“Hear me out”: Experiences of mothers suffering from severe mental illness with health care providers – A qualitative perspective

2017 ◽  
Vol 41 (S1) ◽  
pp. s899-s899 ◽  
Author(s):  
D. Banerjee ◽  
G. Desai ◽  
P.S. Chandra
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Health Care Providers ◽  
Service Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Seeking Help ◽  
Competing Interest

BackgroundContrary to popular myth, majority of mentally ill women are mothers with increasing number of them seeking help. Little is known about their own experiences in this regard and the extent to which their needs are met.ObjectivesTo assess the barriers and facilitators in seeking help from mental health care providers in matters of pregnancy and parenting.MethodsThe study used qualitative design with social constructivist paradigm. A purposive sample of 30 mothers with severe mental illness was obtained. Data was collected through one-to-one in-depth semi-structured interviews. After verbatim transcription, inductive thematic analysis was used to explore transcripts.ResultsMost women considered motherhood “central” to their lives and almost all of them experienced the burden of the “dual role”. Main barriers in seeking help were stigma, treatment side effects, wrong information and time constraints. Whereas self-advocacy, early engagement, education of women and involvement of the family with service providers were the facilitating factors. The prime expectations of the mothers as identified were early and direct communication, patient audience and basic guidance in regards to child health and parenting issues.ConclusionWomen who are mothers and also users of mental health services face special challenges in managing the contradictory aspects of their dual identity. Hearing their voices are essential for service provision and ensuring adequate mental health needs. Early and direct intervention along with understanding and addressing critical areas are necessary for proper care of both the mother and child.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The determination of data collection tools that can measure and document the cooperation of local health care providers

2020 ◽  
Author(s):  
Beáta Erika Nagy ◽  
Róza Oláh ◽  
Erika Zombor ◽  
Péter Boris ◽  
Anna Szabina Szele
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Health Improvement ◽  
Local Health ◽  
Care Providers ◽  
Structured Interviews ◽  
Daily Work ◽  
Local Health Care ◽  
Institutional Relations

Abstract Background The overall objective of the study is to improve the mental health of the age group below 18 years through the investigation of the intra-and inter-sectoral cooperation between local suppliers and to make the intensity and quality of collaborations measurable. In this paper, based on Hungarian and international literature, we aim at describing the current and future optimal cooperation between the members of the mental health care system and examine the possibilities for documenting and measuring cooperation. Methods Semi-structured interviews were recorded with the leaders or representatives of 12 public educational institutions, six social and six health institutions involvement of the relevant experts (N = 24). Results The function of the institutions belonging to these systems, as well as the daily work of the professionals working there, have a significant impact on the mental health of children in either positive or negative directions. After exploring the current situation, the cooperation of local suppliers and inter-institutional relations can highly increase the mental health improvement of the youth. Conclusion According to the results, the developing progress can be more effective through organising the different forms of care, sectors and professionals together to achieve a common goal.

Optimizing Maternal Mental Health Within A Primary Health Care Centre: A Model Program

2008 ◽  
Vol 27 (2) ◽  
pp. 105-116 ◽  
Author(s):  
Angela Bowen ◽  
Marilyn Baetz ◽  
Nora Mckee ◽  
Nancy Klebaum
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Service Providers ◽  
Maternal Mental Health ◽  
Care Program ◽  
Postpartum Women ◽  
Care Providers ◽  
Health Care Centre ◽  
Women Health

Depression is a common problem that affects approximately 10 to 15% of pregnant and postpartum women. Health care providers often fail to recognize depression in this population, and pregnant and postpartum women may be reluctant to seek help because of the stigma associated with mental illness. This article describes the Maternal Mental Health Program, an innovative, shared care program that brings together previously fragmented services and co-locates multidisciplinary clinicians within a primary care setting. This approach shows promise with respect to improving mental health outcomes; meeting the needs of women, health care students, and service providers; and increasing awareness of and access to specialized mental health care.

