbal screening instrument for symptoms of disordered eating (44.5%), depression (32.3%), or anxiety (30.7%). The strongest predictors of mental health screening were the presence of a written plan related to identifying student-athlete mental health concerns and the employment of a clinical psychologist. Additionally, Division I institutions and institutions with a greater ratio of athletic trainers to student-athletes tended to engage in more screening. Conclusions: The substantial among-institutions variability in mental health screening suggests that opportunities exist to make these practices more widespread. To address this variability, recent NCAA mental health best-practice guidelines suggested that institutions should screen for a range of mental health disorders and risk behaviors. However, at some institutions, staffing deficits may need to be addressed to allow for implementation of screening-related activities.

21

Star, Sally. "School nurses' mental health-care provision in Wales: The risk and protective factors." British Journal of School Nursing 14, no. 9 (November 2, 2019): 429–33. http://dx.doi.org/10.12968/bjsn.2019.14.9.429.

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It is estimated that 10-20% of children and young people worldwide experience mental and emotional health disorders. This article will outline how Welsh school nursing services can employ universal screening to increase awareness of the risk factors involved in children's mental and emotional health disorders and suggests methods to improve individual empowerment and resilience.

22

Long, Melissa, Penelope Theodorou, Michaela Morton, Leandra Godoy, Lee Beers, and Cara Biddle. "Universal Mental Health and Developmental Screening in the Medical Home: Screening Rates and Prevalence of Abnormal Results." Pediatrics 146, no. 1_MeetingAbstract (July 1, 2020): 33. http://dx.doi.org/10.1542/peds.146.1ma1.33a.

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23

Bahraini, Nazanin, Daniel J. Reis, Bridget B. Matarazzo, Trisha Hostetter, Christina Wade, and Lisa A. Brenner. "Mental health follow-up and treatment engagement following suicide risk screening in the Veterans Health Administration." PLOS ONE 17, no. 3 (March 17, 2022): e0265474. http://dx.doi.org/10.1371/journal.pone.0265474.

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Importance Understanding the extent to which population-level suicide risk screening facilities follow-up and engagement in mental health treatment is important as engaging at-risk individuals in treatment is critical to reducing suicidal behaviors. Objective To evaluate mental health follow-up and treatment engagement in the Veterans Health Administration (VHA) following administration of the Columbia-Suicide Severity Rating Scale (C-SSRS) screen, a component of the VHA’s universal suicide risk screening program. Design This cross-sectional study used data from VA’s Corporate Data Warehouse. Settings 140 VHA Medical Centers. Participants Patients who completed the C-SSRS screen in ambulatory care between October 1, 2018—September 30, 2020. Exposure Standardized suicide risk screening. Main outcomes and measures Mental health follow-up (one or more visits within 30 days of C-SSRS screening) and treatment engagement (two or more visits within 90 days of C-SSRS screening) were examined. Results 97,224 Veterans in Fiscal Year 2019 (FY19) (mean age 51.4 years; 86.8% male; 64.8% white, 22.4% African-American) and 58,693 Veterans in FY20 (mean age 49.6 years; 85.5% male; 63.4% white, 21.9% African-American) received the C-SSRS screen. Across FYs, a positive C-SSRS screen was associated with increased probability of mental health follow-up and treatment engagement. Patients who were not seen in mental health in the year prior to screening had the greatest increase in probability of mental health follow-up and engagement following a positive screen (P<0.001). For FY19, a positive C-SSRS screen in non-mental health connected patients was associated with an increased probability of follow-up from 49.8% to 79.5% (relative risk = 1.60) and engagement from 39.5% to 63.6% (relative risk = 1.61). For mental health-connected patients, a positive C-SSRS screen was associated with a smaller increase in probability of follow-up from 75.8% to 87.6% (relative risk = 1.16) and engagement from 63.3% to 76.4% (relative risk = 1.21). Results for FY20 were similar. Conclusions and relevance Identification of suicide risk through population-level screening was associated with increased mental health follow-up and engagement, particularly for non-mental health connected patients. Findings support the use of a standardized, comprehensive suicide risk screening program for managing elevated suicide risk in a large healthcare system.

