scholarly journals 2056 Culture meets person-centered care: An empirical study of mental health and care planning among Latinx and Asian communities

2018 ◽  
Vol 2 (S1) ◽  
pp. 67-67
Author(s):  
Miraj U. Desai ◽  
Nadika Paranamana ◽  
Maria Restrepo-Toro ◽  
Luz Ocasio ◽  
Yolanda Herring ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Disparities ◽  
Lived Experience ◽  
Cultural Values ◽  
Care Planning ◽  
Health Providers ◽  
Process Of Care ◽  
Provider Perspectives ◽  
Person Centered Care ◽  
Centered Care

OBJECTIVES/SPECIFIC AIMS: This poster will present preliminary results from a study examining whether person-centered care planning—a new innovation in community mental health care—responds to the culture of, and helps reduce health disparities among, Latinx and Asian populations. METHODS/STUDY POPULATION: The study was funded by an NIMH/NIH Administrative Supplement for Minority Health and Mental Health Disparities Research and approved by the Institutional Review Board of the authors’ university. Participants included 26 mental health clients and 12 mental health providers of diverse backgrounds. The study employed empirical qualitative methods to explore client understandings of mental health, client experiences of culture and discrimination, and the process of care engagement and care planning from both client and provider perspectives. The analysis team itself included people of Latinx and Asian background, as well as a person with lived experience of mental health recovery. RESULTS/ANTICIPATED RESULTS: We anticipate that the results will show ways in which person-centered care successfully incorporates clients’ goals, but that there will also be evidence of ways in which the clinical encounter struggles to incorporate more social, collective, and cultural values and approaches. DISCUSSION/SIGNIFICANCE OF IMPACT: The poster will present up-to-date findings on this project, which speaks to pressing issues of health equity and community engagement for 2 of the fastest growing populations in the country.

Delivering Person-Centered Care in Community Mental Health Programs

2020 ◽  
Vol 30 (8) ◽  
pp. 907-917
Author(s):  
Mimi Choy-Brown ◽  
Victoria Stanhope ◽  
Nathaniel Williams ◽  
Lynden Bond
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Community Treatment ◽  
Health Programs ◽  
Care Planning ◽  
Mixed Effect ◽  
Person Centered Care ◽  
Program Type ◽  
Centered Care ◽  
Mental Health Programs

The aim of this study was to examine the extent of and variation in person-centered care across programs within community mental health clinics. Service plans ( N = 160) from programs within eight clinics were assessed for person-centered care planning using an objective fidelity measure. Univariate statistics calculated overall fidelity to person-centered care planning and mixed-effect regression models examined person-centered care planning by program type. Overall, providers demonstrated low levels of competency in person-centered care planning. There were significant differences according to program type, with providers from assertive community treatment programs demonstrating the highest level of competency. Providers need more training and support to implement person-centered care consistently across community mental health programs. Those program types with associated fidelity measures that include person-centered care had a higher level of competence confirming the value of fidelity measurement in promoting quality services.

PERSON-CENTERED CARE PLANNING AND SHARED DECISION MAKING FOR MENTAL AND COMORBID CONDITIONS

2020 ◽  
Author(s):  
Helen Millar ◽  
Ihsan M Salloum
Keyword(s):  
Mental Health ◽  
Life Expectancy ◽  
Mental Health Problems ◽  
Well Being ◽  
Care Planning ◽  
Shared Decision ◽  
Coordinated Care ◽  
Model Of Care ◽  
Person Centered Care ◽  
Centered Care

Developments in person-centered coordinated care are essential given the challenges of the growing epidemic of physical comorbidity in the mentally ill population. Excessive deaths due to comorbidity, especially cardiovascular disease, continue to contribute to the significant reduction in life expectancy in people with mental health problems. Contemporary and proposed models are now available to provide evidence for a way forward in this field. Practical guidance on implementation using person-centered care planning has now been developed to promote a more collaborative and integrated approach as a solution to the current single disease focused model of care, which is failing this patient group. The WHO perspective supports this strategy with the recent global objectives outlining proactive and preventative strategies and interventions to tackle comorbidity. The emphasis is on a transformation of current systems using evidence-based approaches for more integration to support the delivery of more effective and efficient care for those with mental disorders and other comorbid chronic diseases. Coordinated, collaborative, system-wide strategies encompass transparent shared decision making in prevention, early intervention, treatment options, lifestyle management and pharmacological rationalization. Hence urgent action is required to help create the conditions to enable the delivery of person-centered coordinated care in health care systems by involving commissioning bodies, clinicians, patient groups along with voluntary and other community providers. Contemporary models of care for comorbidity emphasize the importance of coordination in the management of physical well-being from the onset of treatment of people with mental health problems in order to ensure better outcomes, improved overall well-being, and a longer life expectancy. Illustratively, no further funds are available to implement this shift in the model of care in the United Kingdom, so redesign and redistribution of current resources will be key to promote this more seamless coordinated system of care to improve the quality of life and life expectancy for this population.

scholarly journals Case Studies in the Culture of Professional Football Players and Mental Welfare and Wellbeing

