An Update on Human Resources in Mental Health

Author(s):  
Brennan D. Peterson ◽  
Joyce West ◽  
Harold Alan Pincus ◽  
Jessica Kohout ◽  
Georgine M. Pion ◽  
...  
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Joseph ◽  
H Sankar ◽  
D Nambiar

Abstract The fourth target of Sustainable Development Goal (SDG) 3 advocates for the promotion of mental health and wellbeing. The Indian state of Kerala is recognized for its gains in health and development but has substantial burden of mental health ailments. Historical analysis is vital to understand the pattern of mental health morbidity. The current study focusses on comparable estimates available from three largescale population-based surveys in India to explore trends in prevalence of mental health disorders over the years and map resources and infrastructure available for mental health care in Kerala. We undertook a secondary analysis of national demographic surveys from 2002 to 2018 which reported information on mental health and availability of health infrastructure and human resources. Data were collated and descriptive analyses were conducted. We compared the national and state level estimates over the years to study the trend in the prevalence of mental health disability. The prevalence of mental retardation and intellectual disability in Kerala increased from 194 per hundred thousand persons in 2002 to 300 per hundred thousand persons in 2018, two times higher to the national average. The prevalence of mental illness increased from 272 per hundred thousand people to 400 per hundred thousand people in sixteen years. The prevalence was higher among males (statistical significance was not indicated) in mental illness and mental retardation. 2018 data showed that the public sector had 0.01 hospitals and 5.53 beds per hundred thousand persons available for mental health treatment. Results showed a substantial increase in mental health illness over the 16-year study period that has affected males and females, as well as all social classes of the state. The current health infrastructure and human resources in the public sector of the state are inadequate to meet the current burden of the problem and to ensure universal access to care for its population. Key messages The trend in prevalence of mental health disorders in the state is increasing across the years. There is a mismatch between the extend of the problem and resources available in public sector.


2016 ◽  
Vol 47 (2) ◽  
pp. 260-270 ◽  
Author(s):  
Johannes H De Kock ◽  
Basil J Pillay

The goal of our study was to provide a situation analysis of clinical psychology services in South Africa’s public rural primary healthcare sector. In this setting, the treatment gap between human resources for and the burden of disease for mental illness is as high as 85%. The majority of South Africa’s mental health specialists – clinical psychologists and psychiatrists – practice in the country’s urban and peri-urban private sector. At the advent of South Africa’s democracy, public clinical psychological services were negligible, and the country is still facing challenges in providing human resources. The study was based on the analysis of both primary and secondary data. Primary data were collected by interviewing the heads of 160 public hospitals classified as rural by the Department of Health, while secondary data comprised a literature review. The number of clinical psychologists working in the public sector indicated a substantial growth over the last 20 years, while the number employed and/or doing out-reach to public rural primary healthcare areas shows a shortfall. Clinical psychology’s numbers, however, compare favourably to that of other mental health specialists in public rural primary healthcare settings. Since the National Mental Health Summit of 2012, strategies have been implemented to improve access to mental health care. In clinical psychology’s case relating to human resources, these strategies have showed encouraging results with a substantial amount of participating institutions reporting that clinical psychologists form a part of their proposed future staff establishment.


2021 ◽  
Vol 21 ◽  
pp. 30-38
Author(s):  
Hence Erwin Tumiwan ◽  
Marthinus Mandagi ◽  
Itje Pangkey

The purpose of this study was to determine the system for placing employees in structural positions as well as the determinants of the placement of employees in structural positions in the Personnel and Human Resources Development Agency of Southeast Minahasa Regency. Data collection techniques were collected through 1) Observation, 2) Interviews, 3) Documentation. The research results are the Employee Placement System in Structural Positions through a standard mechanism, namely using Government Regulation Number 11 of 2017 concerning the Management of the State Civil Apparatus. Placement of employees in structural positions is carried out based on the principle of professionalism by the competence, work performance, ranks assigned to the position as well as other objective requirements regardless of gender, ethnicity, religion, race, or class as well as the Determinant Factors on Employee Placement, namely: 1) Academic Achievement, 2) Experience, 3) Physical and Mental Health, 4) Marital Status, 5) Age.


2018 ◽  
Vol 30 (10) ◽  
pp. 1573-1574
Author(s):  
Sergio A. Strejilevich ◽  
Florencia Vallejos ◽  
Julian Bustin

In low- and middle-income countries, there is an increase in the percentage of aging population similar to or greater than that of high-income countries (World Population Ageing 1950–2050, UN, 2001). The emerging health and economical challenges due to these demographic changes will have to be addressed by their health systems. In this context, an adequate training of available human resources in geriatric psychiatry/psychogeriatrics (GP/PG) should be an essential step to meet those challenges.


