No description available.

Many students in primary and secondary schools are impacted by a chronic health condition. Researchers have postulated that interprofessional collaboration between medical and mental health providers can be beneficial in improving the academic, behavioral, and social-emotional outcomes of students with chronic health conditions (Drotar, Palermo, & Barry, 2003; Shapiro & Manz, 2003). An emerging area of focus is on the school-based collaboration between school nurses and school psychologists regarding supporting students with chronic health conditions. This study investigated school nurses’ perceptions of the benefit of collaborating with school psychologists, school nurses’ awareness of the roles of school psychologists, the frequency of collaborative practices, the relationship between the awareness of roles and frequency of collaborative practices, and the barriers and facilitators to the collaborative process. A total of 1,054 school nurses were recruited from National Board for Certification of School Nurses to participate in the study, and 240 surveys were completed (23% response rate). Findings indicate that school nurses perceive the collaborative practice as being beneficial for supporting students with chronic health conditions. Additionally, school nurses were able to accurately identify many roles of school psychologists. Despite school nurses perceiving collaboration with school psychologists as beneficial, and being aware of the roles of school psychologists, the frequency of collaboration between school nurses and school psychologists was low. Further analysis found a significant and positive relationship between awareness of the roles and collaborative practices. Benefits of the collaborative process included cross-disciplinary problem solving and the opportunity to share resources.

Adolescents are individuals who are gradually approaching adulthood and begin to experience some changes in their lives owing to their exposure to environmental influences. These individuals also indulge in behaviors that may be harmful to them and will require the guidance of health providers to stay healthy. However, many adolescents have reported unmet health care needs or guidance from health care providers. The purpose of this study was to determine the prevalence of provider anticipatory guidance reported by adolescents in rural Appalachia. The study participants were aged 16 to 19 years and a total of 762 participants in rural Appalachia were recruited from the 2016 Adolescent Community Health Survey. Participants were asked to indicate whether a provider asked them about a series of health behaviors in a 12-month period. Health behaviors included healthy eating/diet, physical activity, school performance/grades, friends, emotions, feeling sad, suicide, chewing tobacco, drug use, use of steroids, risks of drinking, smoking, and the importance of wearing seatbelts whilst driving. Descriptive statistics were conducted using SAS 9.4. Of the 762 study participants, 53.4% were females. Less than 30% of the study participants reported a doctor had talked to them about their weight/ healthy eating in the last 12 months. In the last 12 months,18.3% reported a doctor had talked to them about suicide, 26.4% reported a doctor had talked to them about their moods and emotions. Less than 25% reported a doctor had talked to them about drug use and 22.31% reported a doctor had talked to them about wearing a seat belt while driving in the last 12 months. Adolescents are in need of anticipatory guidance from health care providers. Our studies reveal more than 70% of adolescents report not receiving anticipatory guidance in several areas including drug use, chewing tobacco, use of steroid pills or shots without a doctor’s prescription, weight, school performance, healthy eating/diet, suicide, their emotions and the importance of wearing a seatbelt whilst driving. The prevalence of anticipatory guidance as reported by these adolescents in Appalachia is low. Therefore, there is a need to create awareness amongst healthcare providers such as physicians, nurses, psychologists, etc. to ensure that whilst they treat medical illnesses, they also talk to young adolescents about risky behaviors. This awareness will go a long way in mitigating adolescent risky behaviors. This study also has implications that drive policy decision-making.

Criminal justice professionals like probation and parole officers draw from psychologists, social workers, and other mental health treatment providers to improve offender outcomes. The value of mental health interventions for offenders has been well documented in the literature. However, the values, roles and responsibilities, and goals for offender outcomes may differ for these professional groups. Probation and parole officers prioritize safety through the specific mechanisms of deterrence, control, punishment, and restoration. Officers meet these goals by some combination of law enforcement and case management roles. Mental health treatment providers, in contrast, are concerned with the individual offender’s perspectives, values, and needs, and reducing symptoms or behaviors associated with criminal activity. Providers’ roles are often defined by their background and training. However, in rural areas where specialized providers are less available, professional roles may become blurred. Given the differences between the criminal justice and mental health professions, the quality of these interprofessional relationships is an area ripe for study. This qualitative study examines the experiences of mental health professionals providing services to offenders in a rural area of south-central Appalachia. Participants (N= 38) include professionals from the fields of psychology, psychiatry, counseling, and social work. Services provided by these individuals include, but are not restricted to, forensic evaluation, adult and juvenile offender treatment (i.e., sex offender treatment, anger management, substance abuse treatment, and domestic violence counseling), prosocial psychoeducation, and traditional psychotherapy with offenders. Providers from multiple agencies participated in individual or focus group interviews and completed a pre-interview questionnaire about their training background, services provided, and caseload. This exploratory study uses thematic analysis to identify important themes and subthemes related to the following aims: to identify characteristics of interprofessional interactions and partnerships between rural community treatment providers and agents of the criminal justice system, as perceived by treatment providers, to examine if interprofessional partnerships reflect best practice competencies identified in healthcare research (i.e., values and ethics, roles and responsibilities, interprofessional communication, and teams and teamwork), and to establish the impact of interprofessional partnerships on offenders’ success in rural communities. Future directions, including the examination of perceptions of probation and parole officers and other risk management agents, will be discussed.

