ABSTRACT
TOPIC: A crisis exists regarding the number of children and adolescents who require psychiatric/mental health treatment. According to the 2018-2019 National Survey of Children's Health, 24.4% of children, age 3-17 years, experienced one or more reported mental, emotional, developmental, or behavioral (MEDB) problems. PURPOSE: Transitioning from child/adolescent mental health services (CAMHS) to adult mental health services (AMHS) requires a model of care that includes flexible policies and treatment options to accommodate individual developmental needs. Comprehensive and integrated psychiatric/mental health services are needed to improve the well-being of children and adolescents. CONCLUSIONS: The Steps to Care Model (STCM) provides a transition plan for adolescents into adult psychiatric/mental health services. The STCM consists of six overlapping segments: development of social and human capital, strategies for the promotion of mental health awareness and care, a shared electronic information system, comprehensive mental health care services in community-based settings, implementing education for all providers, and planned transitional services for youth.
Subject(s)
Adolescent Health Services , Mental Disorders , Mental Health Services , Adult , Child , Adolescent , Humans , Child, Preschool , Mental Health , Mental Disorders/therapy , Mental Disorders/psychology , PsychotherapyABSTRACT
The Northeastern/Central Pennsylvania Interprofessional Education Coalition (NECPA IPEC) is a coalition of faculty from multiple smaller academic institutions with a mission to promote interprofessional education. An interprofessional learning program was organized, which involved 676 learners from 10 different institutions representing 16 unique professions, and took place at seven different institutions simultaneously. The program was a 3-hour long summit which focused on the management of a patient with ischemic stroke. A questionnaire consisting of the Interprofessional Education Perception Scale (IEPS) questionnaire (pre-post summit), Likert-type questions, and open comment questions explored the learners' perceptions of the session and their attitudes toward interprofessional learning. Responses were analyzed using descriptive statistics and statistical tests for difference and qualitative thematic coding. The attitude of learners toward interprofessional education (as measured by the IEPS) was quite high even prior to the summit, so there were no significant changes after the summit. However, a high percentage of learners and facilitators agreed that the summit met its objective and was effective. In addition, the thematic analysis of the open-ended questions confirmed that students learned from the experience with a sense of the core competencies of interprofessional education and practice. A collaborative approach to delivering interprofessional learning is time and work intensive but beneficial to learners.
Subject(s)
Cooperative Behavior , Education, Professional , Interdisciplinary Communication , Interprofessional Relations , Patient Care Team/organization & administration , Program Development , Students, Health Occupations/psychology , Attitude of Health Personnel , Female , Humans , Male , Pennsylvania , Surveys and Questionnaires , TeachingABSTRACT
This study evaluated the mental health consequences of abuse among Jordanian women and tested the effectiveness of using cognitive behavioral interventions to change the level of depression and level of stress among Jordanian women experiencing intimate partner abuse (IPA). A mixed methods design using phenomenology and quasi-experimental research data collection and analysis was implemented. The most commonly reported form of abuse was psychological abuse. Prior to cognitive behavioral intervention, participants demonstrated moderate to severe levels of depression, low levels of perceived social support, moderate to high levels of self-efficacy, and used approach coping skills more frequently than avoidance coping. Cognitive behavioral interventions resulted in decreased depression (p = .003) and decreased stress levels, although this finding did not reach significance (p > .05). Cognitive behavioral interventions are effective interventions when working with women experiencing IPA.
Subject(s)
Mental Disorders/epidemiology , Spouse Abuse/psychology , Women/psychology , Adolescent , Adult , Cohort Studies , Female , Humans , Jordan , Mental Disorders/diagnosis , Mental Disorders/therapy , Middle Aged , Spouse Abuse/ethnology , Young AdultABSTRACT
The article reviews gestational diabetes mellitus, including etiology, diagnostic and screening criteria, risk factors, and care of the affected woman. Gestational diabetes mellitus affects approximately 7% of all pregnant women, resulting in more than 200,000 cases each year, and is defined as glucose intolerance that begins or is first recognized during pregnancy. Women are considered at high risk for gestational diabetes if they are markedly obese, have a personal history of gestational diabetes, have a strong family history of diabetes, or have glycosuria. Risk assessment is essential in determining whether a woman should be screened or tested for gestational diabetes. Women who have had gestational diabetes should have comprehensive preconception care prior to a subsequent pregnancy to ascertain appropriate weight, nutrition, exercise, and signs of gestational diabetes.
