Louise M Howard
Datos Biográficos
| ID | 234844 |
|---|---|
| NOMBRE | Louise M Howard |
| NOMBRES | Louise M |
| APELLIDO | Howard |
| FIRMA | HOWARD L M |
| AFILIACIONES | King's College London |
| ORCID | 0000-0001-9942-744X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAS | 46 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1972 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Identification of psychosocial problems in routine antenatal care in Ethiopia
In this facility-based cross-sectional survey in primary health care centres in southern Ethiopia, women attending for antenatal care (ANC) were screened for depression (PHQ-9; score ≥ 5 and functionally impaired), anxiety symptoms (GAD-7; score ≥ 10), post-traumatic stress disorder (PCL-5 score ≥ 31), intimate partner violence (IPV; non-graphic language screening test) and risky substance use (ASSIST). Clinical notes were reviewed post-consultat…
Training antenatal care providers to deliver brief problem-solving therapy in rural Ethiopia
Background Task-sharing is the redistribution of tasks usually performed by specialists, to staff with less training and fewer qualifications. Despite the established clinical efficacy of task-shared brief psychological interventions in low and middle-income countries, training and supervision models are infrequently reported and rarely evaluated. Methods From the interpretive paradigm, we conducted a developmental evaluation of training, supervi…
It’s so Beneficial to be Able to Stop the Cycle
Purpose This study aimed to explore how pregnant women who experience Domestic Violence and Abuse (DVA) and men who commit DVA understand the impact of their childhood environment on their relationships with their children and co-parents, and how a DVA psychological intervention may shape their parenting. Methods Repeated individual qualitative interviews were conducted with pregnant mothers and fathers who reported DVA and were taking part in a …
Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence
Evidence for the feasibility of brief psychological interventions for pregnant women experiencing intimate partner violence (IPV) in rural, low-income country settings is scarce. In rural Ethiopia, the prevalence of antenatal depressive symptoms and lifetime IPV are 29% and 61%, respectively. We aimed to assess the feasibility and related implementation outcomes of brief problem-solving therapy (PST) adapted for pregnant women experiencing IPV (P…
What Are the Sociodemographic and Clinical Characteristics and Needs of Mothers Who Access Acute Postpartum Psychiatric Care and Have Children’s Social Care Involvement
Mothers with severe postpartum psychiatric diagnoses are more likely to have children’s social care involvement with their infants, but little is known about the needs or experiences of this group of women. With input from a lived experience advisory group, we carried out secondary analysis of data collected from 278 mother-infant dyads where the mother accessed acute psychiatric care in England or Wales postnatally. We explored the characteristi…
Help-seeking for Intimate Partner Violence and Abuse
The findings indicate the added challenges in help-seeking for IPVA experienced by military personnel and highlight a need for a whole systems approach to improve the provision of support for IPVA in the military serving and ex-serving community to instil meaningful change
Time for united action on depression
The Lancet Psychiatry Commission on intimate partner violence and mental health
Experiences of Perinatal Mental Health Care among Minority Ethnic Women during the Covid-19 Pandemic in London
(1) Background: Approximately one in five women will experience mental health difficulties in the perinatal period. Women from ethnic minority backgrounds face a variety of barriers that can prevent or delay access to appropriate perinatal mental health care. COVID-19 pandemic restrictions created additional obstacles for this group of women. This study aims to explore minority ethnic women's experiences of perinatal mental health services during…
Intimate Partner Violence and Abuse
These results highlight the role of cultural norms, as well as the role of emotion dysregulation, poor communication skills and mental health difficulties in explaining and perpetuating abuse within ecological theoretical frameworks of violence among couples within which one or both partners are serving or ex-serving military personnel
Interventions to Reduce Intimate Partner Violence Perpetration by Men Who Use Substances
A Cross-sectional Comparison of the Mental Health of People Trafficked to the UK for Domestic Servitude, for Sexual Exploitation and for Labor Exploitation
The experiences and needs of trafficking victims have received increasing attention. However, variation in the experiences and needs of people trafficked for different types of labor have been poorly explored. People trafficked for domestic servitude may represent a particularly vulnerable group but are typically subsumed within labor exploitation. Our aim is to describe the characteristics, experiences, and mental health outcomes of a sample of …
Addressing inequities in maternal health among women living in communities of social disadvantage and ethnic diversity
The response to the coronavirus outbreak and how the disease and its societal consequences pose risks to already vulnerable groups such those who are socioeconomically disadvantaged and ethnic minority groups. Researchers and community groups analysed how the COVID-19 crisis has exacerbated persisting vulnerabilities, socio-economic and structural disadvantage and discrimination faced by many communities of social disadvantage and ethnic diversit…
Perinatal mental health
