Association between comorbid anxiety and depression symptomatology, quality of life, social support and use of mental health services in youth from Bogota, Buenos Aires, and Lima.

Inequities in mental health services among Aboriginal and Torres Strait Islander people in Australia.

Psychological distress and mental health service use trends in Japan (2013-2022): Focusing on the change before and after the COVID-19 pandemic.

Increasingly, adolescents are struggling with poor mental health outcomes, making it essential to improve access to high-quality mental health services. Community Mental Health Centers (CMHCs) and Federally Qualified Health Centers (FQHCs) act as key "safety-net" health centers for low-income youth seeking mental health services, as the majority accept Medicaid. This study examines how administrative burdens, i.e., challenges citizens face when interacting with a government agency, may act as barriers to accessing mental health services, especially for adolescents and their caregivers. This exploratory sequential mixed-methods study uses data from semi-structured interviews with hospital- and community-based social workers, and from a mystery shopper study conducted during the COVID-19 pandemic with CMHCs and FQHCs in a large metropolitan county in the United States. It addresses three questions: (1) what kinds of administrative burdens exist in accessing mental health care for adolescents and their families at FQHCs and CMHCs? (2) how do these burdens convey potential learning, compliance, and psychological costs to prospective clients? (3) how do these burdens act as distinct barriers to accessing mental health services for adolescents and their families within safety-net health centers? Moreso than CMHCs, FQHCs implemented a variety of administrative burdens on prospective clients, such as a requirement to designate their primary care physician into the FQHCs network through their insurance prior to scheduling, difficult-to-navigate phone trees, unanswered voicemails, rude or discriminatory interactions with schedulers, and complex referral processes. This study finds that administrative burdens may act as distinct barriers to accessing mental healthcare. Recommendations to reduce administrative burdens at the organizational- and system-levels are discussed.

Mental Healthcare Delivery in Palliative Care: Patient and Caregiver Perspectives.

Autistic youth experience high rates of self-harm and suicidal ideation, and substantial barriers to adequate mental health care. Research suggests that mental health services may not meet the needs of autistic individuals, though autistic youth experiencing self-harm and suicidal ideation are underrepresented in this literature. The present study aimed to explore experiences of self-harm, suicidal ideation and mental health care among a sample of autistic youth recruited through two Australian government-funded youth mental health services. Online interviews with seven autistic participants aged 15-23 years were transcribed and thematically analysed using a reflexive approach. Four themes and two subthemes were generated: (1) social rejection as risk, and connection as protection; (2) overwhelming emotions can lead to self-harm and hinder help-seeking; (3) feeling (mis)understood and (in)adequately accommodated by clinicians (comprising two subthemes related to poor understanding and accommodation of autism within mental health services); and (4) safety planning can feel like a box-ticking exercise. These findings highlight the importance of social connectedness as a protective factor against self-harm and suicidal ideation for autistic youth, and the necessity of improving understanding and accommodation of autism in mental health care settings and suicide interventions.Lay abstractAutistic people under the age of 25 experience high rates of self-harm and suicidal thoughts. Previous research has found that mental health care provided by professionals like psychologists might not meet the needs of autistic people. However, this research has usually focused on autistic adults, so less is known about the experiences of younger autistic people. In this study, we spoke with seven autistic young people aged between 15 and 23 years, and asked about their experiences of self-harm, suicidal thoughts and mental health care. Many participants had experienced social rejection or bullying, which contributed to their self-harm and suicidal thoughts. However, positive relationships with family, friends and others were a source of support when they were struggling. Self-harm was described as a way to cope with strong negative emotions, but many participants found it hard to talk about or describe those emotions, which made it difficult to get support. The help they received from psychologists for their self-harm and suicidal thoughts was impacted by how well the psychologist understood autism, and whether they were willing to accommodate the participants' individual needs and preferences. Participants had created suicide safety plans as part of the mental health care they received, but many felt like they had to do this just for the sake of doing it, rather than creating a plan that was truly helpful.