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Gallagher, Peggy A., Susan Easterbrooks, and Delia G. Malone. "Universal Newborn Hearing Screening and Intervention." Infants & Young Children 19, no. 1 (January 2006): 59–71. http://dx.doi.org/10.1097/00001163-200601000-00007.

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25

Wickberg, Birgitta, Marie Bendix, Margareta Blomdahl Wetterholm, and Alkistis Skalkidou. "Perinatal mental health around the world: priorities for research and service development in Sweden." BJPsych International 17, no. 1 (November 27, 2019): 6–8. http://dx.doi.org/10.1192/bji.2019.23.

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Sweden has a unique opportunity to identify and follow up women presenting with, or at risk for, perinatal mental health problems and disorders because universal screening programmes are provided by its primary healthcare system. Although they are implemented across almost the entire population, screening programmes are not necessarily leading to effective interventions because the multidisciplinary perinatal mental healthcare teams that provide for the assessment and treatment of moderate to severe disorders are very few in number and must be increased. In particular, efforts to reach immigrant parents must be intensified to achieve equal quality of care for all.

26

Guo, Sisi, and Grace Bai Jhe. "Universal Depression Screening in Schools—Promises and Challenges in Addressing Adolescent Mental Health Need." JAMA Network Open 4, no. 11 (November 5, 2021): e2132858. http://dx.doi.org/10.1001/jamanetworkopen.2021.32858.

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27

Cole, Joanna C. M., Michelle Olkkola, Haley E. Zarrin, Kelsey Berger, and Julie S. Moldenhauer. "Universal Postpartum Mental Health Screening for Parents of Newborns With Prenatally Diagnosed Birth Defects." Journal of Obstetric, Gynecologic & Neonatal Nursing 47, no. 1 (January 2018): 84–93. http://dx.doi.org/10.1016/j.jogn.2017.04.131.

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Tuesley, Karen M., Susan J. Jordan, Dan J. Siskind, Bradley J. Kendall, and Steve Kisely. "Colorectal, cervical and prostate cancer screening in Australians with severe mental illness: Retrospective nation-wide cohort study." Australian & New Zealand Journal of Psychiatry 53, no. 6 (December 2, 2018): 550–58. http://dx.doi.org/10.1177/0004867418814945.

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Objective: People with severe mental illness have similar cancer incidence, but higher mortality than the general population. Participation in cancer screening may be a contributing factor but existing studies are conflicting. The aim of this study was to investigate the frequency of colorectal, prostate and cervical cancer screening among people with and without severe mental illness in Australia, who have access to universal health care. Methods: We followed three cohorts using de-identified data from a random 10% sample of people registered for Australia’s universal health care system: those aged 50–69 years ( n = 760,058) for colorectal cancer screening; women aged 18–69 years ( n = 918,140) for cervical cancer screening and men aged 50–69 years ( n = 380,238) for prostate cancer screening. We used Poisson regression to estimate incidence rate ratios and 95% confidence intervals for the association between severe mental illness and rates of faecal occult blood testing, pap smears and prostate-specific antigen testing. Results: Having severe mental illness was associated with a 17% reduction in rates of pap smear (incidence rate ratio = 0.83, 95% confidence interval: 0.82–0.84) and prostate-specific antigen testing (incidence rate ratio = 0.83, 95% confidence interval: 0.81–0.85), compared to the general population. By contrast, incidence rates of faecal occult blood testing were only lower in people with severe mental illness among the participants who visited their general practitioner less than an average of five times per year (incidence rate ratio = 0.83, 95% confidence interval = [0.73, 0.94]). Conclusion: Our results suggest that differences in screening frequency may explain some of the mismatch between cancer incidence and mortality in people with severe mental illness and indicate that action is required to improve preventive screening in this very disadvantaged group.

