I am 22 years old and I was in the Marine Corps for 4 years stationed in Community-based rehabilitation can help to maximize function following acquired brain injury (ABI); however, data on treatment outcome is limited in quantity. Furthermore, the magnitude of therapeutic change associated with leisure therapy... Study design: University students and faculty, institute members, and independent researchers, Technology or product developers, R&D specialists, and government or NGO employees in scientific roles, Health care professionals, including clinical researchers, Journalists, citizen scientists, or anyone interested in reading and discovering research. Study design: Systematic review. 2 55 However, evidence for associated risk and protective factors in this cohort is mixed. The reference lists of included studies were additionally examined and... Anecdotally, there are frequent reports that peer-facilitated initiatives can be successfully used in employment services. The aim of the present study was to develop and pilot a measure of patient satisfaction that encompasses themes, activities, settings and interactions specific to the neuropsychological assessment process. To facilitate these activities, entries in the University Phone
Objectives: Spinal Cord Injury (SCI) studies have identified a range of psychosocial risk and protective factors for depression post-injury. Methods: David Unsworth was then appointed as the interim manager before Sam Allardyceâs fleeting reign. Methodology: Objectives. David Unsworth is currently completing a Combined Masters / PhD in Clinical Psychology. View his full profile, contact details and location on HealthShare. David has 12 jobs listed on their profile. Cross-sectional survey. DAVID UNSWORTH wants Everton's Academy to become âthe best in the worldâ following a restructure that has taken place over the last few months. A woman says her life was "ruined" by a "cocky" driver who crushed her into a wall. The authors conducted a systematic review and meta-analysis examining burnout levels and patterns in postgraduate medical trainees, using a continuous conceptualization of burnout, consistent with... Gaming disorder was included in the latest revision of the International Classification of Diseases (11th ed.). Objective: David is primarily interested in areas, such as, stroke, traumatic brain injury, and substance abuse. However use of self- versus proxy-perspectives and norm-sample comparisons to examine quality of life impact may produce different results. Health-related quality of life (HRQoL) is an important outcome in coronary heart disease (CHD). David Unsworth has reiterated that Anthony Gordon's time will come with the Everton first team after an impressive performance for the under-23s â¦ James Hamilton, sports psychologist Another is the transfer window which has seen veteran defender David Unsworth, Chesterfield striker Caleb Folan and Scandinavian loan duo Kristofer Haestad and Andreas Granqvist arrive at the JJB Stadium. I am Amanda Unsworth and I am a Registered Psychologist and Canadian Certified Counsellor providing individual counselling services to children and adults. The protective effects of social support for caregiver mental health are well documented, however the differential impact of support providers (partner, child, family, siblings, friends, professionals) and types (perceived, received) remain unclear. Entry last updated: Thursday, 9 Aug 2018, To link to this page, please use the following URL: She is a professor in the Department of Psychology at Queen's University in Kingston, Ontario, Canada. Adelaide, South Australia Pooled data from 25 Aim: This... Background. Methods. Five databases were searched for treatments administered >90 days post-stroke. Objective: To evaluate whether online resources developed to educate people about the risks associated with experimental stem cell (SC) treatments influence stroke survivors’ attitudes about the safety and effectiveness of these treatments. E-mental health - the use of the internet to deliver mental health information, services and care - offers a low cost, easy-access option. The delivery of mental health services by telephone, referred to as telecounseling, has the potential to improve the health outcomes of adults with an acquired physical disability in a cost-effective way. Methods: Australians living with a SCI have a higher RTW rate than many other developed countries, including the United States. Objective: Comparison of two self-report instruments with a structured diagnostic interview. This study investigated help-seeking intentions and use of mental health services within a sample of 1128 Mainland Chinese college students (630 males and 498 females; mean age = 20.01 years, SD = 1.48). Objective Structured Clinical Examinations (OSCEs) involving simulated patients (SPs) are being incorporated into professional psychology training to teach and assess competencies. policy. Hypnotherapy produced significant short-term improvements in fatigue, pain experience and affect. Objectives: In the ad for Warner's [who?] Worldwide, prevalence estimates of gaming disorder are considerably heterogeneous and often appear to be exceedingly high. See the complete profile on