Hybrid journal * Containing 2 Open Access article(s) in this issue * ISSN (Print) 1746-5729 - ISSN (Online) 2042-8731 Published by Emerald[362 journals]
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Editorial Julian Ashton, Neil Quinn Journal of Public Mental Health, Vol. 21, No. 4, pp.277-278Journal of Public Mental Health2022-11-28 DOI: 10.1108/JPMH-12-2022-159 Issue No:Vol. 21, No. 4 (2022)
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Authors:Kris Southby, Tim Bidey, Duncan Grimes, Zoe Khor, Jane South, Anne-Marie Bagnall Abstract: Living in an area experiencing economic and social disadvantage is a known risk factor to poor mental health and well-being. This paper aims to understand how some communities experiencing disadvantage appear to be more resilient to the enduring challenges they face and display better mental health outcomes. A qualitative case study approach was used. Semi-structured interviews (total = 74) were undertaken remotely with residents (n = 39) and voluntary, community and social enterprise groups, community leaders and other local stakeholders (n = 35) in four case study areas. Data analysis was cross-case, thematic analysis. Community analysis workshops (n = 4) and resilience mapping workshops (n = 4) in each site corroborated emerging insights. Four overlapping and interacting themes support community resilience: community hubs and local voluntary, community and social enterprise (VCSE) networks; opportunities to participate and make connections within communities; open and supportive environments to talk about mental health and well-being; and community identities and collective narratives. Differences in access to these resources was a cross-cutting theme. Community resilience can be understood in terms of the amount of resources – articulated in terms of capital – that communities can draw on in response to challenges, and how well these resources are mobilised. A thriving VCSE sector is important for community resilience in communities experiencing disadvantage as a mechanism for both sustainably building and mobilising community resources in the face of daily and enduring challenges. Citation: Journal of Public Mental Health PubDate: 2022-11-03 DOI: 10.1108/JPMH-03-2022-0029 Issue No:Vol. 21, No. 4 (2022)
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Authors:Lucy Hunn, Tim Clarke, Amit Bhaduri, Sarah Maxwell, Jon Wilson Abstract: Young people can often “fall through the gaps” between Child and Adolescent Mental Health services (CAMHS) and Adult Mental Health services (AMHS). This discursive viewpoint study aims to reflect a conversation among the authors on how CAMHS and AMHS psychiatry came together to develop and embed a UK community “Youth Mental Health Service”. This reflective viewpoint study explores the perspectives of three of the lead CAMHS and AMHS psychiatrists from the implementation phase of a community youth mental health service. It explores, in a discursive way, these individuals’ views on some of the key facilitators and barriers in the development of the service that aimed to “bridge the gap” for young people. These clinicians’ reflections recognise the importance of strong clinical leadership in enabling a youth/young adult model of mental health to be implemented. They also recognise how culture internal and external to a service has a key role to play in the success and sustainment of implementing an innovative model. This study describes a merging of CAMHS and AMHS psychiatry to meet the needs of young people in the most developmentally appropriate way. This reflective study highlights the need for services and systems to think creatively about how they can allow flexibility for CAMHS and AMHS psychiatrists to learn and plan together, as well as gain experiences across the age ranges, to facilitate collaborative working that is developmentally appropriate and meets the needs of young people in a way that is accessible to them. Citation: Journal of Public Mental Health PubDate: 2022-10-24 DOI: 10.1108/JPMH-08-2022-0082 Issue No:Vol. 21, No. 4 (2022)
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Authors:Medea Zirakashvili, Maia Gabunia, Nana Mebonia, Tamar Mikiashvili, Giorgi Lomidze, Somer Bishop, Bennett Leventhal, Young Shin Kim Abstract: Even though 95% of children with neurodevelopmental disorders, including autism spectrum disorder (ASD), live in low- and middle-income countries, there is a dearth of studies from these countries, including the Republic of Georgia. Several ASD screening tools are available, but few are validated for use in Georgian or other smaller countries. This study aims to adapt and validate the autism spectrum screening questionnaire (ASSQ) for use in Georgia. The ASSQ was administered for all third-grade students in 402 schools in the five main Georgian cities, n = 27,336. Prior to use, the 27-item ASSQ was translated, back-translated and adapted for use in Georgia. A total of 16,556 students (approximately 61%) were assessed by a parent