Mental health of lesbian, gay, bisexual, and heterosexual siblings: effects of gender, sexual orientation, and family

Self-identified lesbian, gay male, and bisexual (LGB) individuals were recruited via convenience sampling, and they in turn recruited their siblings (79% heterosexual, 19% LGB). The resulting sample of 533 heterosexual, 558 lesbian or gay male, and 163 bisexual participants was compared on mental health variables and their use of mental health services. Multilevel modeling analyses revealed that sexual orientation predicted suicidal ideation, suicide attempts, self-injurious behavior, use of psychotherapy, and use of psychiatric medications over and above the effects of family adjustment. Sexual orientation was unrelated to current psychological distress, psychiatric hospitalizations, and self-esteem. This is the 1st study to model family effects on the mental health of LGB participants and their siblings.     

Adolescent males' view on the use of mental health counseling services

This study investigated adolescent males' view on mental health counseling. Additionally, participants were asked if they had ever used mental health counseling services, if they expected to use such services in the future, and what types of services/activities would constitute a successful counseling experience. The participants' responses indicated that they associated mental health counseling with mental illness and pathology. Eighty-eight percent of the participants reported having never used mental health counseling services. Surprisingly, 69% reported a willingness to use mental health counseling services for life's concerns. Finally, the participants identified a preference for action-oriented counseling strategies. Implications for mental health counseling practice are discussed.     

Pathways to vocational services: factors affecting entry by veterans enrolled in Veterans Health Administration mental health services

The current study provides naturalistic data documenting the pathways-to-care to vocational services for 155 veterans who were receiving some form of mental health care from the Veterans Health Administration and had a vocational need but were not currently enrolled in vocational services. Of the participants, 94.2% had recognized their vocational need, 80.6% reported that they or someone else had sought help to alleviate the need, and 77.4% had previously received some form of vocational services. The median length of the participants' vocational need was more than 4.2 years. Delays associated with recognition, help-seeking, and treatment entry all contributed to the overall delay in entering appropriate care. Filtering factors associated with quicker recognition, seeking help, and receiving services included diagnosis, level of disability, type of vocational need, and support from primary providers, family, and friends. The results provide information for designing interventions to improve service entry by adults with mental health problems and vocational needs.     

Urgent and non-urgent takeovers during conditional automated driving on public roads: The impact of different training programmes

Supplying training to drivers that teaches them about automated driving and requests to intervene may help them to build and maintain a mental representation of how automation works and thereby improve takeover performance. We aimed to investigate the effect of different types of training programmes about the functioning of automated driving on drivers’ takeover performance during real driving. Fifty-two participants were split into three groups for training sessions: paper (short notice), video (3-minute tutorial) and practice (short drive). After the training, participants experienced automated driving and both urgent and non-urgent requests to intervene in a Wizard-of-Oz vehicle on public roads. Participants’ takeover time, visual behaviour, mental workload, and flow levels during the requests to intervene were assessed. Our results indicated that in urgent circumstances, participants’ takeover response times were faster in the practice training condition compared to the other training conditions. Nevertheless, the practice training session did not present any other positive effect on drivers’ visual behaviour. This could indicate that prior training, particularly when reinforcing drivers' motor skills, improved their takeover response time at the latest motor stages rather than in the early sensory states. In addition, the analysis of in-vehicle videos revealed that participants’ attention was captured in the first place by the in-vehicle human-machine interface during the urgent request to intervene. This highlights the importance for designers to display information on the HMI in an appropriate way to optimise drivers’ situation awareness in critical situations.     

