Need For Health Services Research Articles

Barriers to mental health service use among people with disabilities during the COVID-19 pandemic.

The COVID-19 pandemic has exacerbated existing health inequities for people with disabilities (PWD), including disparities in mental health needs and service use. The present study investigated prospective predisposing, enabling, and illness-related correlates of mental health service need and use among PWD during the COVID-19 pandemic. Data were collected online at two time points: October-December 2020 and October-December 2021. U.S. adults with disabilities completed self-report measures on demographic and disability characteristics, pandemic-related stressors (e.g., worries about COVID-19), depression, anxiety, barriers to service use, and perceived mental health needs and service use. Two logistic regressions were used to examine the effect of predisposing, enabling, psychosocial barriers, and illness-related factors on perceived mental health service need and service use. Perceptions of mental health service needs were significantly predicted by gender (female-identified, transgender and gender diverse [TGD]), younger age, increased depressive symptoms, and presence of a prepandemic mental health condition. Among those who reported a perceived need, mental health service use was predicted by gender (female-identified and TGD), greater income, lower frequency of anticipated provider disability bias, and presence of a prepandemic mental health condition. This study provides vital descriptive data on the pattern of mental health service utilization among PWD during the COVID-19 pandemic, a uniquely disruptive, challenging time. Findings further underscore the necessity of providing disability competency training and bias reduction interventions to mental health professionals, as anticipated provider disability bias was a key factor in nonservice use of PWD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Emergency department visits and boarding for pediatric patients with suicidality before and during the COVID-19 pandemic.

To quantify the increase in pediatric patients presenting to the emergency department with suicidality before and during the COVID-19 pandemic, and the subsequent impact on emergency department length of stay and boarding. This retrospective cohort study from June 1, 2016, to October 31, 2022, identified patients ages 6 to 21 presenting to the emergency department at a pediatric academic medical center with suicidality using ICD-10 codes. Number of emergency department encounters for suicidality, demographic characteristics of patients with suicidality, and emergency department length of stay were compared before and during the COVID-19 pandemic. Unobserved components models were used to describe monthly counts of emergency department encounters for suicidality. There were 179,736 patient encounters to the emergency department during the study period, 6,215 (3.5%) for suicidality. There were, on average, more encounters for suicidality each month during the COVID-19 pandemic than before the COVID-19 pandemic. A time series unobserved components model demonstrated a temporary drop of 32.7 encounters for suicidality in April and May of 2020 (p<0.001), followed by a sustained increase of 31.2 encounters starting in July 2020 (p = 0.003). The average length of stay for patients that boarded in the emergency department with a diagnosis of suicidality was 37.4 hours longer during the COVID-19 pandemic compared to before the COVID-19 pandemic (p<0.001). The number of encounters for suicidality among pediatric patients and the emergency department length of stay for psychiatry boarders has increased during the COVID-19 pandemic. There is a need for acute care mental health services and solutions to emergency department capacity issues.

COVID-19 impacts on youth and young adult workforce development programs: A local perspective

In the United States in 2020, an estimated 12.6% of individuals ages 16 to 24 were disconnected from education and employment – up from 10.7% in 2019. While the Workforce Innovation and Opportunity Act of 2014 authorizes several youth-focused workforce development programs that target services toward disconnected youth, COVID-19 and ensuing mitigation measures exposed structural inequities in access to educational systems, workplace environments, and employment opportunities. This qualitative study examines the impact of COVID-19 on five local youth and young adult (YYA) workforce development programs, providers, and YYA participants in an urban county in Texas. Study participants included 12 youth-serving staff representing 5 programs, and 7 YYA representing 1 program. Semi-structured interview protocols guided three focus groups and four individual interviews. Data were analyzed in Dedoose by three researchers using thematic analysis. Impacts on programs included amplified recruitment and retention challenges related to safety protocols, disrupted interagency connections, access to technology, and YYAs competing priorities. Impacts on providers included changes in work-life balance and perceived organizational support, self-efficacy, and job satisfaction. Impacts on YYA included disruptions to education and employment, increases in (a) the need for mental health services, (b) unstable and/or unsafe living situations, (c) availability of resources like food and housing assistance, and a decrease in access to critical resources like transportation and government IDs. Recommendations include planning for flexibility in performance requirements for future crises, building a community coalition to target barriers to participation in these programs, and providing access to YYA mental health services within programs.