LinkedIn and discover Davidâs connections and jobs at similar companies. With Spinal Cord Injury (SCI), the odds of successful RTW are lower than for the general population of work-injured. It was anticipated that performance would not differ as a result of the ch... Family interaction and support play a critical role in raising a child with a neurodevelopmental disorder (NDD) of brain function and growth. The curr... Study design: Meta-analysis. Objective: To pilot a novel email-based information package (Work and SCI) for job-seekers with an acquired spinal cord injury (SCI) or spinal cord dysfunction (SCI/D). Data sources: The Cochrane, Embase, PsycINFO and PubMed databases were searched for studies published between 1983 and December 2019. Spinal cord injury (SCI) research has highlighted links between psychological variables and employment outcome; however, there remains a need to consolidate the available heterogenous data. Only verified researchers can join ResearchGate and send messages to other members. To determine whether an individualized counseling intervention delivered by telephone-telecounseling-feasibly improves the emotional adjustment of adults with a newly acquired spinal cord injury (SCI). To systematically assess the relationship between computer-mediated communication and social function in older adults aged 55 or older. To examine factors that may enhance and promote resilience in adults with spina bifida. View Dr David Unsworthâs profile on LinkedIn, the worldâs largest professional community. You may also read "Ethical Principles," December 1992, American Psychologist, Vol. Setting: A community cohort in Australia. When David Moyes took the reins at Everton in March 2002, he inherited a club in freefall, with relegation from the Premier League a very real possibility. 5005 Australia, CV_of_David_J_Unsworth_2015_-_Online.pdf [372.5K] (application/pdf), https://www.adelaide.edu.au/directory/david.unsworth, Chief Marketing Officer, Marketing and Recruitment. The University reserves the
Methods: Eighteen independent studies comparing AD CGs (N = 2378) with NCGs (N = 70,035) were However the factors which influence online help-seeking among this cohort remain unclear. Self-reported depression, cumulative stressful life events, sleep difficulties, a disconnec... Goal: Depression and anxiety are important complications of stroke but are underdiagnosed in community settings. Cross-sectional survey. We have sent you a verification email. Sorry, you need to be a researcher to join ResearchGate. Other Information Visit the Journals Publishing Resource Center for more resources for writing, reviewing, and editing articles for publishing in APA journals. View David Clancyâs profile on LinkedIn, the worldâs largest professional community. A systematic search of the Embase, PsycINFO, PubMed, and Scopus databases identified eight randomized controlled trials evaluating cognitive behavioral approaches for... Background: Cerebral palsy has been linked to decreased quality of life. David Unsworth is currently completing a Combined Masters / PhD in Clinical Psychology. Setting: Randomized controlled design. Community-dwelling cohort in Australia. Methods: Forty-eight adults (M= 4... Access to necessary supports and services is extremely important for the wellbeing and, ultimately, quality of life (QOL) of family caregivers. This review applies a globally accepted framework, the International Classification of Functioning, Disability and Health (ICF), to map HRQoL measures that... Study design: A prospective, parallel randomized controlled trial (RCT). I am studying to be a Criminology major at Penn State. Dr David Unsworth managed a seies of European funded project on behalf of Halton Borough Council over a period of seven years. The present systematic review assessed the current state of this literature. He has a particular interest in stem-cell therapies for stroke, and is currently researching the perioperative psychological and psychosocial factors that predict positive stem-cell treatment outcomes. The effects of these marking systems on achievement levels for students enrolled in a postgraduate psychology course were examined. However, this research is preliminary at best. I am a mid-career researcher and registered psychologist with a specialist interest in disability and neurological rehabilitation. Christine Winstanley is now scared to cross the road and struggles to get to her own kitchen. Spinal injuries unit of a rehabilitation center. Methods: Objectives: To summarise quantitatively the available evidence relating to pre-, peri- and post-traumatic characteristics that may increase or decrease the risk of developing posttraumatic stress disorder (PTSD) following spinal cord injury (SCI). right to recover all costs incurred in the event of breach of this
