Mental Health Support Programs Research Articles

Aggression and violence during the lockdown caused by the COVID-19 pandemic in Kuwait.

BackgroundThe lives of the global population have been drastically altered since the emergence of the 2019 coronavirus disease (COVID-19) pandemic. These changes comprise their daily lifestyle practices and the professional, and educational systems. In addition to these changes, many psychological illnesses issues have been detected globally.MethodsThis study aimed to investigate whether there are significant sociodemographic differences in reported cases of physical and verbal aggression, anger, hostility, and violence among 815 Kuwaiti residents during the lockdown caused by the COVID-19 pandemic. A non-random sample was recruited through the WhatsApp platform. The online survey contained sociodemographic information and 29 self-reported items rated on a Likert scale. In addition to demographic questions, online questionnaires included the Aggression Questionnaire (AQ). Questions regarding violence and COVID-19 infection were included in the online survey.ResultsMen, younger people, those who were single or divorced, students, and those with a lower level of education were more likely to report more instances of physical and verbal aggression, as well as hostility.ConclusionsTo assist psychologically vulnerable individuals in overcoming the negative effects of the COVID-19 pandemic, it is crucial to develop community-based strategies that are tailored to the specific conditions and cultural traditions of each country. Diverse strategies for mental health support programs administered by social workers and mental health professionals are required to reduce aggression and violence levels. Since this study is a cross-sectional survey conducted during the total lockdown, it is difficult to conclude that the lockdown provoked the escalation of the aggression.

SH+ 360: novel model for scaling up a mental health and psychosocial support programme in humanitarian settings.

We explore multi-sectoral integration as a model for scaling up evidence-based mental health and psychosocial support interventions in humanitarian settings. We introduce Self Help Plus 360, designed to support humanitarian partners across different sectors to integrate a psychosocial intervention into their programming and more holistically address population needs.

Policies on mental health in the workplace during the COVID-19 pandemic: A scoping review.

The COVID-19 pandemic has had a profound impact on both mental health and working conditions. Workplaces are conducive spaces for implementing strategies and interventions to promote mental health. In addition to this, they are preventing, identifying, and managing mental disorders effectively. Although international agencies have identified some guidelines for the management of mental health in the workplace in the context of the COVID-19 pandemic, a more precise characterization of both the components of the policies, their implementation, and evidence of the outcome is required to provide useful information for decision-makers. This study aims to synthesize scientific information regarding national and local policies focusing on preventing or improving, directly or indirectly, mental health problems in the workplace during COVID-19 pandemic. Our study is a scoping review. The Scopus, Web of Science, and Embase databases and PubMed search engine were used. Original and reviewed articles published from January 1, 2020 to October 14, 2021 were included in the research. Articles with abstract or full text in English, Spanish, German and Portuguese were also included. Our strategy is based on identifying policies (intervention) which focuses on directly or indirectly preventing or ameliorating mental health problems in the workplace during COVID-19 pandemic (participants). A total of 6,522 records were identified, and only four studies were included in the scoping review, which were of low quality. That is, we found limited evidence evaluating mental health policies using primary or secondary data (empirical evaluation). Among the policies that have been identified are the increase of mental health resources, the promotion of mental health and self-care support programs, and the reduction of barriers to access to mental health treatment. Our research finds that there is limited evidence available to evaluate national and local policies aimed at directly or indirectly preventing or ameliorating mental health problems at work during COVID-19 pandemic. This forces decision-makers to use different criteria to guide the allocation of resources and budgets. Therefore, there is a need for health intelligence teams in health systems to be able to assess the impact of policies as an important input for decision-makers.

Feasibility, engagement, and preliminary clinical outcomes of a digital biodata-driven intervention for anxiety and depression.