Families’ social security and benefit needs when a child is diagnosed with cancer

Abstract When a child is diagnosed with cancer, the need for health and social services and benefits increases significantly within the family. Illness changes everyday life due to medical treatments, worry and financial challenges due to parents’ absence from work. Previous research shows that higher socioeconomic status correlates with better survival for cancer patients in Finland and abroad. The purpose of the study is to reveal the factors behind the disparate cancer outcomes among children from different backgrounds. Our aim is to build a comprehensive understanding of how families utilize services and mobilize their own social capital. The research approach is qualitative. Parents, whose child was diagnosed with cancer within 4 years, were interviewed. The interviews were analyzed with a narrative approach. The interview data was utilised in conjubction with participants’ data from the benefit register of the Social Insurance Institution of Finland (KELA). Thus, both subjective experiences and register data provide a holistic picture of families’ needs and benefit use. All families utilized more than one social benefit provided by KELA. In addition, families utilized social services and benefits provided by the municipality and patient organizations. Parents reported advice received from hospital social workers and rehabilitation counsellors very important. Social benefits and services cover only part of the families’ needs. In addition, parents reported need for concrete support such as help in household duties. The results allow for comparison among families and their social capital, e.g. the support they received from their relatives and friends. The study shows that families have a wide array of service and benefit needs when a child is diagnosed with cancer. The study helps benefit and service providers understand how families differ in their service and benefit needs and in their ability to mobilize support from their own network. Key messages • Families have a wide array of service and benefit needs when a child gets cancer. • Families differ in how they mobilize support from relatives and friends during child's illness.

Integration of Minimum Initial Service Package for Reproductive Health in the Sister Village Program

Indonesia’s high Disaster Risk Index (DRI) encourages the government to pay extra attention to disaster management efforts. MISP must be available in health crises because the need for reproductive health services remains and increases during the disaster response period because 4% of the affected people are pregnant women, and 75% are women, adolescent girls, and children. Integrating MISP into the Sister Village program is very important as an effort to reduce the impact of disasters on reproductive health due to the disruption of health services. This research was carried out in 2022 to explore opportunities and obstacles to integrating MISP in the sibling village program. The research uses a qualitative design with a phenomenological approach. Data collection used Focus Group Discussion techniques with 10 informants who were stakeholders related to the research topic. The research results show that in the integration of MISP and the Sister Village program, the role of each stakeholder is very important to achieve program objectives. Cooperation and coordination between stakeholders is the key to success. The integration of MISP in the Sister Village program can increase community participation in reproductive health services, strengthen the relationship between the health sector and the development sector, and improve public awareness of the importance of reproductive health. Limited accessibility and infrastructure in remote villages, stigma and cultural problems in village communities, lack of support and attention from the government and related parties, as well as security and conflict problems in several areas are obstacles to the integration of this program. High Disaster Risk Index (DRI) Indonesia encourages the government to pay extra attention to disaster management efforts. MISP must be available in health crises because the need for reproductive health services remains and increases during the disaster response period because 4% of the affected people are pregnant women, and 75% are women, adolescent girls, and children. Integrating MISP into the Sister Village program is very important as an effort to reduce the impact of disasters on reproductive health due to the disruption of health services. This research was carried out in 2022 to explore opportunities and obstacles to integrating MISP in the sibling village program. It uses a qualitative design with a phenomenological approach. Data collection used Focus Group Discussion techniques with 10 informants who were stakeholders related to the research topic. The research results show that in the integration of MISP and the Sister Village program, the role of each stakeholder is very important to achieve program objectives. Cooperation and coordination between stakeholders is the key to the success of the program. The integration of MISP in the Sister Village program can increase community participation in reproductive health services, strengthen the relationship between the health sector and the development sector, and improve public awareness of the importance of reproductive health. Limited accessibility and infrastructure in remote villages, stigma and cultural problems in village communities, lack of support and attention from the government and related parties, as well as security problems and conflicts in several areas, are obstacles to the integration of this program.

Mental health, study skills, social support, and barriers to seeking psychological help among university students: a call for mental health support in higher education.

