جستجوی مقالات مرتبط با کلیدواژه « mental health services » در نشریات گروه « پزشکی »

Previous experiences have shown that mental health is one of the areas that is quickly affected during an epidemic. Students, in particular, require guidance and consultation with psychologists in various aspects of their lives. This study aimed to investigate the satisfaction and effectiveness of tele-psychotherapy among students at Mashhad university of medical sciences during the COVID-19 pandemic.

This cross-sectional study was conducted from September 2022 to March 2023. A standard questionnaire developed by Ghalibaf et al. was used. Three experts in related fields confirmed the content validity of the questionnaire, and its internal consistency was assessed using Cronbach's alpha coefficient. Questionnaires were distributed to all students from affiliated faculties at Mashhad university of medical sciences who had utilized tele-psychotherapy during the COVID-19 pandemic. Descriptive statistics were used to summarize and analyze the data, while analytical statistics provided a basis for inference and interpretation.

The majority of students reported engaging in informal counseling through virtual communication methods such as chat and voice (47.7%), while video communication methods like video conferences were less commonly used (0.05%). Overall, most students (50%) expressed moderate overall satisfaction with tele-psychotherapy. However, only a small percentage (16.7%) agreed or strongly agreed that they would continue with this style of counseling in the future. Gender was found to have a significant relationship with satisfaction in tele-psychotherapy (p<0.001), with female students reporting higher levels of satisfaction. Additionally, confidence in the confidentiality of conversations on the Internet also had a significant relationship with satisfaction in tele-psychotherapy (p<0.001).

The COVID-19 pandemic necessitated a sudden shift from face-to-face psychotherapy consultations to tele-psychotherapy for students, presenting them with unique challenges. The results of our study demonstrate that tele-psychotherapy can be a satisfactory option for ensuring continuity during crises. Furthermore, tele-psychotherapy offers flexibility in terms of time and location, allowing for quicker appointments if more frequent sessions are required or during emergencies.

This paper addresses the comorbidity of substance use and mental illness among women in Iran and the barriers they encounter in accessing treatment. Research has demonstrated a higher prevalence of comorbidity of substance use disorders and mental illness among women than men. It has been suggested that women in Iran may face numerous barriers to appropriate care, such as stigma and discrimination associated with substance use. Integrated treatment for co-occurring disorders (CODs) has been highly beneficial and effective; however, personal and structural limitations impede this treatment approach, which explains the need to develop a situation- and culture-specific program. Needs assessment is necessary to achieve an integrated treatment, and the Iranian government should take the lead in this endeavor. However, if this seems unlikely, non-governmental organizations could be called upon to promote it.

In order to achieve development goals, in addition to providing students with physical health, their mental and social health should be considered as a necessity and priority in development programs. This program, called the Nemad Project in Iran was formally established in 2015. This study aims to explore the challenges of the Nemad project in Iranian schools based on stakeholders' views.

The present qualitative study, with a contractual content analysis approach, was conducted on 21 experts in the field of social harm prevention and mental health promotion at the senior, intermediate, and operational levels in educational institutions and schools, Ministry of Health, the Judiciary and the Planning and Budget Organization. These experts also included project technical officers. Participants were selected using snowball and purposeful sampling methods. Data were collected through semi-structured interviews and analyzed by coding, classification, and extraction of the main themes.

Six main themes were derived that included inefficiency in resource management (with subcategories of inadequate facilities and equipment, inadequate human resource management, and information management system deficiencies), weakness in program organization (with subcategories of poor cross-sectoral and weak inter-sectoral subgroups), challenges of laws/regulations/policies (with sub-categories of defective protocols and guidelines and lack of specific task descriptions), barriers and challenges to implementation of policies (with macro and school policy implementation subcategories), structural factors (with subcategories of financial resources allocation problems, inconsistency in managerial levels, and deficiencies in decision-making principles), weaknesses in educational processes (with subcategories of inadequate teacher education, weaknesses in parenting courses, and weaknesses in student education), and ultimately, weaknesses in monitoring and evaluation (with the subcategory of lack of a monitoring and evaluation system).

According to experts, implementation of mental and social programs in schools is not in a desirable situation and is faced with certain challenges. To enhance the management of the Nemad project in Iranian schools, it is necessary to compile flowcharts of service delivery and inter-device communication, allocate resources to meet the expectations of each organization, do performance-based budgeting, take a comprehensive look at parental issues, and design a system of monitoring and evaluating the requirements.