Self-Stigma of seeking help and job burnout in mental health care providers: the comparative study of Lithuanian and the USA samples

2019 ◽  
Vol 34 (2) ◽  
pp. 129-148 ◽  
Author(s):  
Auksė Endriulaitienė ◽  
Kristina Žardeckaitė-Matulaitienė ◽  
Aistė Pranckevičienė ◽  
Rasa Markšaitytė ◽  
Douglas R. Tillman ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Comparative Study ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Job Burnout ◽  
Care Providers ◽  
The Usa ◽  
Seeking Help ◽  
The Comparative Study

scholarly journals Ethical Implications of Mental Health Stigma: Primary Health Care Providers’ Perspectives

2019 ◽  
Vol 11 (12) ◽  
pp. 165 ◽  
Author(s):  
Sawsan Abuhammad ◽  
Heyam Dalky
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Mental Health Research ◽  
Mental Health Stigma ◽  
Care Providers ◽  
Ethical Implications ◽  
Primary Health

Stigma towards mental illness is a widespread phenomenon not just in the developing world, but also in developed countries. Unfortunately, this stigma is not only restricted to the general population, but is also prevalent among professional health care providers. Research from developing countries is scarce. Thus, the aim of this paper was to explore health care providers’ attitudes toward mental illness stigma in the primary health care settings. The review sheds light on the ethical implications of mental health stigma as perceived by primary health care providers, and the proposed recommendations for responsible conduct of research and policy initiative in the context of mental health research. Utilizing CINAHL, Medline and Scopus electronic data bases, results are reported for the 41 studies that are grouped according to being from USA, Europe, Australia, Africa, and Asia and Arab World. The results from this review confirmed that stigma associated with mental illness have many ethical implications in the context of research including use of consent form, fair treatment, and good respect for individual rights concerning treatment choices. To counter stigma and prevent the ethical implications of such stigma, interventions in the form of awareness and training programs would be the best way to minimize and stop it. Further, govermnetal and political are needed to initiate a national code of ethics for mental health research in their respective coutries.

scholarly journals Family Centeredness in Mental Health: A Concept Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 48-70
Author(s):  
Iril Panes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Health Care Providers ◽  
Concept Analysis ◽  
Care Providers ◽  
Open Communication ◽  
Entire Family ◽  
The Family ◽  
Family Centeredness

Background: Mental illness affects the entire family structure. The family members are the main provider of care that results in caregiving burden. Thus, the care given should encompass the entire family system, termed as family centeredness. Purpose: This study clarifies the concept of "family centeredness" in mental health to enhance individual and family cares living amid mental illness. Methods: This research employed Walker and Avant's method of Concept Analysis. Literature was reviewed, and the characteristics that appeared repeatedly were noted and categorized. Data were mapped according to its definition, antecedents, attributes, and consequences. Results: Three key defining attributes were identified: (a) A mutual, collaborative partnership between the patient, family and health care providers based on knowledge exchange, open communication and cooperation; (b) A supportive, professional relationship/bond/engagement among health care providers, patient and family characterized by empathy, understanding, respect and empowerment; and (c) Individualized care wherein the process is defined by the family is supported, enabling the opportunity to choose, control over decisions and empowerment. Conclusion: The result of the study clearly defines family centeredness as a health care approach in mental health that acknowledges the patient and family as the experts on themselves, involves families as collaborative partners in all aspects of services and decisions about care through mutually beneficial supportive partnerships with health care providers; to help patients make progress towards recovery.

Customization in medical tourism in the Philippines

2018 ◽  
Vol 12 (4) ◽  
pp. 486-500 ◽  
Author(s):  
Michelle Rydback ◽  
Akmal S. Hyder
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Tourism ◽  
Service Providers ◽  
Negative Impact ◽  
The Philippines ◽  
Care Providers ◽  
Structured Interviews ◽  
Content Type ◽  
Health Care Marketing

Purpose Focusing on customization, this paper aims to examine how service providers market health care in emerging markets through medical tourism. Design/methodology/approach Using a qualitative method, researchers conducted 18 semi-structured interviews with managers from five health-care providers and supporting organizations in the Philippines. For analysis, data from the service providers are compared. Findings Customization is found to play crucial role in offering health-care services. The customization takes place by adapting to emotional, social and cultural needs; alleviating knowledge asymmetry; and moderating the negative impact of the unfamiliar context experienced by international patients. Research/limitations implications The empirically grounded theoretical framework needs to be tested in different contexts for generalization. Practical implications The study focuses on understanding and responding to the needs of international patients, also demonstrating that health-care marketing must be developed through a joint effort by both the medical and business sides of health-care providers. Social implications The paper acknowledges the need for health-care marketing and the novel role of health-care providers. Originality/value Using a marketing lens, this study sheds light on the underexplored industry of medical tourism.

