Mental Health and Healthcare System Responses to Adolescent Maltreatment

2021 ◽  
pp. 1661-1688
Author(s):  
Pete Singer
Keyword(s):  
Mental Health ◽  
Healthcare System ◽  
Adolescent Maltreatment

scholarly journals Mental healthcare in Brazil: modest advances and major challenges

2014 ◽  
Vol 20 (2) ◽  
pp. 113-115 ◽  
Author(s):  
Jair de Jesus Mari
Keyword(s):  
Mental Health ◽  
Healthcare System ◽  
Psychiatric Care ◽  
Mental Healthcare ◽  
Health Indicators ◽  
The Future

SummaryThis brief article describes the main health indicators of Brazil and gives an overview of psychiatric care. It points out the primary pitfalls of the mental healthcare system and presents some suggestions for the future of mental health in the country.

Providing Care for Migrants and Refugees

2017 ◽  
Vol 41 (S1) ◽  
pp. S35-S35
Author(s):  
M. Schouler-Ocak
Keyword(s):  
Mental Health ◽  
Healthcare System ◽  
Mental Health Professionals ◽  
Asylum Seekers ◽  
Mental Health Problems ◽  
Service Providers ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Common Mental Health Problems ◽  
Refugees And Asylum Seekers

With growing globalisation and an increasing number of people on the move across boundaries, it has become vital that service providers, policy makers and mental health professionals are aware of the different needs of the patients they are responsible. One of the most fundamental barriers for migrants, refugees and asylum seekers in accessing health services are inadequate legal entitlement and, mechanisms for ensuring that they are well known and respected in practice. Access to the healthcare system is impeded by language and cultural communication problems. Qualified language and cultural mediators are not widely available, and moreover, are not regularly asked to attend. This can lead to misunderstandings, misdiagnosis and incorrect treatment, with serious consequences for the afflicted. The language barrier represents one of the main barriers to access to the healthcare system for people who do not speak the local language; indeed, language is the main working tool of psychiatry and psychotherapy, without which successful communication is impossible. Additionally, the lack of health literacy among the staff of institutions, which provide care for refugees and asylum seekers means that there is a lack of knowledge about the main symptoms of common mental health problems among these groups. The healthcare services, which are currently available, are not well prepared for these increasing specific groups. In dealing with ethnic minorities, including asylum seekers and refugees, mental healthcare professionals need to be culturally competent.In this talk, main models for providing mental health care for migrants and refugees will be presented and discussed.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Working with parents of children with complex mental health issues to improve care: A qualitative inquiry

2021 ◽  
pp. 136749352110286
Author(s):  
Brenda MY Leung ◽  
Cynthia Wandler ◽  
Tamara Pringsheim ◽  
Maria J Santana
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Services ◽  
Healthcare System ◽  
Healthcare Services ◽  
Qualitative Inquiry ◽  
Team Approach ◽  
Study Objective ◽  
Healthcare Needs

The study objective was to explore the experiences of parents of children (6–17 years) with complex mental healthcare needs in accessing healthcare services in Alberta, Canada. Parents were interviewed using a semi-structured guide with open-ended and probing questions. Interviews were audio recorded and transcribed verbatim. Thematic analysis revealed three main themes: (1) Fragmented healthcare services profoundly impacted participants’ experience of mental health care due to (a) a lack of a collaborative approach across disciplines in the healthcare system; (b) unavailability of information related to mental health care and (c) a lack of patient-centred care. (2) Navigating the complex healthcare system was difficult due to fragmented services and was hindered by gaps in accessing and receiving care, lack of continuity of care and lack of resources. (3) Distressed parents discussed the emotional challenges, financial burdens, self-advocacy and stigma they experienced in navigating the system. Parents offered insights into potential solutions to these gaps. Parents recommended the creation of a one-stop shop service with a team approach led by a navigator to facilitate and support navigations across healthcare services that work collaboratively across disciplines among healthcare services and across sectors inclusive of social services, education, policing and community programmes.

scholarly journals The architecture of the primary mental healthcare system for older people in India: what public policies tell us

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tom Kafczyk ◽  
Kerstin Hämel
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Healthcare System ◽  
General Health ◽  
Older Persons ◽  
Mental Healthcare ◽  
Community Based ◽  
The Family ◽  
Policy Fields

