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Mental Health, Social and Cultural Welfare in the Post COVID-19 Era: Challenges, Opportunities, and Paradigm Shift

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 11841

Special Issue Editors


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Guest Editor
Department of Mental Health, Local Health Authority ROMA 2, 00159 Rome, Italy
Interests: public mental health; migrant’s mental health; severe psychiatric disorders; psychoanalysis and psychotherapy; gender-related mental health disorders; mental health epidemiology; post-traumatic stress disorder; social psychiatry; gender violence
Special Issues, Collections and Topics in MDPI journals

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Co-Guest Editor
1. Department of Neurosciences, Università Cattolica del Sacro Cuore, Rome, Italy
2. Unit of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
Interests: mood disorders; anxiety disorders; sleep disorders; eating disorders; women’s health; psychotherapy; psychopharmacology; neurosciences; psychoanalysis
Special Issues, Collections and Topics in MDPI journals

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Co-Guest Editor
Department of Human Sciences, Society and Health, University of Cassino, 03043 Cassino, Italy
Interests: sustainable development; climate change; public health; inequality; migration phenomenon and health; violence
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The tragic COVID-19 syndemic is destined to profoundly change health systems globally. Over the past two years, the capacity and resilience of health care and social welfare systems have proven to be crucial factors in addressing the direct and indirect effects of the SARS-Cov2. Additionally, in mental health, the value of territorial and proximity public health, capable of multidisciplinary interventions centered on the concept of “budget of health”, recovery, and supported housing as overcoming long-term care structures, has further emerged. Growing demands for mental health, urgent social protection, and better public health systems have posed critical challenges in both economic and service delivery capacities. This Special Issue aims to collect papers capable of accurately analysing the current situation and offering useful tools to policy makers to imagine and redesign the future of health policies in terms of mental health, cultural, and social welfare. Is there a need for new models to respond to the new challenges in mental health? How can public health interventions be organized to implement and protect mental and global health? What types of multidisciplinary intervention are necessary to ensure the involvement of communities and the territory in order to promote mental health and the fight against stigma? What new rehabilitation perspectives could arise from the interaction between culture and mental health? What actions are needed to implement mental health starting from a social welfare approach? What are the new models for sustainable mental health system from an economic point of view? What are the perspectives and actions needed to promote gender mental health? What is the role of a psychodynamic approach in mental health in the post COVID-19 era? What are the perspectives from a social justice point of view in mental health policies? These are some of the questions we intend to answer with this Special Issue. We welcome studies, reviews, or further articles on all aspects related to topic.

Dr. Emanuele Caroppo
Dr. Marianna Mazza
Prof. Dr. Alessandra Sannella
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • public mental health
  • recovery in mental health
  • supported housing in mental health
  • cultural welfare and mental health
  • social welfare and mental health
  • rehabilitation in mental health
  • social stigma
  • personalized medicine in mental health
  • migration and mental health
  • climate change and mental health
  • psychoanalysis
  • social justice and mental health
  • assessments and screening in mental health
  • perinatal mental health
  • penitentiary mental health

Published Papers (5 papers)

