Sociodemographic profile and mental health needs of referrals to an Irish psychiatric service: a transcultural perspective

2011 ◽  
Vol 28 (3) ◽  
pp. 141-144 ◽  
Author(s):  
Mohamed Ahmed ◽  
Brendan Dineen ◽  
Sinead O'Brien ◽  
Philip A Carney
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Mental Healthcare ◽  
Alcohol Problems ◽  
Health Needs ◽  
Service Utilisation ◽  
Service Users ◽  
Mental Health Needs

AbstractObjectives: This study describes the social, demographic and clinical characteristics of all the new referrals in a mental health catchment area. This study aims to compare Irish and non-Irish service users in terms of their mental health needs and service utilization.Method: Case notes were reviewed retrospectively to investigate demographic, clinical and service utilization parameters among new referrals to the psychiatric services in Galway, Ireland over a six-month period.Results: One hundred and fifty-four new referrals, of whom 41 were non-Irish, presented over a six-month period. Results showed no difference between Irish and non-Irish service users in terms of socio-demographic variables. Alcohol problems and subsequent need for detoxification and counselling were significantly higher among service users from the new EU accession states with a significant impact on the duration of their hospital stay and the need for intensive psychiatric care.Conclusions: There is an urgent need for enhanced resources for the delivery of mental healthcare to immigrants. Service utilisation and mental health needs are not explained merely by illness-related aspects in immigrant service users. Social and cultural factors have to be recognised in order to prevent disadvantages in psychiatric care.

Psychiatric remuneration systems in Europe: an overview

2011 ◽  
Vol 08 (01) ◽  
pp. 09-15
Author(s):  
D. McDaid
Keyword(s):  
Mental Health ◽  
The Netherlands ◽  
Mental Health System ◽  
Psychiatric Care ◽  
Financial Instability ◽  
Service Utilisation ◽  
Service Users ◽  
Mental Health Systems ◽  
Adequate Information ◽  
Recent Developments

SummaryNew forms of psychiatric remuneration linked to levels of activity undoubtedly will have an increasing role to play in mental health systems right across Europe. Potentially they can be more efficient and promote choice, but valid concerns have been raised about their impact on the sustainability and nature of psychiatric care. This article looks in particular at recent developments in England and the Netherlands and reflects on how remuneration mechanisms may need to develop further both to improve efficiency and quality within the context of an ever more fragmented and multi-sectoral mental health system. Any introduction of activity- based reimbursement should be introduced gradually. This should be accompanied by investment in adequate information systems to help better understand service utilisation patterns, transitional funding safeguards to reduce the risk of financial instability and incentives/ contractual measures to ensure that services strive to offer services of the highest possible quality that meet the needs of service users.

scholarly journals M223. EXPLORING YOUR PERSONAL IDENTITY: USING USER-CENTRED-DESIGN FOR THE DEVELOPMENT OF A NEW INTERVENTION FOR SERVICE USERS WITH COMPLEX MENTAL HEALTH NEEDS

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S220-S221
Author(s):  
Lisette Van der Meer ◽  
Tessa Jonker ◽  
Charlotte Wunderink ◽  
Jaap van Weeghel ◽  
Marieke (Gerdina) Pijnenborg ◽  
...  
Keyword(s):  
Mental Health ◽  
Design Process ◽  
Mental Health Professionals ◽  
Psychosocial Intervention ◽  
Health Needs ◽  
Service Users ◽  
Personal Recovery ◽  
Mental Health Needs ◽  
User Centred Design ◽  
Starting Point

Abstract Background Introduction: As a human being we give meaning to our stories, in relation to the social and physical context. For people with severe and complex mental health needs, who have been dependent on (intensive) residential psychiatric support for a long time, it is possible that talents and qualities disappear because this part of their identity has been buried under a long psychiatric history. This can result in people’s identity becoming limited to ‘patient’, and the experience of life as meaningless. Objectives For these service-users, few interventions aimed at personal recovery are available that match their cognitive and communicative skills. In this project, we developed a new psychosocial intervention to stimulate self-reflection and personal recovery. Methods The development of the intervention took place through a “user-centred-design process” (UCD). UCD is an iterative design process in which the needs and wishes of the user are the starting point, and they remain central in the product design circle. Throughout the whole design process, service users, significant others, mental health professionals, peer support workers, artists, and researchers collaborate in order to design a first testable prototype. For each step of design process, we organized focus group meetings and brainstorm sessions with all stakeholders as well as individual interviews with service users. Based on the input in these meetings and interviews, the design was adapted. This was done for each consecutive step, which made the whole design process iterative by nature. Results A new psychosocial intervention entitled “This Is Me” was developed as a “journey of discovery” through the lives of service users at both verbal and non-verbal levels. From the UCD process four basic principles underlying the intervention were disentangled that have been incorporated in the intervention: 1) “gaining new experiences”, 2) “attention for (self)stigma”, 3) “equal treatment as a person”, 4) “uniqueness of the individual”. This resulted in an intervention in which service-users, together with a teammate, engage in new experiences. Moreover, they are prompted to reflect on these experiences upon their return. With this process, we aim to support people in (re)discovering roles, talents and characteristics to broaden the identity from ‘patienthood’ to ‘personhood’. Discussion Conclusions: UCD was a useful method for the development of a new psychosocial intervention targeting identity for people with complex mental health needs. The process resulted into new knowledge about factors that are important in the (re)development of identity. In addition, we will present the first results of a pilot study in which we assessed the feasibility and effectiveness of the intervention.

