Connect with us

Health

A Moment in Mental Health

Published

on

My Q&A with Dr. Alicia Malcolm

 

  1. How many clients are you serving at this time or how many mentally challenged individuals are registered with the Department?

The Department of Mental Health and Substance Dependence sees an average of 1,100 persons in our clinics per year. This number has steadily increased as persons become more aware of the importance of taking care of their mental health.

  1. What are the top three or five leading mental health issues for TCI?

The leading cause for consultations are for Anxiety/ stress related disorders and Mood Disorders such as Depression.

  1. How many do you believe are going undiagnosed and therefore unsupported?

Based on psychological research, there does not appear to be a significant difference in the overall prevalence of mental health disorders between the genders. However, there are some noticeable differences in the types of mental illnesses that men and women struggle with.  Some more common mental disorders in men include:

  1. Do you think or do we have stats to show if mental health is a larger issue for men or women?

Antisocial personality disorders. For women, common mental disorders include: Depression, Anxiety and PTSD.

Women present more frequently in our clinics than men. However, this does not mean that mental health issues are larger in females. Typically across the globe you’ll find that men are less likely than women to seek help for a mental health condition.

  1. How many are getting treatment/care/support?

It is unclear exactly how many people across the nation have undiagnosed mental health conditions. However, our encouragement is that anyone who is experiencing any sort of mental or emotional issues that create impairment in their daily functioning contact us so that we can assess and provide the necessary intervention. On average we provide treatment and care for about 15- 20 in our treatment abroad program and as mentioned previously an average of 1,100 in country per year.

  1. What is the status of the Mental Health Facility; seems it has been stagnant for many years now?

The mental health facility project is ongoing and it is anticipated to open early next year (2022). Recruitment of staff is actively being done while remaining construction works are being completed.

  1. I notice that your budget has nearly doubled in 10 years; what does this mean for Mental Health in TCI?

The increase in the budget reflects a number of things but in essence it means that there will be additional mental health professionals available to provide care and treatment for clients. In addition, new and improved forms of medication are being utilized with patients who may have become treatment resistant.

  1. How many mental health doctors do we have country wide?  What is your team size?

The mental health team is currently comprised of  eight clinicians: 4 doctors and 4 therapists. There are 12 new positions that have been added and recruitment is being done to fill them.

  1. How many children with mental health issues; and what kind?

On average 30 – 40 children are seen in our clinics per year. The top three mental health issues are Depression, Oppositional Defiant Disorder and Trauma Related- Sexual Abuse.

  1. What step would make the biggest impact on an improved delivery of care/service to mental health in Turks and Caicos from your experience?

Some steps that will assist in the continued improvement of mental health care delivery in TCI include: building local capacity through ongoing training of general practitioners; completion of mental health facility to serve persons with acute and chronic mental health conditions; ensuring greater access to services e.g through the continued use of telehealth services and strengthening community outreach and educational programs.

 

Dr. Alicia B. Malcolm (Psy.D.) became Director of the Department of Mental Health & Substance Dependence of the Turks and Caicos Islands in 2013.

 

Health

The Ministry of Health and Human Services Celebrates Caribbean Wellness Day: Power Through Collective Action – Good Health is Our Right! 

Published

on

Turks and Caicos, September 21, 2024 – On Saturday, 14th September 2024, Caribbean Wellness Day will be observed across the region, marking an important initiative to raise awareness and spur action against the rising tide of non-communicable diseases (NCDs). These diseases—such as diabetes, hypertension, heart disease, and cancer—pose a significant threat to the health, economy, and development of the Caribbean. Caribbean Wellness Day encourages collective efforts across CARICOM Member States to address this pressing issue and promote healthier lifestyles.

This year’s theme, “Power Through Collective Action: Good Health is Our Right,” highlights the shared responsibility in tackling NCDs and emphasises that access to good health is a fundamental right for all.

In the Turks and Caicos Islands (TCI), Caribbean Wellness Week will extend from September 14-20, 2024. On 14th September, the Minister of Health and Human Services Shaun D Malcolm will deliver a special message to encourage all citizens to prioritize their health and well-being, particularly in the fight against NCDs such as diabetes, hypertension, and heart disease.

Continuing throughout the week the Ministry of Health and Human Sevices will be celebrating with a series of daily wellness-focused themes designed to engage the community and inspire action towards better health.