Poor mental health among youths is a complex worldwide issue. Many countries with medium-to-low levels of development, particularly those in Southern Europe, have not introduced appropriate mental health and educational strategies to identify the key factors influencing wellbeing, promote psychological wellbeing, and prevent poor mental health among youths. In response to these trends, we sought to uncover insights for developing interventions for youth mental wellbeing. We assessed mental health, study skills, barriers to seeking psychological help, and perceived social support among Kosovar university students, and investigated their experiences with professional mental health services and their needs and perceptions regarding the importance of professional mental health services on campus. The study used a parallel mixed-methods design. Participants included 234 university students. Quantitative data were gathered through validated questionnaires, including the Depression, Anxiety, and Stress Scale, Multidimensional Scale of Perceived Social Support, Academic Anxiety Scale, Study Skills Assessment Questionnaire, and the Barriers to Seeking Psychological Help Scale. Qualitative data on the students' experiences with mental health services and their perceptions regarding the importance of professional university mental health services were explored through open-ended questions. Most students experienced anxiety and depression, more than half were stressed, and most reported poor or moderate study skills. Lack of trust in mental health professionals was a major barrier to seeking psychological help, followed by difficulties in self-disclosure. Perceived social support and academic anxiety were significant predictors of barriers to seeking psychological help. The participants believed that mental health and academic support from the university would help improve their mental wellbeing, study skills, self-esteem, self-perception, and attitudes toward social support; raise awareness regarding mental health; and help them overcome personal and academic challenges. Our findings highlight the need for more comprehensive and accessible mental health services on campuses. By providing adequate support and resources to address various personal and academic factors that contribute to mental health issues in university students, universities can enhance students' academic success and personal growth.

The Health Outcomes and Health Service Needs of the Martu and Nyiyaparli People of Northwest Western Australia: A Grey Literature Review

The Health Outcomes and Health Service Needs of the Martu and Nyiyaparli People of Northwest Western Australia: A Grey Literature Review

Racial and Gender Disparities in Suicide and Mental Health Care Utilization in a Pediatric Primary Care Setting

PurposeWe examined racial and gender disparities in the underrecognition of mental health disorders in adolescents and young adults as defined by a suicide-related diagnosis without a previous mental or behavioral health diagnosis. MethodsWe employed a series of adjusted mixed multilevel logistic regression models to determine the odds of specific mental health diagnoses (anxiety, depression, and suicide-related) in a large, U.S. pediatric ambulatory care group (ages 8–20 years) using Electronic Medical Record Data. ResultsUsing the reference group of White males, White females had 17% increased odds of having a suicide-related diagnosis (odds ratio (OR) 1.17, 95% confidence intervals (CI) 1.03, 1.34) and Black females had 48% increased odds of suicide-related diagnosis (OR 1.48, 95% CI 1.28, 1.71). Conversely, White females had 75% increased odds of recorded anxiety (OR 1.75, 95% CI 1.62, 1.89), Black males had 62% decreased odds of anxiety (OR 0.38, 95% CI 0.33, 0.42), and Black females had 33% decreased odds of anxiety (OR 0.67, 95% CI 0.60, 0.74). White females had 81% increased odds of having recorded depression (OR 1.81, 95% CI 1.62, 2.04) and Black females had 80% increased odds of underrecognized need for mental or behavioral health diagnosis services (OR 1.80, 95% CI 1.53, 2.13) as defined by a suicide-related diagnosis without a previous mental health diagnosis. DiscussionBlack adolescents and young adult patients are either not accessing or identified as needing mental health services at the same rates as their White peers, and Black females are experiencing the most underrecognition of need for mental health services.

Sexual Practices and Predisposition to PrEP Use Among Men Ages 50 Years and Older Who Have Sex With Men: A Cross-Sectional Study.

This study aimed to evaluate the sexual practices of men ages 50 years or older who have sex with men (MSM) and factors influencing their predisposition to use preexposure prophylaxis (PrEP). An analytical cross-sectional study was conducted in Brazil and Portugal with 718 MSM. Of these, 278 (38.7%) were categorized as being at high risk for HIV based on the HIV Incidence Risk Index (HIRI), and 418 (58.2%) expressed a predisposition to use PrEP. Overall, sociodemographic factors and specific sexual practices increased the likelihood of being classified as high risk for HIV, particularly sexual position and sexual activity. However, factors that influenced the predisposition to use PrEP included age group, receptive anal sex, knowledge of postexposure prophylaxis, high HIRI score, and a history of syphilis. These findings underscore the urgent need for health services to provide comprehensive and adequate attention to the realities of this population, considering its complexities and specificities.

