Ashok Malla
Biographic Data
| ID | 5419843 |
|---|---|
| NAME | Ashok Malla |
| GIVEN NAMES | Ashok |
| FAMILY NAME | Malla |
| SIGNATURE | MALLA A |
| AFFILIATIONS | Douglas Mental Health University Institute |
| ORCID | 0000-0002-5863-4191 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 9 |
| AUTHOR COUNT | 20 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1987 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Fostering Accessibility to Mental Health Services for Youth Experiencing Homelessness in Montreal, Canada
BACKGROUND: (RIPAJ) was established in Montréal in 2003 through collaboration between community and governmental health organizations. In 2016, RIPAJ joined the national Adolescent/Young Adult Connections to Community-driven Early Strengths-based Stigma-free services-Open Minds (ACCESS-OM) initiative, aiming to enhance mental healthcare accessibility for youth experiencing homelessness. AIMS: This study evaluates the impact of this integrated app…
Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada
Variability in service delivery confirms the need for greater standardization of core service offerings across sites. Future research should assess the appropriateness of services for different presentations to ensure equitable support is provided for all youth
The Lancet Psychiatry Commission on youth mental health
Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, C…
BACKGROUND: Data from high-income countries (HICs) show a high risk of suicidal thoughts and behaviors (STBs) in first-episode psychosis (FEP). It is unknown, however, whether rates and associated factors differ in low- and middle-income countries (LMICs). AIMS: We therefore aimed to compare the 2-year course of STBs and associated factors in persons with FEP treated in two similarly structured early intervention services in Chennai, India and Mo…
Return on investment from service transformation for young people experiencing mental health problems
Complex interventions such as AOM aim to shift care "upstream": away from acute, emergency, hospital and specialist services and toward community-based programming which is more easily accessible, often more appropriate for early-stage presentations, and more resource-efficient. Carrying out economic evaluations of such interventions is challenging given the constraints of available data and health system organization. Nonetheless, such analyses …
Intervention précoce pour les premiers épisodes psychotiques d’hier à demain
Objectifs L’émergence de l’intervention précoce pour les premiers épisodes psychotiques (PEP), dans les années 90, représente une avancée majeure en santé mentale. On a démontré qu’en offrant des interventions intensives adaptées aux besoins spécifiques des jeunes dès le début du PEP, il devenait possible de durablement améliorer leur évolution ultérieure. Ce modèle d’intervention précoce pour la psychose (IPP) s’accompagne d’une révision en prof…
ShareDisk
Objectives: Views on who bears how much responsibility for supporting individuals with mental health problems may vary across stakeholders (patients, families, clinicians) and cultures. Perceptions about responsibility may influence the extent to which stakeholders get involved in treatment. Our objective was to report on the development, psychometric properties and usability of a first-ever tool of this construct. Methods: We created a visual we…
It’s Brought Me a Lot Closer to Who I Am”
Background: A first episode of psychosis is often a traumatic experience that may also lead to positive change, a phenomenon that has received little attention. This knowledge gap may impede service providers' capacity to foster positive change among service users. Objective: To investigate aspects of positive change among persons receiving early intervention services for psychosis. Design: The study objective was addressed using a mixed methods …
Early Intervention in Psychosis in Young People
Over the past two decades or more, the creation of early intervention services (EIS) for psychoses has been regarded as one of the most significant developments in the reform of mental health services. The development of EIS is based on evidence of their superior effectiveness on multiple domains compared with regular care and the well-established relationship between delay in treatment of psychosis and outcome. The benefits of EIS may, however, …
A Promising Route Towards Improvement of Homeless Young People’s Access to Mental Health Services
Everyone Has a Role
Varying perceptions of who should be responsible for supporting individuals with mental health problems may contribute to their needs remaining unmet. A qualitative descriptive design was used to explore these perceptions among key stakeholders. Focus groups were conducted with 13 service users, 12 family members, and 18 treatment providers from an early psychosis intervention program in Montreal, Canada. Individual interviews were conducted with…
Who should be responsible for supporting individuals with mental health problems? A critical literature review
BACKGROUND: Individuals with mental health problems have many support needs that are often inadequately met; however, perceptions of who should be responsible for meeting these needs have been largely unexplored. Varying perceptions may influence whether, how, and to what extent relevant stakeholders support individuals with mental health problems. AIMS: To critically evaluate the literature to determine who different stakeholders believe should …
Neuroanatomical and Symptomatic Sex Differences in Individuals at Clinical High Risk for Psychosis
Sex differences have been widely observed in clinical presentation, functional outcome and neuroanatomy in individuals with a first-episode of psychosis, and chronic patients suffering from schizophrenia. However, little is known about sex differences in the high-risk stages for psychosis. The present study investigated sex differences in cortical and subcortical neuroanatomy in individuals at clinical high risk (CHR) for psychosis and healthy co…
Intervention précoce pour la psychose
Cet article fournit un survol de la logique de l’intervention précoce pour psychose, de ses fondements théoriques et de la littérature essentielle sur le concept. L’intervention précoce repose sur l’hypothèse de la période critique, qui vient accentuer l’importance des premiers stades de la maladie, et sur les résultats d’études dans le domaine, qui suggère que la durée d’une psychose non traitée en influence le pronostic. L’intervention précoce …
Commentary on “Did Christianity cause schizophrenia?”
