scholarly journals A Qualitative Exploration of the Views of Policymakers and Policy Advisors on the Impact of Mental Health Stigma on the Development and Implementation of Mental Health Policy in Singapore

Author(s):  
Mythily Subramaniam ◽  
Shazana Shahwan ◽  
Chong Min Janrius Goh ◽  
Gregory Tee Hng Tan ◽  
Wei Jie Ong ◽  
...  

AbstractFew studies have examined the views of policy makers regarding the impact of mental health stigma on the development and implementation of mental health policies. This study aimed to address this knowledge gap by exploring policymakers’ and policy advisors’ perspectives regarding the impact of mental health stigma on the development and implementation of mental health programmes, strategies, and services in Singapore. In all 13 participants were recruited for the study comprising practicing policymakers, senior staff of organisations involved in implementing the various mental health programmes, and policy advisors. Data was collected through semi-structured interviews, which were transcribed verbatim and analysed using reflexive thematic analysis. Data analysis revealed three superordinate themes related to challenges experienced by the policymakers/advisors when dealing with mental health policy and implementation of programmes. These themes included stigma as a barrier to mental health treatment, community-level barriers to mental health recovery, and mental health being a neglected need. Policymakers/advisors demonstrated an in-depth and nuanced understanding of the barriers (consequent to stigma) to mental healthcare delivery and access. Policymakers/advisors were able to associate the themes related to the stigma towards mental illness with help-seeking barriers based on personal experiences, knowledge, and insight gained through the implementation of mental health programmes and initiatives.

2003 ◽  
pp. 79-100 ◽  
Author(s):  
José M. Bertolote ◽  
José G. Taborda ◽  
Julio Arboleda-Flórez ◽  
Francisco Torres

2015 ◽  
Vol 207 (4) ◽  
pp. 346-350 ◽  
Author(s):  
Amy B. Adler ◽  
Thomas W. Britt ◽  
Lyndon A. Riviere ◽  
Paul Y. Kim ◽  
Jeffrey L. Thomas

BackgroundStudies with members of the armed forces have found a gap between reports of mental health symptoms and treatment-seeking.AimsTo assess the impact of attitudes on treatment-seeking behaviours in soldiers returning from a combat deployment.MethodA sample of 529 US soldiers were surveyed 4 months (time 1) and 12 months (time 2) post-deployment. Mental health symptoms and treatment-seeking attitudes were assessed at time 1; reported mental healthcare visits were assessed at time 2.ResultsFactor analysis of the total time 1 sample revealed four attitude factors: professional concerns, practical barriers, preference for self-management and positive attitudes about treatment. For the subset of 160 soldiers reporting a mental health problem at time 1, and controlling for mental health symptom severity, self-management inversely predicted treatment-seeking; positive attitudes were positively related.ConclusionsResults demonstrate the importance of broadening the conceptualisation of barriers and facilitators of mental healthcare beyond stigma. Techniques and delivery models emphasising self-care may help increase soldiers' interest in using mental health services.


1993 ◽  
Vol 27 (2) ◽  
pp. 186-191 ◽  
Author(s):  
Harvey Whiteford ◽  
Bronwyn Macleod ◽  
Elizabeth Leitch

The Health Ministers of all Australian States, Territories and the Commonwealth endorsed National Mental Health Policy in April 1992 [1]. This Policy is intended to set clear direction for the future development of mental health services within Australia. The Policy recognises the high prevalence of mental health problems and mental disorders in the Australian community and the impact of these on consumers, carers, families and society as whole. It also clearly accepts the need to address the problems confronting the promotion of mental health and the provision of mental health services.


Author(s):  
Jenna Thygesen

Neuropsychiatric disorders are among the leading cause of disability worldwide, accounting for 13% of the global burden of disease, and one-third of all years lost due to disability. In Canada 15% of the population report that they have been diagnosed as being clinically depressed, with at least one in five Canadians experiencing a mental illness in their lifetime. Recruitment to psychiatry within medical schools worldwide ranges from approximately 2-7%, resulting in unfilled psychiatric residencies and an inadequate number of practicing professionals to address demand for mental health services within populations. The negative socialization hypothesis attempts to explain the lack of interest as the result of anti-psychiatry statements by peers and non-psychiatric faculty members. An international questionnaire measuring the prevalence of stigmatizing attitudes towards non-psychiatric physician educators at medical centres was conducted under the auspices of the Association for the Improvement of Mental Health Programmes. Results will be discussed within the context of current theories about stigmatizing attitudes towards psychiatric patients and the field of psychiatry. Current anti-stigma programmes and the impact of culture on mental illness and stigma will also be discussed.


Author(s):  
Jane Senior ◽  
Adrian Hayes ◽  
Jenny Shaw

The majority of mentally disordered offenders are never treated within forensic mental health services. Instead, they remain within the criminal justice system, where care and treatment for complex and co-morbid mental health, substance-misuse, and personality disorder issues remain secondary to justice and punishment. In this chapter, we explore the policy, practice, and legislative drivers influencing healthcare delivery throughout the criminal justice pathway. Firstly, we consider the current liaison and diversion programme in England, which aims to identify people with mental health issues at the point of entry into the criminal justice system. Secondly, we review the state of mental healthcare in prisons, a quarter of a century after the clinical improvement partnership between the National Health Service and HM Prison Service. Thirdly, we discuss issues around court mandated mental health treatment in the community. Finally, we consider initiatives designed to meet the discrete needs of offenders with personality disorders.


2020 ◽  
pp. 030802262097781
Author(s):  
Hannah Vaughan-Horrocks ◽  
Carly Reagon ◽  
Alison Seymour

Introduction Occupational therapy has long had a strong presence in military mental healthcare. Today’s veterans have complex needs and can face challenges reintegrating into civilian life. This exploratory study investigated whether veterans receiving mental health treatment who participated in a bespoke occupational therapy and resilience workshop intervention improved their perceived participation in everyday life. Method An interpretivist hermeneutic phenomenological approach was used to explore veterans’ perspectives. Ten participants took part in two semistructured focus groups. Thematic analysis was used to identify and analyse patterns within the data. Findings Most participants developed occupational goals and started to make lifestyle changes; participants developed an appreciation of the value of occupation; participants developed insight into their recovery journeys; and value was placed on the ‘healing power’ of the group. Conclusion This exploratory study provides preliminary evidence to suggest occupational therapy was influential in helping participants understand the impact of occupation on health and start making lifestyle changes. Participants also reflected on their recovery journeys. The benefits of doing this within a group environment appear to have been particularly therapeutic. Original occupational therapy research in this specialism is sparse. This novel study provides insight that can further discussion and enhance understanding about what the profession can offer this client group.


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