Well-being Issues Research Articles

Development of an Online Transdisciplinary Student Wellbeing Bundle: A Thematic Analysis

The consequences of burnout for tertiary students across the health professions are well documented. As key stakeholders in university-offered wellbeing services and support, it is desirable for students to hold a central role in development of such resources. Hence, there is a compelling need to develop a student-driven approach to promote wellbeing in the tertiary setting. Based on this need, an online student-focused platform was developed using a bottom-up approach to support participant-driven enhancement of wellbeing and resilience to counteract burnout at a large Australian university. This study reports on the development of the initial online “student bundle”, providing a foundation to inform the design of more locally-based approaches to improve wellness and prevent burnout. Students and staff were invited to participate in a series of focus groups. Sessions sought to collect information on desired structure, resources, and overall content of the student bundle, with a thematic analysis undertaken to identify emerging themes. Focus groups were conducted separately with staff (n=17) and students (n=7). Six main themes in relation to the development of the bundle emerged: Communication/Engagement, Accessibility/Flexibility, Professional practice, Community, Awareness, and Opportunity for personal growth. Stakeholders emphasised a bundle should be engaging and proactive to address wellbeing issues; incorporate aspects linked to professional identity; and foster community, connectedness, and self-awareness, providing an opportunity for growth. Our research has exposed significant needs in relation to how an online student-focused wellbeing bundle could be delivered and what it could provide. Findings from this study will be used to guide further development and implementation of a multimodal, interactive student wellbeing bundle.

Research and Scholarship During the COVID-19 Pandemic: A Wicked Problem.

This study focuses on the impacts of the COVID-19 pandemic on research and scholarship at a research university in the United States. Building on studies in higher education policy, we conceptualized the COVID-19 pandemic as a 'wicked problem' that is complex, nonlinear, unique, and requiring urgent solutions. Wicked problems highlight pre-existing struggles, and therefore, recent challenges in higher education inform the methods and the findings of this study. Qualitative and quantitative survey data from 408 faculty, staff, and students explicate the reasons for reduced research output and adaptations made for increased or sustained productivity, health, and wellness that influenced research activities. The analysis showed that most respondents experienced reduced productivity mostly due to increased work responsibilities, limited access to research fields, and inadequate resources. Despite self-reported reduced productivity, participants from the University we studied experienced increases in funding during the pandemic. Thus, the findings also reported on the adaptations for sustained or increased productivity. These included new research pursuits, participation in conference and learning opportunities across geographic regions, and purchase of computer equipment/accessories for home offices. A small percentage of respondents mentioned improved health and well-being; however, many linked reduced research activities to health and well-being issues such as anxiety and fear about the pandemic and being overwhelmed due to work and home-life expectations. Knowledge of the challenges and opportunities presented within the first year of the pandemic can provide a basis for solutions to wicked problems higher education may face in the future.

Air pollution and trajectory of cardiometabolic multimorbidity.

As a long-recognized health risk factor, air pollution is an increasing concern of global public health problem to governments and the public, causing a wide range of health issues, including respiratory, cardiovascular problems, diabetes, endocrine changes, obesity, mental health, and issues of psycho-social well-being and life expectancy.1 According to the reported information from World Health Organization (WHO), over 90% of the global population lives in areas with high levels of air pollutants exceeding WHO guideline limits and even below the safe levels considered by those standards, air pollution could still be harmful to health.

Fireside Chat on the Asian American, Native Hawaiian, and Pacific Islander Special Edition of the Health Equity Journal Featuring Authors.

Fireside Chat on the Asian American, Native Hawaiian, and Pacific Islander Special Edition of the Health Equity Journal Featuring Authors.

Infectious disease screening outcomes and reducing barriers to care for unaccompanied asylum-seeking children: a single-centre retrospective clinical analysis

ObjectiveEvaluate the Unity Clinic’s infectious disease screening programme for unaccompanied asylum-seeking children (UASC), calculate rates of infection and identify further health needs.DesignRetrospective audit of electronic patient data.Setting and patientsUASC who...

The ethics of care and wellbeing in project business: from instrumentality to relationality

Critical scholars have increasingly problematised the mainstream wellbeing management approach for being overly instrumental and normative. To address wellbeing issues requires reconstructing value in project business, which may involve challenging the dominant ethical theories and the transactional business model to include wellbeing as a legitimate objective of value creation in projects. In this essay, we advocate the ethics of care as an alternative ethical theory in project studies. The aim is to introduce its key tenets and discuss the implications for managing wellbeing in project businesses. From a care perspective, a relational belief system can be fostered through a dialogic process supported by relationship management, leadership and a transformational business model. In doing so, caring as an attitude and process is introduced and from a scholarly and practitioner standpoint, we begin to develop capabilities to support the individual wellbeing in project business.