App-based feedback on safety to novice drivers: Learning and monetary incentives

An over-proportionally large number of car crashes is caused by novice drivers. In a field experiment, we investigated whether and how car drivers who had recently obtained their driving license reacted to app-based feedback on their safety-relevant driving behavior (speeding, phone usage, cornering, acceleration and braking). Participants went through a pre-measurement phase during which they did not receive app-based feedback but driving behavior was recorded, a treatment phase during which they received app-based feedback, and a post-measurement phase during which they did not receive app-based feedback but driving behavior was recorded. Before the start of the treatment phase, we randomly assigned participants to two possible treatment groups. In addition to receiving app-based feedback, the participants of one group received monetary incentives to improve their safety-relevant driving behavior, while the participants of the other group did not. At the beginning and at the end of experiment, each participant had to fill out a questionnaire to elicit socio-economic and attitudinal information.We conducted regression analyses to identify socio-economic, attitudinal, and driving-behavior-related variables that explain safety-relevant driving behavior during the pre-measurement phase and the self-chosen intensity of app usage during the treatment phase. For the main objective of our study, we applied regression analyses to identify those variables that explain the potential effect of providing app-based feedback during the treatment phase on safety-relevant driving behavior. Last, we applied statistical tests of differences to identify self-selection and attrition biases in our field experiment.For a sample of 130 novice Austrian drivers, we found moderate improvements in safety-relevant driving skills due to app-based feedback. The improvements were more pronounced under the treatment with monetary incentives, and for participants choosing higher feedback intensities. Moreover, drivers who drove relatively safer before receiving app-based feedback used the app more intensely and, ceteris paribus, higher app use intensity led to improvements in safety-related driving skills. Last, we provide empirical evidence for both self-selection and attrition biases.     

Specialist counsellors in primary care: The experience and preferences of general practitioners

This paper reports the results of a postal questionnaire, pre-coded by practice, which was sent to all 484 Leicestershire general practitioners. Practitioners who could and who could not refer to an in-house counsellor were compared in terms of their views about counselling provision, both within the practice and by agencies outside, such as mental health teams and specialist counselling services. General practitioners having access to a counsellor belonged to practices which were larger and had fundholding status. No signijicant dafference was found between rural and urban practices in their employment of an in-house counsellor, although those doctors working in rural areas were less likely to see this service as having a high priority. General practitioners without in-house counsellors estimated a referral rate (for counselling) in excess of twice that of the actual rate reported by those with practice counsellors. Those having an in-house counsellor were more likely to agree with statements that emphasized the benefits of this form of provision as against that offered by either mental health teams or specialist counselling services.     

Secondary task engagement and disengagement in the context of highly automated driving

During highly automated driving (level 3 automation according to SAE International, 2014) people are likely to increase the frequency of secondary task interactions. However, the driver must still be able to take over control within a reasonable amount of time. Previous studies mainly investigated take-over behavior by forcing participants to engage in secondary tasks prior to take over, and barely addressed how drivers voluntarily schedule secondary task processing according to the availability and predictability of automated driving modes. In the current simulator study 20 participants completed a test drive with alternating sections of manual and highly automated driving. One group had a preview on the availability of the automated driving system in upcoming sections of the track (predictive HMI), while the other drivers served as a control group. A texting task was offered during both driving modes and also prior to take-over situations. Participants were free to accept or reject a given task, taking the situational demands into account. Drivers accepted more tasks during highly automated driving. Furthermore, tasks were rejected more often prior to take-over situations in the predictive HMI group. This was accompanied by safer take-over performance. However, once engaged in a task, drivers tended to continue texting even in take-over situations. The results indicate the need to discriminate different aspects of task handling regarding self-regulation: task engagement and disengagement.     

Attention during visual secondary tasks in driving: Adaptation to the demands of the driving task

Visual attention in driving with visual secondary task is compared for two visual secondary tasks. N = 40 subjects completed a 1 h test drive in a motion-base driving simulator. During the drive, participants either solved an externally paced, highly demanding visual task or a self paced menu system task. The secondary tasks were offered in defined critical and non-critical driving situations. Eye movement behavior was analyzed and compared for both tasks. Before starting the secondary tasks, eye movement behavior shows a smaller standard deviation of gaze as well as longer fixation durations for both tasks. The comparison between the two tasks indicates that drivers use the possibilities the self paced task offers: during the secondary task, they monitor the driving scene with longer fixations and show a greater standard deviation of gaze position. Furthermore, independently of the type of secondary task, drivers adapt their eye movement behavior to the demands of the situation. In critical driving situations they direct a larger proportion of glance time to the driving task. Last, the relation between glance behavior and collisions is analyzed. Results indicate that collisions go together with an inadequate distribution of attention during distraction. The results are interpreted regarding the attentional processes involved in driving with visual secondary tasks. Based on the similarities and differences between the two secondary tasks, a cognitive approach is developed which assumes that the control of attention during distraction is based on a mental situational model of the driving situation.     