  1. Mindful Social Media Monday – “Tune In, Unplug, and Thrive!” 

The week kicks off with a focus on social media mindfulness. On Monday, 16 September, the focus is on being mindful of social media consumption. Citizens are encouraged to take breaks from screens to enhance mental wellness, engage in offline activities, and connect more meaningfully with those around them.

  1. Tasty Tuesday – “Nourish Your Body, Fuel Your Life!” 

Healthy eating takes center stage on Tuesday. This day promotes the enjoyment of nutritious, delicious meals that fuel the body and nurture overall wellness, proving that healthy eating doesn’t mean compromising on flavour. Everyone is encouraged to incorporate more fresh produce into their meals, with local chefs and nutritionists offering tips on how to make fruits and vegetables a more integral part of daily diets.

  1. Water Wednesday – “Hydrate to Elevate!” 

Staying hydrated is essential to overall health. Water Wednesday reminds everyone to prioritise drinking water to stay energised, improve mental clarity, and support overall physical well-being. Join us in our water challenge.

  1. Talk It Out Thursday – “Break the Silence, Heal the Mind!”

On Talk It Out Thursday, we are focusing on the importance of open conversations about mental health. By breaking the silence and discussing mental health openly, we can reduce stigma, provide support, and foster healing. This day encourages everyone to speak up, seek help when needed, and support others in their mental wellness journey, promoting a healthier and more supportive community.

  1. Fitness Friday – “Move Today, Feel Great Tomorrow!”

As Caribbean Wellness Week comes to a close, Fitness Friday serves as a powerful reminder that physical activity is essential for long-term health and well-being. Whether it’s through sports, dance, walking, or any form of exercise, staying active boosts energy levels, enhances strength, and increases overall happiness. In the spirit of Fitness Friday, we encourage everyone to wear sneakers to work! This simple gesture is not only a fun way to get involved but also serves as a reminder to move more throughout the day.

As part of the activities for Caribbean Wellness Week, the Ministry of Health and Wellness will host a special edition of the Health Matters Radio Show on Monday, 16 September 2024, on Radio Turks and Caicos, 89.1 FM at 10 am. The programme will feature Mrs Lakeisha Gardiner-Wilson, a well-respected nutrition expert, who will discuss the vital role of nutrition in preventing and managing NCD.

The Minister of Health and Human Services, Honourable Shaun D. Malcolm commented, “Caribbean Wellness Day and Wellness Week serve as a reminder that collective action is essential in the fight against NCDs. We can promote healthier lifestyles, prevent these diseases, and take control of our future. Let’s commit to encouraging physical activity, adopting and maintaining healthy diets, prioritizing our mental health, and scheduling regular health check-ups. Good health is not just a goal—it’s our right”.

The Ministry of Health and Human Services, in collaboration with the Caribbean Public Health Agency (CARPHA), invites all citizens to actively participate in Caribbean Wellness Week. These initiatives are designed to empower individuals and communities to take charge of their health and contribute to a healthier society.

Continue Reading

Health

Messages from the TCI Health Professionals Authority

Published

on

Turks and Caicos, September 21, 2024 – The Health Professions (Amendment) Ordinance and Regulations 2024 was passed in the House of Assembly on 25 July 2024, assented to by Her Excellency, the Governor, and came into force on 16 August 2024.

This updated Ordinance and Regulations brings changes to the operations of the Health Professions Councils and registration and licensing requirements:

  1. The Medicine and Dentistry Professions Council shall be expanded to include the Chief Veterinarian and an additional member from the medical profession. The Council has been renamed the Medicine, Dentistry and Veterinary Professions Council.
  2. Registration categories have been updated to:
  3. a)Unrestricted list divided into two categories:
  4. Full registration – resident health professionals
  5. Full registration – temporary or visiting health professionals, which shall apply to a health professional who intends to work in the Islands temporarily, but on frequent visits in any given year.

(b) Provisional list divided into two categories:

  1. Provisional list-interns,
  2. Provisional list-temporary or visiting health professionals, which shall apply to a health professional who intends to work in the Islands temporarily only on one visit.
  3. Nursing and Midwifery:

Responsibilities of the Nursing and Midwifery Professions Council have been expanded to include:

(a) the power to control the training and administer examinations of nursing professionals including, nurses, midwives, assistant nurses and nursing students

(b) to approve the basic registered nursing curriculum offered by a tertiary institution in the Islands

(c) to enter into an agreement with a tertiary institution in the Islands to administer the examinations.