Community Factor Analysis of Demand Dental Health Services in the Era New Normal

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Dental health problems cannot be ignored because they will impact health. Moreover, many people often experience toothache, but only a small percentage access dental and oral health services in the New Normal era. This is based on the results of preliminary research on 112 respondents. As many as 69.60% of respondents had dental and oral health problems, but only 31.30% accessed dental and oral health services during the adaptation period to new habits. This encouraged researchers to research Community Factor Analysis of Dental Health Service Reports in the new normal era. This research aims to determine the need and demand for dental and oral health services located in Surabaya in the era of Adaptation to New Habits. This research method uses a quantitative descriptive research design. The research was conducted in Surabaya in January 2019. The sampling technique was non-random sampling. The population in the study was 3.095.026 residents of Surabaya City, so the sample for this study was 394 people. The data collection technique was carried out by filling out a questionnaire. The data obtained was then analyzed using univariate analysis using descriptive data tabulation. The research results show that the older the age, the higher the demand for dental health services (42.9%). In addition, women have higher demands than men (30.0%). Finally, negative perceptions of health greatly influence demands for dental care (63.6%). Based on the research results, respondents' use of dental and oral health services is still low, and their needs and demands still need to be met. It is recommended that oral health be promoted through social media and that this research be used to engage oral health services.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;&lt;strong&gt;&lt;em&gt;Keywords: Need Dental, New Normal, Oral Health Services&lt;/em&gt;&lt;/strong&gt;

The Factors Associated with Outpatient Re-Visits at RSJ Dr. Radjiman Wediodiningrat Lawang

The number of people with disorders is gradually increasing from one year to the next. In Indonesia, the estimated number of people with mental illness is around 450,000 with a severe mental illness where 31.5% of people with mental illness are shackled by their families and 15% do not seek any medical treatment. Patients with mental disorders are in a state of mindset and emotions that are unstable, so the role of the family is needed to help people with self-care activities. According to Andersen, there are three factors that impact health service utilization. Factors that influence include predisposing factors, enabling factors, and need factors. The purpose of this study was to determine the factors that are associated with re-visiting outpatients at Dr. Radjiman Wediodiningrat Lawang Mental Hospital. The research method is quantitative research with a cross-sectional study approach. The research sample was the family who accompanied the patient to make an outpatient re-visit with a total of 400 respondents. The sampling technique used was accidental sampling. The data analysis used in this study was the Chi-Square test. The results indicated that there was a significant relationship between knowledge (p-value: 0.006), attitude (p-value: 0.000), income (p-value: 0.032), family support (p-value: 0.00), and information support (p-value: 0.003) with the re-visit of outpatients at Dr. Radjiman Wediodiningrat Lawang Mental Hospital. Predisposing factors and enabling factors are both associated with re-visiting outpatients at Dr. Radjiman Wediodiningrat Lawang Mental Hospital. Future researchers are hoped to study other aspects such as hospital health service system components and need factors that may be associated to recurrent visits of mental illness patients by utilizing a more comprehensive questionnaire to acquire better information.

Tanggung Jawab Pemerintah Dalam Penyelenggaraan Kesehatan Mental

The right to mental health is an integral part of the right to health with the main responsibility for fulfilling it is the obligation of the state according toestablished right. The government as a tool of the state has an obligation to be responsible for the implementation of mental health efforts for its citizens. However, if you look atthe current condition of access to mental health services in Indonesia still does not meet the need for health services which are the responsibility of the government, such as the lack of quality, equitable and affordable health services. This study aims to find out more regarding the government's responsibility for community mental health and efforts to implement mental health. The research method used in this study is an empirical juridical research. This research will be conducted with an empirical approach supported by normative data. Based on the research that has been done An optimal strategy needs to be implemented for each individual, family and community with a comprehensive, integrated and sustainable promotive, preventive, curative and rehabilitative approach as an effort to tackle mental health in Indonesia

A Family-Based Mental Health Navigator Intervention for Youth in the Child Welfare System: Protocol for a Randomized Controlled Trial.