Impact of social presence during COVID-19 and the implications for learning design

Globally, the COVID-19 pandemic has caused numerous economic, health and wellbeing issues and significantly disrupted the education sector. In response to the pandemic, universities scrambled to transition from face-to-face teaching to fully online teaching practices. With many institutions being unprepared for such a transition (Jung et al., 2021; Metcalfe, 2021), educators and students faced a variety of challenges, barriers, and opportunities (Garnett, 2021). Critically, one of the opportunities provided by the pandemic was for educators to re-evaluate and re-envision learning and teaching practices (Singh et al., 2022). One area ripe for re-evaluation is the nature of teacher-student relationships. While the teaching profession has long been associated with emotions and connection (Tackie, 2022), the shared experience of the pandemic saw students and their teachers finding themselves in the same virtual lifeboat with the pandemic becoming a universal factor for students and educators, making the processes of learning and teaching even more challenging (Mitchell et al, 2021). Additionally, educators - often called on to act as counsellors and therapists (Tackie, 2022) - found themselves during the pandemic having to manage both their own and their students’ well-being. This Pecha Kucha provides preliminary results and associated reflections of a study undertaken at the University of New England (UNE) while learning, teaching and assessment were being transitioned to fully online delivery. Despite, having a large proportion of classes being delivered online prior to the pandemic, challenges were still faced by UNE staff as they managed both their own and their students’ well-being. Here, technology played a critical role in brokering the shared experiences between students and staff with evidence suggesting that social presence was a critical factor in fostering a greater sense of connection amongst members of the university learning community. In learning design, the importance of connections, interactions, and the socio-emotional aspects of learning (i.e., elements that characterize social presence) are often overlooked and underrated (Ensmann et al., 2021). Consequently, the focus tends to fall on subject matter content coverage (i.e., teaching presence and cognitive presence) at the expense of interpersonal relations (i.e., social presence) (Patel, 2021). Our results suggest a re-evaluation of the importance of interpersonal relationships fostered through social presence is necessary to help ensure positive and well-balanced online learning experiences. At UNE, the interpersonal relationships that emerged during the pandemic - although largely unplanned and unintended - were nevertheless effective in supporting and maintaining student and staff well-being. Due to the critical role interpersonal relationships were shown to play, they should not be left to chance. Accordingly, the building of interpersonal relationships and the fostering of social presence should be intentional outcomes of every learning design.

Time Spent Gaming, Device Type, Addiction Scores, and Well-being of Adolescent English Gamers in the 2021 OxWell Survey: Latent Profile Analysis.

The shift in the last decades to screen-based and increasingly web-based gaming activity has raised concerns about its impact on the development of children and adolescents. Despite decades of research into gaming and related psychosocial effects, the question remains how best to identify what degree or context of gaming may be a cause for concern. This study aimed to classify adolescents into gamer profiles based on both gaming behaviors and well-being. Once we distinguished the different gamer profiles, we aimed to explore whether membership to a specific profile could be predicted based on a range of personal characteristics and experiences that could then help identify those at risk. We explored gaming and well-being in an adolescent school population (aged 12-18 years) in England as part of the 2021 OxWell student survey. Self-report measures of time spent playing games on computers or consoles, time spent playing games on mobile phones, the Game Addiction Scale, and the Warwick-Edinburgh Mental Well-being Scale were used to classify adolescent heavy gamers (playing games for at least 3.5 hours a day) using latent profile analysis. We used multinomial logistic regression analysis to predict the profile membership based on a range of personal characteristics and experiences. In total, 12,725 participants answered the OxWell gaming questions. Almost one-third (3970/12,725, 31.2%) indicated that they play games for at least 3.5 hours a day. The correlation between time spent playing video games overall and well-being was not significant (P=.41). The latent profile analysis distinguished 6 profiles of adolescent heavy gamers: adaptive computer gamers (1747/3970, 44%); casual computer gamers (873/3970, 22%); casual phone gamers (595/3970, 15%); unknown device gamers (476/3970, 12%); maladaptive computer gamers (238/3970, 6%); and maladaptive phone gamers (79/3970, 2%). In comparison with adaptive computer gamers, maladaptive phone gamers were mostly female (odds ratio [OR] 0.08, 95% CI 0.03-0.21) and were more likely to have experienced abuse or neglect (OR 3.18, 95% CI 1.34-7.55). Maladaptive computer gamers, who reported gaming both on their mobile phones and on the computer, were mostly male and more likely to report anxiety (OR 2.25, 95% CI 1.23-4.12), aggressive behavior (OR 2.83, 95% CI 1.65-4.88), and web-based gambling (OR 2.18, 95% CI 1.24-3.81). A substantial number of adolescents are spending ≥3.5 hours gaming each day, with almost 1 in 10 (317/3970, 8%) reporting co-occurring gaming and well-being issues. Long hours gaming using mobile phones, particularly common in female gamers, may signal poorer functioning and indicate a need for additional support. Although increased time gaming might be changing how adolescents spend their free time and might thus have public health implications, it does not seem to relate to co-occurring well-being issues or mental ill-health for the majority of adolescent gamers.