Mäns hot och våld mot kvinnor är ett allvarligt samhällsproblem. Syftet med studien var att utifrån aktuell forskning belysa faktorer som har betydelse i mötet mellan vårdpersonal och den våldsutsatta kvinnan. Metoden som har användts var en litteraturöversikt. Vetenskapliga artiklar söktes i databaserna Cinahl, Medline, HighWire press, samt psyk INFO. Resultatet består av 12 vetenskapliga artiklar publicerade mellan 1996-2007 . Analysen av materialet resulterade i ett antal områden.  Dessa områden är attityder och fördomar i vårdmötet, bemötande, miljöfaktorer, utbildning och screeningprogrammens betydelse, ekonomins betydelse, samarbete mellan olika yrkesgrupper, kunskap och rädsla. Det framkom i resultatet att mer utbildning av personalen är önskvärt, för att alla parter ska känna sig trygga i mötet. Genom att belysa områdena kan arbetet inom vården påbörjas för att decimera de negativa och understödja de positiva faktorerna. Resultatet talar för att undervisning om bemötande av våldsutsatta kvinnor bör ingå i utbildning för all vårdpersonal. / Men's threats and violence against women is a serious social problem. The aim of the study was to, based on current research, find and highlight factors of importance in the meeting between health professionals and the vulnerable woman. Method that was used was a literature review. Scientific articles sought in the databases Cinahl, Medline, High Wire Press, and psych INFO. The result consists of 12 scientific articles published between the years of 1996-2007. The analysis of the material resulted in a number of areas. These areas are the attitudes and prejudices in the health care meeting, treatment, environmental, education and screening programs, importance, economic importance, cooperation between different professions, knowledge and fear. It appeared in the result that for everyone to feel safe in the meeting, more professional training of staff members was to be desirable. By highlighting these areas the work in health care can begin to decrease the negative factors and support the positive ones. The results suggest that education concerning the response to women exposed to domestic violence should be included in all training of health professionals.

<p>Mäns hot och våld mot kvinnor är ett allvarligt samhällsproblem. Syftet med studien var att utifrån aktuell forskning belysa faktorer som har betydelse i mötet mellan vårdpersonal och den våldsutsatta kvinnan. Metoden som har användts var en litteraturöversikt. Vetenskapliga artiklar söktes i databaserna Cinahl, Medline, HighWire press, samt psyk INFO. Resultatet består av 12 vetenskapliga artiklar publicerade mellan 1996-2007 . Analysen av materialet resulterade i ett antal områden.  Dessa områden är attityder och fördomar i vårdmötet, bemötande, miljöfaktorer, utbildning och screeningprogrammens betydelse, ekonomins betydelse, samarbete mellan olika yrkesgrupper, kunskap och rädsla. Det framkom i resultatet att mer utbildning av personalen är önskvärt, för att alla parter ska känna sig trygga i mötet. Genom att belysa områdena kan arbetet inom vården påbörjas för att decimera de negativa och understödja de positiva faktorerna. Resultatet talar för att undervisning om bemötande av våldsutsatta kvinnor bör ingå i utbildning för all vårdpersonal.</p> / <p>Men's threats and violence against women is a serious social problem. The aim of the study was to, based on current research, find and highlight factors of importance in the meeting between health professionals and the vulnerable woman. Method that was used was a literature review. Scientific articles sought in the databases Cinahl, Medline, High Wire Press, and psych INFO. The result consists of 12 scientific articles published between the years of 1996-2007. The analysis of the material resulted in a number of areas. These areas are the attitudes and prejudices in the health care meeting, treatment, environmental, education and screening programs, importance, economic importance, cooperation between different professions, knowledge and fear. It appeared in the result that for everyone to feel safe in the meeting, more professional training of staff members was to be desirable. By highlighting these areas the work in health care can begin to decrease the negative factors and support the positive ones. The results suggest that education concerning the response to women exposed to domestic violence should be included in all training of health professionals.</p>

