OBJECTIVE

The competence of health workers to attend to vulnerable and marginalized populations is critical to health equity. The study determines the competence of physicians in providing health care to LGBT adolescents in a national tertiary hospital.

METHODOLOGY

All physicians from the departments of Pediatrics and Family and Community Medicine were recruited. An electronic form collected demographic data and responses to the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBTDOCSS).Theresponsesweresummarizedandanalyzed.

RESULTS

Most respondents are male, with a mean age of 34.21 years. They are mainly staff of the Department of Pediatrics and post- residency fellows. Not all recall their participation in gender sensitivity training. They report scores towards the higher end of the scale: an overall score of 5.27 and mean subscale scores of 4.43 for clinical preparedness, 6.13 for attitudinal awareness, and 5.24 for basic knowledge. The heterogeneity and pertinacity of their experiences with LGBT individuals mediate their attitudinal awareness. Attaining the level of consultant suggests a better understanding of barriers and disparities against LGBT individuals. The tool has good internal reliability.

CONCLUSION

The demographic profile of the respondents suggests their involvement in healthcare, continuing education, and staff development. They report adequate competence in providing health care to LGBT adolescents.

Human ; Adolescent ; Competence ; Mental Competency ; Healthcare ; Delivery Of Health Care

BACKGROUND

Intimate partner violence (IPV) is a global public health issue with profound physical, psychological, and social consequences. Despite legislative measures in the Philippines, there is limited research on the profile of IPV survivors consulting specialized healthcare units.

OBJECTIVE

This study aimed to describe the profile of female survivors of IPV consulting at the Philippine General Hospital Women’s Desk (PGH-WD), focusing on sociodemographic, psychological, relationship, community, and partner factors as contributors to their risk of experiencing IPV.

METHODOLOGY

A cross-sectional study was conducted to analyze data from IPV survivors who consulted the PGH-WD between January 2022 and December 2023. Data collection involved a chart review of eligible cases, guided by predefined inclusion and exclusion criteria. Inclusion criteria required that participants be female survivors of IPV aged 19 years and above, with consultations specifically related to IPV. Exclusion criteria included male survivors, non-Filipino nationals, individuals not residing in the Philippines, and charts missing key components. Descriptive statistics were used to analyze sociodemographic, psychological, relationship, community, and partner-related factors. Survivors were categorized into low-, moderate-, or high-risk groups based on the number of identified risk factors.

RESULTS

A total of 518 charts were reviewed, of which 106 met the inclusion criteria and were analyzed. Survivors’ ages ranged from 19 to 74 years, with 46 (43.4%) aged 19–34. Most survivors belonged to lower socioeconomic strata, with 61 (57.5%) categorized as poor. Psychological distress was common, with 24 (22.6%) reporting depression and 22 (20.8%) having attempted suicide. Relationship factors included dissatisfaction in 91 cases (85.9%) and prior abuse by partners in 88 (83.0%). Community factors showed that 104 survivors (98.1%) were aware of the Anti-Violence Against Women and Children (Anti-VAWC) law, and 101 (95.5%) reported having social support networks. Partner-related factors were less frequently reported, with 3 survivors (2.8%) indicating perpetrator substance use and 2 (1.9%) reporting histories of childhood abuse. Risk profiling categorized survivors into low-risk (39/106, 36.8%), moderate-risk (39/106, 36.8%), and high-risk (28/106, 26.4%) groups based on the number of identified risk factors.

CONCLUSION

This study provided a detailed profile of female IPV survivors consulting at the PGH-WD. Survivors were predominantly younger women from lower socioeconomic backgrounds, with high rates of psychological distress, relationship dissatisfaction, and histories of prior partner abuse. Community factors, including strong social support networks and awareness of the Anti-VAWC law, were identified as potential protective mechanisms post-IPV.

Human ; Female ; Intimate Partner Violence ; Mental Health ; Gender-based Violence

BACKGROUND

In response to the need to provide for mental health services to address gender-related concerns in a higher education institute, the University of the Philippines (UP) Manila Center for Gender and Women Studies (CGWS) commissioned a project to formulate a framework for the increasing volume of referrals.

