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Author(s): Adnan Innab (corresponding author) [1]; Fatima Aldawood [2]; Naif Omar Abdali [2]; Osama Kallas Arishi [2]; Abdullah Mansi Alomary [2] 1. Introduction E-learning is an alternative educational method that [...], Aim. The education system has transitioned from traditional learning to e-learning. Earlier, researchers tested the feasibility of e-learning for nursing students. However, whether satisfaction with e-learning affects students' mental health remains unknown. This study aimed to determine the influence of satisfaction with e-learning on mental health (stress, anxiety, and depression) among undergraduate nursing students. Methods. This study design was cross-sectional, correlational, and descriptive. Data were collected between April and December 2022 from local nursing colleges in 13 regions in Saudi Arabia. A convenience sampling method was employed to recruit undergraduate nursing students. One hundred forty-four students responded to the online questionnaire. Results. Nursing students demonstrated moderate levels of anxiety (M=9.89 (SD=4.28)), stress (M=10.40 (SD=4.05)), and depression (M=9.64 (SD=4.38)). The average satisfaction with e-learning score was 2.79 (SD=0.85), indicating that students' satisfaction was low. Strong and positive correlations existed between anxiety and stress (r=0.787, p

This paper examines limitations in how law enforcement and public health systems respond to domestic violence in Kyrgyzstan. Findings from interviews with domestic violence victims show that these women are subject to ineffectual practices and negative attitudes that tend to minimize domestic abuse and disempower victims. The findings reveal several problematic issues: inconsistencies in the implementation of the law, impunity for abusers because of both personal attitudes and social affinities between the police and abusers, ineffective enforcement of protective orders, and superficial processing of domestic violence cases by the legal system. Additional barriers to help-seeking include a lack of institutional support and guidelines for offering mental health services for victims as well as a scarcity of housing, childcare, and employment opportunities for women seeking to break the cycle of abuse. The findings underscore the need for society-wide changes in attitudes toward domestic violence, stricter mechanisms for enforcing the law, and mandatory training for service providers to facilitate the provision of more accessible and affirmative support to victims., Author(s): Saltanat Childress [sup.1] , Darald Hanusa [sup.2] Author Affiliations: (1) University of Wisconsin-Madison, 0000 0001 2167 3675, grid.14003.36, , 2458 Sewell Social Sciences, 1180 Observatory Drive, WI 53706-1393, Madison, [...]

Purpose: The integration of mental health specialists into primary care has been widely advocated to deliver evidence-based mental health care to a defined population while improving access, clinical outcomes, and [...]