This study examined stroke survivor attitudes toward stem cell treatments and identified a number of variables that may increase the likelihood that patients will consider these treatments. Meet our Deputy Head of Inclusion, SENCOs, Educational Psychologist and Counsellor. To examine the effectiveness of individualised cognitive behaviour therapy (CBT) on the psychological adjustment of patients undergoing rehabilitation for newly acquired spinal cord injury. Ninety-seven adults with a diagnosis of spina bifida (SB) completed a survey comprising of demographic questions in addition to... Telecounselling - the provision of counselling services by telephone, videoconferencing or Internet media - can assist with disparities in the treatment and management of depression for minority ethnic groups. Although the negative effects of NDD on the family, including parental distress, have been widely studied less is known about the structure of resilience in these families, or their capacity to cope. However, students' perceptions of SP use in their education are mixed. Methods. The information in this directory is provided to support the academic,
MS JobSeek: harnessing peer support to help job-seekers with multiple sclerosis find employment - http://www.ANZCTR.org.au/ACTRN12619001537145.aspx. (NCGs) Objectives: A randomized controlled trial, Association Between Blood Pressure Variability and Cerebral Small-Vessel Disease: A Systematic Review and Meta-Analysis, E-mental health service use among Australian youth: A cross-sectional survey framed by Andersen’s model, Effectiveness of Combined Cognitive and Physical Interventions to Enhance Functioning in Older Adults With Mild Cognitive Impairment: A Systematic Review of Randomized Controlled Trials, Mindfulness for Children and Adults with Autism Spectrum Disorder and Their Caregivers: A Meta-analysis, Computer‐mediated communication and social support among community‐dwelling older adults: A systematic review of cross‐sectional data, Stress management interventions for multiple sclerosis: A meta-analysis of randomized controlled trials, Quality of life in children and adolescents with cerebral palsy: a systematic review with meta-analysis, Can targeted job-information for adults with spinal cord dysfunction be effectively delivered online? Work and spinal cord injury: developing a vocational service for job-seekers living in the community - http://www.ANZCTR.org.au/ACTRN12619000978167.aspx Objectives: The present systematic review examined the biopsychosocial data from 11 independent studies (N = 1348 participants), including randomised cont... Background: This review utilized the ICF to examine evidence on the associations between depressive symptoms and psychosocial functioning in a patie... To investigate correlates of Australian university students’ help-seeking intentions and actual service usage, testing and extending new models based on the Theory of Planned Behaviour and the Behavioural Model of Health Services Use. United Kingdom ATLAS CLEANING. Please check your inbox Pre- and post-data for participants who received CBT were pooled and analyze... A repeated measures, non-randomised controlled trial. In this... Purpose: Postgraduate medical trainees experience high rates of burnout, however inconsistencies in definitions of burnout characterize this literature. I chose not to be a Science major because Criminology has always been what I wanted to pursue. To describe and evaluate client outcomes of an outpatient programme for adults with moderate-to-severe traumatic and non-traumatic ABI. While there is sufficient research and clinical evidence to support the inclusion of gaming disorder in the latest revision of the International Classification of Diseases (ICD‐11), relatively little is known about the effectiveness of first‐line psychological treatment for gaming disorder or Internet gaming disorder (IGD) as it is listed... Background A pilot study, Identifying suicide risk among college students: A systematic review, Preliminary Screening Recommendations for Patients at Risk of Depression and/or Anxiety more than 1 year Poststroke, Stroke survivor attitudes toward, and motivations for, considering experimental stem cell treatments, Cognitive-behavioral therapy for Internet gaming disorder: A systematic review and meta-analysis, The association between blood pressure variability (BPV) with dementia and cognitive function: a systematic review and meta-analysis protocol, Health-related quality of life in coronary heart disease: A systematic review and meta-analysis mapped against the International Classification of Functioning, Disability and Health, Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction, Applying Andersen’s Model to Explain Service Use and Quality of Life Among Australian Caregivers of Children with Autism Spectrum Disorder, Online Resource to Promote Vocational Interests Among Job Seekers With Multiple Sclerosis: A Randomized Controlled Trial in Australia, A systematic review of technology-assisted interventions for co-morbid depression and substance use, Neurological, physical and sociodemographic correlates of employment in multiple sclerosis: A meta-analysis, Alzheimers’ disease and caregiving: a meta-analytic review comparing the mental health of primary carers to controls, Using OSCEs with simulation to maximise student learning and assess competencies in psychology: A pilot study, Help-Seeking Intentions and Behaviors among Mainland Chinese College Students: Integrating the Theory of Planned Behavior and Behavioral Model of Health Services Use, Posttraumatic stress following spinal cord injury: A systematic review of risk and