Youth in the child welfare system (child welfare-involved [CWI] youth) have high documented rates of mental health symptoms and experience significant disparities in mental health care services access and engagement. Adolescence is a developmental stage that confers increased likelihood of experiencing mental health symptoms and the emergence of disorders that can persist into adulthood. Despite a high documented need for evidence-based mental health services for CWI youth, coordination between child welfare and mental health service systems to increase access to care remains inadequate, and engagement in mental health services is low. Navigator models developed in the health care field to address challenges of service access, fragmentation, and continuity that affect the quality of care provide a promising approach to increase linkage to, and engagement in, mental health services for CWI youth. However, at present, there is no empirically supported mental health navigator model to address the unique and complex mental health needs of CWI youth and their families. Using a randomized controlled trial, this study aims to develop and test a foster care family navigator (FCFN) model to improve mental health service outcomes for CWI adolescents (aged 12-17 years). The navigator model leverages an in-person navigator and use of adjunctive digital health technology to engage with, and improve, care coordination, tracking, and monitoring of mental health service needs for CWI youth and families. In total, 80 caregiver-youth dyads will be randomized to receive either the FCFN intervention or standard of care (clinical case management services): 40 (50%) to FCFN and 40 (50%) to control. Qualitative exit interviews will inform the feasibility and acceptability of the services received during the 6-month period. The primary trial outcomes are mental health treatment initiation and engagement. Other pre- and postservice outcomes, such as proportion screened and time to screening, will also be evaluated. We hypothesize that youth receiving the FCFN intervention will have higher rates of mental health treatment initiation and engagement than youth receiving standard of care. We propose enrollment of 80 dyads by March 2024, final data collection by September 2024, and the publication of main findings in March 2025. After final data analysis and writing of the results, the resulting manuscripts will be submitted to journals for dissemination. This study will be the first to produce empirically driven conclusions and recommendations for implementing a family mental health navigation model for CWI youth with long-standing and unaddressed disparities in behavioral health services access. The study findings have potential to have large-scale trial applicability and be feasible and acceptable for eventual system implementation and adoption. ClinicalTrials.gov NCT04506437; https://www.clinicaltrials.gov/study/NCT04506437. DERR1-10.2196/49999.

Health Diplomacy as a Tool to Build Resilient Health Systems in Conflict Settings—A Case of Sudan

Attacks on health have become a significant concern for non-belligerents of war, including healthcare personnel and facilities, as witnessed in the ongoing Sudan conflict. About 1.5 billion people in fragile and conflict-affected settings (FCAS) have a heightened need for essential health services. Conflicts often lead to the disruption of the building blocks of health systems, a lack of access to health facilities, the failure of essential medical supply chains, the collapse of political, social and economic systems, the migration of health care workers, and upsurges in illness. While health indicators often decline in conflict, health can also bring peace and harmony among communities. An investment in building resilient health systems and health diplomacy is a neutral starting point for mitigating the repercussions of conflicts. The international commitment towards Sustainable Development Goals (SDGs) provides the impetus to emphasise the relationship between health and peace with the amalgamation of SDG 3, SDG 16, and SDG 17. The inspection of how health diplomacy should be used as a ‘tool for peace’ and not as leverage in conflict settings must be reiterated by the international community.

Mental health counseling is rated as most helpful by autistic adults: Service perspectives in adulthood.

The number of autistic adults is growing, but there are fewer services to support them in adulthood. Many autistic adults need some support services to lead successful adult lives. We know a lot about the services autistic adults use and some of the problems with using these services, but we do not know which services are most helpful to them and how the services they use relate to how they interact with their communities. Forty autistic adults took part in a study about service use and community participation. They completed surveys, interviews, and carried a global positioning system tracker. They answered questions about which services are most helpful in adulthood, things that make it hard to use services, and what services they needed. Most participants used two services in the past 2 years, most frequently mental health and employment services. Adults who were currently seeing a mental health counselor were more likely to be working full-time and visit more locations in the community compared to those who were not seeing a counselor. Mental health services were reported as the most helpful service they received as adults, followed by employment services. We often focus on the importance of employment services after high school, but our findings show a need for both mental health and employment services for autistic adults.

Conventional or Alternative Mental Health Service Utilization According to English Proficiency Among Asians in the United States.

After the onset of the COVID-19 pandemic in 2020, Asian Americans in the United States have experienced a surge in anti-Asian crimes, leading to heightened psychological distress among this community. Consequently, the mental well-being of Asian Americans demands greater attention than ever. Regrettably, Asians tend to underutilize or delayed mental health care treatments. This study examines the conventional and alternative mental health service utilization among Asians in the United States according to their English proficiency. From the 2015-2018 National Survey on Drug Use and Health, this study examined 3,424 self-identified non-Hispanic Asians aged 18-64 with Kessler score of at least 5. Stratified bivariate analysis and multivariable logistic regression analysis were conducted. Regardless of English proficiency, Asians did not utilize alternative mental health service more than conventional mental health service. However, those with limited English proficiency consistently utilize care less than those with English proficiency. Need factors, such as mental distress severity and self-rated health status, were significant factors associated with their mental health service utilization. English proficiency remains a structural factor in preventing Asians from utilizing mental health services regardless of the nature of services. Due to the COVID-19 pandemic, more Asians have been experiencing mental distress. This study demonstrates a particular need for mental health services that are culturally specific and Asian language friendly.