Do people with limited health literacy access and take up treatment in a national digital mental health service? A prospective cohort study of 4578 service users.

Abolition: Is this the only pathway to upholding human rights and ensuring epistemic justice in psychiatry? A key informant qualitative study.

Specialized education in psychiatric nursing is one of the key pillars for improving the quality of mental health services in different societies. This study aimed to review and compare the Master’s programs in psychiatric nursing in Iran and at King’s College London. The findings revealed that Iran’s psychiatric nursing program is relatively new and still in its developmental stage, focusing mainly on clinical care and the management of psychiatric patients. In contrast, King’s College London offers a program with a longer history and a more advanced structure, emphasizing research skills, clinical leadership, interprofessional education, and innovative teaching approaches such as evidence-based and collaborative learning. Significant differences were found in admission criteria, program duration, the balance between theory and practice, and evaluation tools. Drawing on successful international experiences could help enhance psychiatric nursing education in Iran, highlighting the need to adopt innovative teaching approaches, strengthen research and leadership, and ensure a balanced integration of theory and practice. The use of educational technologies and the creation of research opportunities for students are also crucial. Ultimately, the study underscores the importance of continuous revision and adaptation of educational programs to align with international standards while considering local contexts. Such reforms are essential for empowering psychiatric nurses and advancing mental health services. The results can serve as a guide for policymakers and nursing educators to improve the quality and effectiveness of graduate psychiatric nursing programs.

What do the PHQ-9, the GAD-7 and their variants miss in assessing young people presenting to youth mental health services?

Health-related issues are perhaps the most common reason for student absences, as nearly every student has missed school due to an illness or injury at some point. Researchers in medicine and education have thoroughly documented the relationship between health and attendance. Descriptive trends are analyzed. Ordinary Least Squares regression is applied to the data in the National Survey of Children's Health. Our variable of interest was my child needed care and did not receive it, and our dependent variable was the number of days missed due to illness or injury. Students who needed healthcare and did not receive it were significantly more likely to miss school due to illness or injury, even after accounting for insurance status, chronic illness, and demographic factors. The most commonly missed types of care were dental, medical, and mental health services. These results suggest that improving access to timely healthcare, particularly through school and community initiatives, is an important strategy for reducing chronic absenteeism. The relationship found in this study remained stable over time even as overall health-related absences have increased since the COVID-19 pandemic. These findings underscore that barriers to care, especially appointment availability and logistical constraints, are not just healthcare system issues but educational ones as well.

Comparison of posttraumatic stress disorder symptom structure models in Black/African American and European American patients receiving public mental health services.

Tele-health has revolutionized healthcare delivery by bridging geographical barriers and expanding access to timely medical services. In sports nursing, where rapid response, continuous monitoring, and specialized interventions are vital, telehealth provides an innovative solution to the challenges athletes face in receiving care. Athletes often require multidisciplinary support for injury management, rehabilitation, nutrition, and mental health, but access to specialized services is not always feasible, particularly in remote or underserved regions. This article examines the applications of telehealth in sports nursing, emphasizing its role in enhancing care accessibility, efficiency, and outcomes for athletes. Key areas explored include injury assessment and management, rehabilitation support, nutritional counseling, mental health services, and chronic condition monitoring. The paper also evaluates the benefits and limitations of telehealth, including technological challenges, data privacy concerns, and the importance of nurse training. Telehealth represents a paradigm shift in sports nursing, offering innovative solutions to expand access to care for athletes. Its applications range from injury management and rehabilitation to nutrition, mental health, and chronic disease monitoring. By eliminating geographical barriers, promoting timely care, and facilitating multidisciplinary collaboration, telehealth enhances both health outcomes and performance in athletes. Despite challenges such as technological barriers, privacy concerns, and limitations in physical assessment, the benefits of telehealth outweigh the drawbacks. Nurses, as frontline healthcare providers, play a central role in delivering telehealth services, educating athletes, and ensuring ethical practice. The integration of telehealth into sports nursing has the potential to redefine athlete care, ensuring that healthcare keeps pace with the dynamic and demanding nature of sports. The integration of telehealth into sports nursing practice holds significant promise for improving athlete well-being, reducing healthcare disparities, and fostering holistic, patient-centered care.