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Barker, Rhiannon, Greg Hartwell, Chris Bonell, Matt Egan, Karen Lock, and Russell M. Viner. "Research priorities for mental health in schools in the wake of COVID-19." Journal of Epidemiology and Community Health 76, no. 5 (November 29, 2021): 448–50. http://dx.doi.org/10.1136/jech-2021-217902.

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Children and young people (CYP) have suffered challenges to their mental health as a result of the COVID-19 pandemic; effects have been most pronounced on those already disadvantaged. Adopting a whole-school approach embracing changes to school environments, cultures and curricula is key to recovery, combining social and emotional skill building, mental health support and interventions to promote commitment and belonging. An evidence-based response must be put in place to support schools, which acknowledges that the mental health and well-being of CYP should not be forfeited in the drive to address the attainment gap. Schools provide an ideal setting for universal screening of mental well-being to help monitor and respond to the challenges facing CYP in the wake of the pandemic. Research is needed to support identification and implementation of suitable screening methods.

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Horowitz, Lisa M., Kimberly Roaten, Maryland Pao, and Jeffrey A. Bridge. "Suicide prevention in medical settings: The case for universal screening." General Hospital Psychiatry 63 (March 2020): 7–8. http://dx.doi.org/10.1016/j.genhosppsych.2018.11.009.

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Bloyd, Cooper, Snehal Murthy, Clara Song, Linda S. Franck, and Christina Mangurian. "National Cross-Sectional Study of Mental Health Screening Practices for Primary Caregivers of NICU Infants." Children 9, no. 6 (May 28, 2022): 793. http://dx.doi.org/10.3390/children9060793.

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Universal screening for postpartum mood and anxiety disorders (PMADs) has been recommended for all new parents at outpatient postpartum and well-child visits. However, parents of newborns admitted to the NICU are rarely able to access these services during their infant’s prolonged hospitalization. The objective of this study was to determine the prevalence of mental health screening and treatment programs for parents or other primary caregivers in NICUs across the country. In this cross-sectional study, US NICU medical directors were invited to complete an online survey about current practices in mental health education, screening, and treatment for primary caregivers of preterm and ill infants in the NICU. Comparative analyses using Fisher’s exact test were performed to evaluate differences in practices among various NICU practice settings. Survey responses were obtained from 75 out of 700 potential sites (10.7%). Of participating NICUs, less than half routinely provided caregivers with psychoeducation about mental health self-care (n = 35, 47%) or routinely screened caregivers for PPD or other mental health disorders (n = 33, 44%). Nearly one-quarter of the NICUs did not provide any PMAD screening (n = 17, 23%). Despite consensus that postpartum psychosocial care is essential, routine mental health care of primary caregivers in the NICU remains inadequate.

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Albers, Craig A., Todd A. Glover, and Thomas R. Kratochwill. "Introduction to the special issue: How can universal screening enhance educational and mental health outcomes?" Journal of School Psychology 45, no. 2 (April 2007): 113–16. http://dx.doi.org/10.1016/j.jsp.2006.12.002.

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Newell, Summer, Lauren Denneson, Annabelle Rynerson, Sarah Rabin, Victoria Elliott, Nazanin Bahraini, Edward P. Post, and Steven K. Dobscha. "Veterans Health Administration staff experiences with suicidal ideation screening and risk assessment in the context of COVID-19." PLOS ONE 16, no. 12 (December 28, 2021): e0261921. http://dx.doi.org/10.1371/journal.pone.0261921.