Preferences for Online Mental Health Services Among Australian and Indian Samples: A Cross-Cultural Comparison

Online mental health services provide a point-of-access to mental healthcare that may otherwise be unavailable or limited, particularly in developing countries. Nevertheless, there is a lack of research into individual differences between those who prefer online mental health services and those who prefer traditional in-person services, and whether these differences vary as a function of culture. This study investigated differences in preferences for online or in-person mental health services on e-health literacy, age, education level, and comfort using the internet in a general community sample recruited from Australia and India. A total of 487 participants (31.6% male; mean age?=?33.55, SD?=?12.20, range 18–78), 297 Australians and 190 Indians, completed an online or paper-and-pencil survey. A significant negative relationship between age and e-health literacy was found with younger ages associated with higher e-health literacy. Furthermore, e-health literacy scores were significantly higher for the Australian sample. Age, e-health literacy, country-of-residence, education level, and comfort in using the internet did not predict mental health service preference. The results suggest that preference for in-person or online mental healthcare is independent of demographic and cultural factors and indicate that online mental health services may be acceptable to Indian health service consumers.     

Predictors of Recent Mental Health Service Use in a Medical Population: Implications for Integrated Care

This study investigated the relationship between physical and mental health and psychosocial variables and recent (within the last 12 months) mental health service use among 240 medical patients recruited from general and specialty outpatient clinics at an academic medical center. Results indicated 43.3% of the participants had recently received mental health services in the form of psychotropic medication (75%), psychotherapy (2%), or a combination of these treatments (20.2%). Among patients with moderate to severe symptoms of anxiety or depression, approximately two-thirds were receiving mental health treatment. Moreover, four variables (healthcare provider referral for mental health services, perceived need for mental health services, prior use of mental health services, and frequency of medical appointments) were significant unique predictors of recent mental health service use. This suggests collaborative/integrated medical care may increase needed mental health service use.     

Use of Psychiatric Medications in Juvenile Detention Facilities and the Impact of State Placement Policy

The use of psychotropic medications is a significant factor in the overall effort to respond to detained youth with mental illness, yet there are very few studies of psychotropic medication use in juvenile detention settings. It is important to understand the factors that influence the use of mental health services and psychoactive medications in these settings since youth with emotional problems are overrepresented in them. This paper addresses the proportion of youth in these settings who receive mental health services and psychoactive medications. In addition, the impact of a major statewide policy change—the shift of juvenile placement responsibility from the state to local government—on these proportions was examined using 8 years of publicly available data from county probation departments. Multivariate regression analyses of 1,760 observations of quarterly reports from 55 counties showed that the use of both mental health services and psychoactive medications in detention facilities increased concurrently with the policy change. While these proportions had already been gradually increasing in these facilities, it appears that after the policy change they increased even more. This contradicts the aim of most juvenile justice planners—to divert non-violent youth offenders with emotional problems away from incarceration settings and towards community based treatment alternatives. If adequately available, these support services could provide diversion alternatives to prevent inappropriate detentions, and to provide post-detention treatment to prevent lapses in continuity of care and, ultimately, to prevent reoffending.     

Risky behaviours associated with traffic crashes among app-based motorcycle taxi drivers in Vietnam

Motorcycle taxi services provide an important mobility option for people in developing countries. With the emergence of new transport technologies, app-based motorcycle taxi services have become increasingly popular in recent years. However, little is known about risky driving behaviours and their association with traffic crashes among app-based motorcycle taxi drivers. Through a survey of 602 app-based motorcycle taxi drivers from three cities in Vietnam, this research aimed to investigate the incidence of risky driving behaviours and their association with driver characteristics and traffic crashes. Using a mobile phone while driving was found to be the most common risky driving behaviour (52%) among app-based motorcycle taxi drivers, followed by neglecting to use turn signals (31%), encroaching car lanes (25%), exceeding the speed limit (21%), running red lights (19%) and carrying more than one passenger (17%). In addition, drivers who were students, or those who worked more than 50 h per week, were found to be more likely to engage in risky driving behaviours. Binary logistic regression modelling showed that neglecting to use turn signals, carrying more than one passenger and smoking while driving was significantly associated with self-reported active crash/fall involvement. Turn signal neglect was also associated with active injury crash/fall involvement. The incidence of risky driving behaviours and associated crash involvement was found to be lower among app-based motorcycle taxi drivers compared with regular motorcyclists, yet the findings still highlight the need for ride-hailing firms to deliver improved education and road safety training for their drivers.     

