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The United States faces an unprecedented mental health crisis, with youth and young adults at the center. Even before the COVID-19 pandemic, nearly 50 percent of college students reported at least one mental health concern. The COVID-19 pandemic notably exacerbated these issues and underscored the urgent need to identify and implement ways to ameliorate the youth mental health crisis. In 2021, the National Academies of Sciences, Engineering, and Medicine called on the field of higher education to address growing concerns about student mental health by identifying and elevating emerging and promising approaches that offer a more holistic way to support students' mental health. Serving as the main entry point for more than 40 percent of students seeking a postsecondary degree, community colleges represent a tremendous and untapped opportunity to better address mental health in the United States, particularly for students who have been traditionally underserved (e.g., students of color, first-generation students, and low-income students). However, community colleges have limited evidence and guidance to inform the implementation of multilevel, holistic approaches to support students with varying mental health needs. To address this knowledge gap, this report shares a descriptive study of eight community colleges at the forefront of implementing multilevel approaches (a combination of prevention, early intervention, and treatment services) to support student mental health, as well as key facilitators for and barriers to their success. [For "How Community Colleges Can Support Student Mental Health Needs. Research Brief. RB-A2552-1," see ED627489.]
ABSTRACT
The United States faces an unprecedented mental health crisis, with youth and young adults at the center. Even before the coronavirus disease 2019 (COVID-19) pandemic, nearly 50 percent of college students reported at least one mental health concern. Without adequate mental health support, college students, including those at community colleges, may be at risk for a variety of academic and nonacademic consequences that negatively affect their overall well-being, including lower college completion rates, higher rates of substance use, and lower lifetime earning potential. This research brief describes a study examining eight community colleges from across the United States which found that, although the institutions did offer mental health services, most lacked a clear organizing framework for those efforts, and that financial challenges limited the support offered to students. The research also highlighted the importance of community college leaders explicitly prioritizing student mental health, as well as broad staff buy-in to the effort. [For the full report, "Supporting the Mental Health Needs of Community College Students. Research Report. RR-A2552-1," see ED627480.]
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Two hundred seventy-four million people-one in thirty people on the planet-are in humanitarian need as of September 2022.1 More than one hundred million of these individuals are displaced, usually as a result of crisis: conflict, political upheaval, economic meltdown, or climate shocks.2 In a humanitarian crisis, health is the most urgent and paramount need. But today the system for preventing and addressing humanitarian crisis is failing, and with it, the health needs of millions of vulnerable people are under threat. From treating childhood acute malnutrition to delivering COVID-19 vaccines to ensuring access to sexual, reproductive, maternal, and newborn health, health care in humanitarian contexts requires a dramatic rethink amid growing challenges to access and service delivery.
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This conclusion presents some closing thoughts on the concepts discussed in the preceding chapters of this book. The book is produced during the COVID-19 pandemic, an event that has drawn attention to the importance and fragility of good mental health. It presents the use of the Level of Service Inventory-Revised, Mental Health Service Evaluation and the Global Assessment of Functioning in probation in Ireland. The book discusses the use of the Kessler-6 in London and the idea that currently mental health services would be overloaded if screening positive on this measure alone was used to initiate a referral. It outlines the use of the Autism Quotient-10 to identify 'possible autism' and the Adult Asperger Assessment to gather a more detailed picture. The book discusses the use of drug specialists in probation practice. It highlights the central importance of a positive and consistent relationship between a person under supervision and their Probation Practitioner for positive mental health. This is important to build trust in order for an individual to be open about their mental health needs, and to minimise the potential trauma and stress that may result from having to retell a difficult story. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
Slum-dwellers lack several essential amenities (such as water, sanitation, and electricity) which make them more vulnerable than non-slum dwellers. As there is limited to no access to health and social care services in slums, the slum environment is expected to be an even more dangerous environment for older adults, negatively impacting their quality of life (QoL). To provide an overview of the perceived (unmet) health and social care needs and how it affects the QoL, this study aims to explore the self-perceived health and social needs of older adults in urban slums in Ghana. Using a phenomenological approach, 25 semi-structured interviews were conducted between May and June 2021, in the homes of older adults in two slums in Ghana. After coding and analysing the transcripts, five main themes emerged: (a) perception of health; (b) (de)motivators of health service use; (c) perception of social care, (d) social needs, and (e) influence of phenomena on QoL. It appeared that older adults believed that spiritual powers were causing illnesses and influenced their use of formal health services. Other factors such as expired insurance cards and the attitude of healthcare workers served as demotivators for using health services.Perceived health needs were mainly current disease conditions (arthritis, diabetes, hypertension, vision/hearing challenges), challenges with health insurance, the behaviour of some health