The role of self-esteem for outcome in first-episode psychosis
Background: Self-esteem may be associated with a wide range of psychiatric disorders, including psychotic disorders. However, the relationship between self-esteem and outcome in psychosis has not been adequately examined, especially early in the course of the illness. Aim: The aim of the study was to examine the impact of self-esteem in individuals who presented for treatment of a first episode of psychosis on outcome early in the course of the i…
The Structural Neural Substrates of Persistent Negative Symptoms in First-Episode of Non-Affective Psychosis
Neural substrates of PNS are evident in FEP patients. A better understanding of the neural etiology of PNS may encourage the search for new medications and/or alternative treatments to better help those affected
P2-94 Types of smokers, depression and disability in type 2 diabetes
Despite the detrimental effects of smoking on health, a high number of adults with type 2 diabetes continue to smoke. Identifying distinct profiles of smokers could help tailor smoking intervention programs in this population and may help uncover high risk subgroups with unfavourable health outcomes. This study examined whether smokers with type 2 diabetes could be classified into different profiles based on socioeconomic characteristics, smoking…
Joint Effect of Depression and Chronic Conditions on Disability
OBJECTIVES: To estimate and compare the prevalence of functional disability in individuals with both chronic medical conditions and comorbid major depression and individuals with either chronic medical conditions or major depression alone and to determine the joint effect of depression and chronic conditions on functional disability. Evidence exists that major depression interacts with physical illness to amplify the functional disability associa…
Attitudes Towards Mental Illnessi
Female nursing students who had completed an instructional and experiential training program were compared on their perception, beliefs and opinions about mental illness with students who had just entered the same program. The results showed that students who had completed their training were better able to perceive the presence and severity of mental illness. Both groups favoured psychosocial etiology and psychosocial forms of treatment. There w…
Everyone Has a Role
Varying perceptions of who should be responsible for supporting individuals with mental health problems may contribute to their needs remaining unmet. A qualitative descriptive design was used to explore these perceptions among key stakeholders. Focus groups were conducted with 13 service users, 12 family members, and 18 treatment providers from an early psychosis intervention program in Montreal, Canada. Individual interviews were conducted with…
A Promising Route Towards Improvement of Homeless Young People’s Access to Mental Health Services
Attitudes Towards Mental Illnessi
Female nursing students who had completed an instructional and experiential training program were compared on their perception, beliefs and opinions about mental illness with students who had just entered the same program. The results showed that students who had completed their training were better able to perceive the presence and severity of mental illness. Both groups favoured psychosocial etiology and psychosocial forms of treatment. There w…
Joint Effect of Depression and Chronic Conditions on Disability
OBJECTIVES: To estimate and compare the prevalence of functional disability in individuals with both chronic medical conditions and comorbid major depression and individuals with either chronic medical conditions or major depression alone and to determine the joint effect of depression and chronic conditions on functional disability. Evidence exists that major depression interacts with physical illness to amplify the functional disability associa…
P2-94 Types of smokers, depression and disability in type 2 diabetes
Despite the detrimental effects of smoking on health, a high number of adults with type 2 diabetes continue to smoke. Identifying distinct profiles of smokers could help tailor smoking intervention programs in this population and may help uncover high risk subgroups with unfavourable health outcomes. This study examined whether smokers with type 2 diabetes could be classified into different profiles based on socioeconomic characteristics, smoking…
The role of self-esteem for outcome in first-episode psychosis
Background: Self-esteem may be associated with a wide range of psychiatric disorders, including psychotic disorders. However, the relationship between self-esteem and outcome in psychosis has not been adequately examined, especially early in the course of the illness. Aim: The aim of the study was to examine the impact of self-esteem in individuals who presented for treatment of a first episode of psychosis on outcome early in the course of the i…
The Structural Neural Substrates of Persistent Negative Symptoms in First-Episode of Non-Affective Psychosis
Neural substrates of PNS are evident in FEP patients. A better understanding of the neural etiology of PNS may encourage the search for new medications and/or alternative treatments to better help those affected
Commentary on “Did Christianity cause schizophrenia?”