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Universal screening for suicidal ideation in primary care and mental health settings has become a key prevention tool in many healthcare systems, including the Veterans Healthcare Administration (VHA). In response to the coronavirus pandemic, healthcare providers faced a number of challenges, including how to quickly adapt screening practices. The objective of this analyses was to learn staff perspectives on how the pandemic impacted suicide risk screening in primary care and mental health settings. Forty semi-structured interviews were conducted with primary care and mental health staff between April-September 2020 across 12 VHA facilities. A multi-disciplinary team employed a qualitative thematic analysis using a hybrid inductive/deductive approach. Staff reported multiple concerns for patients during the crisis, especially regarding vulnerable populations at risk for social isolation. Lack of clear protocols at some sites on how to serve patients screening positive for suicidal ideation created confusion for staff and led some sites to temporarily stop screening. Sites had varying degrees of adaptability to virtual based care, with the biggest challenge being completion of warm hand-offs to mental health specialists. Unanticipated opportunities that emerged during this time included increased ability of patients and staff to conduct virtual care, which is expected to continue benefit post-pandemic.

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Splett, Joni W., Kathryn M. Trainor, Anthony Raborn, Colleen A. Halliday-Boykins, Marlene E. Garzona, Melissa D. Dongo, and Mark D. Weist. "Comparison of Universal Mental Health Screening to Students Already Receiving Intervention in a Multitiered System of Support." Behavioral Disorders 43, no. 3 (April 23, 2018): 344–56. http://dx.doi.org/10.1177/0198742918761339.

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Despite schools increasingly adopting multitiered systems of support (MTSS) for prevention and intervention of mental health concerns, many are slow to adopt universal mental health screening (UMHS), a core MTSS feature, due to concerns about their limited capacity to meet the needs of all identified. In this study, we examined differences in the number and characteristics of students who would be identified for intervention services when UMHS in an MTSS were added to those students already receiving social, emotional, and behavioral supports. In a sample of 3,744 students in Grades 1 to 5 from six schools, 679 (18.1%) additional students were identified by screening, representing a 180.1% increase in students identified with behavioral risk or need for mental health interventions. Using a series of stepwise logistic regression analyses, we identified significant predictors of newly identified students including gender, number of office discipline referrals, and externalizing, internalizing, and adaptive behavior ratings. Findings are discussed in relation to opportunities for prevention and the systems needed in an MTSS to meet the needs of newly identified students.

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Nickerson, Amanda B., and Callen E. Fishman. "Promoting mental health and resilience through strength-based assessment in US schools." Educational and Child Psychology 30, no. 4 (December 2013): 7–17. http://dx.doi.org/10.53841/bpsecp.2013.30.4.7.

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Strength-based assessment can provide a systematic way to promote mental health and resilience in children. In this article, strength-based assessment of social-emotional functioning is described. Selected standardised strength-based assessment tools and their psychometric properties are then introduced. The primary focus of the article is on the use of strength-based assessment to promote mental health for youth within a public health framework. Suggestions for using strength-based assessment within a comprehensive prevention model, including universal (school-wide), targeted, and intensive approaches, are provided. Strength-based assessment can be used at the universal level as a screening tool or for programme evaluation purposes. At the selected level, assessment tools can be used to monitor progress and determine which children may be in need of more intensive interventions. Finally, strength-based assessment can be used to evaluate strengths and competencies as part of a comprehensive psychoeducational evaluation and to plan for an individualised behavioural, educational, and/or treatment plan. A process for putting these practices into action is provided.

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Feeney-Kettler, Kelly A., Thomas R. Kratochwill, Ann P. Kaiser, Mary Louise Hemmeter, and Ryan J. Kettler. "Screening Young Children’s Risk for Mental Health Problems: A Review of Four Measures." Assessment for Effective Intervention 35, no. 4 (August 31, 2010): 218–30. http://dx.doi.org/10.1177/1534508410380557.