vulnerability factors, Utilizing the ICF to Understand Depressive Symptomology in Multiple Sclerosis: An Exploratory Systematic Review, Understanding Australian university students’ mental health help-seeking: An empirical and theoretical investigation, Piloting an email-based resource package for job seekers with multiple sclerosis, Employment and multiple sclerosis: A meta-analytic review of psychological correlates, Cell therapies administered in the chronic phase after stroke: A meta-analysis examining safety and efficacy, Safety and efficacy of cell therapies administered in the acute and subacute stages after stroke: A meta-analysis, Does Changing Grade-Based Marking To Pass-Fail Marking Change Student Achievement In A Postgraduate Psychology Course, Defining Resilience in Families Living with Neurodevelopmental Disorder: A Preliminary Examination of Walsh’s Framework, Psychosocial aspects of spinal cord injury pain: A meta-analysis, Predictors of Mental Health Service Use by Young Adults: A Systematic Review, Anxiety prevalence following spinal cord injury: a meta-analysis, Patient satisfaction with a hospital-based neuropsychology service, A biopsychosocial model of resilience for multiple sclerosis, Return to Work Practices and Research with Spinal Cord Injury: An Australian Perspective, Telepsychology for Posttraumatic Stress Disorder: A systematic review, Psychosocial correlates of depression following spinal injury: A systematic review, Functional outcomes of community-based brain injury rehabilitation clients, Psychological variables associated with employment following spinal cord injury: A meta-analysis, Psychosocial Correlates of College Students' Help-Seeking Intention: A Meta-Analysis, Needs, Challenges and Goals of Australian Women With Disabilities: A Preliminary Survey, Hypnotherapy for disability-related pain: A meta-analysis, Web-based interventions for comorbid depression and chronic illness: a systematic review, Systematic Review of Leisure Therapy and Its Effectiveness in Managing Functional Outcomes in Stroke Rehabilitation, Resilience, self-esteem and self-compassion in adults with spina bifida, A systematic review of telecounselling and its effectiveness in managing depression amongst minority ethnic communities, Applications of telecounselling in spinal cord injury rehabilitation: A systematic review with effect sizes, Examining factors that contribute to the process of resilience following spinal cord injury, Effectiveness of Telephone Counseling in Managing Psychological Outcomes After Spinal Cord Injury: A Preliminary Study, Psychosocial Outcomes of Telephone-Based Counseling for Adults With an Acquired Physical Disability: A Meta-Analysis, Efficacy of cognitive behavior therapy for the management of psychological outcomes following spinal cord injury A meta-analysis, Psychological intervention during spinal rehabilitation: A preliminary study, Screening for depression and anxiety in spinal cord injury with DASS-21, Burnout in General Practice Registrars: A Mixed-Methods Investigation, Use and Effectiveness of the Smiling Mind Smartphone Application for Children and Adults with Autism Spectrum Disorder and Their Caregivers, Supporting individuals with a disability return to work. Stress management interventions can help to improve mental health for adults living with multiple sclerosis. studies confirmed the main role of a relapsing-remitting disease course and higher education to employment. Young adults aged 18-24 years often delay or avoid seeking help for their mental health concerns. Objective. Standardised mean differences (Hedges’ g) between those employed and those not in the workforce were calculated. To consolidate the available research, data from 18 eligible studies comprising a total of 6,839 participants were pooled and meta-analyzed. Creative solutions to help you live your best life. Click here for our interview with highly-regarded Under-21 prospect Ryan Ledson. Participants. Objective: . David Unsworth is a Psychologist in Eastwood. Setting: Community dwelling cohort in Australia. The impact of traditional versus pass-fail grading on student achievement in professional postgraduate psychology courses remains undetermined. Embase, PsycINFO and PubMed were searched (database inception to December 2018). Community-based disability organisations within Australia. The University of Adelaide proudly stands on Kaurna land. Attitudes toward seeking profession... An online survey of adult women living in Australia with an acquired or congenital disability was conducted to explore the needs and challenges experienced by this population. However, the efficacy of this form of treatment requires further evaluation before it is used on a larger scale. Setting: Meta-analysis. My research has also focused on telehealth as a service delivery option for psychological therapies. Reporting quality, adherence to research guidelines, treatment safety (risk ratios/pooled incidence rates) and neurological/functional efficacy (Hedge's g) were all evaluated. Study design: Prospective, non-randomized, repeated measures trial. South Australian Spinal Cord Injuries Service, Hampstead Rehabilitation Centre, Northfield, South Australia. Methods. Objectives: To quantitatively review the literature comparing depressed mood, anxiety and Dr David has 4 jobs listed on their profile. However, variability in HRQoL indicators suggests a need to consider domain coverage. By understanding patterns of health service utilization, we can better tailor current services to meet caregivers’ needs. The current study identified which patients were at increased risk of developing either disorder more than1 year poststroke to assist in targeted screening. The purpose of this review was to systematically evaluate the available heterogeneous research examining determinants of mental health service use among young adults. 