Mental Health Treatment Among Adults: United States, 2020

Terlizzi, Emily P; Zablotsky, Benjamin

doi:10.15620/cdc:110593

Cited by 57 publications

(69 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, few parents seek professional help to manage stress, and few primary care providers counsel on stress management skills [ 10 ]. Before the COVID-19 pandemic, 2019 data show that only 9.5% of adults aged ≥18 years reported receiving mental health counseling in the past year [ 11 ]. The COVID-19 pandemic took a particularly heavy toll on parents with children aged ≤18 years without much support.…”

Section: Introductionmentioning

confidence: 99%

Digital Prompts to Increase Engagement With the Headspace App and for Stress Regulation Among Parents: Feasibility Study

Militello¹,

Sobolev²,

Okeke³

et al. 2022

JMIR Form Res

View full text Add to dashboard Cite

Background Given the interrelated health of children and parents, strategies to promote stress regulation are critically important in the family context. However, the uptake of preventive mental health is limited among parents owing to competing family demands. Objective In this study, we aim to determine whether it is feasible and acceptable to randomize digital prompts designed to engage parents in real-time brief mindfulness activities guided by a commercially available app. Methods We conducted a 30-day pilot microrandomized trial among a sample of parents who used Android smartphones. Each day during a parent-specified time frame, participants had a 50% probability of receiving a prompt with a message encouraging them to engage in a mindfulness activity using a commercial app, Headspace. In the 24 hours following randomization, ecological momentary assessments and passively collected smartphone data were used to assess proximal engagement (yes or no) with the app and any mindfulness activity (with or without the app). These data were combined with baseline and exit surveys to determine feasibility and acceptability. Results Over 4 months, 83 interested parents were screened, 48 were eligible, 16 were enrolled, and 10 were successfully onboarded. Reasons for nonparticipation included technology barriers, privacy concerns, time constraints, or change of mind. In total, 80% (8/10) of parents who onboarded successfully completed all aspects of the intervention. While it is feasible to randomize prompt delivery, only 60% (6/10) of parents reported that the timing of prompts was helpful despite having control over the delivery window. Across the study period, we observed higher self-reported engagement with Headspace on days with prompts (31/62, 50% of days), as opposed to days without prompts (33/103, 32% of days). This pattern was consistent for most participants in this study (7/8, 87%). The time spent using the app on days with prompts (mean 566, SD 378 seconds) was descriptively higher than on days without prompts (mean 225, SD 276 seconds). App usage was highest during the first week and declined over each of the remaining 3 weeks. However, self-reported engagement in mindfulness activities without the app increased over time. Self-reported engagement with any mindfulness activity was similar on days with (40/62, 65% of days) and without (65/103, 63% of days) prompts. Participants found the Headspace app helpful (10/10, 100%) and would recommend the program to others (9/10, 90%). Conclusions Preliminary findings suggest that parents are receptive to using mindfulness apps to support stress management, and prompts are likely to increase engagement with the app. However, we identified several implementation challenges in the current trial, specifically a need to optimize prompt timing and frequency as a strategy to engage users in preventive digital mental health.

show abstract

Section: Introductionmentioning

confidence: 99%

Digital Prompts to Increase Engagement With the Headspace App and for Stress Regulation Among Parents: Feasibility Study

Militello¹,

Sobolev²,

Okeke³

et al. 2022

JMIR Form Res

View full text Add to dashboard Cite

show abstract

“…In that study, the researchers similarly operationalized teacher morale (Senechal et al, 2016), and found that 29.5% of teachers reported low levels of morale, compared to 53.6% in May 2022 -an 82% increase over the span of a single year. The current study also found that teachers reported low levels of mental health, and 30.9% reported having received mental health counseling during the pandemic -much greater than the Center for Disease Control and Prevention's most recent national estimation that 20.3% of Americans see a counselor (Terlizzi & Norris, 2021). To be clear, we do not assume that seeing a counselor is necessarily bad; however, we find these figures to be concerning, and follow-up tests found that participants in our sample who saw a counselor reported lower levels of mental health than those who did not.…”