Perinatal mental health has become a significant focus of interest in recent years, with investment in new specialist mental health services in some high‐income countries, and inpatient psychiatric mother and baby units in diverse settings. In this paper, we summarize and critically examine the epidemiology and impact of perinatal mental disorders, including emerging evidence of an increase of their prevalence in young pregnant women. Perinatal m…
Assessing the Acceptability, Feasibility and Sustainability of an Intervention to Increase Detection of Domestic Violence and Abuse in Patients Suffering From Severe Mental Illness
Rationale: Despite interventions to improve detection rates, domestic violence, and abuse (DVA) remains largely undetected by healthcare services. We therefore aimed to examine the acceptability, feasibility, and sustainability of an intervention aiming to improve DVA detection rates, which included a clear referral pathway (i.e., the BRAVE intervention) and to explore the acceptability and feasibility of DVA management and referrals in general, …
Is There an Association Between Diet, Physical Activity and Depressive Symptoms in the Perinatal Period? An Analysis of the Upbeat Cohort of Obese Pregnant Women
Glycaemic load may be a useful focus for interventions aiming to optimise the mental health of obese women in the perinatal period
Associations between prenatal maternal mental health indices and mother–infant relationship quality 6 to 18 months’ postpartum
Maternal mental disorders can significantly impact on children's psychosocial and psychological development, incurring substantial ongoing economic and personal costs. A key mediating mechanism is mother–infant relationship quality (MIRQ). Research studies and perinatal mental health screening initiatives have predominantly focused on depressive symptoms and perinatal depression as predictors of MIRQ. While maternal depression is associated with …
Prevalence of non-suicidal self-harm and service contact in England, 2000–14
BACKGROUND: The number of people presenting to hospital emergency departments after self-harming has increased in England. However, most people who self-harm do not present to hospitals, so whether this rise reflects an increase in the prevalence of self-harm in the community is unknown. Also unknown is whether the prevalence of non-suicidal self-harm (NSSH) or suicidal self-harm, or both, has increased. We aimed to establish temporal trends in t…
The interplay between substance use and intimate partner violence perpetration
The interplay between substance use and IPV perpetration occurs at numerous contextual levels and is perceived differently by perpetrators and survivors. Behaviour change interventions must address the meanings behind divergent narratives about IPV perpetration and substance use
Responding to the health needs of trafficked people
Trafficked people require timely and ongoing access to healthcare services. Yet, many encounter difficulties accessing and utilising healthcare services, both while in situations of exploitation and after their escape. This research investigated barriers that hinder healthcare providers from identifying, providing care and making necessary referrals for trafficked people in the United Kingdom (UK). Semi-structured, face-to-face interviews were co…
For Baby’s Sake
For Baby’s Sake is an innovative whole-family intervention that works with parents from pregnancy to two years postpartum to break cycles of domestic abuse and improve outcomes for children. The programme launched in 2015 across two community settings in England, with an independent evaluation led by King’s College London. This paper aims to (1) summarise the process of developing For Baby’s Sake and how it has been embedded within two different …
Violence against women and mental health
Domestic violence and mental health
BackgroundDomestic violence and abuse (DVA) are associated with increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services.ObjectiveOur goal was to characterise the demography and mental health of women who access specialist DVA services in the United Kingdom and to investigate associations between severity of abuse and measures of mental health and health s…
Human Trafficking and Health
Objectives. To investigate physical and mental health and experiences of violence among male and female trafficking survivors in a high-income country. Methods. Our data were derived from a cross-sectional survey of 150 men and women in England who were in contact with posttrafficking support services. Interviews took place over 18 months, from June 2013 to December 2014. Results. Participants had been trafficked for sexual exploitation (29%), do…
Effects of perinatal mental disorders on the fetus and child
Human Trafficking and Health
Objectives. To investigate physical and mental health and experiences of violence among male and female trafficking survivors in a high-income country. Methods. Our data were derived from a cross-sectional survey of 150 men and women in England who were in contact with posttrafficking support services. Interviews took place over 18 months, from June 2013 to December 2014. Results. Participants had been trafficked for sexual exploitation (29%), do…
Intimate Partner Violence and Socioeconomic Deprivation in England
Objectives. We examined the prevalence of intimate partner violence (IPV) and its association with social deprivation in England. Methods. We used multivariable logistic regression to investigate IPV correlates among 21 226 men and women aged 16 to 59 years in the 2008 nationally representative cross-sectional British Crime Survey. Results. Lifetime IPV was reported by 23.8% of women and 11.5% of men. Physical IPV was reported by 16.8% and 7.0%, …