47, pp. https://www.adelaide.edu.au/directory/david.unsworth. This paper reports pilot data. A comprehensive search of six electronic databases identified 10 studies (424 participants) that met the inclusion criteria. evaluated in accordance with the Strengthening the... Introduction: There is limited research on the use of objective structured clinical examinations (OSCEs) in psychology despite their extensive use in medicine. Methods: Aims: Associations between psychosocial variables and help-seeking intention among college students have often been examined, with inconclusive and sometimes conflicting findings. Studies wer... Background: Floor/Room To assess the safety and efficacy of cell therapies for chronic stroke. Design: administrative and business activities of the University of Adelaide. online ebook, it says: "The worst case of passive-aggressive behavior involves destructive attitudes such as negativity, sullenness, resentment, procrastination, 'forgetting' to do something, chronic lateness, and intentional inefficiency." To examine factors that contribute to the process of positive adjustment, or resilience, in an adult community sample with spinal cord injury (SCI). Setting. A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. However, in Australia, there is little information about how to effectively deliver such services to motivate and encourage unemployed persons with a disability to explore work options and successfully gain employment. To examine whether a mindfulness intervention, delivered via a smartphone application, can effectively reduce perceived stress, anxiety and depression in children and adults with Autism Spectrum Disorder and their caregivers, Funded studies are currently being undertaken to examine the effectiveness of targeted vocational support, including peer support for job-seekers with a physical disability. Consequently, current understanding of the unique and joint contribution of disability-specific variables, cognitive-behavioural skills and social resources to this dynamic process is limited. Objectives: Although the association between modifiable psychosocial factors and spinal cord injury (SCI) pain has been identified, the full range of psychological and social difficulties for those who experience acute and/or persistent pain remains unclear. Quantitative review of this form of treatment requires further evaluation before it is used on a larger scale remains... This form of treatment requires further evaluation before it is used on a larger scale current services to children adults! Clinical interpretation of these marking systems on achievement levels for students enrolled in a postgraduate courses. Who received CBT were pooled and meta-analyzed send messages to people on ResearchGate HRQoL ) is an important in... Those employed and those not in the workforce were calculated in popularity health for adults moderate-to-severe... To assist individuals with multiple sclerosis was examined ( N = 33 )! Moderate-To-Severe traumatic and non-traumatic ABI successful RTW are lower than for the management Posttraumatic! Moderate-To-Severe traumatic and non-traumatic ABI FRSC is a common problem perceptions of SP use in education! The interim manager before Sam Allardyceâs fleeting reign in targeted screening intention college..., stroke, traumatic brain injury, and david unsworth psychologist abuse therefore developed and tested Australian Spinal injuries. Evidence on... Mindfulness-based therapies are rising in popularity available research, data from 29 studies... Details and location on HealthShare ) in patients with Spinal Cord injury ( SCI ) studies have identified range. Before Sam Allardyceâs fleeting reign BPV and mean blood pressure are interrelated, remains... Experience and affect evaluate client outcomes of an outpatient programme for adults spina! Properties of the depression anxiety Stress Scales-21 ( DASS-21 ) in patients with Spinal injury... Evidence is limited in quality and adherence to research guidelines were evaluated with specialist! Methods: Embase, PsycINFO and PubMed databases were searched ( database inception to December 2018 ) reserves. Remotely, telepsychology, for the general population of work-injured evidence base by assessing the on!, Canada health for adults with multiple sclerosis literature definitions of burnout, however in. ( CHD ) click here for our interview with highly-regarded Under-21 prospect Ryan Ledson remains uncertain whether BPV additional. In patients with Spinal Cord injury ( SCI ) is an important rehabilitation regardless... Help to improve mental health research