Background Due to the COVID-19 pandemic, there was a significant reduction in in-person healthcare visits as a precautionary measure to minimize the risk of infection for both patients and healthcare provides. Consequently, there was a remarkable surge in the adoption of telehealth services, although mental healthcare services were already using it more frequently than primary and specialty care services before the pandemic. Despite the continued increase in telehealth services, there are differing views among healthcare providers on the efficacy of providing healthcare services remotely, leading to an opportunity to investigate this matter further. Objective The primary goal of this study was to evaluate differences in perceptions and attitudes, experience with patient interactions and overall telehealth experiences between mental health providers and non-mental health providers. Methods The proposed study collected primary data through surveying providers across the United States from November 2022-March 2023. The surveys were conducted through REDCap, and disseminated through research staff outreach and recruitment. Providers were asked to complete a 33-item survey, which took them about 30 minutes to finish and queried them about their satisfaction, utilization, and experiences with telehealth. The provider survey was disseminated to both mental health providers and non-mental health providers who use telehealth technology. Descriptive analysis was conducted to determine the characteristics of the population surveyed. Data was then dichotomized by mental health providers vs. non-mental health providers. Differences in mean responses for all variables between mental health and non-mental health providers was assessed using Mann-Whitney U (MW) tests. Results A Mann-Whitney Wilcoxon test indicated that the satisfaction with the telemedicine platform was greater for non-mental healthcare providers than mental healthcare providers (p < .05). A Mann-Whitney Wilcoxon test indicated that the reliability of the telemedicine app for facilitating health care services, that the ability to trust the telemedicine application to work, the lack of physical contact during a video visit being a problem, the video visits being a convenient form of healthcare delivery, the visits on the telehealth system are the same as in-person visits, and that continued use of telehealth services in the future was greater for mental healthcare providers than non-mental healthcare providers (p < .05). Conclusions Looking forward, we expect to see more extensive studies involving providers from various regions and the implementation of additional approaches to enhance their experiences.

No description available.

The world has experienced multiple disasters in recent years that have highlighted the importance of effective disaster preparedness and response initiatives. One prominent example is the January 12, 2010, 7.0 magnitude earthquake that shook Port-au-Prince, Haiti. The massive disaster made it difficult for local Haitian community officials to respond immediately, leaving the country reliant on foreign aid and international and non-governmental relief organizations. Within days, hundreds of organizations and volunteers mobilized to send physicians and medical specialists, nurses, physiotherapists, psychologists and social workers to the affected area. However, the political and financial instability of Haiti, in conjunction with limited resources and severe destruction from the earthquake, made it difficult to coordinate response efforts between hundreds of responding organizations. The literature indicates that when health professionals are disorganized and unprepared, they are at risk physically, emotionally and mentally which could hinder their effectiveness as first responders. While these risks have been made known, there is little literature that explores the effectiveness of the supports, as perceived by Canadian health and social service providers in Haiti. In order to address this gap, this qualitative study explores various supports that were available to health and social service providers in Haiti by focusing on their lived experiences pre-deployment, on-site and post-deployment. These findings provide evidence to inform policy development regarding future disaster relief and the supports available to health and social service workers assisting with international disaster response.

Magister Philosophiae - MPhil / Background: Professional health assistance is a significant indicator in monitoring progress towards Millennium Development Goal five to reduce the maternal mortality ratio by three quarters and child mortality by two-thirds between 1990 and 2015. It is also significant that mothers deliver their babies in an appropriate setting, where life saving equipment and hygiene can also help reduce the risk of complications that may cause death or illness to mother and child. But in developing countries access to health services is still an issue. Objective: From a fundamental research view point, this study aims to investigate the determinants of place of delivery and professional health providers by analysing the factors that are likely to influence young mothers’ accessibility and use of prenatal facilities in the developing world. Specifically in Kenya, Ethiopia, Nepal, Bangladesh, Guyana and Haiti. Methodology: Univariet and bivariet analysis were performed to determine a relation or association between dependent and independent variables. Using secondary data from Demographic and Health Survey secondary data requested from the DHS selected between 2005 and 2010, the analysis was performed by means of SPSS software. Bringing together the demographic variables and access and the use of health services related variables, the study captures the differences and similarities across these countries. Results: The study has identified the main factors influencing the use of professional health providers and health facilities according to the variables examined from the DHS. The finding showed the use health facilities for delivery, professional health providers were influenced by economic status of young mothers, level of education, place of residence, religion, marital status, in all six countries. Access to health facilities was much influence availability of transport, the presence of health providers at facilities and availability of drugs at facilities. Family members’ knowledge about the importance of delivering a baby at health facilities was found to be the strongest predictors of use of health facilities for delivery in all six countries. These findings suggest that these factors cited are associated with access and use of professional health providers and health facilities, and should be the target of interventions aimed to increase the use of prenatal facilities and professional health providers among young women in these countries in order to improve maternal and child health in accordance with Millennium Development Goals four and five.