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Research

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14 pages, 338 KiB  
Article
A Qualitative Exploration of the Functional, Social, and Emotional Impacts of the COVID-19 Pandemic on People Who Use Drugs
by Erin L. Kelly, Megan K. Reed, Kathryn M. Schoenauer, Kelsey Smith, Kristina Scalia-Jackson, Sequoia Kay Hill, Erica Li and Lara Weinstein
Int. J. Environ. Res. Public Health 2022, 19(15), 9751; https://doi.org/10.3390/ijerph19159751 - 08 Aug 2022
Cited by 4 | Viewed by 1831
Abstract
Since 2020, people who use drugs (PWUD) experienced heightened risks related to drug supply disruptions, contamination, overdose, social isolation, and increased stress. This study explored how the lives of PWUD changed in Philadelphia over a one-year period. Using semi-structured interviews with 20 participants [...] Read more.
Since 2020, people who use drugs (PWUD) experienced heightened risks related to drug supply disruptions, contamination, overdose, social isolation, and increased stress. This study explored how the lives of PWUD changed in Philadelphia over a one-year period. Using semi-structured interviews with 20 participants in a Housing First, low-barrier medication for opioid use (MOUD) program in Philadelphia, the effects of the first year of the COVID-19 pandemic on the daily lives, resources, functioning, substance use, and treatment of PWUD were explored. Interviews were analyzed using a combination of directed and conventional content analysis. Six overarching themes emerged during data analysis: (1) response to the pandemic; (2) access to MOUD and support services; (3) substance use; (4) impacts on mental health, physical health, and daily functioning; (5) social network impacts; and (6) fulfillment of basic needs. Participants reported disruptions in every domain of life, challenges meeting their basic needs, and elevated risk for adverse events. MOUD service providers offset some risks and provided material supports, treatment, social interaction, and emotional support. These results highlight how there were significant disruptions to the lives of PWUD during the first year of the COVID-19 pandemic and identified critical areas for future intervention and policies. Full article
9 pages, 341 KiB  
Article
Motherhood in Alternative Detention Conditions: A Preliminary Case-Control Study
by Carlo Lai, Linda Elisabetta Rossi, Federica Scicchitano, Chiara Ciacchella, Mariarita Valentini, Giovanna Longo and Emanuele Caroppo
Int. J. Environ. Res. Public Health 2022, 19(10), 6000; https://doi.org/10.3390/ijerph19106000 - 15 May 2022
Cited by 1 | Viewed by 1548
Abstract
Many women in detention are mothers and often the sole caregivers of their children. Italy, as most European countries, allows mothers to keep their children with them in detention, with the aim of preserving the fundamental bond between mother and child. Since prison [...] Read more.
Many women in detention are mothers and often the sole caregivers of their children. Italy, as most European countries, allows mothers to keep their children with them in detention, with the aim of preserving the fundamental bond between mother and child. Since prison does not seem to provide a good environment for the child’s growth, there are different alternative residential solutions, such as Group Homes. The aim of this preliminary study was to explore the differences between mothers living in detention through alternative measures with their children and mothers who are not detained regarding parenting stress, child behavior from the parent’s perspective, and maternal attachment. Twelve mothers were enrolled in this study, divided equally between the detained and the control groups. Both groups’ participants completed a three-questionnaire battery in order to assess parenting stress, child’s behavior, and maternal attachment. The analyses of variance showed significant differences between the two groups, with the detained group reporting higher scores than the control group in almost all the subscales of parenting stress. The results highlighted that imprisoned mothers might experience more stress than the general population. There is a need to design intervention programs to support parenting in detention. Full article

