Browsing by Subject "mental health"

Now showing 1 - 10 of 74
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    A Pediatric Provider’s Guide to Supporting the Family of a Gender-Expansive Child or Adolescent
    (Sage, 2022-06-22) Morgan, Lucas E.; Meininger, Eric T.; Donahue, Kelly L.; Pediatrics, School of Medicine
    Sexual and gender-minoritized youth, especially those who are gender-expansive (GE)*, are at increased risk for mental health complications including anxiety, depression, suicidality, and substance abuse. From a minority stress perspective, this increased risk may be attributable to external and internal stressors associated with minority status such as abuse/harassment, victimization at school, institutional discrimination, and fear of rejection. Medical curricula lack training on these disparities and how to care for LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, or other sexual/gender identities) patients, particularly those who are transgender. While pediatric providers must learn to provide competent care for all individuals who identify as LGBTQ+, this review focuses on the needs of GE youth and their families. *Gender expansive is an umbrella term that refers collectively to transgender, gender-questioning, non-binary, gender-diverse, or gender-variant individuals.
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    A Window Into Mental Health: Developing and Pilot-Testing a Mental Health Promotion Intervention for Mexican Immigrants Through the Ventanilla de Salud Program
    (Frontiers, 2022-04-14) Rodríguez, Delia Lilian Martínez; Vázquez, Tonatiuh González; Serrano, Margarita Márquez; de Groot, Mary; Fernandez, Alicia; Casanova, Ines Gonzalez; Medicine, School of Medicine
    Background Mexican immigrants in the United States face mental health challenges, disparities, and limited access to healthcare; however, mental health promotion efforts specifically targeting this population have been insufficient. The objective of this study was to develop and test a mental health promotion intervention based on protective mental health factors and coping strategies for Mexican immigrants recruited through a free, consulate-based program in Atlanta. Material and Methods Working with the Ventanilla de Salud program, we conducted a longitudinal study in three phases: formative research and design, pre-intervention assessment and post-implementation evaluation. The intervention was designed based on the health promotion model and interviews with stakeholders. Qualitative information was collected by semi-structured interviews with participants before and after the intervention. Quantitative outcomes were knowledge about protective factors and coping mechanisms, and psychosocial distress. Differences were assessed using the Wilcoxon non-parametrical test. Intent-to-treat analysis was conducted with all participants who signed the informed consent (carrying last observation forward), and a complete case analysis was conducted with those who attended at least 70% of the sessions and completed the post- implementation evaluation. Results Twenty-five participants were enrolled in the intervention. Mean age was 38 years, and the majority were women. Only nine participants attended at least 70% of the sessions and completed the final evaluation. Men, those who did not complete high school, and workers in service or construction jobs were more likely to drop out. Knowledge about protective factors [pre- vs. post-intervention median (inter-quartile range) = 111 (100, 120) vs. 115 (100, 124)] and coping mechanisms [96 (85, 104) vs. 99 (90, 110)], as well as psychosocial distress [3 (2, 3) vs. 2 (2, 3)] improved after the intervention in both intent-to treat and complete case analyses (p < 0.05). Qualitative results also support improvements in targeted protective factors. Discussion The intervention was successful in improving psychological distress among Mexican immigrants. These results support the implementation of evidence-based mental health promotion interventions among Mexican immigrants via free and familiar programs. A limitation was the high attrition; future studies should explore approaches to improve retention in this population.
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    Assessing the Mental Health of Student-Athletes
    (2024-08) Barnes, Jordan Ann; Brann, Maria; Head, Katharine J.; Parrish-Sprowl, John
    Mental health has become a major topic of discussion in recent years. Open conversations about one’s mental well-being have become a new norm. That said, there has been a rapid spike in the declining mental well-being of student-athletes at the collegiate level. Professionals urge those involved with athletes to act to improve their overall well-being. Despite the grave concern, there has still been little action taken towards bettering the mental health of athletes. Most existing studies have focused on the collegiate coach-athlete relationship and the athletic performance of athletes rather than the psychological health of athletes. One factor that may affect athletes’ relationships and mental health is how well communication is enacted. To address this gap, 77 current student athletes were surveyed to assess their communication satisfaction, coach confirmation, and mental well-being. Results from Pearson’s correlations demonstrated a relationship between communication satisfaction and reported mental health scores; however, there was no significant correlation found between confirmation and reported mental health scores. This suggests that communication satisfaction can affect student-athletes’ mental well-being, but there may also be other factors that have more of a significant effect than confirmation on the reported mental health of student-athletes. Future research should explore other potential contributing factors.
