Development of a mobile application for detection of adolescent mental health problems and feasibility assessment with primary health care workers

INTRODUCTION : There has been a sharp increase in the use of digital health interventions in global health, particularly mobile health applications, in recent years. The extreme shortage of health care providers trained in mental health screening and intervention in low- and middle-income countries raises questions about the applicability of mobile applications to deliver these services due to their accessibility and availability. This exploratory paper describes the development and feasibility assessment of a mobile screening application for the detection of mental disorders among adolescents in Zambia and South Africa. METHODS : Eighty-two health care workers (HCW) working in primary care evaluated the acceptability and practicality of the mobile screening application after receiving brief training. The evaluation included questions from the Mobile Application Rating Scale (MARS) as well as open-ended questions. RESULTS : The acceptability of the screening app was high and study participants were positive about using the app in routine care. Problems with internet connectivity, and time and staff constraints were perceived as the main barriers to regular use. CONCLUSION : HCW in primary care were able and willing to use a mobile screening app for the detection of mental health problems among treatment-seeking adolescents. Implementation in clinical practice needs to be further evaluated.Erasmus + Capacity Building.https://www.tandfonline.com/loi/imhn20hj2023Psychiatr

Validez de las categorías relacionadas con la identidad de genero en la CIE-11 y el DSM-5 entre personas transgenero que buscan procedimientos medicos que afirmen su genero

BACKGROUND/OBJECTIVE : The most recent versions of the two main mental disorders classifications-the World Health Organization's ICD-11 and the American Psychiatric Association's DSM-5-differ substantially in their diagnostic categories related to transgender identity. ICD-11 gender incongruence (GI), in contrast to DSM-5 gender dysphoria (GD), is explicitly not a mental disorder; neither distress nor dysfunction is a required feature. The objective was compared ICD-11 and DSM-5 diagnostic requirements in terms of their sensitivity, specificity, discriminability and ability to predict the use of gender-affirming medical procedures. METHOD : A total of 649 of transgender adults in six countries completed a retrospective structured interview. RESULTS : Using ROC analysis, sensitivity of the diagnostic requirements was equivalent for both systems, but ICD-11 showed greater specificity than DSM-5. Regression analyses indicated that history of hormones and/or surgery was predicted by variables that are an intrinsic aspect of GI/GD more than by distress and dysfunction. IRT analyses showed that the ICD-11 diagnostic formulation was more parsimonious and contained more information about caseness than the DSM-5 model. CONCLUSIONS : This study supports the ICD-11 position that GI/GD is not a mental disorder; additional diagnostic requirements of distress and/or dysfunction in DSM-5 reduce the predictive power of the diagnostic model.Partially funded by unrestricted grants by the World Health Organization Department of Mental Health and Substance Abuse to participating institutions in Brazil, India, Lebanon, Mexico, and South Africa for the development and implementation of ICD-11 field studies. Financial support for the French study was provided by the Direction Générale de la Santé (DGS), Ministry of Health, France.http://www.elsevier.es/ijchpam2023Psychiatr

Medical students and registrars’ attitudes and beliefs towards transgender individuals using the transgender attitudes and beliefs scale

https://drive.google.com/file/d/1S1R6QswOs_4-jbxlEpCQ24N09EOYSUl1/view?usp=sharinghttps://drive.google.com/drive/folders/1rX1IiHjO0SIo7uHzWGNXeQK5jMWL4PAn?usp=sharinghttps://drive.google.com/drive/folders/1PiaZJKhwlW0yq7jvOUoCZ-cChdoUSmY0?usp=sharin

Effek van die beheeromgewing op werknemersbedrog

Fraud, especially employee fraud, is a reality facing all businesses and it is increasing dramatically. In any organisation the control environment forms the basis for control. It has a pervasive influence on the manner in which business activities are structured, objectives established and risks assessed. The control environment is the manner in which management sets the "tone at the top". This article attempts to establish a link between the control environment and employee fraud. The results of this study, indicate that weak control environment creates a situation that is conductive to employee fraud. Management can therefore prevent or limit employee fraud by establishing a sound control environment

The process of control self-assessment and its use in risk management

Organisations are exposed to various forms of risks. Business risk is the threat that the objectives of an organisation will not be achieved. Management is responsible to address the risks facing the organisation. Management should identify the risks that threaten the organisation and ensure that the total level of risk is reduced. Management makes use of the internal audit function to assist them in the risk management process. The methods used to identify and evaluate risks will differ. One method frequently used, is control selfassessment. This is an approach used to actively take responsibility and ownership for developing, assessing, maintaining and monitoring controls to address business risk. This article will show that it is the responsibility of the management of an organisation to control and manage risks and that the internal audit function can assist management with this process through the use of control selfassessment. The process, various methods and tools used for control selfassessment, will also be discussed

Demographic and clinical risk factors for readmission in patients with schizophrenia and bipolar disorder at Steve Biko Academic Hospital: A comparative and quantitative cross-sectional study

https://drive.google.com/file/d/1mhT-LF0Db32zVnCrE0feeN0MawkWaq--/view?usp=sharinghttps://drive.google.com/drive/folders/1UHsuiW23UnuscS90UuRBTjiv0SrquvSf?usp=sharinghttps://drive.google.com/drive/folders/1VulqThFR1kXwWYbAlCmmuXjzHMkH11iS?usp=sharin