From historical foundations to contemporary structures: Tracing Qatar's mental health services from the 1950s to 2025.

It is unclear whether having both prior violence experiences and HIV interacts on mental health (MH) among adolescent girls and young women (AGYW). We used 2018/2019 Violence Against Children and Youth Survey data on 7593 AGYW who ever had sex and had a known HIV status from 5 sub-Saharan African countries. We assessed the interactions between HIV status and violence exposures-childhood physical violence, childhood emotional violence, childhood sexual violence (SV), lifetime SV, lifetime physical violence/SV, and age at first SV experienced on 4 MH outcomes, adjusting for the sociodemographic covariates. We applied the Benjamini-Hochberg procedure to address multiple comparisons and presented adjusted odds ratio with 95% confidence intervals stratified by HIV status. Of the total AGYW sample, 2.08% were HIV positive, 37.06% had moderate psychological distress (PD), 10.03% had severe PD, 10.64% had substance misuse, and 13.53% had suicidality history. Two models had significant interactions between HIV and violence. The likelihood of severe PD among AGYW with childhood SV experiences was significantly higher if they were diagnosed with HIV (aOR: 83.89, 95% CI: 18.26 to 385.36) versus those without HIV diagnoses (aOR: 2.86, 95% CI: 1.91 to 4.29). Similarly, the adjusted odds ratio for the association of lifetime SV and severe PD was 12.95 times higher among AGYW with HIV (aOR: 31.85, 95% CI: 7.62 to 133.11) versus those without HIV (aOR: 2.46, 95% CI: 1.54 to 3.92). Our results emphasize the need for trauma-informed HIV care with integrated violence and MH services, particularly for AGYW who have HIV and prior SV experiences.

Limited research has examined whether fear in schools contributes to relationships between community violence exposure and negative outcomes for children. This study aimed to explore the relationship between community violence exposure in early childhood and school suspension, examining whether fear in schools and teacher-reported externalizing behavior mediated this relationship. Data from the LONGSCAN consortium and path models were used to examine the relationship between violence exposure at age six, fear in schools at age six, teacher-reported externalizing behaviors at age eight, and suspension ages 11-12. Findings indicated both fear in schools and teacher-reported externalizing behavior mediated the relationship between violence exposure and school suspension. Findings suggest policies prohibiting suspension in childhood and the provision of additional services in schools may help prevent children who are exposed to community violence from experiencing school suspension and its associated consequences. Trauma-informed schools, increased provision of mental health services, and increasing school bonds may all help to reduce school fear and ultimately improve student outcomes, particularly for minoritized students. Future research using larger, more generalizable data is needed to better understand detected relationships.

Sociodemographic and clinical characteristics among individuals with bipolar disorder in Pakistan - a gender-focused analysis.

Abstract AIM This study evaluated the psychometric properties of the Mental Health Help-Seeking Scale (MHHSS) for measuring nursing students’ intentions to seek mental health services. METHODS An online survey with 148 nursing students was conducted. Factor analysis via principal components analysis was used to examine the scale’s factor structure. Convergent validity was assessed by comparing MHHSS scores with the Adverse Childhood Experiences (ACEs) and Kessler Psychological Distress scales. Internal consistency was measured with Cronbach’s alpha. RESULTS Cronbach’s alpha was .924. Factor analysis identified a four-factor structure accounting for 83.2 percent of item variance. Convergent validity analysis showed significant positive correlations between MHHSS total and subscales (attitudes, subjective norms, perceived behavioral control, intentions) and both the ACEs and psychological distress scales. CONCLUSION The MHHSS shows strong construct validity and reliability among nursing students; minor item refinement was recommended for improved attitude measurement.

Enhancing psychological resilience in mothers of children with intellectual disabilities through marbling art.

The self-esteem conduit: Exploring mechanisms linking parenting styles to suicidal behaviors in adolescents.