professionals, the proximity of health facilities, and unnecessary queues at major health facilities. Unmet social needs identified by this study were a sense of neglect by family (need for companionship), requiring assistance with activities of daily living, and the need for financial support. Participants had more health needs than social needs. Health providers do not usually prioritize the care of slum-dwelling older adults. Most participants still have challenges with the National Health Insurance Scheme (NHIS). Their social needs were mainly related to financial difficulties and help with some activities of daily living. Participants expressed that they desired companionship (especially the widowed or divorced ones) and the lack of it made them feel lonely and neglected. Home visits by health professionals to older adults should be encouraged to monitor their health condition and advocate for family members to keep older adults company. Healthcare providers should exhibit positive attitudes and educate older patients on the advantages of formal health services use, as well as the need to seek early treatment as this will influence their QoL to a large extent.
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In 2019, the world changed in significant ways. The emergence and spread of the virus SARS-CoV-2, more commonly known as COVID-19 to note the year of its development into a pandemic, altered social and economic conditions everywhere. All nations of the world had to contend with the virus and its effects. This chapter draws on ecological systems theory to highlight the ways in which various systems were able to/unable to address children and adolescents' social, emotional, behavioral, and mental health needs during the pandemic. It lays out the assumptions that underlie ecological systems theory, a developmental theory that explores human development as the result of interacting and intertwined ecological contexts. The chapter provides an illustration of how the social, emotional, behavioral, and mental health needs of children and adolescents have been and continue to be shaped by interactions across these various ecological contexts. It considers next steps and outlines how research, policy, and practice might take up ecological systems theory in seeking to address the persistent and pervasive problems of children and adolescents' well-being in the context of intertwined and overlapping systems. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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This book highlights the effects of the COVID-19 pandemic on the mental health needs of children and adolescents in order to shed light on future practice and reform needed to better deal with the aftermath of such devastating events. The book identifies the conditions during any public health crisis that heighten the mental health needs of children and adolescents and suggests the reforms of mental health services needed to better meet the needs during pandemics and public health crises. It will be of equal use to both students and researchers in the fields of mental health, well-being, and education as well as teachers, educational psychologists, social workers, and practitioners working in schools and communities to address students' mental health needs. The book will help readers better understand how and why COVID-19 was a negative influence on students' mental health and unpack how best to deal with the aftermath of pandemic. This research-focused series consist of titles that consider key issues affecting young people's mental health and well-being, exploring preventative measures, promoting positive behavior, and sharing research to develop effective and efficient treatment. The book was written at a time when the whole of humanity has been under the influence of coronavirus pandemic. The impact of this global crisis has increased stress and anxiety levels for everyone, but especially for children and their families, which has highlighted the importance of supporting and facilitating the mental health and well-being of children and adolescents. The authors of the chapters help us better understand the effects of COVID-19 on the mental health of children and adolescents, the nature and international scope of the problem, what can be done to mitigate the pandemic's ill effects, what we need to know more about, and how we might best prepare for future crises in public health. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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PurposeThe world of work is changing and creating challenges and opportunities for the employment inclusion of young people with disabilities. In this article, the perceptions held by young adults with disabilities regarding participation in the future of work are examined.Design/methodology/approachOne-on-one interviews were conducted with Canadian young adults (ages 18–36 years) living with a disability. Participants were asked about their thoughts regarding the impact of the changing nature of work on their labor market involvement and career aspirations. A thematic analysis was performed to identify and examine emergent salient themes.FindingsIn total, 22 young adults were interviewed;over half held secure employment. Career aspirations and work-related decisions were primarily shaped by a participant's health needs. The future of work was seen as a more proximal determinant to employment. Digital technologies were expected to impact working conditions and create barriers and facilitators to employment. Participants who indicated being securely employed held positive expectations regarding the impact of digital technology on their work. Participants working precariously held negative appraisals regarding the impact of digital technologies on employment opportunities. The role of technological and soft skills was critical to participating in a labor market reliant on advanced technology. Participants reported barriers to developing job skills related to their disability and their work arrangements.Originality/valueThis research highlights the importance of considering changes in the future of work, especially the digital transformation of the economy, in the design of initiatives which promote the employment inclusion of young adults with disabilities. Despite the significance of the changing nature of work, supporting health needs and encouraging access to secure work arrangements also remain paramount.