and/or teacher. Optimal cutoff scores were estimated. Randomly chosen children who screened positive (n = 173) and negative (n = 127) were offered comprehensive assessment using standardized diagnostic procedures. Data from 15,510 parents- and 13,517 teachers-administered ASSQ revealed statistically significant differences in median and cutoff scores between parents and teachers: 7 versus 4 and 9 versus 6, respectively. Cutoff score = 14, on either parent or teacher ASSQ, had sensitivity of 0.94, indicating that it can be used in school settings. The Georgian adaptation of the ASSQ creates opportunity for further ASD research, while also providing a valid screening tool for clinicians. Data from Georgia will add to the growing understanding of the broader ASD phenotype. Citation: Journal of Public Mental Health PubDate: 2022-10-21 DOI: 10.1108/JPMH-03-2022-0028 Issue No:Vol. 21, No. 4 (2022)
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Authors:Wei Shan Cheong, Karunanithy Degeras, Khairul Rizuan Suliman, Mohan Selvaraju, Kavitha Subramaniam Abstract: Undergraduate students are known to be a high-risk group for mental health problems. The purpose of this paper is to constitute a repeated cross-sectional study on the trend of depression over the years and factors associated with depression among undergraduates. Cross-sectional data from five surveys between 2013 and 2020 (N = 1,578) among the undergraduates of Universiti Tunku Abdul Rahman, a private university in Kampar Malaysia, were combined. The Depression Anxiety and Stress Scale-21 was used to screen for depression. Cochran’s Armitage test was used to detect trend in depression. Logistic regression, random forest regression and extra gradient boosting regression were used to identify risk factors and classification. The prevalence of depressive symptoms was found to be between 26.4% and 36.8% between the years with an average of 29.9%. There was no significant time trend in the prevalence. The risk of depressive symptoms was higher among female students, those who were dependent on family for financial support and those who were stressed. Periodical screening for depression is warranted for the identification of students at risk for depression. Professional cognitive-behavioral therapies, peer support and consulting services should be made available to the students in need. Depression among students had been studied widely, but the trend over years remains unexplored, especially in developing countries. Citation: Journal of Public Mental Health PubDate: 2022-10-13 DOI: 10.1108/JPMH-12-2021-0152 Issue No:Vol. 21, No. 4 (2022)
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Authors:Mohsen Mahdinia, Mohsen Sadeghi Yarandi, Hossein Fallah, Ahmad Soltanzadeh Abstract: Several variables can affect work stress. This study aims to model the cause-and-effect relationships among different variables that can predict work stress based on one of the most important fuzzy multicriteria decision-making methods used to investigate the cause-and-effect relationships among variables. This study was conducted in 2020, including 17 experts in safety management, occupational health and work psychology, based on the fuzzy decision-making trial and evaluation laboratory method as a robust approach to identify the cause-and-effect relationships among different variables. Shift work, lack of job satisfaction, mental health, mental overload, fatigue, job security, sleep disorders, environmental discomfort, work pressure, job knowledge (this could mean expertise/level of qualifications/familiarity with the job), work complexity and role conflict were found to be the most significant variables affecting work stress. Moreover, the cause-and-effect model of relationships among variables showed that shift work and lack of job satisfaction are root causes, and mental health, fatigue, mental workload, sleep disorder and environmental discomfort are direct causes. Although the results of this study demonstrate that work stress can be influenced by 12 different variables, the modeling results show that some variables, such as shift work and lack of job satisfaction, can directly or indirectly impact other variables and thus result in work stress. Citation: Journal of Public Mental Health PubDate: 2022-10-11 DOI: 10.1108/JPMH-03-2022-0023 Issue No:Vol. 21, No. 4 (2022)