METHODOLOGY

A mixed methods study was done in order to gather data to create a responsive and practical mental health care service provision framework with and for service providers and service users in the university. An online survey (N=135), focus group discussion, key informant interviews, and a round table discussion were conducted, with constituents of the university recruited through purposive sampling.

RESULTS

A stepped-care model was proposed, consisting of: 1. Preventive Well-Being Resources, 2. Supportive Well-Being Interventions and Initial Screening Resources, 3. Structured Interventions, and 4. Interventions for Severe Mental Health Problems.

CONCLUSION

The framework formulated in collaboration with service providers and service users in the university addresses the goals of optimizing existing resources and enhancing service provision. Implementation and evaluation of this framework, as well as further information regarding the target population and their use of this model, are proposed avenues for further research.

Human ; Gender ; Gender Identity ; Sexual Harassment ; Mental Health ; Mental Health Services ; Lgbtq ; Sexual And Gender Minorities ; Psychiatry ; Psychology

BACKGROUND

Interprofessional collaboration is required as a learning outcome for medical school graduates. Clinical exposure to collaborative practice is one of the recommended strategies in the implementation of interprofessional education. Professionals in mental health units customarily engage in collaborative practice and can provide learning opportunities for medical students. Local data on interprofessional collaboration among practitioners in a mental health care setting in the pandemic is limited and merits study.

OBJECTIVES

The goal of this study was to determine and then describe factors that influence collaborative practice among health professionals in an inpatient mental health care unit in the pandemic. It aimed to generate recommendations from practitioners on strategies to optimize opportunities for medical students to learn interprofessional collaboration.

METHODS

This is a qualitative study which made use of key informant interviews (KIIs) and focused group discussions (FGDs) with members of a multiprofessional mental health team in the mental health unit of a tertiary medical center. Data was analyzed using thematic analysis.

RESULTS

The onset of the COVID-19 pandemic had drastically disrupted health care services and opportunities for interprofessional collaboration. Participants described their roles and identified six factors essential to reenergizing collaborative practice: resources and opportunities for meaningful interaction, quality of relationship and communication among team members, management goals and strategies relevant to the mental health needs and the context of patients and their families, guidelines for collaboration, interprofessional education appropriate to participant levels, and monitoring for quality assurance and improvement. Practical guidelines for promoting the identified factors were outlined. Recommendations to optimize opportunities for interprofessional education were also given.

CONCLUSION

Six factors were identified and described in the study. These can provide practitioners and students with a frame of reference for participating in and learning from collaborative practice in a mental health care unit as they work with other professionals on a shared concern. Addressing practical issues in real life settings will enhance their capacity to meaningfully collaborate with other professionals in managing patients, institutions, projects, and similar situations.

Human ; Interprofessional Education ; Mental Health

BACKGROUND AND OBJECTIVE

Given the rigors of medical training with its high documented prevalence of mental issues as well as the global need to safeguard the well-being of medical students, there is an urgency to assess the well-being of medical students and their perception of support from their respective medical schools during their education. This also applies in the context of public medical school students in the Philippines, where there is still a relative lack of literature. This cross-sectional study investigates the well-being and such perceptions of medical students at the University of the Philippines College of Medicine (UPCM).

METHODS

The study uses a quantitative approach using a subset of secondary data from a college-wide survey online that was disseminated, through convenience sampling, to medical students from October 3, 2018 to December 3, 2018. A total of 432 responses were included in the analysis, out of the total student population of the included learning unit levels of 809. Participants were grouped based on their entry into medical school, either through the Integrated Liberal Arts and Medicine (INTARMED) program or lateral entry. Exclusion criteria comprised responses from Learning Unit I-II (pre-medical proper) students and incomplete survey sets. Responses were interpreted using established scales such as the World Health Organization Well-Being Index (WHO-5), Perceived Stress Scale-4 (PSS-4), and Oldenburg Burnout Inventory-Medical Student (OLBI-MS). Data analysis involved statistical techniques including one-way ANOVA and independent samples t-test using Statistical Package for the Social Sciences (SPSS).