Reviewing Civil Servants’ Well-Being and the Role of the Ecological System Theory

The quality of life has been debated since the Tenth Malaysia Plan. It continues to be a vital aspect of the Eleventh Malaysia Plan to improve the community’s living standards in line with Vision 2020 based on the Malaysian People’s Well-Being Index (IKRM), which was first used in 2012. In general, well-being is a psychological (internally) form involving happiness, life satisfaction, self-esteem, self-efficacy, family life, employment, education, and finance. Well-being issues will continue to be discussed, especially in the context of civil servants being associated with success at the professional, personal, and interpersonal levels, with competent individuals showing higher productivity in the workplace, more effective learning, increased creativity, more prosocial behavior, and positive human relationships. Thus, this paper discusses the status of civil servants in Malaysia, the ecological system theory, and related past studies. Well-being is a dynamic process that will add value to human beings on how their lives can evolve positively or otherwise. Well-being is usually assessed from a psychological point of view which covers cognitive and affective aspects. These elements are an accurate measure to the individual to help towards well-being in life. This review can influence well-being by several key factors: physical health, quality of life, emotions, happiness, and good intimacy with society (social).

A partnership approach to supporting the health and wellbeing of the Charedi (Orthodox Jewish) community in London

BackgroundThere is a need for a specific programme of engagement around COVID-19 vaccination with the Charedi Orthodox Jewish community in Stamford Hill, London, UK. We co-produced a live event for women on COVID-19 safety and vaccination and wider health topics to support vaccine uptake and improve awareness of health and wellbeing issues. MethodsFor this qualitative analysis, we organised an event that was designed and delivered by a local community organisation in partnership with regional and local health partners and community groups. The event was for Charedi women aged 16 years and older, and provided information on COVID-19, childhood immunisations, oral health and dental hygiene, childhood respiratory infections, and mental health. The event included health stalls, a panel session, co-designed culturally competent physical information, and the opportunity to speak with health professionals. We evaluated the event using attendees' feedback forms, collected in person at the end of the event, and a thematic analysis of semi-structured interviews with organisers from community and statutory organisations. The evaluation was informed by a co-produced logic model and outcomes framework. FindingsMore than 100 women attended the event on March 28, 2022. Feedback suggested the focus on wider health issues was valued, and a greater number of more targeted events (eg on health for women older than 40) would be beneficial. Dental health, COVID-19 vaccination, and childhood immunisations were identified as the most important topics by participants. 16 (55%) of 29 respondents stated they would attend a similar event again, 12 (41%) stated they were unsure, and one (3%) said they would not attend again. Informal feedback from the community highlighted that the event was useful and acted as a basis for further engagement and collaboration with the community. InterpretationOur findings emphasised the need to work in partnership with a lead community organisation to identify and address principal health challenges within communities, to share community-specific insights, and to promote community events through community communication channels. Statutory institutions should engage with local community organisations to support and facilitate public health interventions to increase relevant vaccine uptake and to improve awareness around wider health and wellbeing issues and services. FundingNone.