Delay and nonreceipt of needed healthcare in U.S. adults with household family members with serious health needs.

Households may be primary settings for developing noncommunicable and infectious diseases due to shared lifestyle factors and ease of transmission, rendering multiple family members within a household in simultaneous need of health services. Limited resources may force families to prioritize healthcare for individuals with serious health needs over other family members; however, few studies have examined unmet healthcare needs within family contexts. This study examines the odds of U.S. adults' own unmet healthcare needs due to cost when living with a family member who has serious health needs. In this cross-sectional analysis of 2018 National Health Interview Survey data, we use multivariate logistic regression models to estimate the odds of U.S. adults' own delay and nonreceipt of care when living with a spouse or partner, child under age 18, or parent/parent-in-law with a limiting chronic condition or high volume of past-year healthcare use. Of 56,165 adults surveyed, 51.7% were female, and 63.1% were non-Hispanic White. Adults who had a household family member with extensive health needs had 1.5-2.0 times the odds of experiencing delay or nonreceipt of their own needed care. Being female, uninsured, and having a household income ≤ 400% of the Federal Poverty Level was associated with higher risk of having unmet healthcare needs. Families with limited resources may be forced to prioritize some members' needed healthcare over others'. Policy and programmatic support for individuals with ongoing and acute health needs may help ensure adequate resources for all family members to seek needed care. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Utility of the Counseling Center Assessment of Psychological Symptoms Screen in a Collegiate Athlete Population.

Mental health screening as a part of collegiate athletic preparticipation evaluations is becoming increasingly common, but effective and efficient screening depends on a screening tool that can accurately identify mental health symptoms and the need for mental health intervention. Case-control study. Archival clinical records review. Two cohorts of incoming National Collegiate Athletics Association Division I collegiate athletes (N = 353). Athletes completed the Counseling Center Assessment of Psychological Symptoms (CCAPS) Screen as a part of their preparticipation evaluation. These data were then matched with basic demographic data and mental health treatment history from clinical records, and the utility of the CCAPS Screen in determining a future or ongoing need for mental health services was analyzed. Score differences for each of the 8 CCAPS Screen scales (Depression, Generalized Anxiety, Social Anxiety, Academic Distress, Eating Concerns, Frustration, Family Distress, and Alcohol Use) were found based on several demographic variables. Logistic regression analysis demonstrated that female sex, team sport participation, and the Generalized Anxiety scale score predicted future participation in mental health treatment. Decision tree testing of the CCAPS scales showed low utility in classifying those who received mental health treatment versus those who did not. The CCAPS Screen did not appear to differentiate well between those who eventually received mental health services and those who did not. This should not be taken to mean that mental health screening is not useful but rather that a 1-time, state-based screening is not sufficient for athletes who experience intermittent but recurring stressors in a dynamic environment. A proposed model for improving the current standard of practice for mental health screening is provided as a focus of future research.

Impact of the Youth Behavioral Health Crisis in North Carolina.

More than 70% of children with one or more mental health diagnoses in North Carolina are not receiving treatment. For many families, emergency departments have become the frontline providers of pediatric behavioral health care. There is a great need for more behavioral health services, a bigger workforce, and environments where children and adolescents can thrive.

Pengaruh Price Dan Social Media Marketing Activities (SMMA) Terhadap Healthcare Apps Purchase Intention Dimediasi Oleh Consumption Values

The increasing use of social media in Indonesia opens up opportunities for entrepreneurs especially in the health sector on COVID-19 pandemic era. During the COVID-19 pandemic, the need for online health services has soared. According to data from the Global Web Index (GWI) social media users in Indonesia in 2022 increased by 12.6% in the past year. The number of rivalries between health facilities is getting tougher, so a specific strategy is needed in marketing techniques in the field of health services in Indonesia. Market price competition is also one of the problems in the business sector. In this study, 163 samples collected had purchased health care products on the MySiloam application belonging to Siloam Hospital Group. The sample was obtained by purposive sampling method and then the data was processed using the PLS-SEM analysis method with the SmartPLS ver 3.2.9 application. The results obtained from data processing, there are several hypotheses that do not show a relationship between research variables, but social media marketing activities (SMMA) have the strongest influence on epistemic value which then increases healthcare apps purchase intention. Suggestions for further research should be done with a wider number of samples and tighten the criteria for respondents so that the data obtained is more significant and accurate.