Paraprofessional home visitors’ perspectives on addressing poor mental health, substance abuse, and domestic violence: A qualitative study

2008 ◽  
Vol 23 (3) ◽  
pp. 419-428 ◽  
Author(s):  
S. Darius Tandon ◽  
Constance D. Mercer ◽  
Elizabeth L. Saylor ◽  
Anne K. Duggan
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Domestic Violence ◽  
Qualitative Study ◽  
Poor Mental Health ◽  
Home Visitors

scholarly journals Perceived mental health, wellbeing and associated factors among Nepali migrant and non-migrant workers: A qualitative study

2020 ◽  
Author(s):  
Hridaya Raj Devkota ◽  
Bishnu Bhandari ◽  
Pratik Adhikary
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Physical Health ◽  
Working Conditions ◽  
Migrant Workers ◽  
Health Condition ◽  
Poor Mental Health ◽  
Physical Work ◽  
Health And Wellbeing ◽  
Mental And Physical Health

AbstractBackgroundPoor mental health and illness among the working population have serious socio-economic and public health consequences for both the individual and society/country. With a dramatic increase in work migration over the past decades, there is recent concern about the health and wellbeing of migrant workers and their accessibility to healthcare services in destination countries. This study aimed to explore the mental health and wellbeing experiences of Nepali returnee-migrants and non-migrant workers, and identify their perception on the risk factors for poor health and health service accessibility for them.MethodsThis qualitative study was conducted among Nepali migrant and non-migrant workers in February 2020. Four focus group discussions (n=25) and 15 in-depth interviews were conducted with male non-migrant and returnee migrant workers from Gulf countries and Malaysia. The discussions and interviews were audio-recorded, transcribed, translated into English and analysed thematically.ResultMigrant workers reported a higher risk of developing adverse mental health conditions than non-migrant workers. In addition, fever, upper respiratory infection, abdominal pain, ulcer, and occupational injuries were common health problems among both migrant and non-migrant workers. Other major illnesses reported by the migrant workers were heat burns and rashes, snake-bites, dengue, malaria, gallstone, kidney failure, and sexually transmitted diseases, while non-migrants reported hypertension, diabetes, and heart diseases. Adverse living and working conditions including exploitation and abuse by employers, lack of privacy and congested accommodation, language barriers, long hours’ hard physical work without breaks, and unhealthy lifestyles were the contributing factors to migrant workers’ poor mental and physical health. Both migrant and non-migrants reported poor compliance of job conditions and labor protection by their employers such as application of safety measures at work, provision of insurance and healthcare facilities that affected for their wellbeing negatively. Family problems compounded by constant financial burdens and unmet expectations were the most important factors linked with migrant workers’ poor mental health condition.ConclusionBoth migrant and non-migrant workers experienced poor mental and physical health condition largely affected by their adverse living and working conditions, unmet familial and financial needs and adherence to unhealthy life styles. It is needed to ensure the compliance of work agreement by employers and promotion of labor rights in relation to worker’s health and safety. In addition, policy interventions on raising awareness on occupational health risk and effective safety training to all migrant and non-migrant workers are recommended.

scholarly journals Exploring the mental health and psychosocial problems of Congolese refugees living in refugee settings in Rwanda and Uganda: a rapid qualitative study

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Anna Chiumento ◽  
Theoneste Rutayisire ◽  
Emmanuel Sarabwe ◽  
M. Tasdik Hasan ◽  
Rosco Kasujja ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Social Relationships ◽  
Poor Mental Health ◽  
Gender Based Violence ◽  
Free List ◽  
Psychosocial Wellbeing ◽  
Key Informant ◽  
Gender Based ◽  
And Gender

Abstract Background Refugees fleeing conflict often experience poor mental health due to experiences in their country of origin, during displacement, and in new host environments. Conditions in refugee camps and settlements, and the wider socio-political and economic context of refugees’ lives, create structural conditions that compound the effects of previous adversity. Mental health and psychosocial support services must address the daily stressors and adversities refugees face by being grounded in the lived reality of refugee’s lives and addressing issues relevant to them. Methods We undertook a rapid qualitative study between March and May 2019 to understand the local prioritisation of problems facing Congolese refugees living in two refugee settings in Uganda and Rwanda. Thirty free list interviews were conducted in each setting, followed by 11 key informant interviews in Uganda and 12 in Rwanda. Results Results from all interviews were thematically analysed following a deductive process by the in-country research teams. Free list interview findings highlight priority problems of basic needs such as food, shelter, and healthcare access; alongside contextual social problems including discrimination/inequity and a lack of gender equality. Priority problems relating to mental and psychosocial health explored in key informant interviews include discrimination and inequity; alcohol and substance abuse; and violence and gender-based violence. Conclusions Our findings strongly resonate with models of mental health and psychosocial wellbeing that emphasise their socially determined and contextually embedded nature. Specifically, findings foreground the structural conditions of refugees’ lives such as the physical organisation of camp spaces or refugee policies that are stigmatising through restricting the right to work or pursue education. This structural environment can lead to disruptions in social relationships at the familial and community levels, giving rise to discrimination/inequity and gender-based violence. Therefore, our findings foreground that one consequence of living in situations of pervasive adversity caused by experiences of discrimination, inequity, and violence is poor mental health and psychosocial wellbeing. This understanding reinforces the relevance of feasible and acceptable intervention approaches that aim to strengthening familial and community-level social relationships, building upon existing community resources to promote positive mental health and psychosocial wellbeing among Congolese refugees in these settings.

scholarly journals 1072Mental health difficulties among adolescents in Ghana, coping mechanisms and the support systems: a mixed-methods study

