Browsing by Subject "mental health"

Now showing 1 - 10 of 50
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    Associations between early exposure to intimate partner violence, parental depression and subsequent mental health outcomes
    (JAMA, 2013-04) Bauer, Nerissa S.; Gilbert, Amy L.; Carroll, Aaron E.; Department of Pediatrics, IU School of Medicine
    Objective: To examine the association between parent reports of intimate partner violence (IPV) and depressive symptoms within the first 3 years of a child’s life with subsequent mental health conditions and psychotropic drug treatment. Design: Prospective cohort study linking parental IPV and depression with subsequent billing and pharmacy data. Setting: 4 pediatric clinics between November 2004 and June 2012 Patients/Participants: 2,422 children Main Exposure: Any report of IPV and/or parental depressive symptoms from birth to 3 years of age. Main Outcome Measures: ICD-9 mental health diagnoses and any psychotropic drug treatment between 3 and 6 years of age. Results: 2.4% of caregivers (n=58) reported both IPV and depressive symptoms before their children were 3 years of age, 3% (n=69) of caregivers reported IPV only, 29% (n=704) reported depressive symptoms only, and 65.7% (n=1,591) reported neither exposure. Children of parents reporting both IPV and depressive symptoms were more likely to have a diagnosis of attention deficit hyperactivity disorder (ADHD) (AOR 4.0; 95% CI: 1.5-10.9), even after adjusting for child gender, race/ethnicity, and insurance type. Children whose parents reported depressive symptoms were more likely to have been prescribed psychotropic medication (AOR 1.9; 95% CI: 1.0-3.4). Conclusions: Exposure to both IPV and depression before 3 years is associated with preschool onset ADHD; and early exposure to parental depression is associated with being prescribed psychotropic medication.
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    Central Indiana Senior Fund State of Aging in Central Indiana Report (SoAR) Newsletter No. 1
    (The Polis Center, Indiana University at Indianapolis, 2022-11) The Polis Center
    Older adults are the fastest growing demographic in Central Indiana. Approximately 20,000 individuals in Central Indiana reach the age of 60 every year. By the year 2030, one in every five residents will be over the age of 65. To enhance the ability of older adults to live and thrive in Central Indiana, it is important to understand the population trends and basic needs of the growing older adult demographic. The Central Indiana Senior Fund is partnering with The Polis Center at IUPUI to develop the State of Aging in Central Indiana Report, a trusted source of information about Central Indiana’s older adult population.
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    Comparing Narrative-Informed Occupational Therapy in Adult Outpatient Mental Health to Treatment as Usual: A Quasi-Experimental Feasibility Study with Preliminary Treatment Outcomes
    (Taylor & Francis, 2021) Wasmuth, Sally; Wilburn, Victoria G.; Hamm, Jay A.; Chase, Anthony; Occupational Therapy, School of Health and Human Sciences
    This paper describes implementation of narrative-informed occupation-based service delivery in outpatient community mental health that addresses (1) the need for outcome data on occupational therapy in this setting, (2) an ongoing mental health provider shortage, and (3) a need for innovative approaches to supporting mental health. We found a significant improvement from baseline to post-intervention in occupational participation. Dose of occupational therapy was significantly related to improvements in roles, habits, values, long-term goals, social environment, and readiness for change. This study supports future, larger effectiveness studies of narrative-informed occupation-based intervention delivered by occupational therapists in outpatient community mental health.
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    Concomitant Psychiatric and Nonalcohol-Related Substance Use Disorders Among Hospitalized Patients with Alcoholic Liver Disease in the United States
    (Wiley, 2018-02) Jinjuvadia, Raxitkumar; Jinjuvadia, Chetna; Puangsricharoen, Pimpitcha; Chalasani, Naga P.; Crabb, David W.; Liangpunsakul, Suthat; Medicine, School of Medicine
    Background Despite that the epidemiological studies on the comorbidity of alcohol misuse and psychiatric disorders have been studied, less is known about the magnitude of these disorders among patients with alcoholic liver disease (ALD). Our aim was to determine the prevalence of psychiatric and substance use disorders among hospitalized ALD patients in the United States. Methods We utilized a single-level clinical classification software to identify patients with ALD and psychiatric/substance use disorders from the 2011 National Inpatient Sample data. The primary outcome was the prevalence of these disorders among hospitalized patients with ALD (n = 74,972) compared to those with chronic liver diseases not caused by alcohol (n = 350,140) and those without underlying liver diseases (n = 1,447,063). Results The prevalence of adjustment disorder, anxiety disorder, posttraumatic stress disorder, and depression was significantly higher among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol (all with p-values <0.05). Younger age, female gender, and White race were the independent predictors of psychiatric/substance use disorders among hospitalized patients with ALD. Conclusions Hospitalized patients with ALD have significantly high prevalence of concomitant psychiatric and substance abuse disorders when compared to those with chronic liver diseases not caused by alcohol and those without underlying liver diseases. Screening and appropriate intervention should be implemented as part of routine clinical care for these patients.