For Baby’s Sake
For Baby’s Sake is an innovative whole-family intervention that works with parents from pregnancy to two years postpartum to break cycles of domestic abuse and improve outcomes for children. The programme launched in 2015 across two community settings in England, with an independent evaluation led by King’s College London. This paper aims to (1) summarise the process of developing For Baby’s Sake and how it has been embedded within two different …
Responding to the health needs of trafficked people
Trafficked people require timely and ongoing access to healthcare services. Yet, many encounter difficulties accessing and utilising healthcare services, both while in situations of exploitation and after their escape. This research investigated barriers that hinder healthcare providers from identifying, providing care and making necessary referrals for trafficked people in the United Kingdom (UK). Semi-structured, face-to-face interviews were co…
Help-seeking for Intimate Partner Violence and Abuse
The findings indicate the added challenges in help-seeking for IPVA experienced by military personnel and highlight a need for a whole systems approach to improve the provision of support for IPVA in the military serving and ex-serving community to instil meaningful change
Intimate Partner Violence and Abuse
These results highlight the role of cultural norms, as well as the role of emotion dysregulation, poor communication skills and mental health difficulties in explaining and perpetuating abuse within ecological theoretical frameworks of violence among couples within which one or both partners are serving or ex-serving military personnel
It’s so Beneficial to be Able to Stop the Cycle
Purpose This study aimed to explore how pregnant women who experience Domestic Violence and Abuse (DVA) and men who commit DVA understand the impact of their childhood environment on their relationships with their children and co-parents, and how a DVA psychological intervention may shape their parenting. Methods Repeated individual qualitative interviews were conducted with pregnant mothers and fathers who reported DVA and were taking part in a …
The Development and Psychometric Properties of the Humanitarian Emergency Settings Perceived Needs (Hesper) Scale
Objectives. We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings in low- and middle-income countries. Methods. We generated items through a literature review; reduced the number of items on the basis of a survey with humanitarian experts; pilot-tested the scale in Gaza, Jordan, Sudan, and the United Kingdom; and field-t…
Psychological and gynecological morbidity in women presenting with vaginal discharge in Pakistan
Gynecological morbidity has been reported to be associated with psychological distress among women. However, no formal research has been conducted in Pakistan on psychological and gynecological morbidity in women presenting with vaginal discharge. This study aimed (1) to examine whether women presenting with a primary complaint of vaginal discharge are more likely to have a Common Mental Disorder compared with those not presenting with vaginal di…
Three key dilemmas in international health
Three key dilemmas in international health. L M HowardCopyRight https://doi.org/10.2105/AJPH.62.1.73 Published Online: October 07, 2011
Schizophrenia and Safety of Parenting of Infants
We discuss clinical issues associated with parenting in mothers with severe mental illness, in particular the safety of parenting and risk to infants. We also examine some of the implications for a young child of having as primary carer a mother who suffers from a chronic and severe mental illness. Types of clinical presentation, and assessment and management are described, with illustrative case examples
Mental Health Context of Food Insecurity
OBJECTIVE: Children from food-insecure families (ie, families that lack access to sufficient, safe, and nutritious food) are at risk for developmental problems. Food insecurity disproportionately occurs among low–socioeconomic status (SES) and low-income families; however, interventions that supplement families' income or diet have not eradicated food insecurity. This may be because food insecurity is also related to nonfinancial factors such as …
Psychological and gynecological morbidity in women presenting with vaginal discharge in Pakistan
Gynecological morbidity has been reported to be associated with psychological distress among women. However, no formal research has been conducted in Pakistan on psychological and gynecological morbidity in women presenting with vaginal discharge. This study aimed (1) to examine whether women presenting with a primary complaint of vaginal discharge are more likely to have a Common Mental Disorder compared with those not presenting with vaginal di…
Prevalence and Risk of Violence and the Physical, Mental, and Sexual Health Problems Associated with Human Trafficking
Experiences of Domestic Violence and Mental Disorders
Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis
Background: Much recent debate on excess rates of compulsory detention and coercive routes to care has focused on young black men; evidence is less clear regarding ethnic variations among women and factors that may mediate these. Aim: To explore ethnic variations in compulsory detentions of women, and to explore the potential role of immediate pathways to admission and clinician-rated reasons for admission as mediators of these differences. Metho…
The Development and Psychometric Properties of the Humanitarian Emergency Settings Perceived Needs (Hesper) Scale