Examination of national survey data regarding academic foundation training during the COVID-19 pandemic second wave

We aimed to examine the effect of the second wave of the COVID-19 pandemic on Academic Foundation Programme (AFP) trainees. A voluntary, anonymous questionnaire was circulated to all UK AFP doctors. Data were collected from February 2021 to April 2021 then analysed. Of a possible 1,096 trainees, 149 responded to the survey: 48% of respondents were at least partially redeployed, 31% lost academic time and 47% had projects cancelled or postponed. In free-text responses, despite some research opportunities, frustration at lost research time and opportunities were common themes. Trainees also highlighted communication and wellbeing issues. These results demonstrate that the overall effect of COVID-19 on this cohort cannot be underestimated. We propose that a series of measures are implemented to protect and support academic trainees. We hope that these measures would encourage high-quality academic output and help secure the development of the academic clinical workforce.

A study of the functioning of the adolescent friendly health clinics as well as the awareness and health seeking behaviour of adolescents attending the adolescent friendly health clinics in the Rampurhat health district, West Bengal, India

Background: Adolescents constitute more than half of the country's population and one-sixth of the global population. Many of them drop out of school, marry young, work in dangerous jobs and engage in sexual activity. Many of the SDGs are heavily reliant on adolescent health and well-being so services should be accessible, acceptable, equitable, appropriate, effective, and comprehensive. Objective of current study was to study the awareness and health seeking behaviour among the Adolescents girls and boys attending AFHCs as well as functioning of adolescent friendly health clinic services in Rampurhat health district.Methods: This is a Cross-sectional study among the adolescents belonging to the age group of 15-19 years attending AFHCs and are residents of Rampurhat health district, West Bengal.Results: 40% of adolescent friendly health clinics (AFHCs) are located away from the OPD/Labour Room or other congested areas. Except for sanitary napkins, which were available at 40% of clinics, 80% of AFHCs had 100% supplies of the equipment and commodities. Most adolescent girls (44.5%) experienced menstrual problems and most adolescent boys (27.1%) reported genital itching and urinary problems. 48.5% of clients stated that they did not feel compelled to visit AFHCs. Clinical services were provided to 60% of AFHCs, with the remaining 40% receiving only partial clinical services.Conclusions: One of the primary reasons for low utilisation of available Sexual and Reproductive Health (SRH) related services is a lack of awareness. Preventing adolescent well-being issues requires a multifaceted approach involving many partners, including adolescents, schools, parents, society, the government, and health care providers.

Subjective wellbeing, health, and health-related quality of life of Nenets adolescents living in the Yamalo-Nenets Autonomous Okrug

INTRODUCTION: Considering further development of the Arctic, the issues of subjective wellbeing, health-related quality of life, and self-assessment of the health of indigenous youth of the circumpolar territories of our country need attention.
 AIM: To assess the subjective wellbeing, health-related quality of life, and the risk of health disorders among adolescents in the Yamalo-Nenets Autonomous Okrug representatives of the indigenous population.
 MATERIAL AND METHODS: The subjective social wellbeing of Nenets adolescents aged from 14 to 17 years (n=51) and studying at a boarding school in the Yamal District was measured. The comparison group (n=18) consisted mainly of Russian adolescents studying in the same country. The PedsQL 4.0 Generic Core Scales Life self-report questionnaire was used to measure health-related quality. The methodology for measuring subjective attitude involved calculating the PRS index of Cummins with the addition of a block of questions corresponding to satisfaction corresponding to the level of the region; a method for quantitative risk assessment of general pathological syndromes for assessing the state of health.
 RESULTS: There were no statistically significant ethnic and gender differences in the SWB components among Nenets and Russian adolescents. The health-related quality of life of adolescents, regardless of ethnicity and gender, was characterized by high rates of physical and social functioning. Results of self-assessment indicated that Nenets adolescents, unlike Russians ones, were dominated by individuals with a minimal risk of health disorders. Among the Nenets, the values of the risk of arterial hypertension, functional disorders of the liver, and borderline mental disorders were higher in girls than in boys. More than a third of positive-minded Nenets teenagers had a high risk of health problems. This is likely to complicate the realization of aspirations in various areas of life and the preservation of good social wellbeing in the future unless preventive health measures are taken.
 CONCLUSION: Parameters of social wellbeing of indigenous adolescents, such as subjective wellbeing, and health-related quality of life, are at a high level, and self-assessment of health is at an average level.

Maternal Mental Health During Pregnancy: A Critical Review.