Section: Discussionmentioning

confidence: 41%

Teacher Morale and Mental Health at the Conclusion of the COVID-19 Pandemic

Pressley¹,

Marshall²,

Love³

et al. 2022

Preprint

View full text Add to dashboard Cite

As teachers entered the 2021-2022 school year, schools tasked teachers with the challenge of closing the learning loss gap, maintaining the same standards as a typical school year, implementing COVID-19 safety protocols, and teaching to grade-level grades standards. The current study used the theoretical framework of teacher demoralization to explore teacher morale and mental health at the end of the 2021-2022 school year. The sample included 830 PK-12 individual teachers from across the United States. Analysis used Pearson’s correlations and the hierarchical multiple regression model to determine predictor variables. The results found significant predictors for both teacher morale and mental health. Implications focus on steps school leaders can take to support teacher well-being.

show abstract

“…Despite these risks, the utilization of mental health services in MLUS is very low, often due to high mental health stigma (Çiftçi et al, 2013). In some studies, only 9%–11% of MLUS reported seeking psychological services in their lifetime (Aloud & Rathur, 2009; Khan, 2006) compared to 20% of the general U.S. population who utilize psychotropic medication and/or therapy each year (Terlizzi & Zablotsky, 2020). The combination of rising Islamophobia and high mental health stigma may be exacerbating low mental health care utilization in Muslims, a process called double stigma.…”

Section: Double Stigma and Islamophobiamentioning

confidence: 99%

A mixed-methods approach to psychological help-seeking in Muslims: Islamophobia, self-stigma, and therapeutic preferences.

McLaughlin¹,

Ahmad²,

Mamani³

2022

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

Objective: Muslims living in the United States (MLUS) report high mental health stigma. They also underutilize professional psychological help, despite experiencing rising Islamophobia and comparatively poorer mental health. In line with double stigma, we examined whether MLUS who perceived greater Islamophobia also experienced greater self-stigma of seeking help, and whether this was related to negative help-seeking attitudes. We also assessed therapist demographic and treatment modality preferences and explored how they related to risk factors for low help-seeking. Method: Utilizing a representative sample of 350 MLUS (50% women, 33% immigrants) acquired via a Qualtrics panel aggregate, we assessed a path model of help-seeking attitudes to determine the direct and indirect effects of perceived Islamophobia via self-stigma and psychological distress. Therapist and treatment preferences were examined via multiple regression models and analysis of variance (ANOVAs). Open-ended responses were coded through content analysis. Results: Perceived Islamophobia was associated with greater psychological distress and also indirectly related to negative help-seeking attitudes via greater self-stigma. Therapists of a similar background, therapy in a mosque-setting, group therapy, and imam collaboration were more appealing to MLUS who were at risk for low help-seeking. Conclusions: Among MLUS, perceived Islamophobia may present a dual risk-simultaneously increasing psychological distress and indirectly leading to negative attitudes toward help-seeking via higher self-stigma. Conversely, for MLUS at risk for low help-seeking, accessible community-based treatments and treatment with a Muslim or race/ethnicity-matched therapist may facilitate help-seeking behaviors. Future work may determine whether addressing double stigma within Muslim communities (e.g., Islamophobia and self-stigma) may improve psychological help-seeking.

show abstract

Mental Health Treatment Among Adults: United States, 2020

Abstract: This report examines the percentage of adults who have taken medication for their mental health or have received counseling or therapy from a mental health professional in the past 12 months by select characteristics based on data from the 2020 National Health Interview Survey.

Cited by 57 publications

References 3 publications

Digital Prompts to Increase Engagement With the Headspace App and for Stress Regulation Among Parents: Feasibility Study

Digital Prompts to Increase Engagement With the Headspace App and for Stress Regulation Among Parents: Feasibility Study

Teacher Morale and Mental Health at the Conclusion of the COVID-19 Pandemic

A mixed-methods approach to psychological help-seeking in Muslims: Islamophobia, self-stigma, and therapeutic preferences.

Contact Info

Product

Resources

About