Objectives. We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings in low- and middle-income countries. Methods. We generated items through a literature review; reduced the number of items on the basis of a survey with humanitarian experts; pilot-tested the scale in Gaza, Jordan, Sudan, and the United Kingdom; and field-t…
Domestic Violence and Perinatal Mental Disorders
Labour Exploitation and Health
Intimate Partner Violence and Socioeconomic Deprivation in England
Objectives. We examined the prevalence of intimate partner violence (IPV) and its association with social deprivation in England. Methods. We used multivariable logistic regression to investigate IPV correlates among 21 226 men and women aged 16 to 59 years in the 2008 nationally representative cross-sectional British Crime Survey. Results. Lifetime IPV was reported by 23.8% of women and 11.5% of men. Physical IPV was reported by 16.8% and 7.0%, …
Effects of perinatal mental disorders on the fetus and child
Non-psychotic mental disorders in the perinatal period
Associations between Intimate Partner Violence and Health among Men Who Have Sex with Men
Domestic violence and mental health
BACKGROUND: Domestic violence and abuse (DVA) are associated with an increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services. OBJECTIVE: Domestic violence and abuse (DVA) are associated with an increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services. DESIGN: Basel…
Domestic violence and mental health
BackgroundDomestic violence and abuse (DVA) are associated with increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services.ObjectiveOur goal was to characterise the demography and mental health of women who access specialist DVA services in the United Kingdom and to investigate associations between severity of abuse and measures of mental health and health s…
Human Trafficking and Health
Objectives. To investigate physical and mental health and experiences of violence among male and female trafficking survivors in a high-income country. Methods. Our data were derived from a cross-sectional survey of 150 men and women in England who were in contact with posttrafficking support services. Interviews took place over 18 months, from June 2013 to December 2014. Results. Participants had been trafficked for sexual exploitation (29%), do…
Violence against women and mental health
Prevalence of non-suicidal self-harm and service contact in England, 2000–14
BACKGROUND: The number of people presenting to hospital emergency departments after self-harming has increased in England. However, most people who self-harm do not present to hospitals, so whether this rise reflects an increase in the prevalence of self-harm in the community is unknown. Also unknown is whether the prevalence of non-suicidal self-harm (NSSH) or suicidal self-harm, or both, has increased. We aimed to establish temporal trends in t…
The interplay between substance use and intimate partner violence perpetration
The interplay between substance use and IPV perpetration occurs at numerous contextual levels and is perceived differently by perpetrators and survivors. Behaviour change interventions must address the meanings behind divergent narratives about IPV perpetration and substance use
Responding to the health needs of trafficked people
Trafficked people require timely and ongoing access to healthcare services. Yet, many encounter difficulties accessing and utilising healthcare services, both while in situations of exploitation and after their escape. This research investigated barriers that hinder healthcare providers from identifying, providing care and making necessary referrals for trafficked people in the United Kingdom (UK). Semi-structured, face-to-face interviews were co…
For Baby’s Sake
For Baby’s Sake is an innovative whole-family intervention that works with parents from pregnancy to two years postpartum to break cycles of domestic abuse and improve outcomes for children. The programme launched in 2015 across two community settings in England, with an independent evaluation led by King’s College London. This paper aims to (1) summarise the process of developing For Baby’s Sake and how it has been embedded within two different …
Perinatal mental health
Perinatal mental health has become a significant focus of interest in recent years, with investment in new specialist mental health services in some high‐income countries, and inpatient psychiatric mother and baby units in diverse settings. In this paper, we summarize and critically examine the epidemiology and impact of perinatal mental disorders, including emerging evidence of an increase of their prevalence in young pregnant women. Perinatal m…
Assessing the Acceptability, Feasibility and Sustainability of an Intervention to Increase Detection of Domestic Violence and Abuse in Patients Suffering From Severe Mental Illness
Rationale: Despite interventions to improve detection rates, domestic violence, and abuse (DVA) remains largely undetected by healthcare services. We therefore aimed to examine the acceptability, feasibility, and sustainability of an intervention aiming to improve DVA detection rates, which included a clear referral pathway (i.e., the BRAVE intervention) and to explore the acceptability and feasibility of DVA management and referrals in general, …
Is There an Association Between Diet, Physical Activity and Depressive Symptoms in the Perinatal Period? An Analysis of the Upbeat Cohort of Obese Pregnant Women
Glycaemic load may be a useful focus for interventions aiming to optimise the mental health of obese women in the perinatal period
Medicine (31 obras) · Psychiatry (25 obras) · Mental health (20 obras) · Psychology (18 obras) · Poison control (16 obras) · Suicide prevention (15 obras) · Domestic violence (13 obras) · Child Abuse and Trauma (12 obras) · Intimate Partner and Family Violence (12 obras) · Nursing (12 obras)