HypothesisThe main hypothesis is that a digital, biodata-driven, and personalized program would exhibit high user retention and engagement, followed by more effective management of their depressive and anxiety symptoms.ObjectiveThis pilot study explores the feasibility, acceptability, engagement, and potential impact on depressive and anxiety and quality of life outcomes of the 16-week Feel Program. Additionally, it examines potential correlations between engagement and impact on mental health outcomes.MethodsThis single-arm study included 48 adult participants with mild or moderate depressive or anxiety symptoms who joined the 16-week Feel Program, a remote biodata-driven mental health support program created by Feel Therapeutics. The program uses a combination of evidence-based approaches and psychophysiological data. Candidates completed an online demographics and eligibility survey before enrolment. Depressive and anxiety symptoms were measured using the Patient Health Questionnaire and Generalized Anxiety Disorder Scale, respectively. The Satisfaction with Life Scale and the Life Satisfaction Questionnaire were used to assess quality of life. User feedback surveys were employed to evaluate user experience and acceptability.ResultsIn total, 31 participants completed the program with an overall retention rate of 65%. Completed participants spent 60 min in the app, completed 13 Mental Health Actions, including 5 Mental Health Exercises and 4.9 emotion logs on a weekly basis. On average, 96% of the completed participants were active and 76.8% of them were engaged with the sensor during the week. Sixty five percent of participants reported very or extremely high satisfaction, while 4 out of 5 were very likely to recommend the program to someone. Additionally, 93.5% of participants presented a decrease in at least one of the depressive or anxiety symptoms, with 51.6 and 45% of participants showing clinically significant improvement, respectively. Finally, our findings suggest increased symptom improvement for participants with higher engagement throughout the program.ConclusionsThe findings suggest that the Feel Program may be feasible, acceptable, and valuable for adults with mild or moderate depressive and/or anxiety symptoms. However, controlled trials with bigger sample size, inclusion of a control group, and more diverse participant profiles are required in order to provide further evidence of clinical efficacy.

Creating a Psychologically Safe Workplace: The Business Case for Mental Health Support

This article presents a comprehensive exploration of the business case for fostering a psychologically safe workplace through the implementation of mental health support programs. The research methodology involves a case study, incorporating surveys and employee feedback to assess the impact of such programs on organizational productivity, employee satisfaction, and overall well-being. The results highlight the tangible benefits of investing in mental health support, emphasizing its positive effects on employee engagement, performance, and retention.

Bullying and other risk factors related to adolescent suicidal behaviours in the Philippines: a look into the 2011 GSHS Survey

BackgroundsThe present study retrospectively examined gender differences in bullying and suicidal behaviour (ideation, plan, and attempts) as well as associations between selected risk factors and suicidal behaviour among secondary school Filipino students.MethodsThe study used a secondary data set from the GSHS developed by the World Health Organization, which was conducted in the Philippines in 2011. Participants included 5290 Filipino students (male N = 2279, female N = 2986). A two-tailed Chi-square of independence was used to test for gender differences and a multivariate logistic regression model explored statistical associations between risk factors and outcome variables.ResultsChi-square results suggested that gender differences were statistically significant for being bullied χ2 (1, N = 2384) = 10.6, p = .001, experiencing suicidal ideation χ2 (1, N = 857) = 61.7, p = .000, making suicide plans χ2 (1, N = 590) = 10.2, p = .001, and suicide attempts χ2 (1, N = 674) = 8.4, p = .004, with females showing higher vulnerability to examined risk factors. The logistic regression model also suggested that adolescents claiming to have no close friends were three to four times more likely to attempt suicide. Other strong predictors of suicidal behaviours were loneliness and getting in trouble due to alcohol consumption.ConclusionsBullying is an independent yet, not the strongest predictor associated with adolescents’ suicidal behaviour in the present study. The strongest predictors of Filipino adolescents’ suicidal behaviours in the 2011 cohort included having no close friends, loneliness, anxiety and getting in trouble due to alcohol use among both genders. Peer and mental health support programmes need to be made available and accessible for adolescents in the Philippines. Considering the increase in suicide rates in 2020/2021 among Filipino young adults due to the Coronavirus pandemic, it is suggested that preventing suicidal vulnerability in adolescence can hinder this occurrence later on in the lifetime.

Magnitude of Depression and Associated Factors Among Patients on Tuberculosis Treatment at Public Health Facilities in Harari Regional State, Eastern Ethiopia: Multi-Center Cross-Sectional Study.