RESULTS

The findings suggest that medical students at UPCM generally find the administrative and academic systems satisfactory, but express concerns about inadequate educational resources and infrastructure, especially as they progress through their studies and engage more with clinical settings like the Philippine General Hospital (PGH). As students advance through the program, there are different patterns for wellbeing outcomes, including decreasing perceived stress and increasing burnout. In particular, LU IV and LU VII students reported lower well-being and higher burnout levels, respectively. This is potentially due to heavier workloads and clinical responsibilities. Lateral entrants, who are older and typically enter with prior degrees, tend to have higher well-being and lower burnout compared to INTARMED students, suggesting age and previous educational experience may play a role in adjustment and coping mechanisms.

CONCLUSION

Overall, the study highlights the medical students’ generally satisfactory perception of medical educational aspects, as well as the patterns of wellbeing throughout their medical college experience. Furthermore, it identifies different areas for improvement to ensure effective education and student mental health. By analyzing trends across different year levels, the study provides insights for interventions and program refinements, while also suggesting avenues for further research to assess student experiences over time.

Mental Health ; Students, Medical ; Philippines

Human ; Health ; Mental Health ; Universities

INTRODUCTION

Mental health plays a crucial role in overall well-being, yet stigma and misconceptions persist, even among future healthcare professionals. This study assessed medical students’ knowledge, attitudes, and perceptions (KAP) regarding mental health and explored their association with sociodemographic characteristics.

METHODS

We conducted an analytical cross-sectional study among 270 medical students at a private Philippine university from September to October 2023. Participants completed a validated questionnaire. Descriptive statistics, Spearman’s correlation, and odds ratios were calculated.

RESULTS

Most respondents exhibited high knowledge (80.7%), positive attitudes (90.4%), and favorable perceptions (95.6%) toward mental health. Students who had not interacted with individuals with mental illness were 2.87 times more likely to display negative attitudes (OR = 2.87, 95% CI: 1.19–6.90, p = 0.015). Attitude and perception showed a moderate positive correlation (r = 0.409, p < 0.001), while knowledge and perception demonstrated a weak negative correlation (r = -0.129, p = 0.034).

CONCLUSION

These medical students generally possessed good knowledge, positive attitudes, and perceptions regarding mental health. Academic progression and real-life exposure positively influence attitudes, highlighting the need for experiential learning to reduce stigma and promote empathy in medical training.

Human ; Mental Health ; Knowledge ; Attitude ; Perception ; Philippines

BACKGROUND/INTRODUCTION

Depression affects millions worldwide and is a major public health concern. Its prevalence is influenced by multiple factors, including sociodemographic elements such as age, gender, and income. In the Philippines, depression affects a significant portion of the population, particularly in rural areas. The Region 2 Trauma Medical Center (R2TMC) in Nueva Vizcaya plays a critical role in addressing mental health issues in the Cagayan Valley Region, with a notable rise in depression cases during the COVID-19 pandemic. This study aimed to explore the correlation between sociodemographic factors and depression in patients at R2TMC.

OBJECTIVE

This study aimed to assess the relationship between depression and various sociodemographic factors (age, sex, marital status, income, education, etc.) among patients seeking mental health services at R2TMC. The goal is to identify the prevalence of depression within these subgroups and evaluate how sociodemographic characteristics correlate with depression.

METHODS

A retrospective correlational study was conducted from June 2022 to June 2024, analyzing patient records from R2TMC’s Mental Health Outpatient Department. The sample included patients diagnosed with depression based on DSM-V criteria. Descriptive statistics and multiple logistic regression were employed to analyze the data, with ethical approval obtained from the Institutional Review Board. There were 432 participants and data were analyzed using IBM SPSS.

RESULTS

Findings showed varying depression prevalence across sociodemographic categories. The 19-59 age group exhibited the highest depression rates, particularly among females, single individuals, and those in lower-income classes. Unemployed respondents and those with lower educational attainment had higher depression prevalence. These patterns highlight the need for targeted mental health interventions.

CONCLUSION/RECOMMENDATION

The study suggests that depression interventions should be tailored to address the unique vulnerabilities of different sociodemographic groups. Policymakers and healthcare providers should consider these factors to improve mental health care accessibility and effectiveness.