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Faith Agbozo ◽  
Noella Dufie Amobaa ◽  
Silvia Runge-Ranzinger ◽  
Pauline Grys
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Domestic Violence ◽  
Mixed Methods ◽  
Coping Strategies ◽  
Qualitative Data ◽  
Support Systems ◽  
Mixed Methods Study ◽  
School Based ◽  
Mental Health Difficulties

Abstract Background Despite their vulnerability, mental health of adolescents has received little attention in developing countries. We investigated the mental health difficulties faced by adolescents, their coping strategies and school-based support systems. Methods Design was a convergent mixed-methods study. Quantitative data was collected using the validated strengths and difficulties questionnaire to assess the mental health of 405 adolescents in four senior high schools (SHS) in the Techiman Municipality, Ghana. Qualitative data was collected through in-depth interview with 18 teachers and seven focused group discussions among 35 students. Adjusted odds ratio (OR) for mental health difficulties were estimated through ordinal logistic regression in Stata 14.2. Qualitative data were analysed by thematic content analysis using ATLAS.ti 7.1. Results Over half (58.5%) experienced abnormalities related to peer (20.5%), emotional (16.3%), conduct (13.3%) and hyperactivity (3.0%) problems and prosocial behaviours (5.4%). Significant determinants were being female (OR = 2.27, 95% confidence interval [CI]:1.47-3.50), bullied (OR = 1.72, CI:1.07-2.75), domestic violence (OR = 1.87, CI:1.10-3.17), substance abuse (OR = 8.14, CI: 1.41-46.8), academic pressure (OR = 2.40, CI:1.30-4.42), and perceived poor performance (OR = 7.36 CI:2.83-19.16). Mental health difficulties were attributed to financial challenges, spiritual influences, intimate relationships, bullying, and domestic violence. Coping strategies included isolation, substance abuse and spiritual help. Guidance and counselling unit, the main support system, was ineffective due to issues with trust, confidentially, and qualified counsellors. Conclusions As mental health difficulties were prevalent, school-based support systems, particularly guidance and counselling needs strengthening, including being manded by trained personnel. It is time to incorporate mental health education into school curricula. Key messages Mental disorders among adolescents are common. While guardians and religious bodies are critical, many of the triggers occur in school necessitating mental health-friendly school environments.

scholarly journals DOMESTIC VIOLENCE EXPERIENCED BY ADOLESCENTS: THE DISCOURSE OF WOMEN EDUCATORS

2019 ◽  
Vol 28 ◽  
Author(s):  
Kátia Cordélia Cunha Cordeiro ◽  
Nadirlene Pereira Gomes ◽  
Luana Moura Campos ◽  
Jéssica Damasceno de Santana ◽  
Moniky Araújo da Cruz ◽  
...  
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Elementary School ◽  
Qualitative Study ◽  
Women Educators ◽  
Interpersonal Relationships ◽  
School Performance ◽  
Physical And Mental Health ◽  
Domestic Setting ◽  
Forms Of Violence

ABSTRACT Objective: to learn the perception of women educators about domestic violence against adolescents. Method: this is a qualitative study, based on Paulo Freire's Critical-Liberating Perspective, conducted with 20 women educators from a public elementary school located in Salvador, Bahia, Brazil. An interview was conducted from August to October 2017. Data was systematized based on the Collective Subject Discourse and analyzed in the light of theorist Paulo Freire. Results: the women educators' speeches about domestic violence against adolescents revealed perceptions represented by the “Forms of violence against adolescents practiced in the domestic setting”; “Repercussions of domestic violence on health and education”; “Naturalization of domestic violence”; and “Reproduction of violence in the school space”. Conclusion: women educators recognize domestic violence as an intergenerational phenomenon that expresses itself in various ways and has repercussions on the physical and mental health of adolescents with repercussions on school performance and interpersonal relationships, including with peers and teachers.

scholarly journals Barriers and facilitators of disclosures of domestic violence by mental health service users: qualitative study

2011 ◽  
Vol 198 (3) ◽  
pp. 189-194 ◽  
Author(s):  
Diana Rose ◽  
Kylee Trevillion ◽  
Anna Woodall ◽  
Craig Morgan ◽  
Gene Feder ◽  
...  
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Qualitative Study ◽  
Health Services ◽  
Mental Health Professionals ◽  
Community Mental Health Service ◽  
Service Users

BackgroundMental health service users are at high risk of domestic violence but this is often not detected by mental health services.AimsTo explore the facilitators and barriers to disclosure of domestic violence from a service user and professional perspective.MethodA qualitative study in a socioeconomically deprived south London borough, UK, with 18 mental health service users and 20 mental health professionals. Purposive sampling of community mental health service users and mental healthcare professionals was used to recruit participants for individual interviews. Thematic analysis was used to determine dominant and subthemes. These were transformed into conceptual maps with accompanying illustrative quotations.ResultsService users described barriers to disclosure of domestic violence to professionals including: fear of the consequences, including fear of Social Services involvement and consequent child protection proceedings, fear that disclosure would not be believed, and fear that disclosure would lead to further violence; the hidden nature of the violence; actions of the perpetrator; and feelings of shame. The main themes for professionals concerned role boundaries, competency and confidence. Service users and professionals reported that the medical diagnostic and treatment model with its emphasis on symptoms could act as a barrier to enquiry and disclosure. Both groups reported that enquiry and disclosure were facilitated by a supportive and trusting relationship between the individual and professional.ConclusionsMental health services are not currently conducive to the disclosure of domestic violence. Training of professionals in how to address domestic violence to increase their confidence and expertise is recommended.

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