Health care providers and people with mental illness: An integrative review on anti-stigma interventions

2020 ◽  
pp. 002076402098589
Author(s):  
Bruna Sordi Carrara ◽  
Raquel Helena Hernandez Fernandes ◽  
Sireesha Jennifer Bobbili ◽  
Carla Aparecida Arena Ventura
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Health Care Providers ◽  
Social Contact ◽  
Mental Illnesses ◽  
Integrative Review ◽  
Care Providers ◽  
People With Mental Illness ◽  
Stigmatizing Attitudes

Background: Health care providers are an important target group for anti-stigma interventions because they have the potential to convey stigmatizing attitudes towards people with mental illness. This can have a detrimental impact on the quality and effectiveness of care provided to those affected by mental illness. Aims and methods: Whittemore & Knafl’s integrative review method (2005) was used to analyze 16 studies investigating anti-stigma interventions targeting health care providers. Results: The interventions predominantly involved contact-based educational approaches which ranged from training on mental health (typically short-term), showing videos or films (indirect social contact) to involving people with lived experiences of mental illness (direct social contact). A few studies focused on interventions involving educational strategies without social contact, such as mental health training (courses/modules), distance learning via the Internet, lectures, discussion groups, and simulations. One study investigated an online anti-stigma awareness-raising campaign that aimed to reduce stigmatizing attitudes among health care providers. Conclusion: Anti-stigma interventions that involve social contact between health care providers and people with mental illness, target specific mental illnesses and include long-term follow-up strategies seem to be the most promising at reducing stigma towards mental illness among health care providers.

scholarly journals Pathways to mental health care in KwaZulu - Natal

Curationis ◽  
2004 ◽  
Vol 27 (3) ◽  
Author(s):  
L.P. Mkize ◽  
L.R. Uys
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Service Providers ◽  
Mental Illnesses ◽  
Structured Interviews ◽  
Violent Behaviour ◽  
Health Institution ◽  
Mental Health Institution

The understanding of popular beliefs about mental health care and the pathways clients take prior to admission to a mental health institution is vital in planning to reduce delays in seeking treatment. The objectives of this exploratory survey were to determine pathways of care the clients with mental illness take, which ultimately lead to the mental health institution, the effects of socio-cultural and economic factor on the pathways to mental health care and the satisfaction with different service providers consulted. Data was gathered through semi-structured interviews. The results indicate that African clients interpret mental illness as bewitchment. Delays in seeking appropriate mental health care are experienced because traditional and faith healers are the first port of call. The short pathways are used when the first signs of psychotic features are severe, including like aggressive or violent behaviour. Financial constraints seem to be the problem for most of the clients in accessing mental health care. Furthermore, defaulting treatment was also observed due to the fact that mental illnesses are stigmatised in African communities.

scholarly journals The determination of data collection tools that can measure and document the cooperation of local health care providers in Hungary

2020 ◽  
Author(s):  
Beáta Erika Nagy ◽  
Róza Oláh ◽  
Erika Zombor ◽  
Péter Boris ◽  
Anna Szabina Szele
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Data Collection ◽  
Health Care Providers ◽  
Local Health ◽  
Care Providers ◽  
Structured Interviews ◽  
Daily Work ◽  
Local Health Care ◽  
Institutional Relations

Abstract Background The overall objective of the study is to improve the mental health of the age group below 18 years through the investigation of the intra-and inter-sectoral cooperation between local suppliers and to make the intensity and quality of collaborations measurable. In this paper, based on Hungarian and international literature, we aim at describing the current and future optimal cooperation between the members of the mental health care system and examine the possibilities for documenting and measuring cooperation. Methods Semi-structured interviews were recorded with the leaders or representatives of 12 public educational institutions, six social and six health institutions involvement of the relevant experts (N = 24) to explore data collection tools that can measure and document the cooperation of local health care providers. Results The function of the institutions belonging to these systems, as well as the daily work of the professionals working there, have a significant impact on the mental health of children in either positive or negative directions. After exploring the current situation, the cooperation of local suppliers and inter-institutional relations can highly improve the mental health of the youth. Conclusion According to the results, the developing progress can be more effective through organising the different forms of care, sectors and professionals together to achieve a common goal.

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