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Introduction: Psychological requirements are extremely important in the formation of a person's personality and conduct. During the COVID-19 epidemic in Jouf, Kingdom of Saudi Arabia, the goal of the current study was to determine the psychological and medical requirements of Saudi children. Method(s): The research received responses from 205 mothers in total, 90 of whom were the mothers of male children and 105 of whom were the mothers of female children. The investigation was carried out during the global COVID-19 epidemic that also afflicted the Kingdom of Saudi Arabia. The study made use of a 42-item measure measuring psychosocial and health needs across four categories. Result(s): Whether the study's findings were based on the children's overall score or their academic, psychological, or health requirements, it was discovered that these needs were modest. From the perspective of their moms, neither gender nor class significantly affected the children's health or psychological requirements. Conclusion(s): This study suggests giving the kids family programs to take advantage of and manage their downtime and boost their levels of outdoor exercise.Copyright © 2022, Universidade de Sao Paulo. Museu de Zoologia. All rights reserved.
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Objective: This study aimed to identify the unmet health needs of adults during the COVID-19 pandemic, the reasons for these needs, solutions sought and socio-demographic determinants.Methods: The cross-sectional online survey was conducted with 2,074 adult individuals from December 15 to December 31, 2020. Data were collected using Socio-demographic Data Collection Form, Unmet Health Needs Data Collection Form and World Health Organization Quality of Life Scale (WHOQOL).Results: The percentage of the participants who stated that they had unmet health needs was 66% and the most unmet needs reported were oral and dental treatment (46.3%), eye health and treatment for vision disorders (22.5%), and early diagnosis and annual health screening (11.4%). The reasons with the most impact on the emergence of these needs were fear of being infected with the virus (44.3%), lack of access to health care (42.7%) and not wanting to cause a burden on the health system. There was a significant difference between the groups with and without unmet health needs in terms of gender, economic status, presence of health insurance, presence of chronic disease, perception of health, and WHOQOL total scores.Conclusion: The findings obtained will benefit policymakers in the rational use of limited resources and making strategic arrangements for needs.
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This article describes major employment and demographic trends in the health service psychologist workforce with information provided about clinical psychology where available. Workforce projections suggest the workforce is insufficiently sized and inadequately trained to respond to future health needs, such as those from Hispanic and older adult populations. Still, there are encouraging shifts toward greater racial/ethnic diversity in the workforce and increasing ratings of knowledge about working with diverse populations. Future directions consider implications for education and practice, such as the possible role of telehealth and the impact of the COVID-19 pandemic. © 2022 Elsevier Ltd. All rights reserved
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The present study investigated the mental health needs of a Modern Orthodox Jewish High School. The researcher sought to find out what types of emotional, social, and behavioral issues students present in a Modern Orthodox High School, what types of strategies and interventions are currently being used to address these issues, and how effective teachers perceive these strategies to be. The study investigated what additional services teachers would consider to be useful to address the emotional, social and behavioral challenges of students, and what barriers to the effective delivery of mental health teachers perceive. Finally, the study investigated the differences between teachers of religious topics and teachers of secular topics as pertain to their perception of mental health challenges, perception of strategies used, and suggestions of strategies that they think should be implemented. A survey was administered via Qualtrics to all teaching staff (N = 42) via email. Respondents (n = 29) reported that the most concerning mental health challenges they perceived were anxiety, inattention/hyperactivity, family stressors and peer challenges. Teachers reported that the mental health strategies they observed the most