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Authors:Vitalii Klymchuk, Krystyna Vysotska, Viktoriia V. Gorbunova Abstract: The purpose of this paper is to explore how conflict-affected communities in Ukraine (the Lugansk region) can develop sustainable mental health services in decentralised settings. The main interest focuses on community stakeholders’ perception of their problems and solutions that communities can create to achieve better mental health coverage. A series of roundtables (RTs) (4 RTs, 62 participants overall), accompanied by interactive brainstorming techniques, were conducted with communities’ representatives/stakeholders from the East of Ukraine (Lugansk region, a government-controlled area) during the year 2021. Participants (health, mental health, social care workers and administration representatives) were provided with the opportunity to discuss mental health services’ development challenges and create affordable solutions for their communities. Results of discussions were submitted to qualitative analysis and offered for review by participants. Decentralisation in Ukraine led to allocating funds alongside responsibilities for developing the services to communities. Most of the communities appear not to be ready to acknowledge the role of mental health services, entirely relying on the existing weak psychiatric hospital-based system. Awareness-raising interactive capacity-building activities for the community leaders and decision-makers effectively promote community-based mental health services development. Five clusters of challenges were identified: leadership, coordination and collaboration problems; infrastructure, physical accessibility and financial problems; mental health and primary health-care workforce shortage and lack of competencies; low awareness of mental health and available services and high stigma; war, crises and pandemic-related problems. Communities stakeholders foresaw seven domains of action: increasing the role of communities and service users in the initiatives of governmental bodies; establishing in the communities local coordination/working groups dedicated to mental health service development; developing the community-based spaces (hubs) for integrated services provision; embedding the mental health services in the existing services (social, administrative and health care); mental health advocacy and lobbying led by local leaders and service users; increasing capacity of communities in financial management, fundraising; developing services by combining efforts and budgets of neighbouring communities. The study has potential limitations. Participants of the roundtables were mostly appointed by local authorities, so some of them didn`t have a motivation for mental health services development. Service users were involved only from the facilitators` side, not from the side of communities; therefore, it was impossible to include their view of problems and solutions. Obtained data were limited to the opinion of local professionals, administration workers and other local stakeholders. The human rights aspect was not clearly articulated in the tasks of the roundtables. To the best of the authors’ knowledge, the paper is original in terms of its topic (connecting decentralisation and local stakeholders’ engagement for understanding the challenges of mental health services development) and research strategy (engagement of Ukrainian communities, qualitative analysis of the discussion results and applying the best practices and international recommendations to the local context). Citation: Journal of Public Mental Health PubDate: 2022-10-10 DOI: 10.1108/JPMH-06-2022-0054 Issue No:Vol. 21, No. 4 (2022)
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Authors:Jennifer E. Thannhauser, Andrew C.H. Szeto, Keith S. Dobson, David Nordstokke Abstract: With the recent release of the National Standard for Mental Health and Well-Being for Post-Secondary Students, there is increased interest to integrate research and practice for mental health services on post-secondary campuses. Participant-oriented research is a useful framework to bridge this gap. This paper aims to describe the program development and evaluation process and reports challenges and lessons learned to inform future implementation strategies for similar endeavours. A participant-oriented research approach was used to revise and evaluate an innovative interdisciplinary resilience program, entitled Roots of Resiliency, for post-secondary students. This case analysis used the development and evaluation of Roots of Resiliency to demonstrate some of the strategies and challenges that exist for participant-oriented research related to mental health in the post-secondary context. Collaborative relationships among the various development team members contributed to an overall positive experience. Some challenges that others who work in post-secondary mental health field may consider include the need for content expertise, the ongoing need for communication among team members and the need for an effective system to give voice to all participants. Any mental health program has a cultural component and is best co-developed by the particular students (e.g. indigenous students) who are to be served by the program. In this regard, the co-design and shared development and evaluation of the current mental health program is an example that can be emulated in other programs within the post-secondary context. Citation: Journal of Public Mental Health PubDate: 2022-09-09 DOI: 10.1108/JPMH-05-2022-0047 Issue No:Vol. 21, No. 4 (2022)
Hybrid journal * Containing 2 
Open Access article(s) in this issue *
