Cultural adaptation of an appropriate tool for mental health among Kanien'kehá:ka: a participatory action project based on the Growth and Empowerment Measure

2021 ◽  
Author(s):  
Liliana Gomez Cardona ◽  
Kristyn Brown ◽  
Taylor Goodleaf ◽  
Mary McComber ◽  
Rebecca D’Amico ◽  
...  
Keyword(s):  
Mental Health ◽  
Cultural Adaptation ◽  
Participatory Action ◽  
Action Project

Exploring and reorienting psychiatrists’ attitudes regarding smoking cessation and its potential to improve mental health outcomes: a pilot study

2021 ◽  
pp. 103985622110373
Author(s):  
Brooke Short ◽  
Luke Giles ◽  
Aspasia Karageorge ◽  
Lyndon Bauer
Keyword(s):  
Mental Health ◽  
Smoking Cessation ◽  
Health Outcomes ◽  
Health Sector ◽  
Mental Health Outcomes ◽  
Participatory Action ◽  
Clinical Tool ◽  
Face To Face ◽  
The Public ◽  
And Training

Objective: The aims of this study were to explore the knowledge, attitudes, confidence and practices of Australian psychiatrists and psychiatry registrars with regard to smoking cessation with their patients and to promote clinical practice reflection and re-framing. Methods: A mixed-methods questionnaire was developed. Interviews were conducted via telephone or face-to-face utilising participatory action research principles. Qualitative data were de-identified and analysed following a reflexive thematic approach. Results: The questionnaire was completed with 15 participants. The majority worked in the public health sector and agreed that smoking cessation could be used as a clinical tool across mental health services. However, nearly all of the participants reported being unfamiliar with the latest literature. Only one-third of participants reported having had received formal training in smoking cessation. Overwhelmingly, more training was reported as necessary and welcomed by participants. Conclusion: Our study has identified gaps in psychiatrists’ and psychiatry registrars’ knowledge and confidence regarding the promotion, initiation and oversight of smoking cessation strategies for patients. It’s important that psychiatrists lead the way in re-framing and engaging with this issue, and consider smoking cessation as a tool that can improve mental health outcomes. A review of existing Australian policies, guidelines and training is recommended.

Optimizing a Halfway House to Meet Mental Health Care Users’ Occupational Needs

2021 ◽  
pp. 000841742110448
Author(s):  
Itumeleng Augustine Tsatsi ◽  
Nicola Ann Plastow
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Care ◽  
Thematic Analysis ◽  
Unmet Needs ◽  
Participatory Action ◽  
Halfway House ◽  
Health And Wellbeing ◽  
Halfway Houses

Background. Halfway houses (HwH) may support community reintegration of mental health care users and can be effective in meeting occupational needs of residents. However, they are not optimally used in South Africa. Purpose. This study aimed to improve the functioning of a HwH so that it better meets occupational needs of the resident mental health care users. It draws on Doble & Santha; ( 2008 ) seven occupational needs. Method. A four-phase Participatory Action Research methodology was used. We conducted thematic analysis to describe met and unmet needs within PAR phases. Findings. Occupational needs of accomplishment, renewal, pleasure and companionship were being met. However, coherence, agency and affirmation needs were not being met. An additional occupational need for interdependence, based on the African ethic of Ubuntu, was identified. Implications. HwH functioning affected residents’ experiences of health and wellbeing. Engagement in collective occupations can contribute to meeting the occupational need of interdependence.

scholarly journals Cultural Adaptation of Community Informant Tool for Detection of Maternal Depression in Rural Pakistan

2021 ◽  
Vol 12 ◽  
Author(s):  
Shamaila Mohsin ◽  
Najia Atif ◽  
Waqas Rabbani ◽  
Ahmaren Tariq ◽  
Shahzad Ali Khan ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Maternal Depression ◽  
Community Health ◽  
Community Health Workers ◽  
Cultural Adaptation ◽  
Health Workers ◽  
Primary Care Providers ◽  
Detection Tool ◽  
Health Experts

Background: Evidence indicates that mental health issues like depression, epilepsy, and substance misuse can be detected with reasonable accuracy in resource-poor settings. The Community Informant Detection Tool (CIDT) is one such approach used for detecting mental health problems, including depression. We adapted this community informant approach for detecting maternal depression in Pakistan.Methods: Adaptation of Community Informant Detection Tool for Maternal Depression (CIDT-MD) involved five steps. First, a scoping review of the literature was conducted to select an appropriate tool for adaptation. Second, in-depth interviews were conducted to explore the idioms of depression and distress, perceived causes, and the effects of maternal depression among currently depressed and recovered mothers (n = 11), mothers in law (n = 6), and Primary Care Providers (Primary Care Physicians and Lady Health Supervisors) (n = 6). Third, case vignettes and illustrations were created with input from a panel of mental health experts, incorporating the idioms of depression and distress used, causes, and effects for each symptom described. Fourth, to assess the comprehensibility of the illustrations and level of understanding, Focus Group Discussions (n = 4) were done with purposely selected community health workers (Lady Health Workers and Lay Peers, n = 28) trained in delivering maternal depression intervention. The final step was reflection and inputs by a panel of mental health experts on all steps to finalize the content of the tool.Results: Context-specific cultural adaptation in the presentation and format of CIDT-MD was conducted successfully. Lady Health Workers (LHW) and Lay Peers (LP) were found to be the most appropriate persons to use the tool and function as the informants. The adapted tool with all its vignettes and illustrations was found to be easily understandable, comprehensible, and culturally appropriate, meaningful, and contextually relevant by the community health workers and peers working in the relevant settings. They easily relate to and identify potentially depressed such women lining up with the tool. Lastly, the coding of the tool was found easy to follow as well.Conclusion: The Community Informant Detection Tool for Maternal Depression (CIDT-MD) is a culturally acceptable, easy to use, and comprehensible tool for detecting maternal depression in community settings of Pakistan. The community informants found the content and approach highly relevant to the local needs.