SAFE START: AN EARLY CHILDHOOD MENTAL HEALTH PROGRAM IN A TERTIARY HEALTHCARE SETTING—A CRITICAL REVIEW

Early childhood mental health programs are vital for the current and future mental health and brain development of infants, toddlers, and preschoolers. Founded in 2014, Safe Start is the only early childhood mental health program in Beirut, Lebanon. It aims at being the prototype of such services at the national level. A retrospective analysis of the outcomes of the first year of operations has resulted in important findings about the age of the participants, their diagnoses, previous therapies that the participants have undergone, types of referrals recommended, and the number of participants who were lost to follow‐up. This first analysis pointed at the need for more in‐depth research to encompass the gaps and benefits of such services. It shows the pivotal importance of designing awareness strategies about the importance of early childhood mental health services and care; to move from a diagnostic seeking behavior to commitment to psychotherapy and follow‐up interventions.     

The Use of Mental Health Services Among Victims of Partner Violence on College Campuses

The present study investigated the relationship between past victimization of different types of intimate partner violence (IPV; physical, psychological, and sexual) and the likelihood of using mental health services. Results indicate 86% of participants reported experiencing some form of IPV, but only 16% of those victims used mental health services to address emotional problems. The participants reported embarrassment, expense, ineffectiveness, and social stigma as the most prominent barriers to seeking help from a mental health professional. The study also found that participants who experienced physical and psychological IPV, but not sexual IPV, reported using mental health services. Sexual IPV may elicit different barriers in help-seeking behaviors. Implications for college IPV prevention programs and mental health services are discussed.     

Poverty and Mental Health: Underclaiming of Welfare Benefits

The study undertaken by a local MIND welfare benefits service found that 51% of people attending a local mental health resource centre were not receiving the welfare benefits to which they were entitled. Being in receipt of correct benefit entitlement was found to be unaffected by: whether a person had a long history of using mental health services; whether they had a care manager; or whether they had previously been given benefits advice. Women were less likely to be receiving their correct benefit entitlement than men. It is argued that the only way to guarantee that people receive their full benefit entitlement is to ensure that highly trained and experienced welfare benefits advisers are readily accessible to all people who use mental health services.     

Hypnotic discontinuation in chronic insomnia: impact of psychological distress, readiness to change, and self-efficacy.

OBJECTIVE: To compare individuals who were successful in discontinuing hypnotic medications against those who were not on measures of insomnia severity, medication withdrawal symptoms, psychological symptoms, perceived health, readiness to change and self-efficacy. DESIGN: Secondary analyses of a randomized clinical trial comparing a hypnotic taper intervention with or without self-help treatment for insomnia. MAIN OUTCOME MEASURES: Self-report measures of insomnia severity, medication withdrawal symptoms, depression and anxiety symptoms, physical and mental health, stages of change, readiness to change, decisional balance, and general and situational self-efficacy. RESULTS: There were no significant differences at baseline between medication-free individuals and those still using sleep medication at the end of a taper intervention. Group differences emerged midway through the 8-week withdrawal program and were accentuated after the intervention; participants who remained medication-free during the next six months had less severe insomnia and anxiety symptoms, a more positive perception of their health and higher self-efficacy to refrain from hypnotic use in various situations. Contrary to expectations, there were no differences between drug-free and nondrug-free participants on both readiness to change and stages of change. CONCLUSIONS: Chronic users of hypnotic medications entered a taper intervention with equal levels of psychological distress, health, self-efficacy, and readiness to change. Successful hypnotic discontinuation was associated with overall improvement of insomnia, anxiety and distress symptoms, perceived health and self-efficacy. More intensive and individualized therapeutic attention may be warranted for individuals experiencing worsening of insomnia symptoms, more withdrawal symptoms and psychological distress, and lower self-efficacy during medication discontinuation.     