BackgroundDepression among tuberculosis patients remains a significant public health concern. Its burden and severity is increasing in low-income countries, especially in sub-Saharan Africa. Although it has negative impacts on quality of life, depression among tuberculosis patients is rarely studied in Ethiopia, particularly in the study area. Therefore, this study aimed to determine the magnitude of depression and associated factors among tuberculosis patients in Eastern Ethiopia.MethodsA facility-based cross-sectional study was conducted from April 15 to May 15, 2021, among 213 tuberculosis patients in public health facilities of the Harari Regional State, Eastern Ethiopia. Study participants were selected using a systematic sampling technique. Data were collected using interviewer-administered questionnaire. Depression was assessed using Patients Health Questionnaire-9 (PHQ-9). Epi-data and SPSS were used for data processing and analysis. Bi-variable and multivariable logistic regressions were employed to determine the effects of predictors on depression. Statistical significance was considered at a p-value <0.05.ResultsThe magnitude of depression among tuberculosis patients was 52.1% [95% CI (45.4, 58.8%)]. Patient’s age of 25–34 years [AOR = 0.31, 95% CI (0.128, 0.75)], female sex [AOR = 5.04; 95% CI (2.18, 11.62)], intensive phase of tuberculosis treatment [AOR = 2.56; 95% CI (1.118, 5.876)], HIV-positive status [AOR = 7.143; 95% CI (1.55, 32.93)], smoking history [AOR = 9.08; 95% CI (3.35, 24.61)] and having poor social support [AOR = 4.13; 95% CI (1.29, 13.22)] were factors statistically associated with depression.ConclusionIn this study, the magnitude of depression was relatively high as more than half of the participants had depression. Advanced age, female sex, intensive phase of tuberculosis treatment, HIV-positive status, smoking history, and poor social support were identified as associated factors with depression. Therefore, this result calls all stakeholders to give duly emphasis on incorporating and integrating mental health support programs as routine practice in tuberculosis follow-up clinics, as screening, early detection and treatment, and training for all health care providers are very crucial in tackling depression among tuberculosis patients.

Organizational and legal measures to prevent psychosocial risks caused by the war in Ukraine

The problem of the emergence of psychosocial risks among the population has become especially relevant in connection with the war in Ukraine. Therefore, there is a need for the development and implementation of effective measures to prevent such risks, to define guidelines for programme regulation in order to implement qualified psychological rehabilitation of the population.&#x0D; The basic principles of providing psychosocial and psychiatric care to persons with mental disorders are analyzed. The Concept of the development of mental health care in Ukraine for the period until 2030 and the need to develop other mental health and psychosocial support programmes are characterized, their target orientations, advantages and disadvantages are determined. The application of an individual approach is justified depending on the categories of citizens who need help, since the degree and nature of the traumas experienced can differ significantly. It is emphasized that mental health reforms should be non-intrusive and organic to reduce coercion and support mental health service users to make their own decisions about treatment. The special needs of people with mental disorders, including combatants, displaced persons, children, women, and the elderly, are identified. An integrated approach is emphasized, which would include the use of social, psychological, and medical measures at different levels (state, regional, and local) for the most effective intervention, providing the necessary support and accompaniment at various stages.&#x0D; The risks of the use of civilian firearms by the population of Ukraine in the context of the adoption by the Verkhovna Rada of Ukraine in the first reading of the draft Law of Ukraine “On the right to civilian firearms” are considered. It is emphasized the need to introduce a balanced permitting procedure in order to minimize risks against the background of the worsening situation in the field of mental health.&#x0D; Taking into account the experience of European countries, the possibility of functioning of interdisciplinary teams in the field of mental health, which are a basic element of the mental health care system in the community, has been considered. Based on the analysis of shortcomings and problems that arise in the process of receiving psychosocial services, practical recommendations have been developed to prevent psychosocial risks caused by the war in Ukraine.

The effect of the COVID-19 social distancing measures on Turkish women's mental well-being and burnout levels: A cross-sectional study.

ABSTRACTLockdown and social distancing measures during the COVID‐19 pandemic increase women's responsibilities and influence their mental health. This study aimed to assess the effect of COVID‐19 social distancing measures on mental well‐being and burnout levels of women using an online cross‐sectional survey in Turkey. The Warwick‐Edinburgh Mental Well‐being Scale, The Burnout Measure, and Sociodemographic form were used in this study. All analyses were performed on a sample of 438 women aged between 18 and 65. The mean score of mental well‐being was 47.86 (SD = 10.04) and the mean score of burnout was 3.86 (SD = 1.16). Being younger than 30 years old (t = 2.14, P = 0.033), having undergraduate education or above (F = 5.09, P = 0.007), part‐time working (F = 5.39, P = 0.005), attending to school (t = 2.68, P = 0.008), having COVID‐19 symptoms (t = 6.01, P < 0.001), and perceiving spousal emotional support (F = 3.47, P = 0.016) were the factors associated with high burnout. Being older than 30 years old (z = −3.11, P = 0.002), full time working (H = 11.96, P = 0.003), not attending to school (z = −2.09, P = 0.036), perceiving spousal emotional (H = 13.22, P = 0.004), or social (H = 13.11, P = 0.004) support were the factors associated with higher mental well‐being. Age (β = −0.03, P = 0.001), having two or more children (β = 0.42, P = 0.015), and perceiving COVID‐19 symptoms (β = −0.73, P < 0.001) were the predictors of women’s burnout. This study shows that mental well‐being and burnout levels of women in Turkey have been considerably affected as a result of social distancing measures taken with the first wave of the pandemic. Findings signal the immediate need for targeted mental health nursing interventions. Therefore, technology‐based mental health support programmes are recommended to be designed and utilized by mental health nurses.

