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“promoting Mental Health: European Insurance Strategies For Emotional Well-being”

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What Is The Eu Doing To Support Good Mental Health?

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Rapid real-world evaluation of effective mental health interventions for people with chronic physical health conditions during the COVID-19 pandemic using a systems-level mental health promotion framework

Rising Interest In Mental Health Insurance But Coverage Still Inadequate, Analysts Say

Lorna Stabler Scilit Preprints, Karen Davison Karen Davison Scilit Preprints.org Google Scholar 5, Vidhi Thakkar Vidhi Thakkar Scilit Preprints.org Google Scholar 5, Esme Fuller-Thompson Scilit Preprints.org Google Scholar 6, Scilit Brandolarn 6. Hay Brandon Hay Cilit Preprints.org Google Scholar 7

Received: October 11, 2021 / Revised: November 17, 2021 / Accepted: November 18, 2021 / Published: November 23, 2021

The global outbreak of COVID-19 in 2020 has increased and threatened mental health across communities. Research shows that people with chronic physical illnesses are at increased risk of severe illness from COVID-19 due to adverse effects of public health responses to COVID-19, such as social isolation. This article reports the findings of a rapid empirical review with a scoping review to explore underlying factors and underlying mechanisms and drivers associated with effective mental health interventions within and across macro-meso-micro systems levels for people with chronic physical health conditions. done. This rapid empirical review extracted 14 eligible studies in 11 countries and identified four key mechanisms from the COVID-19 literature – trust, social connectedness, accountability and resilience. These mechanisms are discussed in relation to underlying factors and outcomes reported in the Covid literature. Empirical investigations involve iterative searches to refine their program theories and context-mechanism-outcome explanations. A purposive search of pre-covid empirical reviews of study material was conducted for evidence of the robustness of these methods. Some pre-Covid procedures were different due to underlying factors. Importantly, an additional mechanism—authority sharing—has been highlighted in the pre-Covid literature but not in the Covid literature. Previous empirical investigations were used to identify potential underlying theories and models related to key mechanisms. Based on the overall findings, implications for mental health promotion policy, practice, and research are presented.

The global outbreak of COVID-19 in 2020 highlights the need to promote and support the mental health of individuals, families and communities. This pandemic has created a mental health crisis due to infectious threats, physical and social isolation, economic insecurity, and physical and emotional exhaustion [1, 2, 3].

Mental Health And Loneliness In The German General Population During The Covid 19 Pandemic Compared To A Representative Pre Pandemic Assessment

Around the world, public health responses to COVID-19 have been adapted to reduce transmission of the virus, which causes major disruptions in activities of daily living and increases fear, anxiety, and other negative emotions [4]. People with chronic physical illnesses are at higher risk of contracting COVID-19 than the general population [5]. A higher risk of serious physical complications from COVID-19 is associated with lower perceptions of quality of life and depression, anxiety, and emotional distress [6]. A review of 93 countries highlighted chronic diseases as important population risk factors for Covid-19 mortality [7]. Another review article [8] identified the following important mental health risk factors for individuals during COVID-19: (a) medical comorbidities such as cardiovascular and respiratory diseases, diabetes, and obesity are risk factors for acute viral infection; (b) increasing age; (c) cognitive and behavioral disorders that adversely affect adherence. d) Stigma and racism; and (e) lack of access to social determinants of health. Thus, people with chronic physical illnesses are at increased risk of poor mental health due to the risk of severe illness from the COVID-19 virus and the adverse effects of public health responses to COVID-19.

A recent scoping review by our team [9] focused on interventions to prevent and manage mental health challenges among people with physical conditions at risk of severe COVID-19 infection. Our scoping review found that anxiety and depression were the most common mental health conditions reported for people with chronic physical illnesses during COVID-19. Increased rates of adverse mental health conditions are associated with barriers to resources (eg, health team support). Lack of control (eg, ability to follow treatment regimens). or worry about contracting COVID-19 [9].

Effective mental health promotion depends on relationships between different levels of the system: macro-level policy makers and governments, meso-level social services and primary care, and micro-level individuals with patients and family caregivers. This Rapid Reality Review (RRR) is a further exploration of the causal factors, underlying mechanisms, and drivers associated with effective mental health interventions at the macro-meso-micro systems level and among people with chronic physical health conditions at risk for covid. 19.

The lack of funding and strategic planning for mental health in all policies suggests that mental health is a lower policy priority than physical health [10, 11, 12]. The rapid and pervasive nature of the Covid-19 pandemic and the mental health burden it has imposed, as well as the chronically neglected importance of mental health, make this RRR article particularly timely and important.

Pdf) Protecting And Promoting Mental Health In The Workplace: Developing A Systems Approach To Job Stress

To help understand and mitigate the mental health effects exacerbated by the COVID-19 pandemic, we conducted an RRR of documents from the scoping review. We used a realist approach to conduct this review [13, 14]. Pragmatic approaches focus on what interventions work for whom and under what conditions. Specific contextual factors (Cs) influence how key actors select/choose the interaction that designers expect and desire. A realist approach focuses on understanding the underlying mechanisms (M) associated with actors’ choices and actions (whether they are positive or negative in terms of intervention success). Actual methods represent interactions between situations (Cs), procedures (Ms) and outcomes (Os) called CMO configurations. In this regard, realist approaches often provide unique and innovative perspectives on intervention outcomes, including why and how interventions work or do not work [13]. Therefore, realistic methods are suitable for the study of complex systems such as the subject of this review.

We used a system-level model (ie macro-meso-micro) as a framework to interpret our findings (Figure 1). An important first step in realist approaches is to develop a program theory that describes how the program works [15]. Program theory is visualized by CMOs, tested and refined using evidence gathered from reviewing relevant documents. We used the framework of Figure 1 as our program theory to better describe evidence-based contextual factors and practices at all levels and stages.

The fundamental question addressed in this paper is: the mechanisms or drivers of human decisions and behaviors to effectively receive and deliver mental health interventions for people with chronic physical illnesses who are at risk of contracting Covid-19 and have severe illness What are they? Levels of the macro meso micro system?

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