A Public Health Perspective of Women’s Mental Health

Bruce Lubotsky Levin, Marion Ann Becker

Springer Science & Business Media, Mar 10, 2010 - Medical - 408 pages

A Public Health Perspective of Women’s Mental Health

Edited by Bruce Lubotsky Levin and Marion Ann Becker

As many as one-half of all women in the U.S. will experience some form of mental illness in their lives—an especially distressing fact when health care budgets are in flux, adding to existing disparities and unmet health needs.

Written from a unique multidisciplinary framework, A Public Health Perspective of Women’s Mental Health addresses today’s most pressing mental health challenges: effective treatment, efficient prevention, equal access, improved service delivery, and stronger public policy. Eminent clinicians, researchers, academicians, and advocates examine the effects of mental illness on women’s lives and discuss the scope of clinical and service delivery issues affecting women, focusing on these major areas:

• Epidemiology of mental disorders in girls, female adolescents, adult women, and older women.
• Selected disorders of particular concern to women, including depression and postpartum depression, eating disorders, menopause, chemical dependence, and HIV/AIDS.
• Mental health needs of women in the workplace, rural areas, and prisons.
• Racial and ethnic disparities and their impact on service delivery.
• Parenting and recovery issues in mothers with mental illness.
• Women’s mental health services in an era of evidence-based medicine.
• Improving women’s health in today’s technological climate.

A Public Health Perspective of Women’s Mental Health is a resource of immediate importance to professionals and graduate students in the public health, health administration, health disparities, social work, behavioral health, and health services research fields, as well as nursing, community/healthpsychology and community/public psychiatry.

Contents

• Public Health and Womens Mental Health: 3
• Chapter Objectives: 4
• Women and Mental Health: 5
• Implications for Womens Mental Health: 8
• Epidemiology of Mental Disorders in Girls and Female Adolescents: 11
• Epidemiologic Research and Sensitivity to Girls and Female Adolescents: 12
• Prevalence of Disorders Among Girls and Female Adolescents: 14
• Implications for Womens Mental Heath: 26
• Epidemiology and Impact: 36
• Epidemiology of Womens Mental Health: 38
• Limitations on Womens Freedom to Participate: 52
• Epidemiology of Mental Disorders in Older Women: 65
• Major Mood Disorders: 66
• Dementia: 72
• Suicidal Behavior: 74
• Physical Illness and Medical Needs of Women with Mental Disorders: 81
• Pervasive Acute and Chronic Somatic Conditions: 84
• Plausible Contributory Factors: 88
• Medical Care and Service Delivery Problems: 91
• Depression and Postpartum Disorders: 109
• Perinatal Depression: 112
• Eating Disorders: 121
• Epidemiology of Eating Disorders: 122
• Risk Factors and Correlates: 127
• Eating Disorders and Comorbidities: 130
• Medical Complications: 133
• Treatment: 134
• Cost of Treatment: 137
• Menopause: 142
• Symptoms: 144
• Menopause Transition and Depression: 145
• EstrogenHormone Therapy and Depression: 151
• Surgical Menopause: 152
• Implications for Treatment: 153
• Other Psychiatric Disorders and Menopause Transition: 154
• Sexuality and Menopause: 156
• Substance Abuse: 165
• Prevalence: 166
• Etiology: 167
• Comorbidities: 169
• Special Populations: 170
• Older Adult Women: 174
• GenderRelated Treatment Research: 175
• Conclusion: 178
• HIVAIDS and Mental Disorders: 185
• Women and HIV: 186
• Access to Treatment and Care: 187
• Risk of Transmission to and by Women: 188
• Women HIV and Mental Health: 189
• Services in an Era of Managed Care: 201
• Key Features: 202
• Mental Health Services Delivery System in the Context of Managed Care: 209
• Selected Issues in Managed Behavioral Health Care: 217
• EvidenceBased Medicine: 228
• What is EvidenceBased Medicine?: 230
• Navigating Through EvidenceBased Medicine: 231
• Applying EvidenceBased Practice for the Management of Depression: 232
• Medication Options for Depression: 234
• Therapy for the Treatment of Depression: 235
• Future EvidenceBased Studies for the Management of Depression: 236
• EvidenceBased Treatment of Premenstrual Dysphoric Disorder: 237
• Treatment of Postpartum Depression: 238
• Antidepressant Use and Breastfeeding: 240
• Future Directions: 241
• Mental Health Issues for Incarcerated Women: 245
• Incarcerated Women with Mental Health Problems: 246
• Childhood and Adult Experiences of Violence: 248
• Principles of TraumaInformed Treatment: 249
• TraumaInformed Mental Health Treatment: 251
• Services in the Workplace: 261
• Womens Work and WellBeing: 262
• Workplace Services Benefits and Policies: 272
• Organizational Stress and TraumaInformed Services: 295
• TraumaOrganized Systems: 296
• The Organizational Impact of Chronic Stress: 299
• Services in Rural Areas: 312
• Rural Areas: 314
• Specific Mental Health and Substance Abuse Concerns in Rural Communities: 317
• Developing Assessing and Implementing Effective Approaches and Interventions: 327
• Social and Community Contexts: 335
• Social Class Gender Race and Mental Health: 336
• The Community Context of Womens Mental Health: 338
• A Contextual Approach to Womens Mental Health Services Research: 339
• The Social Context of Recovery Services: 341
• Racial and Ethnic Disparities: 346
• Minority Womens Mental Health: 348
• Culture and Mental Health: 349
• Mental Health Services Utilization: 352
• Parenting and Recovery for Mothers with Mental Disorders: 359
• An Ecological Perspective on Parenting and Recovery: 360
• Mothers with Mental Disorders: 362
• Key Intervention Components and Processes: 365
• Key Issues for Policy and Services Delivery: 368
• Navigating the Worlds of Information: 373
• Organizing Information: 375
• Types of Information: 376
• Sources of Information: 380
• Current and Emerging Technologies: 385