The influence of sensitivity to reward and punishment, propensity for sensation seeking, depression, and anxiety on the risky behaviour of novice drivers: a path model

Young novice drivers are significantly more likely to be killed or injured in car crashes than older, experienced drivers. Graduated driver licensing (GDL), which allows the novice to gain driving experience under less-risky circumstances, has resulted in reduced crash incidence; however, the driver's psychological traits are ignored. This paper explores the relationships between gender, age, anxiety, depression, sensitivity to reward and punishment, sensation-seeking propensity, and risky driving. Participants were 761 young drivers aged 17-24 (M=19.00, SD=1.56) with a Provisional (intermediate) driver's licence who completed an online survey comprising socio-demographic questions, the Impulsive Sensation Seeking Scale, Kessler's Psychological Distress Scale, the Sensitivity to Punishment and Sensitivity to Reward Questionnaire, and the Behaviour of Young Novice Drivers Scale. Path analysis revealed depression, reward sensitivity, and sensation-seeking propensity predicted the self-reported risky behaviour of the young novice drivers. Gender was a moderator; and the anxiety level of female drivers also influenced their risky driving. Interventions do not directly consider the role of rewards and sensation seeking, or the young person's mental health. An approach that does take these variables into account may contribute to improved road safety outcomes for both young and older road users.     

Investigating explanations in conditional and highly automated driving: The effects of situation awareness and modality

With the level of automation increases in vehicles, such as conditional and highly automated vehicles (AVs), drivers are becoming increasingly out of the control loop, especially in unexpected driving scenarios. Although it might be not necessary to require the drivers to intervene on most occasions, it is still important to improve drivers’ situation awareness (SA) in unexpected driving scenarios to improve their trust in and acceptance of AVs. In this study, we conceptualized SA at the levels of perception (SA L1), comprehension (SA L2), and projection (SA L3), and proposed an SA level-based explanation framework based on explainable AI. Then, we examined the effects of these explanations and their modalities on drivers’ situational trust, cognitive workload, as well as explanation satisfaction. A three (SA levels: SA L1, SA L2 and SA L3) by two (explanation modalities: visual, visual + audio) between-subjects experiment was conducted with 340 participants recruited from Amazon Mechanical Turk. The results indicated that by designing the explanations using the proposed SA-based framework, participants could redirect their attention to the important objects in the traffic and understand their meaning for the AV system. This improved their SA and filled the gap of understanding the correspondence of AV’s behavior in the particular situations which also increased their situational trust in AV. The results showed that participants reported the highest trust with SA L2 explanations, although the mental workload was assessed higher in this level. The results also provided insights into the relationship between the amount of information in explanations and modalities, showing that participants were more satisfied with visual-only explanations in the SA L1 and SA L2 conditions and were more satisfied with visual and auditory explanations in the SA L3 condition. Finally, we found that the cognitive workload was also higher in SA L2, possibly because the participants were actively interpreting the results, consistent with a higher level of situational trust. These findings demonstrated that properly designed explanations, based on our proposed SA-based framework, had significant implications for explaining AV behavior in conditional and highly automated driving.     

Community mental health services for black and ethnic minorities

An investigation into the provision of community mental health services in one local authority Borough found that facilities for the rehabilitation and resettlement of the recovering mentally ill into the community were very limited and fell far short of ofJicial recommendations and that very little consideration was given to meeting the needs of black and ethnic minorities. An analysis of data porn service providers (Local Authority/Social Services/Health Authority), multidisciplinary teams, voluntary agencies and 120 black and ethnic minorities (users and non-users of mental health services) in the Borough suggested that black and ethnic minorities had little or no say in decisions about the provision of community mental health services to the extent that they feLt excluded. In many instances service providers had limited contact with black and ethnic minorities and some members of the multidisciplinary team had little to do with black people but yet influenced major decisions about the provision of services to meet their needs. The findings drew sharp attention to the diference between the views of service providers and those of service users in terms of the provision of community mental health services to meet the needs of black and ethnic minorities. Ninety six percent of those involved in the study were appalled over the apparent lack of emphasis placed on the provision of services to meet the needs of black and ethnic minorities and felt that nothing was being done to improve the inadequate service which was offered ly the voluntary sector.