scholarly journals Mental health care for adult refugees in high-income countries

2017 ◽  
Vol 27 (2) ◽  
pp. 109-116 ◽  
Author(s):  
D. Giacco ◽  
S. Priebe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Integration ◽  
Depressive Disorders ◽  
Treatment Guidelines ◽  
Good Practice ◽  
High Income ◽  
Systematic Research

Approximately one-third of people who have obtained refugee status live in high-income countries. Over recent years, the number of refugees has been increasing, and there are questions on how many of them need mental health care and which type of interventions are beneficial. Meta-analyses showed highly variable rates of mental disorders in adult refugees. This variability is likely to reflect both real differences between groups and contexts, and methodological inconsistencies across studies. Overall prevalence rates after resettlement are similar to those in host populations. Only post-traumatic stress disorder (PTSD) is more prevalent in refugees. In long-term resettled refugees, rates of anxiety and depressive disorders are higher and linked to poor social integration. Research on mental health care for refugees in high-income countries has been extensive, but often of limited methodological quality and with very context-specific findings. The existing evidence suggests several general principles of good practice: promoting social integration, overcoming barriers to care, facilitating engagement with treatment and, when required, providing specific psychological treatments to deal with traumatic memories. With respect to the treatment of defined disorders, only for the treatment of PTSD there has been substantial refugee-specific research. For other diagnostic categories, the same treatment guidelines apply as to other groups. More systematic research is required to explore how precisely the general principles can be specified and implemented for different groups of refugees and in different societal contexts in host countries, and which specific interventions are beneficial and cost-effective. Such interventions may utilise new communication technologies. Of particular importance are long-term studies to identify when mental health interventions are appropriate and to assess outcomes over several years. Such research would benefit from sufficient funding, wide international collaboration and continuous learning over time and across different refugee groups.

Consumerism for Neurobiological Disorders: An Assessment

1996 ◽  
Vol 12 (4) ◽  
pp. 644-656
Author(s):  
Richard E. Peschel ◽  
Enid Peschel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Physical Nature ◽  
Outcome Data ◽  
Public Understanding ◽  
Medical Community ◽  
Treatment Programs ◽  
Equitable Treatment

AbstractConsumerism is a growing phenomenon in U.S. health care, yet its exercise is still inhibited by powerful forces within the medical community. Despite the neuroscientific framework that stresses the commonalities between mental and physical illness, consumerism is even more problematic and difficult in mental health care than in other areas of health care. People with severe mental illness and their advocates must contend with limited public understanding of neurobiological disorders, poor definitions of effective treatment, and a paucity of outcome data, especially from prospective randomized and long-term studies. The only clear way for consumerism to grow in mental health care is for its advocates to align themselves with the neuroscientific revolution and to demand that effective and equitable treatment programs be created based on the documented evidence of the physical nature of neurobiological disorders.

International perspectives on inpatient mental health care

2019 ◽  
pp. 23-32
Author(s):  
Andrew Molodynski
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Inpatient Care ◽  
Systems Approach ◽  
Income Group ◽  
High Income ◽  
Economic Factors ◽  
High Income Group ◽  
International Perspectives

Inpatient care varies enormously, both between countries and regions and within them. These variations are most stark when based on economic factors, but stigma, prevailing societal attitudes, and the role of the family also play a significant part in the amount and quality of mental health care overall. This chapter begins by outlining global economic factors and their impact on provision. It then focuses on the concept of a whole systems approach, looking briefly at the evidence base for different components of services generally seen in high-income group countries. Alternative suggestions to ‘high-income group’ models are discussed as the evidence internationally emanates almost exclusively from a small number of wealthy westernized countries. The chapter ends with a section looking at several internationally important themes in inpatient care and outlining examples of differences between countries in challenges and in solutions to what is one of the longest standing issues in mental health care: how to provide humane, effective inpatient care to those who need it (and not to those who do not).

scholarly journals Exploring Perceptions of Continuity of Care Among People With Long-Term Mental Disorders in Denmark

2019 ◽  
Vol 29 (13) ◽  
pp. 1916-1929
Author(s):  
Anna P. Folker ◽  
Mette M. Kristensen ◽  
Amalie O. Kusier ◽  
Maj Britt D. Nielsen ◽  
Sigurd M. Lauridsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Continuity Of Care ◽  
Service Users ◽  
Mental Health Care System ◽  
Template Analysis ◽  
Depth Interviews

