Mental health care in Singapore: Current and future challenges

Kua, Ee Heok; Mahendran, Rathi

doi:10.4103/tpsy.tpsy_2_19

Cited by 15 publications

(8 citation statements)

References 20 publications

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“…Screening individuals and promoting mental health awareness is important to reduce stigma, specifically among those living in rural areas. Furthermore, favorable attitude of physicians toward hypertensive patients with depressive symptoms and availability of social support are important to combat depressive disorders in the community and increase the treatment adherence 54,68,74,92,100‐102 …”

Section: Overcoming the “Triple Burden” In Asiamentioning

confidence: 99%

Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network

Turana

Tengkawan

Chia

et al. 2020

J of Clinical Hypertension

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The "triple burden" of aging population, hypertension, and mental health problems making elderly in Asia is more vulnerable. There is evidence of a bidirectional relationship between mental health and hypertension, which results in lower quality of life, lower rate of treatment adherence, and higher mortality among elderly individuals. It is essential to overcome known barriers and care for the elderly with high-risk factors in order to address these burdens. This review revealed that elderly with hypertension were more likely to suffer from depression and anxiety. Therefore, debunking myths, creating awareness regarding mental health, and increasing access to mental health This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Section: Overcoming the “Triple Burden” In Asiamentioning

confidence: 99%

Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network

Turana

Tengkawan

Chia

et al. 2020

J of Clinical Hypertension

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“…These similarities are important to note as they provide cross-cultural support for findings that have previously been limited to Western English-speaking studies. They also confirm the value of the PSS role in supporting self-recovery within a mental healthcare system that has recently started to shift away from institutionalized care towards more community services (Kua & Rathi, 2019 ) and a country that is working towards its first workplace anti-discrimination laws (Tripartite Alliance for Fair & Progressive Employment Practices, 2017 ).…”

Section: Discussionmentioning

confidence: 66%

A bridge to recovery: an interpretative phenomenological analysis with peer support specialists in Singapore

Barlas

2023

International Journal of Qualitative Studies on Health and Well

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Recovery-oriented mental health care approach is gaining acceptance in Asian countries, including Singapore. Following Western countries, Singapore started hiring peer support specialists (PSS) as part of mental healthcare services. The aim of this paper was to explore and understand how individual peer support specialists in Singapore perceive and make sense of their role given their unique perspective as both recipients and providers of mental healthcare treatment. Six PSS in Singapore were interviewed utilizing a semi-structured interview schedule. Interviews were transcribed verbatim and analysed using interpretative phenomenological analysis. Four superordinate themes were generated illustrating how PSS viewed their role: embracing and embodying recovery, balancing on a bridge, impossible without support, and helping to end stigma. Findings also illustrated participants’ awareness of the nature of the job and the role of PSS as still in the infancy stage. They embraced a recovery-oriented mindset despite experiencing stigma from professionals and/or their social support. The need to understand familial attitudes towards the PSS role is discussed. The limitations, contributions to the research, and several areas for future research are also outlined.

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“…The South-East Asia region has the highest reported prevalence of CMDs globally (32), and NCDs are the number one cause of premature death (7). Singapore, a small multi-ethnic country in South-East Asia, has undergone rapid urbanisation in recent decades and its healthcare system is facing challenges arising from the increase of NCDs such as type 2 diabetes and CMDs such as depression (33), their related risk factors (34)(35)(36)(37), and their associated socio-and health-economic costs (38,39).…”

Section: Setting and Target Populationmentioning

confidence: 99%

Development of “LvL UP”, a smartphone-based, conversational agent-delivered holistic lifestyle intervention for the prevention of non-communicable diseases and common mental disorders

Castro¹

2022

Preprint

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Background: Non-communicable diseases (NCDs) and common mental disorders (CMDs) are the leading causes of death and disability worldwide. Lifestyle interventions via mobile apps and conversational agents present themselves as low-cost, scalable solutions to prevent these conditions. This paper describes the rationale for, and development of, “LvL UP”, a digital lifestyle intervention aimed at preventing NCDs and CMDs.Materials and Methods: A multidisciplinary team led the intervention design process of LvL UP, involving four phases: (i) preliminary research (stakeholder consultations, systematic market reviews), (ii) selecting intervention components and developing the conceptual model, (iii) whiteboarding (prototype development), and (iv) testing and refinement. The Multiphase Optimization Strategy and the UK Medical Research Council framework for developing and evaluating complex interventions were used to guide the intervention development.Results: The first version of LvL UP features a scalable, smartphone-based, and conversational agent-delivered holistic lifestyle intervention built around three pillars: Move More (physical activity), Eat Well (nutrition and healthy eating), and Stress Less (emotional regulation and wellbeing). Intervention components include health literacy and psychoeducational coaching sessions, daily "Life Hacks” (healthy activity suggestions), breathing exercises, and journaling. Engagement components involve motivational interviewing and storytelling to deliver the coaching sessions, as well as progress feedback and gamification. Offline materials are also offered to allow users access to essential intervention content without needing a digital device.Conclusions: The development process of LvL UP led to an evidence-based and user-informed digital health intervention aimed at preventing NCDs and CMDs. LvL UP is designed to be a scalable, engaging, prevention-oriented, holistic intervention for adults at risk of NCDs and CMDs. A feasibility study, and subsequent optimisation and randomised-controlled trials are planned to further refine the intervention and establish effectiveness. The development process described here may prove helpful to other intervention developers.

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Mental health care in Singapore: Current and future challenges

Cited by 15 publications

References 20 publications

Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network

Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network

A bridge to recovery: an interpretative phenomenological analysis with peer support specialists in Singapore

Development of “LvL UP”, a smartphone-based, conversational agent-delivered holistic lifestyle intervention for the prevention of non-communicable diseases and common mental disorders

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