 Mental disorders have a high prevalence and significant burden among all health conditions across the world and in Iran. Therefore, some targets in the field of mental health and substance and alcohol use prevention have been included in the National Action Plan for Prevention and Control of Non-communicable Diseases and Related Risk Factors.

 Keeping in mind the key priorities, important strategies have been considered for attaining the main targets in this field. These strategies fall under four categories of governance, prevention and reduction of risk factors, health care, and surveillance, and monitoring and evaluation strategies.

 The success of mental health and substance and alcohol use prevention programs in Iran can be partly related to the evidence-based approach adopted and also to the commitment of high-rank officials of the Ministry of Health and Medical Education to the principal strategy of increasing access to the general population to basic mental health services, among all other non-communicable diseases.

The main objective of this study was to review aspects of the current situation and structure of the integrated mental health care services for planning a reform. Aspects of the newly designed infrastructure, along with specification of duties of the various human resources, and its relation with Iran’s Comprehensive Mental and Social Health Services (the SERAJ Program), will also be presented

This is a study on service design and three methods of literature review, deep interview with stakeholders, and focused group discussions. In the literature review, national and international official documents, including official reports of the World Health Organization (WHO) and consultant field visits, were reviewed. Deep semi-structured interviews with 9 stakeholders were performed and results were gathered and categorized into 3 main questions were analyzed using the responsibility and effectiveness matrix method. The Final results were discussed with experts, during which the main five-domain questions were asked and the experts’ opinions were observed.

In this study, the main gaps of the public mental health care (PHC) services in Iran were identified, which included reduction of risk factors for mental disorders, training the general population, early recognition and treatment of patients with mental disorders, educating patients and their families, and rehabilitation services. The new model was then proposed to fill these gaps focusing on increasing access, continuity of care, coordination in service delivery, and comprehensiveness of care. A mental health worker was placed besides general healthcare workers and general practitioners (GPs). Services were prioritized and the master flowchart for mental health service delivery was designed.

A reform was indeed necessary in the integrated mental health services in Iran, but regarding the infrastructure needed for this reform, including human and financial resources, support of the senior authorities of the Ministry of Health (MOH) is necessary for the continuity and enhancement of services. In this model, attention has been given to the principles of integrating mental health services into primary health care. Current experience shows that the primary health care system has been facing many executive challenges, and mental health services are not exclusion to this issue. Monitoring and evaluation of this model of service and efforts for maintaining sustainable financial resources is recommended to make a reform in this system and to stabilize it.

As one of the major health problems in the present century, the COVID-19 pandemic affected all parts of the global communities and the health of substance users are potentially at a greater risk of harm. This global study has been designed and conducted by the International Society of Addiction Medicine Practice and Policy Interest Group (ISAM-PPIG) to understand better the health related issues of people with Substance Use Disorders (SUD) as well as responses of the relevant health care systems during the pandemic.

This is a cross-sectional study using convenient sampling. The data gathering was carried out with two follow-up stages each two months apart through an online conducted survey prepared using Google platform. The survey started by emergence of COVID-19 as a pandemic in March 2020 and respondents were followed till September 2020 when most of the initial lockdowns by most countries are supposed to be reopened.

The study was approved by the ethics committee of University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. The results will be published in relevant peer reviewing journals and communicated with different international stakeholders.

Suicide victims frequently have had contact with the mental health services before they died. In this study, the rate of mental health care system contact during the last year before suicide commission was evaluated.

Utilization of mental health care facilities during the last 12 months of 231 individuals who committed suicide was assessed by the questionnaire.

Of the suicide victims, 62% had been used mental health services at least once. The mean age of the patients was 29.7 years (SD = 4/11). There wasn’t Significant difference in age between men and women who had used mental health services (P = 0.077). There was a significant relation-ship between the two groups using and not using of mental health services and suicide more than once (P = 0.008). There was also a significant relationship between psychiatric illness and mental health services use. (P <0.0001).

Increasing utilization of mental health care facilities should be considered a particularly profound suicide risk assessment and post discharge treatment planning. Continued and more serious follow-up of these patients with strategies such as social workers or through methods such as telemedicine (Continuous and right communication through phone, email, etc.) is necessary for preventing suicide.