Mental Health Weekly最新文献_第9页

Mental health needs outstrip capacity in Oregon 俄勒冈州的心理健康需求超出了能力范围

Mental Health Weekly Pub Date : 2025-05-16 DOI: 10.1002/mhw.34459

{"title":"Mental health needs outstrip capacity in Oregon","authors":"","doi":"10.1002/mhw.34459","DOIUrl":"https://doi.org/10.1002/mhw.34459","url":null,"abstract":"Oregon's high behavioral health needs outpace the state's availability of services, according to an audit report from the office of the Secretary of State, The Nugget Newspaper reported May 13. The state's suicide rate has consistently outpaced the nation since 2000, and it ranks 46th among states for adults with substance use disorders who needed but did not receive treatment, according to the report. And Oregon's behavioral crisis response systems only partially meet national guidelines and best practices, according to the state's audit. The report, released last week, included recommendations for the Oregon Health Authority, as improving behavioral health systems in Oregon can provide health and economic benefits in the long run. For every $1 invested in preventing and treating youth mental disorders and suicide, there is a $24 return in health and economic benefits over 80 years, the report shows. The Oregon Health Authority lacks sufficient data to understand the need for behavioral health crisis services, according to the report. The agency has not fully kept track of the number of calls made to the 988 mental health hotline and county crisis hotlines. It began collecting data from national hotline callers in 2022, but county crisis lines still do not collect this data. The agency also has no way of tracking a caller's demographic information, such as age, race and ethnicity, gender, and county. Suicide rate disparities are stark between different demographics. Native American individuals and non-Hispanic whites had the highest rates of suicide in comparison to other racial and ethnic groups, at about 20 deaths per 100,000. Rural Oregonians had higher suicide rates than those living in urban areas. The audit found that only one of Oregon's services — its crisis hotline — has sustainable funding. Oregon set aside this funding through a law implementing a 50-cent monthly fee for every cell phone and landline. That fund also supports some of Oregon's mobile crisis teams. The mobile teams can also receive Medicaid reimbursements. However, there is no funding dedicated for Oregon's three crisis stabilization centers, which is needed to support the continued operation of these centers.","PeriodicalId":100916,"journal":{"name":"Mental Health Weekly","volume":"35 20","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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In Case You Haven't Heard… 如果你还没听说过……

Mental Health Weekly Pub Date : 2025-05-16 DOI: 10.1002/mhw.34461

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Physical activity interventions have limited evidence for MH 身体活动干预对MH的影响证据有限

Mental Health Weekly Pub Date : 2025-05-16 DOI: 10.1002/mhw.34458

{"title":"Physical activity interventions have limited evidence for MH","authors":"","doi":"10.1002/mhw.34458","DOIUrl":"https://doi.org/10.1002/mhw.34458","url":null,"abstract":"A newly published systematic review has concluded that current research evidence is insufficient for determining whether interventions aimed at increasing physical activity represent a cost-effective mental health strategy. Published online May 13 in BMC Public Health, the review encompassed 11 studies that assessed physical activity-oriented interventions for individuals with mental health disorders (including affective and psychotic disorders) and that underwent a full cost-effectiveness evaluation. Studies of interventions that were delivered remotely were excluded from the review. Six of the 11 selected studies examined the benefits of group exercise sessions, such as group walking, dance or circuit training. Most of the studies compared the interventions to usual care. Depression was the most commonly targeted condition in the studies. The effectiveness of the interventions was measured using the quality-adjusted life years (QALYs) instrument. Most of the examined studies were conducted in Europe, with five of them taking place in the United Kingdom. The investigators found that in six of the 11 studies they examined, study authors concluded that the examined interventions were not cost-effective. “These conclusions are primarily driven by uncertainties about the clinical benefit of the interventions,” authors of the review wrote. The remaining five studies concluded that the examined interventions had demonstrated cost-effectiveness. Among the group exercise interventions that were part of this review, circuit training for adolescents with depression and Pilates for patients with schizophrenia were determined not to be cost-effective. “Our review finds that the current evidence is insufficient to come to strong conclusions about whether physical activity-oriented interventions for mental health are cost-effective when compared with the standard of care of other treatment types,” the review's authors wrote. “However, physical activity-oriented interventions that are relatively low cost, such as telephone or web support for exercise goals and motivation, yielded results that were cost-effective.” They added that the QALY measure might not be an ideal indicator when looking at mental health conditions. The authors wrote that “all interventions were delivered for a limited period, and there remains a high uncertainty regarding the real-world, long-term benefits of the programs once sessions are no longer delivered.” The investigators believe that wider use of financial and other incentives in these efforts would improve their cost-effectiveness. A joint program of the World Bank and the Ministry of Finance in Saudi Arabia funded the review.","PeriodicalId":100916,"journal":{"name":"Mental Health Weekly","volume":"35 20","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Mismanagement allegations plague Oklahoma's mental health agency 管理不善的指控困扰着俄克拉荷马州的精神健康机构

Mental Health Weekly Pub Date : 2025-05-16 DOI: 10.1002/mhw.34453

Gary Enos

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Campaign is encouraging authors to tell stories of mental wellness 活动鼓励作者讲述心理健康的故事

Mental Health Weekly Pub Date : 2025-05-16 DOI: 10.1002/mhw.34454

Gary Enos

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Coming Up… 上来……

Mental Health Weekly Pub Date : 2025-05-09 DOI: 10.1002/mhw.34450

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