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3 results

  • Mental Health Screening and Digital Intervention for Thai Seniors Citizen in Primary Care

  • P. Tansupasiri, P. Khaektao, Y. Panitaangkool
  • Journal:
    European Psychiatry / Volume 65 / Issue S1 / June 2022
    Published online by Cambridge University Press:
    01 September 2022, pp. S316-S317
    • Article
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  • Introduction

    Avoidable disability associated with depression, anxiety, and impaired cognition among older adults is pervasive. Incentives for the detection of mental disorders in late life include increased reimbursement, reduced cost, and less burden for patients and families.

    Objectives

    Mental health problems in the elderly are major public health issues around the world. Thai older adults who experience mental illness rarely seek care from mental health specialists; rather, they tend to seek help from a general physician. Primary health care is, therefore, an important setting for the detection of mental health symptoms and subsequent treatment. We describe the design and implementation of a mental health care model in the Thai primary care system. Initial results of screening for behavioral and emotional problems are reported.

    Methods

    This work is intended to explore mental health conditions in Thai elderly people to provide of identifying and non-pharmacological treating psychiatric conditions in the Primary care unit. The instruments used in the survey, which consists of twelve symptoms found in the elderly, developed into an online program to suit pandemic conditions.

    Results

    In an effort to document mental health problems in the primary care system, 4,854 veterans (mean age 68) from 46 provinces across Thailand were screened for multiple mental health symptoms. The sample divided into 1,701 males (35%) and 3,153 females (65%).

    Conclusions

    While screening for depressed mood is now common in primary care, we found it useful to screen for specific symptoms of depression in older persons (including insomnia, change in eating habits, facial expression, and anxiety) in a primary setting.

    Disclosure

    No significant relationships.

  • Chapter 32 - Mental health and illness outcomes in civilian populations exposed to armed conflict and war

  • from Section 6 - Human resources and capacity building
  • Edited by Samuel O. Okpaku
  • Book:
    Essentials of Global Mental Health
    Published online:
    05 March 2014
    Print publication:
    27 February 2014, pp 307-315

  • Summary

    Child abuse is an issue of major concern for the whole of society. It is a global mental health problem of epidemic proportion affecting children of all ages and races, and from all economic and cultural backgrounds. Child trafficking is a major risk factor for child abuse and child prostitution. It is a global problem and a heinous crime against children. An important specific form of child abuse relates to an increasing use of children in armed conflicts as soldiers recruited by a number of official and other agencies. The consequences of child abuse are multifaceted, varying from ongoing trauma to personality changes and even death. Child abuse is linked to long-term deleterious effects on health and well-being, but separating the effects of child maltreatment from other often concomitant childhood adversities, such as poverty, has been challenging.

  • 16 - Unmet need following serious suicide attempt: follow-up of 302 individuals for 30 months

  • from Part III - Unmet need: people with specific disorders
  • Edited by Gavin Andrews, University of New South Wales, Sydney, Scott Henderson, Australian National University, Canberra
  • Book:
    Unmet Need in Psychiatry
    Published online:
    21 August 2009
    Print publication:
    06 January 2000, pp 245-255

  • Summary

    Suicidal behavior is a significant medical, public health and mental health problem in New Zealand, just as it is in many countries. Those who have made suicide attempts are at high risk of making further nonfatal suicide attempts and of suicide. This chapter presents reports of a longitudinal study of 302 individuals who had made medically serious suicide attempts and who were then followed-up for a period of 30 months subsequent to these attempts. It documents the history of this cohort in the following areas of functioning: rates of mortality, suicide and nonfatal suicide attempt; history of psychiatric morbidity; and rates of a series of selected measures of psychosocial functioning including relationship problems, social welfare benefit receipt, criminality and imprisonment. The outcome following serious suicide attempts is often considerably bleak, and is characterized by long-term and severe psychosocial problems and by lives which begin to reflect deprivation of care.