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    Consumer and Relationship Factors Associated with Shared Decision-Making in Mental Health Consultations
    (2014-12) Matthias, Marianne S.; Fukui, Sadaaki; Kukla, Marina; Eliacin, Johanne; Bonfils, Kelsey A.; Firmin, Ruth; Oles, Sylwia; Adams, Erin L.; Collins, Linda A.; Salyers, Michelle P.; Department of Psychology, IU School of Science
    Objective: This study explored the association between shared decision making and consumers’ illness management skills and consumer-provider relationships. Methods: Medication management appointments for 79 consumers were audio recorded. Independent coders rated overall shared decision making, minimum level of shared decision making, and consumer-provider agreement for 63 clients whose visit included a treatment decision. Mental health diagnoses, medication adherence, patient activation, illness management, working alliance, and length of consumer-provider relationships were also assessed. Correlation analyses were used to determine relationships among measures. Results: Overall shared decision making was not associated with any variables. Minimum levels of shared decision making were associated with higher scores on the bond subscale of the Working Alliance Inventory, indicating a higher degree of liking and trust, and with better medication adherence. Agreement was associated with shorter consumer-provider relationships. Conclusions: Consumer-provider relationships and shared decision making might have a more nuanced association than originally thought.
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    COVID-19 Implications on Student Athletes Occupational Engagement and Mental Health
    (2021-04-28) DePue, Brianna; Wilburn, Victoria; Pierce, David; Wilburn, Victoria; Department of Occupational Therapy, School of Health and Human Sciences; Wilburn, Victoria
    Occupational engagement in preferred activities has been difficult to obtain throughout the Coronavirus-19 (COVID-19) pandemic for high school athletes with the disruption to high school sports. High school athletes utilize sports as a way to interact within their environment and engage in play which is a key factor for facilitating normative development. The purpose of this capstone project is to further understand if associated mental health outcomes exist in high school athletes due to limited occupational engagement within sports through self-reported measurements. This project utilized a cross sectional, mixed methods survey, from a convenience sample of 104 high school athletes in order to obtain student athletes perspectives regarding the impact of COVID-19 on their sport performance, mental health, occupational deprivation, and future collegiate goals/scholarships. This project used a chi square analysis with a linear regression to understand relationships between datasets. Statistically significant (p= .003) relationships were found between grade level and student's self-reported occupational deprivation. This study also found indications of other predictive relationships between factors such as limited playing time or different rules while participating in sports and student's self-reported negative mental health symptoms (r= 2.3). With limited research on COVID-19 in this vulnerable population, this study provides foundational evidence for the need to engage within preferred occupations for normative development in high school athletes and the need to address mental health in this population who undergo feelings of adverse mental health within circumstances out of their control such as the impact of COVID-19.
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    Detained Adolescents: Mental Health Needs, Treatment Use, and Recidivism
    (AAPL, 2016-06) White, Laura M.; Lau, Katherine S. L.; Aalsma, Matthew C.; Department of Pediatrics, IU School of Medicine
    Objective: Although approximately 60%-70% of detained adolescents meet criteria for a mental disorder, few receive treatment upon community reentry. Given that mental health treatment can potentially reduce recidivism, the study examined detained adolescents’ mental health needs and their post-detention mental health treatment and recidivism. Method: Altogether, 1574 adolescents (<18 years) completed a mental health screener at a detention center. Scores on the screener, mental health treatment utilization (60-days post-detention), and recidivism (6-months post-detention) were measured. Results: About 82.2% of adolescents earned elevated scores on the mental health screener, but only 16.4% utilized treatment and 37.2% recidivated. Logistic regression models revealed adolescents with insurance and higher Angry-Irritable scores were significantly more likely to obtain treatment, whereas males, Black adolescents, older adolescents, and adolescents endorsing a trauma history were less likely. Black adolescents, insured adolescents, and adolescents with higher Alcohol/Drug Use scores were significantly more likely to recidivate. Mental health treatment increased the likelihood of recidivism. Discussion: The prevalence of mental health needs among DAs was high, but treatment utilization was low, with notable treatment disparities across race, gender, and age. The use of mental health treatment predicted recidivism, suggesting treatment may act as a proxy measure of mental health problems. Future research should assess the impact of timely and continuous mental health services on recidivism.