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    Associations between early exposure to intimate partner violence, parental depression and subsequent mental health outcomes
    (JAMA, 2013-04) Bauer, Nerissa S.; Gilbert, Amy L.; Carroll, Aaron E.; Department of Pediatrics, IU School of Medicine
    Objective: To examine the association between parent reports of intimate partner violence (IPV) and depressive symptoms within the first 3 years of a child’s life with subsequent mental health conditions and psychotropic drug treatment. Design: Prospective cohort study linking parental IPV and depression with subsequent billing and pharmacy data. Setting: 4 pediatric clinics between November 2004 and June 2012 Patients/Participants: 2,422 children Main Exposure: Any report of IPV and/or parental depressive symptoms from birth to 3 years of age. Main Outcome Measures: ICD-9 mental health diagnoses and any psychotropic drug treatment between 3 and 6 years of age. Results: 2.4% of caregivers (n=58) reported both IPV and depressive symptoms before their children were 3 years of age, 3% (n=69) of caregivers reported IPV only, 29% (n=704) reported depressive symptoms only, and 65.7% (n=1,591) reported neither exposure. Children of parents reporting both IPV and depressive symptoms were more likely to have a diagnosis of attention deficit hyperactivity disorder (ADHD) (AOR 4.0; 95% CI: 1.5-10.9), even after adjusting for child gender, race/ethnicity, and insurance type. Children whose parents reported depressive symptoms were more likely to have been prescribed psychotropic medication (AOR 1.9; 95% CI: 1.0-3.4). Conclusions: Exposure to both IPV and depression before 3 years is associated with preschool onset ADHD; and early exposure to parental depression is associated with being prescribed psychotropic medication.
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    Automated Assessment of Psychiatric Patients Using Medical Notes
    (2022-12) Wang, Shuo; Miled, Zina Ben; King, Brain; Lee, John
    Psychiatric patients require continuous monitoring on par with their severity status. Unfortunately, current assessment instruments are often time-consuming. The present thesis introduces several passive digital markers (PDMs) that can help reduce this burden by automating the assessment using medical notes. The methodology leverages medical notes already annotated according to the General Assessment of Functioning (GAF) scale to develop a disease severity PDM for schizophrenia, bipolar type I or mixed bipolar and non-psychotic patients. Topic words that are representative of three disease severity levels (severe impairment, serious impairment, moderate to no impairment) are identified and the top 50 words from each severity level are used to summarize the raw text of the medical notes. The summary of the text is processed by a classifier that generates a disease severity level. Two classifiers are considered: BERT PDM and Clinical BERT PDM. The evaluation of these classifiers showed that the BERT PDM delivered the best performance. The PDMs developed using the BERT PDM can assign medical notes from each encounter to a severe impairment level with a positive predictive value higher than 0.84. These PDMs are generalizable and their development was facilitated by the availability of a substantial number of medical notes from multiple institutions that were annotated by several health care providers. The methodology introduced in the present thesis can support the automated monitoring of the progression of the disease severity for psychiatric patients by digitally processing the medical note produced at each encounter without additional burden on the health care system. Applying the same methodology to other diseases is possible subject to availability of the necessary data.
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    Central Indiana Senior Fund State of Aging in Central Indiana Report (SoAR) Newsletter No. 1
    (The Polis Center, Indiana University at Indianapolis, 2022-11) The Polis Center
    Older adults are the fastest growing demographic in Central Indiana. Approximately 20,000 individuals in Central Indiana reach the age of 60 every year. By the year 2030, one in every five residents will be over the age of 65. To enhance the ability of older adults to live and thrive in Central Indiana, it is important to understand the population trends and basic needs of the growing older adult demographic. The Central Indiana Senior Fund is partnering with The Polis Center at IUPUI to develop the State of Aging in Central Indiana Report, a trusted source of information about Central Indiana’s older adult population.
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    Community Mental Health Needs Assessment Report for Marion County
    (Richard M. Fairbanks School of Public Health, 2023-06-23) Greene, Marion; Sanner, Lindsey; McNamee, Cassidy
    The purpose of this project was to conduct a community mental health needs assessment (CMHNA) specific to the services available for serious mental illness and substance use disorders across the lifespan in Marion County, Indiana. The CMHNA was developed in collaboration with Sandra Eskenazi Mental Health Center, Community Fairbanks Behavioral Health, Aspire Indiana Health, and Adult and Child Health. These four organizations are Division of Mental Health and Addiction (DMHA) designated Community Mental Health Centers (CMHCs) as well as grantees of the Substance Abuse and Mental Health Services Administration’s Certified Community Behavioral Health Center (CCBHC) award. This report contains all findings from the assessment, including: a. Identification of the level of need, including cultural, linguistic, treatment and staffing needs b. Identification of the level of services available, including resources to address transportation, income, culture, and other barriers c. Identification of the gaps between needs and services d. Recommendations derived from the interviews and other data.
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    Comparing Narrative-Informed Occupational Therapy in Adult Outpatient Mental Health to Treatment as Usual: A Quasi-Experimental Feasibility Study with Preliminary Treatment Outcomes
    (Taylor & Francis, 2021) Wasmuth, Sally; Wilburn, Victoria G.; Hamm, Jay A.; Chase, Anthony; Occupational Therapy, School of Health and Human Sciences
    This paper describes implementation of narrative-informed occupation-based service delivery in outpatient community mental health that addresses (1) the need for outcome data on occupational therapy in this setting, (2) an ongoing mental health provider shortage, and (3) a need for innovative approaches to supporting mental health. We found a significant improvement from baseline to post-intervention in occupational participation. Dose of occupational therapy was significantly related to improvements in roles, habits, values, long-term goals, social environment, and readiness for change. This study supports future, larger effectiveness studies of narrative-informed occupation-based intervention delivered by occupational therapists in outpatient community mental health.