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Accurate identification of young children at risk for mental health problems is a key step in establishing early childhood preventive intervention programs. Without psychometrically valid identification procedures, children in need of early intervention may not be identified and may not receive appropriate care. This article provides a review of universal screening measures to help teachers, school psychologists, and other mental health professionals make informed decisions about selecting tools to assist in identifying preschool-age children at risk for mental health problems. A review of the literature on broadband measures designed to screen the social and emotional functioning of children age 3 to 5 years old yielded three published measures that met predetermined inclusionary criteria. An additional unpublished measure was also included. Selected measures were reviewed according to the Standards for Educational and Psychological Testing. Special attention was given to predictive validity indices, including sensitivity, specificity, positive predictive value, and negative predictive value. The results of the review provided information on the measures that were most psychometrically sound and cost-effective for screening young children for mental health problems. Recommendations are made for routine screening, so young children can be referred for prevention programming before their problems worsen and negatively affect their development.

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Cherry, Andrew L., and Mary E. Dillon. "The AC-OK Cooccurring Screen: Reliability, Convergent Validity, Sensitivity, and Specificity." Journal of Addiction 2013 (2013): 1–8. http://dx.doi.org/10.1155/2013/573906.

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The principal barriers to universal screening for the cooccurring disorders of mental illness and substance abuse are training, time, cost, and a reliable and valid screen. Although many of the barriers to universal screening still remain intact, the lack of a cooccurring screen that is effective and can be administered in a cost efficient way is no longer an obstacle. This study examined the reliability, factor structure, and convergent validity of the 15-item AC-OK Cooccurring Screen. A total of 2,968 AC-OK Cooccurring Screens administrated to individuals who called or went to one of the nine participating mental health and substance abuse treatment facilities were administrated and analyzed. Principal axis factor (PAF) analysis was used in the confirmatory factor analysis to identify the common variance among the items in the scales while excluding unique variance. Cronbach's Alpha was used to establish internal consistency (reliability) of each subscale. Finally, the findings from the AC-OK Cooccurring Screen were compared to individual scores on two standardized reference measures, the addiction severity index and the Client assessment record (a measure of mental health status) to determine sensitivity and specificity. This analysis of the AC-OK Cooccurring Screen found the subscales to have excellent reliability, very good convergent validity, excellent sensitivity, and sufficient specificity to be highly useful in screening for cooccurring disorders in behavioral health settings. In this study, the AC-OK Cooccurring Screen had a Cronbach's Alpha of .92 on the substance abuse subscale and a Cronbach's Alpha of .80 on the mental health subscale.

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Inekwe, John Nkwoma, and Evelyn Lee. "Perceived social support on postpartum mental health: An instrumental variable analysis." PLOS ONE 17, no. 5 (May 5, 2022): e0265941. http://dx.doi.org/10.1371/journal.pone.0265941.

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The postpartum period is a challenging transition period with almost one in ten mothers experiencing depression after childbirth. Perceived social support is associated with mental health. Yet empirical evidence regarding the causal effects of social support on postpartum mental health remains scarce. In this paper, we used a nationally representative panel data of women to examine causality between perceived social support and postpartum mental health. We used fixed-effect method and included dependent variable lags to account for past mental health condition before birth (i.e., the pre-pregnancy and prenatal periods). The study also used an instrumental variable approach to address endogeneity. We find a declining trend in postpartum mental health between 2002 to 2018. Our study also showed that past mental health (i.e., before childbirth) is positively correlated with postpartum mental health. A universal routine mental health screening for expectant and new mothers should remain a key priority to ensure mental wellbeing for the mothers and their infants.

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Roaten, Kimberly, Lisa M. Horowitz, Jeffrey A. Bridge, Christian R. R. Goans, Chris McKintosh, Russell Genzel, Celeste Johnson, and Carol S. North. "Universal Pediatric Suicide Risk Screening in a Health Care System: 90,000 Patient Encounters." Journal of the Academy of Consultation-Liaison Psychiatry 62, no. 4 (July 2021): 421–29. http://dx.doi.org/10.1016/j.jaclp.2020.12.002.

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Cortés-Ramos, Antonio, and Miguel Landa-Blanco. "Universal Screening in Positive School Mental Health Using the ASEBA Methodology for Teachers: A Pilot Epidemiological Study." International Journal of Environmental Research and Public Health 18, no. 22 (November 11, 2021): 11807. http://dx.doi.org/10.3390/ijerph182211807.