Human ; Depression ; Sociodemographic Factors ; Mental Health

OBJECTIVES

This study described the demographic and clinical profile, mental health problems, prevalence of psychiatric conditions, psychosocial interventions used, and outcomes of the management of mental health problems among in-patients admitted to non-psychiatry units of tertiary hospitals referred to mental health care providers; and described gender-disaggregated data related to mental health care providers and patients receiving psychosocial interventions in tertiary hospitals.

METHODS

This study employed a mixed-method design, using both qualitative and quantitative methodologies following the convergence model of triangulation. The following were the data sources: (1) cross-sectional review of charts of patients referred for psychosocial problems using the ICD-10 classification; (2) a survey of mental health service providers; (3) key informant interviews of mental health service providers; and (4) focus group discussions of mental health providers. All data were collated, compared, and contrasted, then analyzed using the convergence model of triangulation design.

RESULTS

Among the 3,502 patients in the chart review, 1,870 (53.40%) were males. The median age was 46.08 years and 92.06% were adults. The most common diagnosis among the patients were mood disorder (744, 21.25%) and organic mental disorder (710, 20.27%). Combination treatment of psychosocial intervention and pharmacology was the most common strategy received by patients. There was a higher proportion of patients admitted to public hospitals (996, 45.27%) who received psychosocial interventions only compared to those admitted to private hospitals (235, 18.05%). There were 3,453 out of 3,502 in-patients referred for psychiatric intervention. Of these 2,420 (70%) received psychoeducation, 2,365 (68.5%), received supportive psychotherapy/counseling, 535 (15.5%) family therapy, and 286 (8.3%) behavior modification. There were more patients given psychosocial interventions 2,541 (72.56%) who were discharged with instruction to follow-up, while around one in 10 (456, 13.02%) was not instructed to do a follow-up consultation. The types of interventions across all data sources were similar.

CONCLUSION

The most common type of management for psychosocial problems of in-patients in tertiary hospitals was a combination of psychosocial intervention and pharmacotherapy. Psychoeducation, supportive psychotherapy/ counseling, and family therapy were the most often given psychosocial interventions. The patient-related reasons for the choice of interventions were patient’s medical status (diagnosis and severity of symptoms) and psychological status (psychological mindedness), while the provider-related factors influencing the choice of intervention were provider’s skills and personal preference. Moreover, resources (human and material) and service provision policies (treatment guidelines and aftercare interventions) were the most common hospital-related factors. Further prospective research to determine the associated patients, providers, and hospital factors in larger geographic and cultural settings will provide evidence for the effectiveness and outcomes of psychosocial interventions.

Human ; Counseling ; Psychotherapy ; Family Therapy ; Mental Health

BACKGROUND AND OBJECTIVE

First responders must be physically and mentally healthy to ensure effective emergency response. However, literature showed that Filipino first responders continue to have elevated levels of stress and increased risk for post-traumatic stress and other mental health problems months after their deployment. The “Mi Salud” app was created to help Filipino first responders, their team leaders, and their agencies monitor and manage the responders’ real-time stress levels before, during, and after their deployment more effectively.

METHODS

The “Mi Salud” app was pretested with Filipino first responders (n=30) to establish convergent validity using existing validated scales measuring the same construct. Participants also completed a Likert scale and questionnaire to assess user experience and app recommendations. During the rollout, first responders (n=32) tested the app and completed a survey on user experience and app recommendations. A focus group discussion (n=11; FGD) was conducted to further explore their experiences with the app. Survey data were analyzed using descriptive statistical methods, while FGD data were examined through thematic analysis.

RESULTS

Results from the online survey showed that the app was generally found to be helpful and that the recommendations within the app were useful. The emerging themes from the FGD corroborated many of the themes from the survey, particularly the benefits of using the app and the app’s ease of use. Positive effects were observed both on the responders and on the responders’ team leader and teammates, which further established the value of the “Mi Salud” app.

CONCLUSION

The findings show that the “Mi Salud” stress check-app may serve as a useful tool for monitoring and managing the stress levels, a critical aspect for Filipino first responders to maintain optimal functioning during deployments and daily activities.

Human ; Emergency Responders ; Mental Health ; Mobile Applications ; Philippines