Continuity of mental health care is central to improve the treatment and rehabilitation of people with mental disorders. While most studies on continuity of care fail to take the perspectives of service users into account, the aim of this study was to explore the perceived meanings of continuity of care among people with long-term mental disorders. Fifteen service users participated in semi-structured in-depth interviews. We used template analysis to guide the analysis. The main transversal themes of continuity were “Navigating the system” and “Connecting to people and everyday life.” While the first theme related to the participants’ experiences of their interaction with the mental health care system, the latter related to their hopes and perceived opportunities for a good life as desired outcomes of mental health care. We conclude that efforts to improve continuity of mental health care should be tailored to the priorities of service users.

scholarly journals Patterns of mental health care in a seaside lodging house

1993 ◽  
Vol 17 (2) ◽  
pp. 82-83
Author(s):  
John Barnes ◽  
Greg Wilkinson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
General Practitioner ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Local Sources

Much of the medical care of the long-term mentally ill falls to the general practitioner (Wilkinson et al, 1985) and, for example, a survey in Buckinghamshire showed that these patients consult their general practitioner (GP) twice as often as mental health services. Lodging house dwellers are known to show an increased prevalence of major mental illness and to suffer much secondary social handicap, presenting a challenge to helping services of all disciplines. For this reason we chose a lodging house in which to explore further the relationships between mental illness and residents' present contact with their GP, mental health services and other local sources of help.

The long term occupational fitness of UK military personnel following community mental health care

2017 ◽  
Vol 27 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Norman Jones ◽  
Nicola T. Fear ◽  
Simon Wessely ◽  
Gursimran Thandi ◽  
Neil Greenberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Military Personnel ◽  
Community Mental Health Care

scholarly journals Implementation of treatment guidelines for specialist mental health care

2014 ◽  
Vol 20 (2) ◽  
pp. 82-82
Author(s):  
C. Barbui ◽  
F. Girlanda ◽  
E. Ay ◽  
A. Cipriani ◽  
T. Becker ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Clinical Practice ◽  
Mental Health Care ◽  
Patient Outcomes ◽  
Psychotic Disorders ◽  
Treatment Guidelines ◽  
Evidence Base ◽  
Provider Performance

A huge gap exists between the production of evidence and its take-up in clinical practice settings. To fill this gap, treatment guidelines, based on explicit assessments of the evidence base, are commonly employed in several fields of medicine, including schizophrenia and related psychotic disorders. It remains unclear, however, whether treatment guidelines have any impact on provider performance and patient outcomes, and how implementation should be conducted to maximise benefit.

Prevalence of minor psychiatric disorders in an adult African rural community in South Africa

1998 ◽  
Vol 28 (5) ◽  
pp. 1137-1147 ◽  
Author(s):  
A. BHAGWANJEE ◽  
A. PAREKH ◽  
Z. PARUK ◽  
I. PETERSEN ◽  
H. SUBEDAR
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Major Depression ◽  
Mental Health Care ◽  
Psychiatric Disorders ◽  
Depressive Disorders ◽  
Cluster Sampling ◽  
Generalized Anxiety ◽  
Minor Psychiatric Disorders

Background. This paper reports on a two-stage community-based epidemiological study of selected minor psychiatric disorders conducted on an adult African population in South Africa.Methods. Using a modified random cluster sampling method, 354 adults were identified as the first-stage sample, with the SRQ-20 being used as a first-stage screen. Clinical interviews based on DSM-IV checklists for generalized anxiety disorder, major depression and dysthymia were administered as the second-stage criterion to 81 subjects from the sample.Results. The weighted prevalence for generalised anxiety and depressive disorders was 23·9% (95% CI 15·1%–32·7%), comprising: generalized anxiety 3·7%, major depression 4·8%, dysthymia 7·3%, and major depression and dysthymia 8·2%. Statistically significant associations were found between caseness and age, marital status, employment, income and educational level.Conclusions. The results are discussed in relation to comparative local and international data as well as in the context of the current restructuring of the mental-health care system in South Africa from tertiary curative care to integrated primary mental-health care.

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