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School-based detection and intervention are critical components in ensuring positive mental health in children, with teachers playing an essential role in assessing students’ well-being. The current research aims to be a pilot epidemiological study on positive school mental health in Malaga, Spain, using the Achenbach System of Empirically Based Assessment (ASEBA). Data were collected in the COVID-19 pre-pandemic setting, using the Caregiver-Teacher Report Form (C-TRF) and the Teacher Report Form (TRF) in a sample of 420 children, who were between 5 and 8 years old at the time of the data collection. In 5-year-old children, the DSM-oriented scale with the highest clinical prevalence corresponds to attention deficit and hyperactivity problems (1.13%). In this same sub-sample, clinical levels of externalizing problems (4.52%) were non-significantly more common than internalizing conditions (1.69%). As for children between 6 and 8 years old, the DSM-oriented scale with the highest prevalence of clinical scores corresponds to anxiety problems (4.12%) and conduct problems (2.88%). Clinical levels of externalizing problems (9.47%) were non-significantly more prevalent than internalizing problems (6.58%). The results present 95% confidence intervals prevalence data in the general population and sex-differentiated descriptive statistics. The results are discussed according to their implication for school mental health.

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Jiang, Xiaowei, Yanan Chen, Na Ao, Yang Xiao, and Feng Du. "A Depression-Risk Mental Pattern Identified by Hidden Markov Model in Undergraduates." International Journal of Environmental Research and Public Health 19, no. 21 (November 3, 2022): 14411. http://dx.doi.org/10.3390/ijerph192114411.

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Few studies have examined depression risk screening approaches. Universal depression screening in youth typically focuses on directly measuring the current distress and impairment by several kinds of depression rating scales. However, as many people have stigmatizing attitudes to individuals with depression, youths with depression were in fear of being known, and embarrassment held them back from reporting their depression symptoms. Thus, the present study aimed to identify the best, most easy access screening approach for indirectly predicting depression risks in undergraduates. Here, the depression score was ranked and viewed as the different stages in the development of depression; then, we used a Hidden Markov Model (HMM) approach to identify depression risks. Participants included 1247 undergraduates (female = 720, mean age = 19.86 years (std =1.31), from 17 to 25) who independently completed inventories for depressive symptoms, emotion regulation, subjective well-being (life satisfaction, negative and positive affect), and coping styles (positive and negative). Our findings indicated that the risk pattern (state 1) and the health pattern (state 2) showed distinct different rating results in emotional regulation, subjective well-being, and coping style. Screening for prospective risk of depression can be better accomplished by HMM incorporating subjective well-being, emotion regulation, and coping style. This study discussed the implications for future research and evidence-based decision-making for depression screening initiatives.

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Patel, Aimy, Catherine Watts, Sheri Shiddell, Karla Couch, Amber M. Smith, Michael J. Moran, and Gregory P. Conners. "Universal Adolescent Suicide Screening in a Pediatric Urgent Care Center." Archives of Suicide Research 22, no. 1 (April 7, 2017): 118–27. http://dx.doi.org/10.1080/13811118.2017.1304303.

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SANDLER, ADRIAN D. "Projected cost-effectiveness of statewide universal newborn hearing screening." Journal of Developmental & Behavioral Pediatrics 24, no. 2 (April 2003): 136. http://dx.doi.org/10.1097/00004703-200304000-00023.

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von der Embse, Nathaniel P., Stephanie Iaccarino, Ariel Mankin, Stephen P. Kilgus, and Eran Magen. "Development and Validation of the Social, Academic, and Emotional Behavior Risk Screener–Student Rating Scale." Assessment for Effective Intervention 42, no. 3 (December 1, 2016): 186–92. http://dx.doi.org/10.1177/1534508416679410.