were individual counseling/therapy and health and wellness promotion. Teachers perceived individual counseling, group therapy and parent consultation with the school psychologist/guidance staff to be the most effective interventions. Teachers reported that they perceived it would be effective to add screening for emotional/behavioral/social problems, and prevention programs for students with externalizing challenges and internalizing challenges. The main barriers reported by teachers were competing priorities taking precedence over mental health services, challenges with parent consultation, lack of staff training, difficulty identifying children with mental health needs, stigma associated with receiving mental health services. Teachers of religious topics more frequently reported perceiving higher amounts of mental health challenges, though the means were very close. This survey was conducted in the midst of the COVID-19 pandemic, and the divergence of the findings from prior research on the topic may be due to the unique mental health challenges that came about during the pandemic. The divergences may also be due to the unique nature of the Orthodox Jewish School. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The COVID-19 pandemic, climate change-related events, protracted conflicts, economic stressors and other health challenges, call for strong public health orientation and leadership in health system strengthening and policies. Applying the essential public health functions (EPHFs) represents a holistic operational approach to public health, which is considered to be an integrated, sustainable, and cost-effective means for supporting universal health coverage, health security and improved population health and wellbeing. As a core component of the Primary Health Care (PHC) Operational Framework, EPHFs also support the continuum of health services from health promotion and protection, disease prevention to treatment, rehabilitation, and palliative services. Comprehensive delivery of EPHFs through PHC-oriented health systems with multisectoral participation is therefore vital to meet population health needs, tackle public health threats and build resilience. In this perspective, we present a renewed EPHF list consisting of twelve functions as a reference to foster country-level operationalisation, based on available authoritative lists and global practices. EPHFs are presented as a conceptual bridge between prevailing siloed efforts in health systems and allied sectors. We also highlight key enablers to support effective implementation of EPHFs, including high-level political commitment, clear national structures for institutional stewardship on EPHFs, multisectoral accountability and systematic assessment. As countries seek to transform health systems in the context of recovery from COVID-19 and other public health emergencies, the renewed EPHF list and enablers can inform public health reform, PHC strengthening, and more integrated recovery efforts to build resilient health systems capable of managing complex health challenges for all people.
Subject(s)
COVID-19 , Health Care Reform , Humans , Public Health , Pandemics , COVID-19/epidemiology , COVID-19/prevention & control , Delivery of Health CareABSTRACT
Given the fact that experiencing pandemic-related hardship and racial discrimination worsen Asian Americans' mental health, this study aimed to identify unique characteristics of behavioral health needs among Asian Americans (N = 544) compared to White Americans (N = 78,704) and Black Americans (N = 11,252) who received publicly funded behavioral health services in Indiana before and during the COVID-19 pandemic. We used 2019-2020 Adults Needs and Strengths Assessment (ANSA) data for adults eligible for Medicaid or funding from the state behavioral health agency. Chi-squared automatic interaction detection (CHAID) was used to detect race-specific differences among demographic variables, the pandemic status, and ANSA items. Results indicated that, regardless of age, gender, or pandemic status, Asian Americans who received behavioral health services, struggled more with cultural-related factors compared to White and Black individuals. Within this context, intersections among behavioral/emotional needs (psychosis), life functioning needs (involvement in recovery, residential stability, decision making, medical/physical health), and strengths (job history, interpersonal, and spiritual) further differentiated the mental health functioning of Asian from White and Black Americans. Classification tree algorithms offer a promising approach to detecting complex behavioral health challenges and strengths of populations based on race, ethnicity, or other characteristics.