Many females have psychological well-being issues during pregnancy or after giving birth. It can happen to anybody. Depression and anxiety are the most widely recognized psychological well-being issues during pregnancy. These affect a significant number of pregnant females. Especially helpless are those females with histories of mental ailment who stop psychotropic drugs during pregnancy. Mental health issues can also be associated with abortions, broken homes, problems between the couple, unhealthy work-life balance, undue stress, physiological disorders, and other associated comorbidities. Pregnancy is traditionally considered a good time with good feelings, but it is not so. Until a few years ago, the only importance given to mental health was after childbirth (preference was given to disorders such as postpartum depression {PPD}). Nowadays, mental health is given its due attention right from conception,to antenatal care, to labor, to the postpartum period. Patients are educated on the importance of mental health and its short-term and long-term effects on the mother and the baby. The baby's father is educated because he can play a crucial role. Various researches show that children born to mothers who suffer from mental health ailments such as depression are low-birth-weight babies. Societal problems such as poverty, overpopulation, overcrowding, and poor hygiene can also adversely affect the mother's mental health. Some valuable solutions can be medication such as antidepressants, talking to a therapist, exercising, talking to close friends and family, couplecounseling, and de-stressing. A phenomenon called postpartum depression is also prevalent and is given its due importance.

Importance of rest and family relations as non-work psychosocial factors that affect nursing staff

Currently, the issue of staff well-being is addressed from many perspectives of the labor spectrum, but in the background of these approaches the intention to improve the rest conditions of health workers and thus influence their family relationships can be found. The ways in which health professionals perceive and take advantage of these rest periods and how they influence their family dynamics are an important part of the challenges of managing health personnel in institutions. Despite the current working conditions and demands, rest and family relationships stand as protective psychosocial factors for the well-being of the nursing professional. Regarding family relationships, the work-family conflict is the main problem on which the efforts of the institutions should be focused to improve the status of their professionals

Psychological Well-being of Mothers with Low Birth Weight (LBW) Infants Using DASS-21 Scales

Introduction: Every pregnant mother want their baby normal and healthy when is born. As a consequence, when their infants were premature and LBW, requiring hospitalization, especially in the NICU or SCN, it turned into a stressful situation that could lead to psychological suffering and emotional breakdown. Currently, research in Malaysia focuses on the prevalence of LBW; however, insufficient research on the psychological well-being of mothers with LBW has been conducted. Method: A cross-sectional study design with 130 respondents was selected using convenience sampling at SCN, Hospital Raja Perempuan Zainab 11, Kota Bharu, Kelantan. The DASS-21 scale was used. Result: A Chi-Square was performed and a p-value of less than 0.05 was considered statistically significant. For depression, the percentage of mothers reporting symptoms on the DASS-21 scales in the mild group was 18 (13.8 %), moderate at 20 (15.4 %), and severe at 4 (3.1 %), respectively. Anxiety was prominent in the mild group at 11(8.5 %), moderate at 39(30.0%), severe at 14(10.8 %), and extremely severe at 12(9.2 % ). Meanwhile, mild stress symptoms were reported by 29 (22.3 %), moderate by 15 (11.5 %), and severe by 6 (4.6 %). The association between maternal age and anxiety (p=0.036), maternal age, and stress (p=0.041) was shown to be statistically significant. Conclusion: The majority of respondents in this study had anxiety rather than depression or stress. The study’s information will help healthcare practitioners in developing effective intervention strategies to address the issue of psychological well-being among mothers of LBW infants.

Educational Experience Impacts Wellness More than Hours Worked

The Accreditation Council for Graduate Medical Education has focused its interests on resident wellbeing and the clinical work environment in recent years. Concerns regarding both duty hours as well as service obligations versus education resulted in programs nationwide receiving citations, including ours. This study aimed to evaluate the impact of those 2 factors on surgical residents' general wellbeing, hypothesizing that service obligations would be a stronger predictor. We have previously reported on the use of a "Fuel Gauge" tool developed at our institution for monitoring resident wellbeing. We performed a retrospective comparison of prospectively collected cross-sectional survey data comparing the Fuel Gauge to a bimonthly "Service Versus Education" (SVE) report. This report used similar scaling and allowed residents to provide feedback on the balance of the educational quality of their current rotation in comparison to their perception of service obligation. Pearson's correlation was then used to compare those scores with duty hour logs to determine if a relationship could be identified between the 3 measurements. Academic institution of the University of Texas Southwestern in Dallas, Texas. Active general surgery residents (n = 73). During the study period, 73residents filled out both a Fuel Gauge assessment and a SVE assessment at least once, with 273 complete data points available for analysis. Our program's Fuel Gauge median was 4, and our program's median SVE score was 4. Fuel Gauge assessment scores demonstrated a moderate positive correlation with SVE (r = 0.65, p < 0.001), while only a weakly negative association with increasing hours worked (r = -0.15, p = 0.015). SVE also demonstrated a weak negative correlation with hours logged (r = -0.225, p = 0.001). While the Accreditation Council for Graduate Medical Education recognizes that multiple factors contribute to resident wellbeing issues, early efforts were focused on limiting excessive duty hours. Examining our institutional data regarding the previously understudied factor of SVE, we indeed found a stronger correlation with resident perception of low educational value rather than excessive work hours contributing to lower Fuel Gauge scores. These data, if verified, should guide program directors in identifying other institutional factors that may more strongly contribute to their own culture of resident wellness.

