People experiencing mental health illnesses such as posttraumatic stress disorder (PTSD) who do not receive mental health treatment services (MHTS) are at a higher risk of committing crimes. The research problem of this study was to fill the gap in the literature concerning gender, sex at birth, and gender identity differences as predictors of attitudes toward perceived stigma in help-seeking behavior (HSB) and use of MHTS. The sample size included 5,000 participants in the de-identified secondary data set of students from 26 universities and colleges across the United States. The Healthy Minds Study collected these data in 2016-2017 using the Patient Health Questionnaire. To address the research questions guiding the study, one-way ANOVA was used to test for differences in groups based on sexual orientation and gender identity for measures of perception of stigma, use of MHTS, and HSB regarding receiving mental health services. Between groups, MANOVA was used to assess differences in groups based on gender identity and sexual orientation on a linear combination of the dependent measures of perception of stigma in use of MHTS and HSB. There were directional differences between groups based on independent variables gender and sexual orientation on measures of the dependent variables perception of stigma in use of MHTS and of HSB. However, a closer examination of the results indicated that the effect size associated with the directional differences was weak. The results from this study may help clinicians to identify treatment challenges related to biological sex and gender identity and help to influence future interventions to better accommodate the contemporary population of men and women experiencing symptoms of PTSD.

El plan de negocios de Qali Connect comprende nueve capítulos: Capítulo I: Antecedentes y Marco Teórico, aquí revisamos algunos antecedentes e iniciativas en materia de salud a nivel nacional e internacional, así como referencias y marco teórico de algunos de los modelos y metodologías más utilizadas para el diseño y desarrollo de servicios centrados en el usuario, Capítulo II: Descripción del Negocio, aquí se describe la realidad problemática e identifica el problema y oportunidad basados en la necesidad a resolver, Capítulo III: Análisis del Entorno, en este identificamos los factores más favorables y/o desfavorables para nuestro modelo desde una perspectiva política, económica, social, tecnológica, ecológica y legal, Capítulo IV: Análisis y Estudio de Mercado, aquí se plantean los objetivos de estudio y evaluan los resultados de los sondeos perceptuales acerca de la aceptación de la plataforma, Capítulo V: Análisis Estratégico, aquí se aplican diferentes instrumentos de análisis para establecer las estrategias y objetivos de negocio más adecuados, sostenibles y rentables, Capítulo VI: Plan de Marketing, este incluye los objetivos de marketing, estrategia de segmentación, marketing mix y plan de comunicaciones, Capítulo VII: Plan de Recursos Humanos, aquí se detalla aspectos relacionados a los colaboradores y perfiles de profesionales requeridos, Capitulo VIII: Plan de Operaciones, en este se detallan las politicas del servicio, los mapas de procesos, operación e interfaces de usuario, y finalmente en el Capítulo IX: Evaluación Económico Financiera, analizamos diversas variables y ratios financieros, que nos permitirán evaluar y proyectar el crecimiento, rentabilidad y sostenibilidad de la plataforma. / The Qali Connect business plan comprises nine chapters: Chapter I: Background and Theoretical Framework, here we review some background and initiatives in health matters at the national and international level, as well as references and theoretical framework of some of the most used models and methodologies For the design and development of user-centered services, Chapter II: Business Description, here the problematic reality is described and the problem and opportunity are identified based on the need to be solved, Chapter III: Environment Analysis, in this we identify the factors most favorable and / or unfavorable for our model from a political, economic, social, technological, ecological and legal perspective, Chapter IV: Market Analysis and Study, here the study objectives are proposed and the results of perceptual surveys about acceptance of the platform, Chapter V: Strategic Analysis, here different analysis instruments are applied for to establish the most appropriate, sustainable and profitable business strategies and objectives, Chapter VI: Marketing Plan, this includes the marketing objectives, segmentation strategy, marketing mix and communications plan, Chapter VII: Human Resources Plan, here is details aspects related to the collaborators and profiles of required professionals, Chapter VIII: Operations Plan, in this service policies, process maps, operation and user interfaces are detailed, and finally in Chapter IX: Financial Economic Evaluation, We analyze various variables and financial ratios, which will allow us to evaluate and project the growth, profitability and sustainability of the platform. / Trabajo de investigación

The purpose of this study was to examine the relationship between family leisure involvement and family functioning among families with an adolescent in mental health treatment. The sample (N=181) was obtained by sampling parents and adolescents enrolled in mental health treatment at Heritage Schools. Of the 181 participants, 52 cases consisted of matched parent and youth responses, 24 cases consisted of just parent responses, and 53 cases consisted of just adolescent responses. It was hypothesized that there would be a relationship between family leisure involvement and family functioning among families with youth in mental health treatment, and that when comparing this sample to a sample of normative families there would be differences between their family functioning and family leisure involvement. Findings indicated significant differences across all family functioning variables and some differences in family leisure involvement variables between the two samples. Findings also indicated significant positive relationships between family leisure and family functioning variables from the parent and youth perspectives in the sample of families with youth in mental health treatment. Recommendations for further research and implications for practitioners are discussed.

Aim To explore Mental Health Care Practitioners and a Mental Health Care Directors perceptions of mental health care nurses obtaining prescription authority in eThekwini District KwaZulu-Natal. Methodology A qualitative design was used to gather data through individual interviews and a focus group interview. Purposive sampling was used to select the study setting (five (5) Out Patient Departments, two (2) Community Health Centres, one (1) tertiary educational institution, and one district office), potential participants were not sampled. Participants included; twenty six mental health care nurses (n=26), one (1) psychiatrist (n=1), four (4) medical officers (n=4) and one (n=1) mental health care director. Thematic analysis using the steps outlined by Braun and Clark (2006) was used to analyse the data. Results The majority of participants were not aware of policies or legislation allowing nurses to prescribe medication. Participating mental health care nurses from an education setting were more knowledgeable than other participants about current legislation and policy. Study findings indicate that nurses’ obtaining prescriptive authority is not on the provincial department of health agenda. In addition, participating ppsychiatrists and medical officers expressed reservations about nurses obtaining prescriptive authority, specifically independent prescriptive authority. Participating mental health nurses displayed ambivalence related to the pursuit of prescriptive authority. Conclusion and Recommendations The challenge for mental health nurses is suggested to be the achievement of a collaborative working relationship within the discipline of nursing, and between the discipline of nursing and medicine / psychiatry. It is suggested mental health care directors, and the SANC, be proactive, look to the future in advising the health minister about access and barriers to mental health care treatment. In addition, the SANC champion the nurse, specifically the mental health care nurse in obtaining prescriptive authority for schedule 5-6 psychotropic medications. Further research is required to generate more in-depth data, specifically research that explores mental health care nurses’ reluctance to pursue prescriptive authority. / Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2014.

Mental health treatment in state prisons is revealed to be highly variable, under-funded, and systematically inadequate. Existing literature exposes this injustice but fails to provide a comprehensive proposal for reform. This paper attempts to fill that gap, outlining a cost-effective, evidence-based treatment proposal, directly addressing the deficits in care revealed through analysis of our current system. In addition, this paper provides historical overviews of the prison system and mental health treatment, utilizing theoretical perspectives to contextualize this proposal in the present state of affairs. Lastly, the evidence is provided to emphasize the potential economic and social benefits of improving mental health treatment in state prisons. Significant findings suggest a clear financial, legal, and moral incentive for states to address this issue, while the proposal provides a viable method of doing so.