About the author

Bruce Lubotsky Levin, DrPH, MPH

Bruce Lubotsky Levin is Associate Professor and Head of the Graduate Studies in Behavioral Health Program at the Louis de la Parte Florida Mental Health Institute & at the College of Public Health (COPH), both at the University of South Florida (USF). Dr. Levin is Editor-in-Chief of the Journal of Behavioral Health Services & Research and Director of the USF Graduate Certificate in Mental Health Planning, Evaluation, & Accountability Program. He is the Senior Editor of Mental Health Services: A Public Health Perspective, Third Edition (Oxford University Press, 2010); Introduction to Public Health for Pharmacists (Jones & Bartlett, 2007); Mental Health Services: A Public Health Perspective, Second Edition (Oxford University Press, 2004); Women’s Mental Health Services: A Public Health Perspective (Sage Publications, 1998); and Mental Health Services: A Public Health Perspective (Oxford University Press, 1996). He is also Co-Editor of the text Building a Virtual Library (Information Science Publishing, 2003). In 2001, Dr. Levin received the Harold C. Piepenbrink Award for outstanding contributions to behavioral health services from the Association of Behavioral Healthcare Management. Dr. Levin earned his undergraduate degree from the University of Wisconsin-Madison and his graduate degrees from The University of Texas. His research interests include managed behavioral health care, mental health policy, graduate behavioral health education, and mental health informatics. He currently teaches graduate behavioral health courses at the USF COPH.

Marion Ann Becker, PhD, MA, RN

Marion Becker is a Professor in the Department of Aging and Mental Health Disparities at the University of South Florida (USF) Louis de la Parte Florida Mental Health Institute. She also holds appointments in the USF School of Social Work, USFCollege of Public Health, and USF College of Nursing, where she teaches a number of graduate level courses, including the epidemiology of mental disorders, women’s mental health, and case management. Dr. Becker is a psychiatric nurse with a doctorate in Social Welfare from the University of Wisconsin-Madison. Her research focuses on the problems of providing high quality, cost-effective behavioral health services and quality of life outcomes for vulnerable populations. Dr. Becker is the developer of the Wisconsin Quality of Life Index (W-QLI), a core development in quality of life outcomes research in mental health. In 1997, she received the National Alliance for the Mentally Ill (NAMI) Research Award for her quality of life outcomes research. Dr. Becker has served as Principle Investigator and Co-Principle Investigator on numerous outcome studies. Most recently, she served as Co-Principle Investigator and Lead Evaluator for the Triad Women's Project, a multi-million dollar competitive federal grant designed to create and evaluate specialized interventions for women with alcohol, drug abuse, and mental disorders who have histories of interpersonal violence. Dr. Becker continues her research focus on women’s mental health, quality of life outcomes across the life span, and linking outcomes research to clinical practice.

Bibliographic information

• Title: A Public Health Perspective of Women’s Mental Health
• Editors: Bruce Lubotsky Levin, Marion Ann Becker
• Edition: illustrated
• Publisher: Springer Science & Business Media, 2010
• ISBN: 1441915265, 9781441915269
• Length: 408 pages
• Subjects: Medical / General; Medical / Psychiatry / General; Medical / Public Health