Community Interventions to Promote Mental Health and Social Equity

Castillo, Enrico G.; Ijadi-Maghsoodi, Roya; Shadravan, Sonya; Moore, Elizabeth; Mensah, Michael O.; Docherty, Mary; Nunez, Maria Gabriela Aguilera; Barceló, Nicolás E.; Goodsmith, Nichole; Halpin, Laura E.; Morton, Isabella; Mango, Joseph; Montero, Alanna E.; Koushkaki, Sara Rahmanian; Bromley, Elizabeth; Chung, Bowen; Jones, Felica; Gabrielian, Sonya; Gelberg, Lillian; Greenberg, Jared M.; Kalofonos, Ippolytos; Kataoka, Sheryl H.; Miranda, Jeanne; Pincus, Harold Alan; Zima, Bonnie T.; Wells, Kenneth B.

doi:10.1176/appi.focus.18102

Cited by 15 publications

(17 citation statements)

References 109 publications

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“…These multi-level influences may dynamically interact, interrelate or be interdependent across different levels so that the model functions as a whole system. This model explains the interactive relationships between individuals and environments (26,27). During the COVID-19 pandemic, it has been widely applied to examine multilevel factors influencing COVID-19 preventive Costs and profits † Feed and petrol †…”

Section: Figurementioning

confidence: 99%

Determinants of farmers' biosecurity mindset: A social-ecological model using systems thinking

Pao

Jackson²,

Yang³

et al. 2022

Front. Vet. Sci.

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Commercial poultry is often farmed in high-density facilities, therefore, predisposing exposure to threats of infectious diseases. Studies suggest that it is likely that farmers have little motivation to practise on-farm biosecurity. In Taiwan, where high-density intensive poultry production is commonplace, unfortunately, several avian influenza outbreaks have occurred over the past decade despite the establishment of biosecurity procedures. To develop effective interventions, it is essential to understand the determinants of farmers' biosecurity mindset through systems thinking. In this qualitative study, we directly explored the opinions of Taiwan's chicken farmers, and a grounded theory analysis was performed. The study revealed that farmers allocate resources based on their justification for the optimisation of resource utilisation, and biosecurity is the most concerning challenge. Farmers focus on the economic aspects of their production systems, particularly when the implementation of biosecurity increases production costs, and there are multifaceted, complex barriers to implementing on-farm biosecurity. Although the participant farmers accepted to take major responsibility for disease management, paradoxically, some farmers blamed the practicality of government regulations and government employees' attitudes. Additionally, the farmers rejected the government's intentions to ask farmers to take major responsibility for the outbreaks of avian influenza while some of them intended to ignore the perceived risks. Government interventions that were considered not directly related to biosecurity also negatively influenced farmers' willingness to improve biosecurity. Using the interview results together with information in the scientific literature, we constructed a modified six-level social-ecological model to explain the complex influences of macro socio-economic conditions on farmers' biosecurity mindset. The novelty of this research lies in its wider relevance to Taiwan's chicken production industry in that it provides first-hand evidence-based knowledge to demonstrate a wide number of determinants of farmers' biosecurity mindset. This social-ecological model highlights the importance of systems thinking for the development of behavioural interventions and allows adaptation to the local context. The findings of this study have relevance to Taiwan's chicken production industry and potentially to similar systems in other countries in the wider region and should result in more effective animal health management at the farm level.

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Section: Figurementioning

confidence: 99%

Determinants of farmers' biosecurity mindset: A social-ecological model using systems thinking

Pao

Jackson²,

Yang³

et al. 2022

Front. Vet. Sci.

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“…Van Citters and Bartels in their review found that home and community-based treatment of older adult psychiatric patients were associated with improved and longer maintained psychiatric status [32]. Finally, in a recent study, Castillo et al (2019) demonstrated the effectiveness of community interventions for improving mental health [33].…”

Section: Discussionmentioning

confidence: 99%

Decrease of Hospitalizations and Length of Hospital Stay in Patients with Schizophrenia Spectrum Disorders or Bipolar Disorder Treated in a Mobile Mental Health Service in Insular Greece

Garbi¹,

Tiniakos²,

Mikelatou³

et al. 2021

Psych

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In recent years serious mental health issues, such as schizophrenia spectrum disorders and bipolar disorder, have been treated in the community by community-based mental health services. In the present study our goal was to estimate the modification in the number of hospitalizations and duration of admissions in either psychotic patients or patients with bipolar disorder, treated by a Mobile Mental Health Unit in the islands of Kefalonia, Zakynthos and Ithaca (MMHU-KZI). Data were collected from a total of 108 patients with schizophrenia spectrum disorders and bipolar disorder. For each patient comparison was made for the same time interval prior and after engagement to treatment with the MMHU-KZI and not for the total hospitalizations that patients had in their history. There was a statistically significant reduction (45.9%) in hospitalizations after treatment engagement with the MMHU-KZI, as the Wilcoxon signed ranks test indicated. Furthermore, a major decrease (54.5%) of hospitalization days was noted after treatment engagement with the unit. This pattern of mental health provision may be beneficial for the reduction of the number and duration of psychiatric hospitalizations. Despite the beneficial contribution of community-based mental health units, hospital based treatment should always be available, since severe relapses are better treated in inpatient setting.

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“…As principais informações sobre o caso clínico e também as características do paciente são indicadas no cenário. Todas as informações devem estar relacionadas aos objetivos propostos para a atividade, sendo interessante o compartilhamento das metas do Exame Clínico Objetivo Estruturado com a atriz simulada (25) . Nesse cenário, também foram abordadas pistas necessárias para a ação e pistas que podem ser utilizadas para colaborar com a compreensão e abordagem da atriz simulada com a realidade do tema.…”

Section: Discussionunclassified

Assistência a pessoas com autolesão não suicida: construção e validação de um cenário simulado

Ramos

Silva

Pedrollo

et al. 2023

SMAD, Rev Eletrônica Saúde Mental Álcool Drog

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Objetivo: construir e validar um cenário simulado paraassistência à saúde de pessoas com autolesão não suicida.Metodologia: estudo metodológico de construção evalidação de um cenário simulado de alta fidelidade.A construção do cenário foi baseada em um roteiro de boaspráticas em simulação de alta fidelidade e autolesão nãosuicida. A validação foi realizada com onze especialistas.A validação do cenário simulado foi realizada com usoda escala Likert de três pontos (Bom, Regular e Ruim).Os dados obtidos foram analisados por meio de umsoftware estatístico através de análise descritiva, Índicede Validade de Conteúdo e teste de Gwet. Resultados: ocenário obteve concordância geral de 97% entre os juízesespecialistas e todos os itens individuais apresentaramÍndice de Validade de Conteúdo acima de 0,80. O cenárioobteve alta confiabilidade total (teste de Gwet: 0,9438) econfiabilidade em ambos os tópicos de interesse no testede Gwet. Conclusão: o cenário simulado de autolesão nãosuicida desenvolvido tem potencial para contribuir com aformação de recursos humanos em saúde para atendimentode pessoas com autolesão não suicida.

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Community Interventions to Promote Mental Health and Social Equity

Cited by 15 publications

References 109 publications

Determinants of farmers' biosecurity mindset: A social-ecological model using systems thinking

Determinants of farmers' biosecurity mindset: A social-ecological model using systems thinking

Decrease of Hospitalizations and Length of Hospital Stay in Patients with Schizophrenia Spectrum Disorders or Bipolar Disorder Treated in a Mobile Mental Health Service in Insular Greece

Assistência a pessoas com autolesão não suicida: construção e validação de um cenário simulado

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