scholarly journals Cultural Adaptation, Parenting and Child Mental Health Among English Speaking Asian American Immigrant Families

2016 ◽  
Vol 48 (4) ◽  
pp. 572-583 ◽  
Author(s):  
Keng-Yen Huang ◽  
Esther Calzada ◽  
Sabrina Cheng ◽  
R. Gabriela Barajas-Gonzalez ◽  
Laurie Miller Brotman
Keyword(s):  
Mental Health ◽  
Asian American ◽  
Cultural Adaptation ◽  
Child Mental Health ◽  
Immigrant Families ◽  
American Immigrant ◽  
English Speaking

Allyship and solidarity, not therapy, in child and youth mental health: Lessons from a participatory action research project with psychiatrized youth

2020 ◽  
Vol 10 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Maria Liegghio
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Action Research ◽  
Young People ◽  
Participatory Action Research ◽  
Youth Mental Health ◽  
Participatory Action ◽  
Action Research Project ◽  
Research Project ◽  
The Social

While globally advances have been made to recognize children as social actors in their own right, for psychiatrized young people their experiences of distress are often seen as a limitation and thus used as a justification for denying their meaningful participation in matters of concern to their lives. However, what would it mean if ‘mental illness’ was not seen as a ‘limitation’, but rather as an ‘epistemological position’ from which the social world is experienced, understood and acted upon? What would it mean if our theories about ‘distress’ and ‘helping’ were premised on the subjugated knowledges of psychiatrized children and youth? The consumer/survivor-led research movement has made significant gains in answering these questions for the adult, but not necessarily for the child and youth mental health field. The purpose of this article is to critically examine the significance of psychiatrized young people setting and executing their own research and, ultimately, practice agendas. Presented are the outcomes of an evaluation of a participatory action research project examining the stigma of mental illness conducted with seven psychiatrized youth, 14 to 17 years old. The outcomes suggest our roles as practitioners and researchers need to shift from being ‘agents’ working on behalf of to ‘allies’ working in solidarity with young people to change the social conditions of their marginalization. The article concludes with the limits of consumer/survivor-led research for addressing adultism and, instead, ends with a call for decolonizing children’s mental health.

scholarly journals International medical student’s mental health: psychological distress and socio-cultural adaptation

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Hachemi ◽  
M Dimitrijević ◽  
J Stojanović ◽  
S Cvjetković
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
International Students ◽  
Medical Students ◽  
Cultural Adaptation ◽  
Foreign Students ◽  
Well Being ◽  
International Medical ◽  
Depression Anxiety Stress Scale ◽  
Future Health

Abstract Background The greater academic mobility and globalization have introduced a substantial number of foreign students to more universities. The lack of recent studies about their adaptation and signs of psychological distress arose an interest about this relevant issue. Recognizing the factors involved in the adaptation process are vital for international students, especially medical, as they are considered the future health-care workforce. Ensuring their well-being is essential for consumers safety, satisfaction and raising quality at lower costs. Thus, the aim of this research was to explore the predictors of psychological distress including socio-demographic variables and socio-cultural adaptation Methods A cross-sectional study was conducted at the University of Belgrade School of Medicine, where 124 (65 males and 59 females) international students from 32 countries were interviewed using a socio-demographic questionnaire and psychometric tools such as Revised Socio-cultural Adaptation Scale (SCAS-R) and Depression, Anxiety, Stress Scale (DASS-21). Statistical analysis included prevalence data and multiple linear regression. Results The prevalence of depression, anxiety and stress was found to be 39%, 55% and 41%, respectively. Maladaptation to a new environment by lack of participation in the community and focus on own interests were significant predictors of depression (β = −.39, p< .01) and stress (β = −.36, p< .05), while anxiety was associated with both female gender (β = −.30, p<.05), self-centration and absence of community involvement (β = −.37, p< .01). Conclusions There is a high prevalence of anxiety followed by stress and depression among international medical students. The results highlighted the importance of cultural adaptation for psychological distress. This shows a requirement for developing an adequate, accessible professional counselling and peer support services for foreign students that are necessary to achieve sustainable development goals. Key messages Encouraging researchers to further investigate the needs of international medical students. The development and implementation of health policies addressing student’s mental health.

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