2014 ◽  
Vol 18 (3) ◽  
pp. 133-141 ◽  
Author(s):  
Liz Walker ◽  
Rachel Perkins ◽  
Julie Repper

Purpose – The purpose of this paper is to argue that if mental health services are to genuinely support the recovery of those who they serve then recovery principles must permeate all facets of the organisation, in particular human resources and workforce development. Design/methodology/approach – This paper draws on the principles of recovery-focused approaches to people who use services and explores how these might guide a recovery-focused approaches to human resources and workforce issues. Findings – The recovery principles like recognising and utilising the expertise of lived experience, co-production and shared decision making, peer support, focusing on strengths and becoming an expert in your own self-care all have as much relevance for creating a recovery-focused workforce as they do in the recovery journeys of those who use services. Everyone who uses services is “more than a mental patient” and everyone who provides services is “more than a mental health practitioner” – we need to use all the assets that everyone brings. Originality/value – Although there has been a great deal of discussion about the features of recovery-focused services, there has been little, if any, consideration of extending the principles of recovery to human resources. The aim of this paper is not to offer a blue print but to begin an exploration of what a recovery-focused approach to workforce issues might look like.


2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Marcelle Paiano ◽  
Mariluci Alves Maftum ◽  
Maria do Carmo Lourenço Haddad ◽  
Sonia Silva Marcon

ABSTRACT The aim of this study was to identify the weaknesses of the mental health ambulatory service from the professionals' perspective. This was a qualitative study, developed by the Fourth Generation Evaluation method. Data were collected during February and March 2013 with the use of non-participant observation, individual opened interviews and group technique for the negotiation session. The informants were 12 working professionals at the ambulatory. The results pointed out weaknesses in the organizational structure of the healthcare network in mental health, especially regarding accessibility, physical structure and the presence of extensive waiting list for care. Regarding human resources, issues included: ignorance of the operation of the mental health network and of the activities performed, medical turnover, deficiency in training and continuous education and professional devaluation. It is necessary to reflect on the real role of ambulatories within the mental health network and its effectiveness in providing care.


Religions ◽  
2021 ◽  
Vol 12 (12) ◽  
pp. 1113
Author(s):  
Charles James Fensham

This paper describes research relevant to spiritual care for LGBTQI refugees and migrants. The literature indicates some distinct challenges faced by religiously involved LGBTQI migrants and refugees. LGBTQI migrants and refugees may not be able to experience family and religion as supportive compared to migrants and refugees who do not identify as LGBTQI. Such migrants and refugees thus face elevated levels of mental health challenges compared to non-LGBTQI refugees and they also face additional mental health risks compared to non-refugee LGBTQI adults and youth. Such risks include suicidality, depression, substance abuse, social isolation, internalised religious homonegativity, shame and risks to sexual health and a breakdown in the ability to trust others and caregivers. The paper identifies five seminal areas for extending care in the light of the research. These include building trust and properly assessing risk, working towards relational health, helping clients move to new ways of constructing and conceiving of family, easing the influence of internalised homonegativity and shame, and finding written and human resources that will be helpful to clients. These areas of care only present a tentative map as this issue requires more research and reflection.


2015 ◽  
Vol 21 (1) ◽  
pp. 5
Author(s):  
Kiran Sukeri ◽  
Orlando Alonso-Betancourt ◽  
Robin Emsley

<p><strong>Objectives. </strong>Part I of this research article presents a needs-based analysis for the management of schizophrenia, bipolar mood disorder and major depression for the Eastern Cape (EC) Province, South Africa. This part of the research paper focuses on quantifying human resources and bed needs for these three severe mental illnesses. Human resource expenditure is calculated for nursing staff at acute, ambulatory and medium-to-long-stay services. A further objective was to conduct a gap analysis for human resources and beds for the EC in order to assist mental health planners in the commissioning of services. </p><p><strong>Methods. </strong>Data from previous research conducted in the province, and international and national epidemiological studies were utilised to quantify the requirements for human resources (psychiatrists, medical officers/registrars, psychologists, nurses, occupational therapists and social workers) and beds for acute, medium-to-long-stay and ambulatory services at provincial and regional levels, to provide mental healthcare. The authors focused on three of the eight priority conditions set by the World Health Organization. A target coverage rate of 80% was used in all calculations. A gap analysis was conducted to demonstrate deficits and excesses, utilising available data on human resources and beds available in the province.</p><p><strong>Results. </strong>The results showed that the districts of Alfred Nzo and Ukhahlamba have no human resources or beds for the provision of mental health services. The province has a deficit of 23 psychiatrists and 243 nurses trained in psychiatry, and an oversupply of 486 other nurses. The results also clearly demonstrated an inequitable distribution of resources in the province. </p><p><strong>Conclusions. </strong>This is the first study that has provided detailed estimates of human resource and bed deficits in the EC. The study demonstrates that the areas of greatest need in terms of bed and human resource requirements are in the eastern regions of the province, which includes the former homelands of the Transkei and Ciskei. This study will assist provincial mental health planners/commissioners in developing an equitable mental health delivery programme.</p>


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