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School systems are the primary providers for the increasing number of children with mental health needs. School-based universal screening offers a valuable way to identify children that would benefit from school-based mental health services. However, many existing screening systems rely on teacher ratings alone and do not incorporate student self-ratings. The current study evaluates the psychometric properties of the Social, Academic, and Emotional Behavior Risk Screener–Student Rating Scale (SAEBRS-SRS), a new 20-item multidimensional universal screener intended to provide assessment data on students’ social, academic, and emotional functioning. The SAEBRS-SRS complements the SAEBRS Teacher Rating Scale (TRS), which has previously demonstrated robust psychometric evidence. In the current study, data were collected from a racially and ethnically diverse sample of middle school students. Confirmatory factor analyses supported a bifactor structure consistent with the SAEBRS-TRS, with items corresponding to internally consistent Social, Academic, and Emotional Behaviors subscales, as well as an overall Total Behavior scale. The current analyses yield promising initial support for the development of the SAEBRS-SRS. Implications and the need for future research to provide additional psychometric evidence are discussed.

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Trivedi, Madhukar, Manish Jha, Farra Kahalnik, Ronny Pipes, Sara Levinson, Tiffany Lawson, A. Rush, et al. "VitalSign6: A Primary Care First (PCP-First) Model for Universal Screening and Measurement-Based Care for Depression." Pharmaceuticals 12, no. 2 (May 14, 2019): 71. http://dx.doi.org/10.3390/ph12020071.

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Major depressive disorder affects one in five adults in the United States. While practice guidelines recommend universal screening for depression in primary care settings, clinical outcomes suffer in the absence of optimal models to manage those who screen positive for depression. The current practice of employing additional mental health professionals perpetuates the assumption that primary care providers (PCP) cannot effectively manage depression, which is not feasible, due to the added costs and shortage of mental health professionals. We have extended our previous work, which demonstrated similar treatment outcomes for depression in primary care and psychiatric settings, using measurement-based care (MBC) by developing a model, called Primary Care First (PCP-First), that empowers PCPs to effectively manage depression in their patients. This model incorporates health information technology tools, through an electronic health records (EHR) integrated web-application and facilitates the following five components: (1) Screening (2) diagnosis (3) treatment selection (4) treatment implementation and (5) treatment revision. We have implemented this model as part of a quality improvement project, called VitalSign6, and will measure its success using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework. In this report, we provide the background and rationale of the PCP-First model and the operationalization of VitalSign6 project.

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Saitz, R. "Review: universal screening in general practice can identify excessive drinkers suitable for brief interventions." Evidence-Based Mental Health 7, no. 2 (May 1, 2004): 37. http://dx.doi.org/10.1136/ebmh.7.2.37.

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Fein, Deborah. "Commentary on USPSTF Final Statement on Universal Screening for Autism." Journal of Developmental & Behavioral Pediatrics 37, no. 7 (September 2016): 573–78. http://dx.doi.org/10.1097/dbp.0000000000000345.

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Clarkson, Richard L., Betty R. Vohr, Peter M. Blackwell, and Karl R. White. "Universal infant hearing screening and intervention: The Rhode Island Program." Infants & Young Children 6, no. 3 (January 1994): 65–74. http://dx.doi.org/10.1097/00001163-199401000-00009.

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Buchholz, Melissa, Bethany Ashby, Lisa Costello, Amy Ehmer, Verenea Serrano, Jonna von Schulz, Catherine Wolcott, and Ayelet Talmi. "From planning to implementation: Creating and adapting universal screening protocols to address caregiver mental health and psychosocial complexity." Clinical Practice in Pediatric Psychology 9, no. 2 (June 2021): 112–22. http://dx.doi.org/10.1037/cpp0000406.

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Furlong, Michael J., Aileen Fullchange, and Erin Dowdy. "Effects of mischievous responding on universal mental health screening: I love rum raisin ice cream, really I do!" School Psychology Quarterly 32, no. 3 (September 2017): 320–35. http://dx.doi.org/10.1037/spq0000168.

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