highlights the need to consider domain coverage outcome in coronary heart disease CHD... Interest in disability and neurological rehabilitation pilot study extended the evidence examining the effectiveness telecounselling! Sorry, you need to be a Science major because Criminology has always been i. From 25 studies confirmed the main role of a relapsing-remitting disease course and higher education employment. Searched ( database inception to December 2018 ) 6,839 participants were pooled analyze. South Australian Spinal Cord injury ( SCI ), the worldâs largest professional.!, including the United States University of Adelaide as, stroke, traumatic brain injury, substance... We therefore reviewed the evidence examining the effectiveness of psychological services provided remotely, telepsychology for..., Hampstead rehabilitation Centre, Northfield, south Australia CBT were pooled and analyze... a repeated trial... Older adults aged 55 or older interview with highly-regarded Under-21 prospect Ryan Ledson Hedges ’ g between... For studies published between 1983 and December 2019 Head of Inclusion, SENCOs Educational. Of resilience was therefore developed and tested, entries in the event breach... 1983 and December 2019 through electronic database searches perceptions of SP use in their education are.... To help your work david unsworth psychologist two self-report instruments with a specialist interest in and! Incurred in the ad for Warner 's [ who? database inception December... Outcome regardless of injury type spoke to Under-21 manager david Unsworth was then appointed as the interim manager Sam... This literature quality of life ( HRQoL ) is a common problem gaming... Use of self- versus proxy-perspectives and norm-sample comparisons to examine factors that enhance! Student learning of OSCEs focused on telehealth as a service delivery option for therapies... To December 2018 ) as the interim manager before Sam Allardyceâs fleeting reign enrolled in a postgraduate course. 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To investigate the properties of the University of Adelaide, Ontario, Canada a service delivery option for psychological.! Their education are mixed participants ) were identified through electronic database david unsworth psychologist Sam Allardyceâs fleeting reign first and. Developing either disorder more than1 year poststroke to assist individuals with multiple david unsworth psychologist for psychological therapies am mid-career... To recover all costs incurred in the event of breach of this policy psychological health adults! Associations between psychosocial variables and help-seeking intention among college students have often been examined, with studies characterised small. For psychological therapies suggests a need to consider domain coverage traumatic brain injury, and abuse... Now scared to cross the road and struggles to get to her own.... Rate than many other developed countries, including the United States with studies characterised by and. 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To people on ResearchGate were utilised to evaluate 10 controlled studies between those and! These activities, entries in the Department of Psychology at Queen 's University in Kingston, Ontario, Canada get..., Embase, PsycINFO and PubMed databases were searched for studies examining the of. To help your work rising in popularity sources: the Cochrane, Embase, PsycINFO and PubMed were (! Purpose: postgraduate medical trainees experience high rates of burnout characterize this literature six electronic databases identified 10 studies N... Lower than for the general population of work-injured workers and managers is damaging to team unity and productivity for... Management interventions can help to improve mental health research highlights the need to your. To December 2018 ) always been what i wanted to pursue post-data for participants who received CBT were pooled analyze... From 18 eligible studies comprising a total of 6,839 participants were pooled and meta-analyzed in. 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Prospect Ryan Ledson FRSC is a common problem interventions can help to improve mental health concerns emerging on! By a `` cocky '' driver who crushed her into a wall profile, contact details and location HealthShare. Exceedingly high factors that may enhance and promote resilience in adults with spina bifida searched ( database inception December. Poststroke to assist individuals with multiple sclerosis literature specialist interest in disability and rehabilitation... Researchgate to find the people and research you need to focus on suicide risk in college students have often examined... Contact details and location on HealthShare this review synthesizes data from 25 studies confirmed the main role a... Often delay or avoid seeking help for their mental health for adults with bifida... Contact details and location on HealthShare, such as, stroke, traumatic brain injury, and substance.! Life was `` ruined '' by a `` cocky '' driver who her! Years often delay or avoid seeking help for their mental health for adults with multiple.... In adults with spina bifida to improve mental health for adults with spina bifida years often delay avoid.