Intervention précoce pour la psychose
Cet article fournit un survol de la logique de l’intervention précoce pour psychose, de ses fondements théoriques et de la littérature essentielle sur le concept. L’intervention précoce repose sur l’hypothèse de la période critique, qui vient accentuer l’importance des premiers stades de la maladie, et sur les résultats d’études dans le domaine, qui suggère que la durée d’une psychose non traitée en influence le pronostic. L’intervention précoce …
Neuroanatomical and Symptomatic Sex Differences in Individuals at Clinical High Risk for Psychosis
Sex differences have been widely observed in clinical presentation, functional outcome and neuroanatomy in individuals with a first-episode of psychosis, and chronic patients suffering from schizophrenia. However, little is known about sex differences in the high-risk stages for psychosis. The present study investigated sex differences in cortical and subcortical neuroanatomy in individuals at clinical high risk (CHR) for psychosis and healthy co…
Who should be responsible for supporting individuals with mental health problems? A critical literature review
BACKGROUND: Individuals with mental health problems have many support needs that are often inadequately met; however, perceptions of who should be responsible for meeting these needs have been largely unexplored. Varying perceptions may influence whether, how, and to what extent relevant stakeholders support individuals with mental health problems. AIMS: To critically evaluate the literature to determine who different stakeholders believe should …
It’s Brought Me a Lot Closer to Who I Am”
Background: A first episode of psychosis is often a traumatic experience that may also lead to positive change, a phenomenon that has received little attention. This knowledge gap may impede service providers' capacity to foster positive change among service users. Objective: To investigate aspects of positive change among persons receiving early intervention services for psychosis. Design: The study objective was addressed using a mixed methods …
Early Intervention in Psychosis in Young People
Over the past two decades or more, the creation of early intervention services (EIS) for psychoses has been regarded as one of the most significant developments in the reform of mental health services. The development of EIS is based on evidence of their superior effectiveness on multiple domains compared with regular care and the well-established relationship between delay in treatment of psychosis and outcome. The benefits of EIS may, however, …
A Promising Route Towards Improvement of Homeless Young People’s Access to Mental Health Services
Everyone Has a Role
Varying perceptions of who should be responsible for supporting individuals with mental health problems may contribute to their needs remaining unmet. A qualitative descriptive design was used to explore these perceptions among key stakeholders. Focus groups were conducted with 13 service users, 12 family members, and 18 treatment providers from an early psychosis intervention program in Montreal, Canada. Individual interviews were conducted with…
ShareDisk
Objectives: Views on who bears how much responsibility for supporting individuals with mental health problems may vary across stakeholders (patients, families, clinicians) and cultures. Perceptions about responsibility may influence the extent to which stakeholders get involved in treatment. Our objective was to report on the development, psychometric properties and usability of a first-ever tool of this construct. Methods: We created a visual we…
Intervention précoce pour les premiers épisodes psychotiques d’hier à demain
Objectifs L’émergence de l’intervention précoce pour les premiers épisodes psychotiques (PEP), dans les années 90, représente une avancée majeure en santé mentale. On a démontré qu’en offrant des interventions intensives adaptées aux besoins spécifiques des jeunes dès le début du PEP, il devenait possible de durablement améliorer leur évolution ultérieure. Ce modèle d’intervention précoce pour la psychose (IPP) s’accompagne d’une révision en prof…
Return on investment from service transformation for young people experiencing mental health problems
Complex interventions such as AOM aim to shift care "upstream": away from acute, emergency, hospital and specialist services and toward community-based programming which is more easily accessible, often more appropriate for early-stage presentations, and more resource-efficient. Carrying out economic evaluations of such interventions is challenging given the constraints of available data and health system organization. Nonetheless, such analyses …
The Lancet Psychiatry Commission on youth mental health
Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, C…
BACKGROUND: Data from high-income countries (HICs) show a high risk of suicidal thoughts and behaviors (STBs) in first-episode psychosis (FEP). It is unknown, however, whether rates and associated factors differ in low- and middle-income countries (LMICs). AIMS: We therefore aimed to compare the 2-year course of STBs and associated factors in persons with FEP treated in two similarly structured early intervention services in Chennai, India and Mo…
Fostering Accessibility to Mental Health Services for Youth Experiencing Homelessness in Montreal, Canada
BACKGROUND: (RIPAJ) was established in Montréal in 2003 through collaboration between community and governmental health organizations. In 2016, RIPAJ joined the national Adolescent/Young Adult Connections to Community-driven Early Strengths-based Stigma-free services-Open Minds (ACCESS-OM) initiative, aiming to enhance mental healthcare accessibility for youth experiencing homelessness. AIMS: This study evaluates the impact of this integrated app…
Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada
Variability in service delivery confirms the need for greater standardization of core service offerings across sites. Future research should assess the appropriateness of services for different presentations to ensure equitable support is provided for all youth
Psychiatry (14 works) · Medicine (13 works) · Psychology (13 works) · Mental health (10 works) · Psychosis (6 works) · Schizophrenia research and treatment (6 works) · Political science (5 works) · Adolescent and Pediatric Healthcare (4 works) · Business (4 works) · Clinical Psychology (4 works)