Reparation ecology and climate risk in Latin-America: Experiences from four countries

IPCC's Sixth Assessment is a landmark in recognizing social justice and local knowledge as imperative for successful climate adaptation; however, taking this new scientific consensus seriously has profound implications. While narratives of fossil fuel companies and closing climate windows often dominate climate politics, there is an urgent need for new thinking frames, especially given that everyday adaptations by the most vulnerable are often hindered by incumbent actors at more local scales. In response, this paper tackles the issue of climate risk and human wellbeing in Latin America from an emerging and innovative perspective: reparation ecology. Reparation is a heuristic category by means of which we systematize converging evidence about the responses of local Latin-American communities to severe socio-environmental crises that are closely connected to climate risks and to long-lasting threats to the wellbeing of human societies and ecosystems. The results focus on a comparative analysis of five case studies on nature-based urban adaptation in two low-income settlements in Brazil; local ecological governance led by actors from the organized civil society in Colombia; agroecological and just innovative food production systems in Ecuador and sustainable urban-rural food markets in Guatemala. Assuming the complexity of climate change from a culturally and geographically located perspective, the paper unveils the non-doomed, ecologically reparative character of these initiatives. It therefore contributes to the recent turn in the debate on climate risk, claiming that diverse groups of people and communities around the world are contributing to radical change, tuning their behaviors and social arrangements in what an emerging scholarship defines as reparation ecology.

Sustainable or Not? Insights on the Consumption of Animal Products in Poland.

Animal products are one of the main constituents of the human diet. They are the main source of energy, proteins, microelements, and bioactive substances. The most popular negative health impacts linked with the consumption of animal products are obesity, atherosclerosis, heart attacks, and cancer. Apart from human health, consuming animal products is also controversial lately, due to farm animals’ well-being and environmental protection issues. Thus, within the context of sustainability, the consumption trends of animal products were investigated through our on-line questionnaire surveys. The following animal products were involved in the survey: unprocessed meat (pork, beef, lamb, veal, mutton, chicken, duck, goose, turkey), processed meat (cold-cuts, sausages, pates), fish products, and eggs. Our research concluded that consumption among respondents with higher education was unsustainable for both unprocessed and processed meat, as eating habits in terms of type and quantity of consumed meat indicated respondents’ unawareness. The consumption of fish products was also revealed as unsustainable regarding the quantity of fish consumed in terms of its beneficial nutritional values. Egg consumption was revealed as the most sustainable among the investigated animal products. However, insignificant egg consumption among the respondents showed the actual need of social education in terms of the current knowledge regarding the beneficial aspects of eggs.

E-Prevention: Advanced Support System for Monitoring and Relapse Prevention in Patients with Psychotic Disorders Analyzing Long-Term Multimodal Data from Wearables and Video Captures.

Wearable technologies and digital phenotyping foster unique opportunities for designing novel intelligent electronic services that can address various well-being issues in patients with mental disorders (i.e., schizophrenia and bipolar disorder), thus having the potential to revolutionize psychiatry and its clinical practice. In this paper, we present e-Prevention, an innovative integrated system for medical support that facilitates effective monitoring and relapse prevention in patients with mental disorders. The technologies offered through e-Prevention include: (i) long-term continuous recording of biometric and behavioral indices through a smartwatch; (ii) video recordings of patients while being interviewed by a clinician, using a tablet; (iii) automatic and systematic storage of these data in a dedicated Cloud server and; (iv) the ability of relapse detection and prediction. This paper focuses on the description of the e-Prevention system and the methodologies developed for the identification of feature representations that correlate with and can predict psychopathology and relapses in patients with mental disorders. Specifically, we tackle the problem of relapse detection and prediction using Machine and Deep Learning techniques on all collected data. The results are promising, indicating that such predictions could be made and leading eventually to the prediction of psychopathology and the prevention of relapses.