Abstract Background Old age mental healthcare is an issue that cuts across old age, general health, and mental healthcare policies. While strengthening the primary mental healthcare system in India is a common strategy across policy fields to improve the mental health of older persons, very little is known about the system’s planned architecture. This study explores public policy strategies for and approaches to the mental health of older persons, focusing on the primary healthcare (PHC) level and the role of the family. Methods A document analysis of 39 key public national policy documents (2007 – 2019) from three thematically grouped policy fields (mental health, old age, and general health) was conducted. Results Comprehensive community-based primary mental healthcare – focusing on vulnerable population groups including older persons – has been strengthened significantly since 2007. The promulgated approaches and strategies build on traditional community-based approaches to mental healthcare in India. They focus on (a) integrating community health workers into primary mental healthcare, (b) empowering the community to participate in healthcare planning, implementation, and monitoring, (c) supporting the family through a family-led approach to mental healthcare, and (d) integrating traditional Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy (AYUSH) services into primary mental healthcare. Conclusions While all policy fields address mental PHC, they do so in different ways, and approaches and strategies that promote an integrated perspective across policy fields are lacking. To realize the policies vision, strengthening PHC will be essential. Further research should evaluate strategies and approaches in light of social developments, such as eroding family norms and the poor state of the public health system in India, in order to assess their opportunities, challenges, and overall feasibility, with the benefits older people would experience taking centre stage in these inquiries.

scholarly journals Estranged relations: coercion and care in narratives of supported decision-making in mental healthcare

2019 ◽  
Vol 46 (1) ◽  
pp. 62-72 ◽  
Author(s):  
Meredith Stone ◽  
Renata Kokanovic ◽  
Felicity Callard ◽  
Alex F Broom
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Healthcare System ◽  
Medical Humanities ◽  
Final Section ◽  
Mental Healthcare ◽  
Psychiatric Services ◽  
Formal Care ◽  
Family Carers ◽  
Dynamic Relations

Supported decision-making has become popular among policymakers and mental health advocates as a means of reducing coercion in mental healthcare. Nevertheless, users of psychiatric services often seem equivocal about the value of supported decision-making initiatives. In this paper we explore why such initiatives might be rejected or ignored by the would-be beneficiaries, and we reflect on broader implications for care and coercion. We take a critical medical humanities approach, particularly through the lens of entanglement. We analyse the narratives of 29 people diagnosed with mental illness, and 29 self-identified carers speaking of their experiences of an Australian mental healthcare system and of their views of supported decision-making. As a scaffolding for our critique we consider two supported decision-making instruments in the 2014 Victorian Mental Health Act: the advance statement and the nominated person. These instruments presuppose that patients and carers endorse a particular set of relationships between the agentic self and illness, as well as between patient, carer and the healthcare system. Our participant narratives instead conveyed ‘entangled’ relations, which we explore in three sections. In the first we show how ideas about fault and illness often coexisted, which corresponded with shifting views on the need for more versus less agency for patients. In the second section, we illustrate how family carers struggled to embody the supported decision-making ideal of the independent yet altruistic nominated person, and in the final section we suggest that both care and coercion were narrated as existing across informal/formal care divisions. We conclude by reflecting on how these dynamic relations complicate supported decision-making projects, and prompt a rethink of how care and coercion unfold in contemporary mental healthcare.

scholarly journals Emotions, Emotion Management and Emotional Intelligence in the Workplace: Healthcare Professionals' Experience in Emotionally-Charged Situations

2021 ◽  
Vol 6 ◽  
Author(s):  
Lara Carminati
Keyword(s):  
Mental Health ◽  
Emotional Intelligence ◽  
Healthcare System ◽  
Healthcare Professionals ◽  
Emotion Management ◽  
Healthcare Sector ◽  
Emotional Difficulties ◽  
Emotional Experiences ◽  
Context Dependent

This perspective article is grounded in a cognitive and context-dependent view on emotions. By considering emotions as socially embedded and constructed, the different but related concepts of Emotion Management and Emotional Intelligence can be introduced. Yet, research juxtaposing and applying them within the healthcare sector to explain healthcare professionals' multifaceted emotional experiences at work is still scarce. Hence, this article contributes to the literature on emotions by offering an overarching perspective on how the juxtaposition of Emotion Management and Emotional Intelligence may help healthcare professionals to bridge the developmental transition between these two crucial abilities which, in turn, can help them overcome emotional difficulties in complex situations. Such integration would positively influence individuals' behavioral and mental health, as well as the overall quality of the healthcare system.

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