scholarly journals Supporting people in mental health crisis in 21st-century Britain

2020 ◽  
Vol 44 (6) ◽  
pp. 231-232 ◽  
Author(s):  
Andrew Molodynski ◽  
Stephen Puntis ◽  
Em Mcallister ◽  
Hannah Wheeler ◽  
Keith Cooper
Keyword(s):  
Mental Health ◽  
Law Enforcement ◽  
21St Century ◽  
Current System ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Health Needs ◽  
Mental Health Crisis ◽  
Mental Health Needs ◽  
Health Crisis

Recent years have seen a surge in interest in mental healthcare and some reduction in stigma. Partly as a result of this, alongside a growing population and higher levels of societal distress, many more people are presenting with mental health needs, often in crisis. Systems that date back to the beginning of the National Health Service still form the basis for much care, and the current system is complex, hard to navigate and often fails people. Law enforcement services are increasingly being drawn into providing mental healthcare in the community, which most believe is inappropriate. We propose that it is now time for a fundamental root and branch review of mental health emergency care, taking into account the views of patients and the international evidence base, to ‘reset’ the balance and commission services that are humane and responsive – services that are fit for the 21st century.

scholarly journals Reproductive and sexual health of women service users: what's the fuss?

2010 ◽  
Vol 16 (4) ◽  
pp. 279-280 ◽  
Author(s):  
Kathryn Abel ◽  
Sian Rees
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Sexual Health ◽  
Mental Healthcare ◽  
Health Needs ◽  
Service Users ◽  
Strategic Development ◽  
Department Of Health ◽  
Reproductive And Sexual Health ◽  
Women's Lives

SummaryNearly a decade ago, the Department of Health published its strategic development plan for mental healthcare for women. It focused on the ways in which mental health services for women should be configured to take account of the context of women's lives and the complexity of their health needs. This commentary argues that attention to the reproductive and sexual health of women in mental healthcare is at the centre of a gender-sensitive and modern mental health service.

scholarly journals The global impact on mental health almost 2 years into the COVID-19 pandemic

2021 ◽  
Vol 38 (4) ◽  
pp. 243-246
Author(s):  
Blanaid Gavin ◽  
John Lyne ◽  
Fiona McNicholas
Keyword(s):  
Mental Health ◽  
Health Research ◽  
Mental Healthcare ◽  
Mental Health Research ◽  
Health Needs ◽  
Mental Health Needs ◽  
Global Impact ◽  
Global Pandemic ◽  
Population Mental Health ◽  
Global Population

AbstractApproaching 2 years into a global pandemic, it is timely to reflect on how COVID-19 has impacted the mental health of the global population. With research continuing apace, a clearer picture should crystallise in time. COVID-19 has undoubtedly had some impact on population mental health, although the severity and duration of this impact remain less clear. The exceptional period of COVID-19 has provided a unique prism through which we can observe and consider societal mental health. This is a momentous time to be involved in mental health research as we strive to understand the mental health needs of the population and advocate for adequate resourcing to deliver quality mental healthcare in the post-pandemic period.

scholarly journals The mental health needs of asylum seekers and refugees – challenges and solutions

2016 ◽  
Vol 13 (2) ◽  
pp. 30-32 ◽  
Author(s):  
Piyal Sen
Keyword(s):  
Mental Health ◽  
Asylum Seekers ◽  
Mental Healthcare ◽  
Leadership Role ◽  
Health Needs ◽  
Mental Health Needs ◽  
Cultural Brokers ◽  
Competency Training ◽  
Second World ◽  
Asylum Seekers And Refugees

Global events like wars and natural disasters have led to the refugee population reaching numbers not seen since the Second World War. Attitudes to asylum have hardened, with the potential to compromise the mental health needs of asylum seekers and refugees. The challenges in providing mental healthcare for asylum seekers and refugees include working with the uncertainties of immigration status and cultural differences. Ways to meet the challenges include cultural competency training, availability of interpreters and cultural brokers as well as appropriately adapting modes of therapy. Service delivery should support adjustment to life in a foreign country. Never has the need been greater for psychiatrists to play a leadership role in the area.

scholarly journals Multiculturalism and Compassion: Responding to Mental Health Needs Among Refugees and Asylum Seekers Comment on "A Crisis of Humanitarianism: Refugees at the Gates of Europe"

2019 ◽  
Vol 8 (12) ◽  
pp. 734-736 ◽  
Author(s):  
Emily Satinsky ◽  
Theodoros A. Filippou ◽  
Antonis A. Kousoulis
Keyword(s):  
Mental Health ◽  
Asylum Seekers ◽  
Culturally Relevant ◽  
Mental Healthcare ◽  
Service Design ◽  
Health Needs ◽  
Political Climate ◽  
Mental Health Needs ◽  
Refugees And Asylum Seekers

As Fotaki (2019) argues, the current political climate in Europe is threatening principles of humanitarianism, particularly among refugees and asylum seekers. This commentary builds on that argument, with a spotlight on mental health and culturally relevant service design. By addressing some of the barriers faced by refugees and asylum seekers in accessing mental healthcare, we can address inequalities and develop compassionate societies.

Child and youth mental health needs and service utilization during COVID-19.

2021 ◽  
Author(s):  
Shannon L. Stewart ◽  
Aadhiya S. Vasudeva ◽  
Jocelyn N. Van Dyke ◽  
Jeffrey W. Poss
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Youth Mental Health ◽  
Health Needs ◽  
Mental Health Needs
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