Subject(s)
COVID-19 , Mental Health , Adult , United States , Humans , Asian , Pandemics , EthnicityABSTRACT
BACKGROUND: Post-secondary students frequently experience high rates of mental health challenges. However, they present meagre rates of treatment-seeking behaviours. This elevated prevalence of mental health problems, particularly after the COVID-19 pandemic, can lead to distress, poor academic performance, and lower job prospects following the completion of education. To address the needs of this population, it is important to understand students' perceptions of mental health and the barriers preventing or limiting their access to care. METHODS: A broad-scoping online survey was publicly distributed to post-secondary students, collecting demographic, sociocultural, economic, and educational information while assessing various components of mental health. RESULTS: In total, 448 students across post-secondary institutions in Ontario, Canada, responded to the survey. Over a third (n = 170; 38.6%) of respondents reported a formal mental health diagnosis. Depression and generalized anxiety disorder were the most commonly reported diagnoses. Most respondents felt that post-secondary students did not have good mental health (n = 253; 60.5%) and had inadequate coping strategies (n = 261; 62.4%). The most frequently reported barriers to care were financial (n = 214; 50.5%), long wait times (n = 202; 47.6%), insufficient resources (n = 165; 38.9%), time constraints (n = 148; 34.9%), stigma (n = 133; 31.4%), cultural barriers (n = 108; 25.5%), and past negative experiences with mental health care (n = 86; 20.3%). The majority of students felt their post-secondary institution needed to increase awareness (n = 231; 56.5%) and mental health resources (n = 306; 73.2%). Most viewed in-person therapy and online care with a therapist as more helpful than self-guided online care. However, there was uncertainty about the helpfulness and accessibility of different forms of treatment, including online interventions. The qualitative findings highlighted the need for personal strategies, mental health education and awareness, and institutional support and services. CONCLUSIONS: Various barriers to care, perceived lack of resources, and low knowledge of available interventions may contribute to compromised mental health in post-secondary students. The survey findings indicate that upstream approaches such as integrating mental health education for students may address the varying needs of this critical population. Therapist-involved online mental health interventions may be a promising solution to address accessibility issues.
Subject(s)
COVID-19 , Mental Health , Humans , Cross-Sectional Studies , Pandemics , Students , OntarioABSTRACT
OBJECTIVE: Disaggregated data on the mental health of Asian/Asian American people are needed to inform public health interventions related to reports of racism during the COVID-19 pandemic. We describe the prevalence of psychological distress and unmet mental health needs among Asian/Asian American adults during the COVID-19 pandemic across various sociodemographic subgroups. METHODS: We used cross-sectional, weighted data from the US-based 2021 Asian American and Native Hawaiian/Pacific Islander COVID-19 Needs Assessment Study (unweighted n = 3508) to estimate prevalence rates of psychological distress and unmet mental health needs, overall and by nativity status. We conducted population-weighted multivariable logistic regression analyses to examine sociodemographic factors associated with these mental health outcomes. RESULTS: About one-third (1419 of 3508) of Asian/Asian American adults (32.9%; 95% CI, 30.6%-35.2%) reported psychological distress; odds of psychological distress were increased among adults who were female, trans, and nonbinary; aged 18-44 years; US-born; Cambodian; multiracial; and low income. Of those reporting psychological distress (638 of 1419), 41.8% (95% CI, 37.8%-45.8%) reported unmet mental health needs; unmet mental health needs were highest among Asian/Asian American adults who were aged 18-24 years; Korean, Japanese, and Cambodian; US-born female; non-US-born young adults; and non-US-born with ≥bachelor's degree. CONCLUSIONS: The mental health of Asian/Asian American people is an important public health concern, with some groups more vulnerable and in need of services than others. Mental health resources need to be designed for vulnerable subgroups, and cultural and systemic barriers to mental health care need to be addressed.
Subject(s)
COVID-19 , Health Services Needs and Demand , Mental Health Services , Female , Humans , Male , Young Adult , Asian/psychology , COVID-19/epidemiology , Cross-Sectional Studies , Mental Health , Pandemics , United States/epidemiology , Adolescent , AdultABSTRACT
Why you should read this article:• To be aware of the effects of the COVID-19 pandemic on the mental and physical health of children and young people with learning disabilities• To learn about how one CAMHS learning disabilities team supported the mental health of children and young people during the COVID-19 pandemic• To recognise that innovative and flexible services are required to meet the complex needs of children and young people with learning disabilitiesThis article explores the authors' experiences of supporting the mental health of children and young people with learning disabilities during the coronavirus disease 2019 (COVID-19) pandemic. The article discusses the prevalence of and risk factors for the development of mental health issues in this group. It also describes some service improvement projects developed by a child and adolescent mental health service learning disabilities team to support the mental health needs of children and young people during the COVID-19 pandemic. The article includes a case study to illustrate how a flexible and person-centred approach can support the mental health of this population.