Problem Underutilization of mental health services is a major barrier to reducing the burden of disease attributable to mental, neurological and substance-use disorders. Primary care-based screening to detect people with mental disorders misses people not frequently visiting health-care facilities or who lack access to services. Approach In two districts In Nepal, we trained lay community informants to use a tool to detect people with mental, neurological and substance-use disorders during routine community service. The community informant detection tool consists of vignettes, which are sensitive to the context, and pictures that are easy to understand for low literacy populations. Informants referred people they identified using the tool to health-care facilities. Three weeks after detection, people were interviewed by trained research assistants to assess their help-seeking behaviour and whether they received any treatment. Local setting Decentralized mental health services are scarce in Nepal and few people with mental disorders are seeking care. Relevant changes Out of the 509 people identified through the community informant detection tool, two-thirds (67%; 341) accessed health services and 77% (264) of those individuals initiated mental health treatment. People in the rural Pyuthan district (208 out of 268) were more likely to access health care than those living in Chitwan district (133 out of 241). Lessons learnt The Introduction of the tool increased the utilization of mental health services in a low-income country with few health resources. The tool seems beneficial in rural settings, where communities are close-knit and community informants are familiar with those in need of mental health services. Probleme La sous-utilisation des services de sante mentale est un obstacle majeur a la reduction de la charge de morbidite attribuable aux troubles mentaux, neurologiques et associes a la toxicomanie. Le depistage des troubles mentaux lors des soins primaires ne permet pas de les detecter chez les personnes qui viennent rarement en consultation dans des etablissements de.soins ou qui n'ont pas acces a ees services. Approche Dans deux districts du Nepal, nous avons forme des informateurs de la communaute non professionnels a l'utilisation d'un outil permettant de detecter les personnes atteintes de troubles mentaux, neurologlques et associes a la toxlcomanle lors de services ordinaires dans la communaute. Cet outil comprenalt des scenarios adaptes a differents contextes et des images facilementcomprehensibles par des populations peu alphabetisees. Les informateurs ont oriente les personnes reperees a l'aide de cet outil vers des etablissements de sante. Trois semaines plus tard, ces personnes ont ete interrogees par des assistants de recherche formes afin devaluer leur demande de soins et de savoir si elles avaient recu un traltement. Environnement local II existe peu de services de sante mentale decentralises au Nepal et peu de personnes atteintes de troubles mentaux ont recours a des soins. Changements significatifs Sur les 509 personnes reperees grace a l'outil de deplstage par des informateurs de la communaute, deux tiers (67%; 341) ont accede a des services de sante et 77% (264) ont commence un traitement pour leurs troubles mentaux. Les habitants du district rural de Pyuthan (208 sur 268) etaient plus nombreux a acceder aux soins que ceux du district de Chitwan (133 sur 241). Lecons tirees L'introduction de l'outil a permis d'augmenter le recours aux services de sante mentale dans un pays a faible revenu disposant de peu de ressources en matiere de sante. Cet outil semble benefique en milieu rural, ou lescommunautes sonttres uniesetou les informateurs connaissent les personnes qui ont besoin de services de sante mentale. Situacion La Infrautilizacion de servicios de salud mental es un gran impedimento para reducir la carga de enfermedades atribuibles a trastornos mentales, neurologicos y por consumo de sustancias. Los examenes basados en atencion primaria para detectar personas con trastornos mentales no incluyen a las personas que no visitan centros de salud frecuentemente o que no tienen acceso a los servicios. Enfoque En dos distritos de Nepal, se formo a informantes comunitarios no profesionales para el uso de una herramienta que detecta a personas con trastornos mentales, neurologicos y del uso de sustancias durante un servicio comunitario rutinario. La herramienta de deteccion de los informantes comunitarios consiste de vinetas, que dependen del contexto, e imagenes faciles de entender para poblaciones con un nivel de alfabetizacion bajo. Los informantes enviaron a las personas identificadas con la herramienta a centros sanitarios. Tres semanas despues de la deteccion, asistentes de investigacion con formacion entrevistaron a estas personas para evaluar su comportamiento de busqueda de ayuda y si recibieron algun tratamiento. Marco regional Los servicios de salud mental descentralizados son muy escasos en Nepal y pocas personas con trastornos mentales buscan atencion. Cambios importantes De las 509 personas identificadas con la herramienta de deteccion de los Informantes comunitarios, dos tercios (67%; 341) accedieron a servicios sanitarios y el 77% (264) de dichos individuos inicio un tratamiento de salud mental. Las personas del distrito rural de Pyuthan (208 de 268) tuvieron mas posibilidades de acceder a atencion sanitaria que los que vivian en el distrito de Chitwan (133 de 241). Lecciones aprendidas La introduccion de la herramienta aumento el uso de servicios de salud mental en un pais con ingresos bajos y escasos recursos sanitarios. La herramienta parece ser beneficiosa en zonas rurales, donde las comunidades estan muy cohesionadas y los informantes comunitarios estan familiarizados con las personas que necesitan servicios de salud mental., Introduction Globally, underutilization of mental health services is a major barrier to reducing the burden of disease attributable to mental, neurological and substance-use disorders. (1) Service underutilization has been attributable [...]

PURPOSE. To examine gaps in service in the treatment of depression and suicidal ideation. METHODS. A phenomenological investigation of clients' (n = 10) and service providers' (n = 40) perspectives. [...]