2020 ◽  
pp. 325-329
Author(s):  
Michael Bennett
Keyword(s):  
Mental Health ◽  
Qualitative Research ◽  
Lived Experience ◽  
Cultural Values ◽  
Personal Experience ◽  
Well Being ◽  
Football Players ◽  
Professional Football ◽  
The Social ◽  
Health And Well Being

AbstractThis chapter draws on the author’s personal experience together with the findings from his qualitative research, to explore the cultural values driving problems of mental health and well-being among professional footballers. The study makes explicit the way in which players are expected to hide their experiences of being objectified—of being subject to gendered, racialised and other forms of dehumanisation—and denied a legitimate lived experience, an authentic heard voice. The chapter illustrates the importance in values-based practice of knowledge of values gained as in this instance by way of qualitative methods from the social sciences being used to fill out knowledge derived from individual personal experience.

Transitioning to Person-Centered Care: a Qualitative Study of Provider Perspectives

2019 ◽  
Vol 47 (3) ◽  
pp. 399-408 ◽  
Author(s):  
Meredith Doherty ◽  
Lynden Bond ◽  
Lauren Jessell ◽  
Julie Tennille ◽  
Victoria Stanhope
Keyword(s):  
Qualitative Study ◽  
Provider Perspectives ◽  
Person Centered Care ◽  
Centered Care

scholarly journals Loneliness, adolescence, and global mental health: Soledad and structural violence in Mexico

2019 ◽  
Vol 57 (5) ◽  
pp. 673-687
Author(s):  
Janis H. Jenkins ◽  
Giselle Sanchez ◽  
Olga Lidia Olivas-Hernández
Keyword(s):  
Mental Health ◽  
High School Students ◽  
Lived Experience ◽  
Subjective Experience ◽  
Global Mental Health ◽  
Health Claims ◽  
Screening Tools ◽  
Health Providers ◽  
School Students ◽  
Gene Effects

In this article, we call into question recent public health claims that loneliness is a problem of epidemic proportions. Current research on this topic is hindered by an overreliance on limited survey data and by paradigmatic imbalance that delineates the study of loneliness to psychological, cognitive, neuroendocrinological and immunological effects, social functioning, physical health, mortality, and gene effects. The article emphasizes that scientific approaches to the phenomena of loneliness are more appropriately conceived and investigated as inherently matters for social, relational, cultural, and contextual analysis of subjective experience. Studies of loneliness and possible relationships to mental health status require investigations of social, environmental, and institutional structures as well as families, peers, friends, counselors, and health providers. This article takes a step in this direction through examining the lived experience of 35 high school students and their families living under conditions of social adversity in Tijuana, B.C., Mexico, with attention to anxiety and depression. Utilizing ethnographic interviews, observations, and psychological screening tools, we provide an overview for the group and illustrate the interrelations of subjective experience and social environment through a case study. These data reveal the vital role of understandings of loneliness, depression, and anxiety from the perspectives of adolescents themselves. We conclude that future studies of loneliness are best informed by in-depth data on subjective experience in relation to social features to advance understandings within the field of global mental health and allied fields.

scholarly journals Osteopathy and Mental Health: An Embodied, Predictive, and Interoceptive Framework

2021 ◽  
Vol 12 ◽  
Author(s):  
Lucas Bohlen ◽  
Robert Shaw ◽  
Francesco Cerritelli ◽  
Jorge E. Esteves
Keyword(s):  
Mental Health ◽  
Musculoskeletal Disorders ◽  
Mental Health Problems ◽  
Physical Symptoms ◽  
Health Problems ◽  
Future Research ◽  
Prediction Errors ◽  
Perceptual Inference ◽  
Person Centered Care ◽  
Centered Care

Globally, mental and musculoskeletal disorders present with high prevalence, disease burden, and comorbidity. In order to improve the quality of care for patients with persistent physical and comorbid mental health conditions, person-centered care approaches addressing psychosocial factors are currently advocated. Central to successful person-centered care is a multidisciplinary collaboration between mental health and musculoskeletal specialists underpinned by a robust therapeutic alliance. Such a collaborative approach might be found in osteopathy, which is typically utilized to treat patients with musculoskeletal disorders but may arguably also benefit mental health outcomes. However, research and practice exploring the reputed effect of osteopathy on patients with mental health problems lack a robust framework. In this hypothesis and theory article, we build upon research from embodied cognition, predictive coding, interoception, and osteopathy to propose an embodied, predictive and interoceptive framework that underpins osteopathic person-centered care for individuals with persistent physical and comorbid mental health problems. Based on the premise that, for example, chronic pain and comorbid depression are underlined by overly precise predictions or imprecise sensory information, we hypothesize that osteopathic treatment may generate strong interoceptive prediction errors that update the generative model underpinning the experience of pain and depression. Thus, physical and mental symptoms may be reduced through active and perceptual inference. We discuss how these theoretical perspectives can inform future research into osteopathy and mental health to reduce the burden of comorbid psychological factors in patients with persistent physical symptoms and support person-centered multidisciplinary care in mental health.

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