Psychological impact of COVID-19 pandemic on health care workers of tertiary care hospitals

Healthcare workers (HCWs) are at increased risk of mental health issues when faced with the challenges associated with pandemics. This study was conducted to assess the psychological impact of pandemic on HCWs working in tertiary care hospitals of Khyber-Pakhtunkhwa province of Pakistan. This cross-sectional study was conducted between April &amp; June 2020. By convenience sampling an electronic form of Goldberg General Health Questionnaire was distributed among HCWs of the private sector and public tertiary care hospitals. Data were analyzed using SPSS version 22. Inferential analysis was done. The significant level was considered at p=&lt;0.05. Total of 186 HCWs among which 105 (56.5%) males and 81 (43.5%) females par­ticipated in the survey, a mean age of 37.6±9.28 years. The highest prevalence was found for social dysfunction 184 (97.8%) followed by somatization, 169 (92.8%). Significance of difference was found between age group and anxiety (p=0.018), specialty of HCWs with somatization and social dysfunction (p=0.041 and 0.037 respectively). Pandemic poses a significant risk for the mental health of HCWs. During pandemics at its peak, proper mental health support program, personal and family protection assurance is highly recommended for provision of quality care by HCWs.

Developing mental health support programs: Social services programs

Aim: This article examines the development and implementation of mental health support programs, particularly focusing on prevention and promotion strategies to address the rising incidence of mental disorders globally. Methods: A comprehensive literature review was conducted to assess the effectiveness of various mental health promotion and prevention interventions. The review included studies from high-income countries (HICs) and low- and middle-income countries (LMICs), evaluating their applicability and outcomes. Results: Evidence suggests that effective mental health support programs are crucial for reducing the burden of mental disorders. Preventive strategies, such as universal, selective, and indicated interventions, have demonstrated effectiveness in promoting mental health and preventing disorders across different populations, including adolescents and the elderly. Innovations in digital technology, such as internet- and mobile-based interventions, have also shown promise in increasing accessibility. Conclusion: The need for culturally appropriate and resource-sensitive mental health promotion strategies is paramount, especially in LMICs, where the treatment gap is significant. Future research should focus on personalizing interventions, enhancing mental health literacy, and integrating community involvement to optimize the delivery of mental health services.

Mechanisms of Change for Child Mental Health and Psychosocial Support in Conflict Settings: A Systematic Review

There is a growing evidence-base for the effectiveness of mental health and psychosocial support (MHPSS) programmes for children affected by conflict for a range of mental health and wellbeing outcomes, but with limited evidence for how these interventions produce change. This study aimed to review the evidence for mechanisms of change of MHPSS interventions for children affected by conflict. Systematic review methodology was used to screen the PubMed, Published International Literature on Traumatic Stress (PILOTS) and PsycInfo databases for primary quantitative studies. Out of 3,903 records, seven studies were included, all evaluations of school-based preventative programmes. Results showed a mediation effect of peer relations on treatment change for wellbeing outcomes, while a predictable and cooperative learning environment partially mediated treatment change for academic outcomes, victimisation and mental health. One study found a small negative mediation effect of play-based social support for posttraumatic stress disorder. No evidence was found for any other mechanisms. The findings of this review highlight the role of social relationships as mechanisms of change in MHPSS programmes, but with limited studies to draw from. Future programme evaluations should include measures of proposed mechanisms to further our understanding of how MHPSS programmes work to continue to improve their relevance and scope and to do no harm.

