Integration of Mental and Physical Health Services: Lessons

Although it is often not known what proportion of migrants return to their countries of origin, it can be hypothesized that as their reasons for return vary, the stresses on return will also vary. In addition, it is possible that their social support and social capital will have changed in their absence, which may affect their social support and social capital. The research on return migration is somewhat limited, but some studies indicate that levels of stress in returning migrants are high and can lead to the development of psychiatric disorders. In order to function well, they will have to review and re-establish their social contacts, as well as their social context. The clinical care and health services need to be aware of the mental and physical health needs of such individuals and appropriate interventions need to be in place.

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The importance and availability of adjustments to improve access for autistic adults who need mental and physical healthcare: findings from UK surveys

BMJ Open ◽

10.1136/bmjopen-2020-043336 ◽

2021 ◽

Vol 11 (3) ◽

pp. e043336

Author(s):

Samuel Brice ◽

Jacqui Rodgers ◽

Barry Ingham ◽

David Mason ◽

Colin Wilson ◽

...

Keyword(s):

Mental Health ◽

Health Services ◽

Physical Health ◽

Response Rate ◽

Autism Spectrum ◽

Healthcare Provision ◽

Healthcare Settings ◽

Autistic People ◽

Autistic Adults ◽

Mental And Physical Health

Objectives To investigate autistic people’s views on the importance and availability of adjustments to mental and physical healthcare provision. To explore whether specific categories of adjustments can be identified and to identify any differences in their importance and availability between mental and physical healthcare. Design Data from two studies, both employing a cross-sectional survey design. Setting UK-based autistic adults registered with the Adult Autism Spectrum Cohort-UK were contacted by post or online. In both studies, recruitment was staged over a 12-month period. Non-responders were sent a single reminder letter 2 weeks after initial contact. Participants 537 autistic adults completed a survey about mental health services (51% response rate), 407 completed the physical health survey (49% response rate). Within these samples, 221 participants completed both surveys. Primary outcome measures Each study developed a bespoke survey to explore participants’ views on mental and physical health services, respectively. Both included an identical list of adjustments that participants rated based on importance and availability. Results Three factors of important adjustments were identified: sensory environment, clinical and service context, and clinician knowledge and communication. Adjustments across healthcare settings were widely rated as being important yet rarely available. One significant difference between the importance of adjustments available through mental and physical health services was identified. Participants reported that having access to a clinician who is willing to adapt their approach to suit the person’s preferences was significantly more important for participants attending mental health settings (p=0.001). Conclusions Autistic people reported the limited availability of important adjustments in current healthcare provision. To address unmet need and tackle the health inequalities faced by autistic people attending physical and mental healthcare settings, healthcare providers should offer adjustments relating to the three identified factors. Future research should focus on identifying and addressing service provider barriers to implementation.

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New Law Covers Mental and Physical Health Services Equally

PsycEXTRA Dataset ◽

10.1037/e654332010-001 ◽

2008 ◽

Keyword(s):

Health Services ◽

Physical Health ◽

Mental And Physical Health

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Integrating Mental and Physical Health Services Using a Socio-Emotional Trauma Lens

Current Problems in Pediatric and Adolescent Health Care ◽

10.1016/j.cppeds.2016.11.004 ◽

2016 ◽

Vol 46 (12) ◽

pp. 391-401 ◽

Cited By ~ 9

Author(s):

Lauren Dayton ◽

Jen Agosti ◽

Deirdre Bernard-Pearl ◽

Marian Earls ◽

Kate Farinholt ◽

...

Keyword(s):

Health Services ◽

Physical Health ◽

Emotional Trauma ◽

Mental And Physical Health

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Examining Post-Migration Social Determinants as Predictors of Mental and Physical Health of Recent Syrian Refugees in Canada: Implications for Counselling, Practice, and Research

Canadian Journal of Counselling and Psychotherapy ◽

10.47634/cjcp.v54i4.68881 ◽

2020 ◽

Vol 54 (4) ◽

pp. 778-802

Author(s):

Ben C. H. Kuo ◽

Lais Granemann ◽

Avideh Najibzadeh ◽

Riham Al-Saadi ◽

Monira Dali ◽

...

Keyword(s):

Mental Health ◽

Health Services ◽

Physical Health ◽

Perceived Stress ◽

Social Determinants ◽

Perceived Control ◽

Syrian Refugees ◽

Physical Health Outcomes ◽

Health Model ◽

Mental And Physical Health

In response to the increasing number of Syrian refugees being resettled in Canada and worldwide, the present study set out to explore and examine critical post-migration predictors of mental health and physical health of adult Syrian refugees (n = 235) living in Windsor, Ontario. Using survey data collected from the national SyRIA-lth project and grounded in the Social Determinants of Health model, this study tested demographic, contextual, and psychosocial predictors in two regression models of mental health and physical health, respectively. The results showed that both predictive models were significant in explaining Syrian refugees’ mental and physical health outcomes, as hypothesized. Specifically, age, gender, satisfaction of health services, perceived control, and perceived stress predicted mental health in significant ways, whereas age, satisfaction of health services, and perceived stress predicted physical health in significant ways as well. Implications for practice and research with Syrian refugees, given the identified risk and protective factors of health, are considered.

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