  1. Investigations and Compliance Officer

(a)    A compliance officer under the Authority shall have the power to investigate and monitor health professionals to ensure compliance under this Ordinance, to assist a council and generally for the furtherance of the functions of compliance, monitoring and enforcement

(b)    A compliance officer shall have the power to enter premises where a health professional works or is purported to work in order to ascertain whether a health professional is complying with the conditions of this Ordinance

  1. Verification for Medical Doctor who uses the Migrant Health Portal

(a) The Authority shall verify the qualifications, registration and licensing status and good standing of a medical doctor who intends to upload patient records under the migrant health portal

(b) The section applies to a medical doctor who is not registered and licensed in the Islands.

  1. Police record shall be now valid once dated within the past six (6) months to the date of application
  2. Updated requirements for renewal of annual licence, including:
  3. a)Proof of completion of Continuing Professional Education (CPE) requirements
  4. b)For applicants on the unrestricted list-temporary or visiting, original letter of good standing or online verification certificate of good standing, of not more than three months old.

Continue Reading

Health

The Ministry of Health and Human Services issues advisory on Hand, Foot and Mouth Disease  

Published

on

Turks and Caicos, September 20, 2024 – As schools and day-care centres across the community welcome children back, the Ministry of Health and Human Services is encouraging parents and educators to stay alert for cases of Hand, Foot and Mouth Disease (HFMD). To date, 16 cases of HFMD have been identified in school-aged children on the island of Providenciales between July and September 2024. HFMD is a common viral illness that typically affects young children under the age of 5 years but can affect anyone. While HFMD is generally mild, it spreads quickly in environments such as classrooms and playgrounds where kids are in close contact. This is why it is important for families and schools to take simple, effective steps to help prevent the spread of the virus.

HFMD is caused by a group of viruses, most commonly the Coxsackievirus. Parents and caregivers should keep an eye out for these symptoms:

  1. Fever
  2. Mouth sores – small, red spots inside the mouth that can be painful
  3. Skin rash – often on the hands, feet, and buttocks
  4. Sore throat
  5. Loss of appetite
  6. Irritability – particularly in infants and toddlers

Although most children recover fully within a week or so, HFMD can be uncomfortable and, in some cases, lead to dehydration if eating or drinking becomes painful.

The virus can be passed from one person to another through:

  1. Close contact with infected bodily fluids like saliva, mucus, or stool.
  2. Touching contaminated surfaces and toys.
  3. Droplets in the air when someone sneezes or coughs.

This is why schools, day-care centres, and playgrounds are high-risk environments.

Here are some practical tips to help stop the spread of Hand, Foot and Mouth Disease:

  1. Frequent Handwashing:  Regular handwashing with soap and water is one of the best ways to prevent HFMD. Children should wash their hands after using the bathroom, before eating, and after playing outdoors. Teachers and caregivers can help by making handwashing a regular part of the day.
  2. Clean and Disinfect Surfaces: Toys, countertops, and doorknobs should be cleaned and disinfected regularly, especially in shared spaces like classrooms and play areas.
  3. Avoid Close Contact:   If your child has symptoms of HFMD, it is essential to keep them home from school or daycare. Allowing them time to rest at home prevents the virus from spreading to other children. Make sure they stay at home until their fever has gone down and their sores have healed.
  4. Practice Good Hygiene Habits: Teach children to cover their mouth and nose with a tissue or elbow when coughing or sneezing. Remind them not to share utensils, cups, or personal items with others.
  5. Stay Hydrated: If your child has mouth sores, drinking fluids can be difficult, but staying hydrated is important. Offer soothing drinks like cold water or milk to help them stay comfortable.

In most cases, HFMD will clear up on its own within 7 to 10 days. Treatment is for symptoms. Take paracetamol (NOT ASPIRIN) to help soothe the sore mouth or throat.  Avoid hot, spicy or salty food. Antibiotics are not needed.

However, if your child is having trouble swallowing, shows signs of dehydration (such as not urinating much), or has a high fever that lasts more than a couple of days, it is time to consult your healthcare provider. By monitoring symptoms, practising good hygiene, and staying informed, we can all help reduce the spread of HFMD. Working together, parents, schools, and day-care centres can ensure that children stay healthy and continue to enjoy a safe learning environment.

For additional information, please visit the Ministry of Health and Human Services Facebook page at https://www.facebook.com/tciministryofhealth/.

Continue Reading

FIND US ON FACEBOOK

TRENDING