A comprehensive mental health support system for volunteers working in the ATO/JFO zone

From the beginning of the Anti-Terrorist Operation (АТО) in the east of Ukraine, the number of volunteers and volunteer organizations that provide assistance to the soldiers of the Armed Forces of Ukraine has increased significantly. Taking into account data obtained in the process of a comprehensive examination of 97 people who were engaged in volunteer activities related to support of military in the combat zone for at least 1 year and suffered as a result of combat stress. A comprehensive system was developed of mental health support for volunteers working in the ATO zone. Monitoring of the psychological and mental state carried out during the study showed that clinical structure of post-stress disorders in the examined volunteers was represented by: adjustment disorders, post-traumatic stress disorder, panic disorder and generalized anxiety disorder. The basis of the program was complex application of pharmacotherapy, psychotherapy, and psychoeducation was also used. Pharmacotherapy was based on the specificity of the levels of hormones and mediators with differentiated use of drugs. Approbation of the proposed volunteer mental health support program proved its high efficiency. Against the background of the use of the developed program, positive dynamics of the mental state, stabilization of the emotional state, reduction of anxiety and depression indicators according to the Hamilton Anxiety and Depression Scales were noted. According to the Scale for assessing the impact of a traumatic event, a significant decrease in the indicators on the "intrusion" and "avoidance" scales was noted. Keywords: volunteering, combat stress, mental state, complex therapy.

LGBTQ youth mental health during COVID-19: unmet needs in public health and policy

LGBTQ youth mental health during COVID-19: unmet needs in public health and policy

The Interplay Between Retirement Transition Sequences and Mental Health: Focusing on Gender Differences

Although retirement has been given a substantial amount of attention, there are gaps in the literature on 1) the various forms of retirement (nature= voluntary/involuntary, timing= early/ late, type= full/ partial) using with previous employment history, and 2) gender differences in retirement transition. Drawing on the life course perspective, this study examined the gender differences in retirement transition sequences using the labor participation history and various forms of retirement. Data are from the 2004 to 2016 HRS with 1,653 older workers. Sequence analysis was used to answer how individuals experienced retirement in the extended time frame. OLS regression analysis was used to estimate the relationship between retirement transition sequences and depression. For both genders, eight clusters of retirement transition sequences were identified. However, the most prevalent group for males was those who experience voluntary retirement transition from full-time work in mid-time point (19%), while the most prevalent group was a gradual involuntary retirement (21%) for females. Regarding the association with depression, those who experienced voluntary retirement after full-time work in all different time points (early, mid, late) and those who retired from self-employment were less likely to have depressive symptoms for males. For females, only those who experienced voluntary retirement from full-time work in mid-time point were less likely to have depressive symptoms. This result contributes to identifying the heterogeneity of retirement transition sequences and their association with depression. The result suggests important implications of gender-specified intervention programs to prevent involuntary retirement and mental health support program for involuntary retirees.

Participants’ experiences of engagement in community-centred mental health and psychosocial support programmes in conflict-affected communities within sub-Saharan Africa: a qualitative systematic review

BackgroundSub-Saharan Africa (SSA) experienced a burden of organised violence within 18 low-income and middle-income countries and hosted over 33 million displaced persons in 2019. Community-centred mental health and psychosocial support...

Health workforce protection and preparedness during the COVID-19 pandemic: a tool for the rapid assessment of EU health systems.

This article is dedicated to the WHO International Year of Health and Care Workers in 2021 in recognition of their commitment during the COVID-19 pandemic. The study aims to strengthen health workforce preparedness, protection and ultimately resilience during a pandemic. We argue for a health system approach and introduce a tool for rapid comparative assessment based on integrated multi-level governance. We draw on secondary sources and expert information, including material from Denmark, Germany, Portugal and Romania. The results reveal similar developments across countries: action has been taken to improve physical protection, digitalization and prioritization of healthcare worker vaccination, whereas social and mental health support programmes were weak or missing. Developments were more diverse in relation to occupational and organizational preparedness: some ad-hoc transformations of work routines and tasks were observed in all countries, yet skill-mix innovation and collaboration were strongest in Demark and weak in Portugal and Romania. Major governance gaps exist in relation to education and health integration, surveillance, social and mental health support programmes, gendered issues of health workforce capacity and integration of migrant healthcare workers (HCW). There is a need to step up efforts and make health systems more accountable to the needs of HCW during global public health emergencies.

A survey to explore the psychological impact of the COVID-19 pandemic on radiation therapists in Norway and Canada: A tale of two countries.