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Since the COVID-19 outbreak, children and families in rural communities have been experiencing unprecedented long-term social isolation and insufficient access to mental health services. Prior to the pandemic, access to mental healthcare in rural communities was already inadequate, leading rural populations to be routinely underserved when facing significant social issues and mental health needs. Even though the pandemic has disrupted the traditional delivery of mental healthcare and exacerbated needs, isolated children and families in rural areas can benefit from mental health services through a telemental health approach. This article presents an innovative telemental health practice model that implements solution-focused brief therapy with social work interns in rural university-assisted community schools (UACS). Implications for policies supporting telemental health in rural UACS, social work education, and evaluation are presented. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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BACKGROUND: Shelter-in-place orders during the COVID-19 pandemic created unmet health-related and access-related needs among older adults. We sought to understand the prevalence of these needs among community-dwelling older adults. METHODS: We performed a retrospective chart review of pandemic-related outreach calls to older adults between March and July 2020 at four urban, primary care clinics: a home-based practice, a safety net adult medicine clinic, an academic geriatrics practice, and a safety net clinic for adults living with HIV. Participants included those 60 or older at three sites, and those 65 or older with a chronic health condition at the fourth. We describe unmet health-related needs (the need for medication refills, medical supplies, or food) and access-related needs (ability to perform a telehealth visit, need for a call back from the primary care provider). We performed bivariate and multivariate analyses to examine the association between unmet needs and demographics, medical conditions, and healthcare utilization. RESULTS: Sixty-two percent of people had at least one unmet need. Twenty-six percent had at least one unmet health-related need; 14.0% needed medication refills, 12.5% needed medical supplies, and 3.0% had food insecurity. Among access-related needs, 33% were not ready for video visits, and 36.4% asked for a return call from their provider. Prevalence of any unmet health-related need was the highest among Asian versus White (36.4% vs. 19.1%) and in the highest versus lowest poverty zip codes (30.8% vs. 18.2%). Those with diabetes and COPD had higher unmet health-related needs than those without, and there was no change in healthcare utilization. CONCLUSIONS: During COVID, we found that disruptions in access to services created unmet needs among older adults, particularly for those who self-identified as Asian. We must foreground the needs of this older population group in the response to future public health crises.
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Background: Evidence highlighted the likelihood of unmet mental health needs (UMHNs) among LGBTQ+ than non-LGBTQ+ populations during COVID-19. However, there lacks evidence to accurately answer to what extent the gap was in UMHN between LGBTQ+ and non-LGBTQ+ populations. We aim to evaluate the difference in UMHN between LGBTQ+ and non-LGBTQ+ during COVID-19. Methods: Cross-sectional data from Household Pulse Survey between 21 July 2021 and 9 May 2022 were analyzed. LGBTQ+ was defined based on self-reported sex at birth, gender, and sexual orientation identity. UMHN was assessed by a self-reported question. Multivariable logistic regressions generated adjusted odds ratios (AODs) of UMHN, both on overall and subgroups, controlling for a variety of socio-demographic and economic-affordability confounders. Findings: 81267 LGBTQ+ and 722638 non-LGBTQ+ were studied. The difference in UMHN between LGBTQ+ and non-LGBTQ+ (as reference) varied from 4.9% (95% CI 1.2-8.7%) in Hawaii to 16.0% (95% CI 12.2-19.7%) in Utah. In multivariable models, compared with non-LGBTQ+ populations, LGBTQ+ had a higher likelihood to report UMHN (AOR = 2.27, 95% CI 2.18-2.39), with the highest likelihood identified in transgender (AOR = 3.63, 95% CI 2.97-4.39); compared with LGBTQ+ aged 65+, LGBTQ+ aged 18-25 had a higher likelihood to report UMHN (AOR = 1.34, 95% CI 1.03-1.75); compared with White LGBTQ+ populations, Black and Hispanic LGBTQ+ had a lower likelihood to report UMHN (AOR = 0.72, 95% CI 0.63-0.82; AOR = 0.85, 95% CI 0.75-0.97, respectively). Interpretation: During the COVID-19, LGBTQ+ had a substantial additional risk of UMHN than non-LGBTQ+. Disparities among age groups, subtypes of LGBTQ+, and geographic variance were also identified.