Review

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22 pages, 804 KiB  
Review
Performing Arts in Suicide Prevention Strategies: A Scoping Review
by Chiara Davico, Alessandra Rossi Ghiglione, Elena Lonardelli, Francesca Di Franco, Federica Ricci, Daniele Marcotulli, Federica Graziano, Tatiana Begotti, Federico Amianto, Emanuela Calandri, Simona Tirocchi, Edoardo Giovanni Carlotti, Massimo Lenzi, Benedetto Vitiello, Marianna Mazza and Emanuele Caroppo
Int. J. Environ. Res. Public Health 2022, 19(22), 14948; https://doi.org/10.3390/ijerph192214948 - 13 Nov 2022
Cited by 3 | Viewed by 2696
Abstract
Suicide is a leading cause of death all over the world. Suicide prevention is possible and should be pursued through a variety of strategies. The importance of the arts for positive health outcomes has been increasingly evidenced. This scoping review aimed to identify [...] Read more.
Suicide is a leading cause of death all over the world. Suicide prevention is possible and should be pursued through a variety of strategies. The importance of the arts for positive health outcomes has been increasingly evidenced. This scoping review aimed to identify the possible role of the performing arts—defined as a type of art performed through actions such as music, dance, or drama executed alive by an artist or other participant in the presence of an audience,—in suicide prevention programs. PubMed, Embase, PsycINFO, CINAHL, ProQuest Psychology Database, Scopus, and Web of Science were searched using terms in English for publications of original studies that included performing arts in suicide prevention programs. Thirty-five studies conducted between 1981 and 2021 were identified, of which only five were randomized clinical trials and four quasi-randomized studies. Interventions used different performing arts to improve awareness, self-efficacy, and soft skills relevant to suicide prevention. Studies were addressed mainly to gatekeepers but also directly to at-risk populations. While the study designs do not allow inferences to be drawn about the effectiveness of performing arts in preventing suicide, the review found that performing arts have been successfully implemented in suicide prevention programs. Research to evaluate the possible therapeutic benefit is warranted. Full article
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23 pages, 409 KiB  
Review
Psychoanalytic Interventions with Abusive Parents: An Opportunity for Children’s Mental Health
by Anna Maria Rosso
Int. J. Environ. Res. Public Health 2022, 19(20), 13015; https://doi.org/10.3390/ijerph192013015 - 11 Oct 2022
Viewed by 2718
Abstract
Research has extensively shown that most people who experience maltreatment in their childhood develop mental disorders, psychosocial adjustment problems, and, in many cases, become maltreating adults themselves. Preventing child maltreatment and treating abused children and abusive parents are, therefore, pressing public health issues. [...] Read more.
Research has extensively shown that most people who experience maltreatment in their childhood develop mental disorders, psychosocial adjustment problems, and, in many cases, become maltreating adults themselves. Preventing child maltreatment and treating abused children and abusive parents are, therefore, pressing public health issues. As established by the UK Children Act in 1989, child development is enhanced by remaining in the family whenever the child’s safety is assured. Thus, developing prevention and intervention programs for the purpose of repairing, whenever possible, the child–parent relationship should be a social priority. This narrative review focuses on the psychoanalytic studies related to intrapsychic dynamics and therapeutic intervention for physically abusive parents. The role of the transgenerational transmission of abuse and parents’ narcissistic fragility is crucial. Psychoanalytic interventions focus on helping the parent work through their past painful experiences and narcissistic vulnerability. Parent–child psychotherapy and mentalization-based treatment have been found to be prevalent, while there is scarce literature regarding intensive individual psychoanalytic treatment. Within the framework of attachment theory, brief interventions were developed; however, they did not prove effective for those parents who suffered experiences of maltreatment or severe neglect in childhood and for whom long-term parent–child psychotherapy resulted, which proved to be the most effective. Full article

Other

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8 pages, 313 KiB  
Commentary
Protection of Prisoners with Mental Health Disorders in Italy: Lights and Shadows after the Abolition of Judicial Psychiatric Hospitals
by Giulio Di Mizio, Matteo Bolcato, Gianfranco Rivellini, Michele Di Nunzio, Valentina Falvo, Marco Nuti, Francesco Enrichens, Luciano Lucania, Nunzio Di Nunno and Massimo Clerici
Int. J. Environ. Res. Public Health 2022, 19(16), 9984; https://doi.org/10.3390/ijerph19169984 - 12 Aug 2022
Cited by 3 | Viewed by 1384
Abstract
In Italy, a person suffering from a mental disorder who commits a crime will be given a custodial security order and serve the period of admission at a Residenza per la esecuzione delle misure di sicurezza (REMS) (Residence for the Execution of Security [...] Read more.
In Italy, a person suffering from a mental disorder who commits a crime will be given a custodial security order and serve the period of admission at a Residenza per la esecuzione delle misure di sicurezza (REMS) (Residence for the Execution of Security Measures, hereinafter “REMS”). These institutions have been established recently and though equipped with the necessary safety measures, the focus is on psychiatric therapy. Despite being present on a national scale, access is very limited in terms of capacity. Immediate remedial measures are needed, so much so that the European Court of Human Rights recently condemned Italy for this very reason. This article, through a review of the constitutive principles of these institutions, shows how they have very positive aspects such as the attention to necessary psychotherapy in order to protect the right to health and the real taking charge of the fragility of the subjects; however, it is seen how there are many negative aspects linked above all to the scarce availability of places in these structures. The article provides suggestions on a more comprehensive strategy for facilities for detainees with mental disorders. Full article
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