IntroductionSeveral studies have demonstrated the psychological impact of the COVID‐19 pandemic on health care providers. However, there is little known about how the COVID‐19 pandemic has impacted radiation therapists (RTs) in Norway or Canada. The aim of this investigation was to study the psychological impact of working during the COVID‐19 pandemic among RTs in Canada and Norway.MethodsOnline surveys were administered to a convenience sample of RTs and RT department managers. Approximately 2000 and 300 RTs were invited to participate from Canada and Norway, respectively. The RT survey collected information on demographics, work‐related stressors, psychological impact, quality of life, and workplace support programmes. The RT manager survey collected information on departmental changes, patient volumes, staff shortages and redeployment, personal protective equipment, and infection control measures. Descriptive analysis, group comparisons and logistic regression were used to examine the impact of COVID‐19 on RTs in the two countries, while open‐ended questions were examined through thematic analysis.ResultsWork‐related stress and anxiety were prevalent among Canadian (n = 155) and Norwegian RTs (n = 124), with Canadian RTs reporting higher levels. Fear of transmission, changes in PPE usage, and changes in staffing were reported as the most frequent work‐related stressors. Themes related to working during the pandemic included: generalised anxiety; physical, emotional and cognitive symptoms of stress; and loneliness, as well as negative impact on health and quality of relationships. Survey findings from RT department managers in Canada (n = 12) and Norway (n = 13) suggest that the pandemic had an organisational impact on RT departments due to implemented infection control measures and changes in staffing.ConclusionThe COVID‐19 pandemic has led to similar stressors amongst Canadian and Norwegian RTs but relatively higher levels of psychological impact among Canadian RTs. Findings demonstrate the importance of mental health support programmes in the workplace to mitigate the psychological impact of the COVID‐19 pandemic on RTs.

Academic experiences, physical and mental health impact of COVID-19 pandemic on students and lecturers in health care education

BackgroundIn keeping with nation-wide efforts to contain the spread of COVID-19, Universiti Brunei Darussalam (UBD) transformed fully its pedagogical delivery to online mode, where we investigated teaching and learning experiences, physical and mental health of undergraduate students and lecturers during the COVID-19 pandemic.MethodsWe conducted a cross-sectional study on undergraduate students and lecturers in a health science faculty using a self-developed pretested questionnaire through anonymous online data collection method.ResultsFifty-six lecturers (100% response rate) and 279 students (93.3% response rate) participated. The positive experiences reported by students include becoming independent (72.8%) and adapting to online learning (67.4%), while lecturers learned new teaching techniques (50.0%) and became more innovative (50.0%) by learning new tools (48.2%). However, studying at home caused students to feel more distracted (72.0%) with a feeling of uncertainty towards examinations (66.7%), while lecturers felt that students’ laboratory skills were compromised (44.6%). Even though online delivery of assessments enabled lecturers to explore all options (50.0%), they found it difficult to maintain appropriate questions (41.1%) and fair assessments (37.5%). Majority of students missed eating out (68.8%) and felt a lack of participation in extracurricular activities (64.9%), while lecturers reported more time for exercise (51.8%), despite having more screen time (50.0%) and computer-related physical stress (44.6%). In terms of mental health, increased stress in students was reported (64.9%), though they had more time for self-reflection (54.8%). Although lecturers reported a closer relationship with family (44.6%), they also felt more stressed due to deadlines, unexpected disruptions and higher workloads (44.6%) as well as concerns related to work, family and self (39.3%).ConclusionIn this abrupt shift to online teaching, students and lecturers in our study identified both positive and negative experiences including the impact on their physical and mental health. Our findings are important to provide the evidence for online pedagogical benefits and can serve to promote the enhancement and adaptation of digital technology in education. Our findings also aim to promote the importance of addressing physical and mental health issues of the university community’s well-being through provision of emotional and mental health support and appropriate programs.

Service Needs for Corrections-Involved Parents With a History of Problematic Opioid Use: A Community Needs Assessment

The incarceration of a parent is often a continuation of a challenging family situation marked by poverty, unstable housing, trauma, and abuse. These challenges make it difficult for incarcerated parents reentering their communities to raise their children effectively and, thus, increase the likelihood of poor outcomes for their children. Children whose parents are also battling opioid misuse have an even higher risk for long-term problems. This study uses survey data from 48 community service providers to better understand the service needs of parents with histories of problematic opioid use who are reentering their communities after incarceration. Community service providers recommended implementing intervention programs that cover critical information related to basic needs, supportive community resources, drug treatment programs, and parenting to help individuals thrive in their communities and meet their children's needs. The services most frequently identified by providers as important for reentering parents included housing, mentors or peer counselors, mental health support, group therapy and other support programs. Key topics to address in parenting programs included problem-solving techniques, the effect of parent's addiction on children, and strategies for connecting with and meeting children's needs. Suggestions are made for future research and intervention development.