scholarly journals The National Mental Health Strategy: Redefining Promotion and Prevention in Mental Health?

2007 ◽  
Vol 13 (3) ◽  
pp. 77 ◽  
Author(s):  
Julie Henderson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Mental Health Promotion ◽  
Health Prevention ◽  
Policy Documents ◽  
Primary Health ◽  
Health Strategy ◽  
National Mental Health

This paper explores policy documents published as part of the National Mental Health Strategy for ideas about mental health promotion and prevention, to determine the extent to which these documents adopt a primary health care approach. Discourse analysis was undertaken of key policy documents to discover the manner in which they discuss mental health promotion and prevention. Three points of departure are identified. The first of these is a focus on social and biological risk factors that manifest at an individual rather than at a social level, effectively drawing attention away from social inequalities. These documents also primarily target a population that is viewed as being "at risk" due to exposure to risk factors, shifting attention from strategies aimed at improving the health of the population as a whole. A final difference is found in the understanding of primary health care. Recent policy documents equate primary health care with the first level of service delivery in the community, primarily by general practitioners, shifting the focus of care from mental health promotion with the community to early intervention with those experiencing mental health problems. This is supported by the incorporation of a biomedical understanding into mental health prevention. While recent mental health policy documents re-assert the need for early intervention and health prevention, the form of mental health prevention espoused in these documents differs from that which informed the Declaration of Alma Alta, Ottawa Charter for Health Promotion and World Health Organization's Health for All strategy.

Priorities for mental health promotion during pregnancy and infancy in primary health care

2009 ◽  
Vol 16 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Maria Isabel Loureiro ◽  
Ana Rita Goes ◽  
Gisele Paim da Câmara ◽  
Manuel Gonçalves-Pereira ◽  
Teresa Maia ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Mental Health Promotion ◽  
Primary Health

scholarly journals Depression, anxiety and stress in primary health care users

2011 ◽  
Vol 19 (2) ◽  
pp. 348-353 ◽  
Author(s):  
João Luís Alves Apóstolo ◽  
Maria Henriqueta Figueiredo ◽  
Aida Cruz Mendes ◽  
Manuel Alves Rodrigues
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Sex Differences ◽  
Primary Health Care ◽  
Community Intervention ◽  
Health Centre ◽  
Intervention Strategy ◽  
Primary Health ◽  
Urban Rural

Aim: Describe levels of depression, anxiety and stress among users of an urban/rural health centre, analyse sex differences and comorbidity between depression, anxiety and stress. Method: Descriptive co-relational study with a Portuguese version of DASS-21; consecutive sample (n=343). Results: 40.52%, 43.48% and 45.06% of individuals present some degree of depression, anxiety and of stress, respectively. Severe or very severe levels of disturbance were found in 20.87% (anxiety), 22.38% (stress) and 12.24% (depression) of individuals. Women present higher levels of depression, anxiety and stress. Depression, Anxiety and Stress are strongly and positively associated. Conclusion: These results show high point prevalence - higher than in other countries - and reveal differences in sex as well as comorbidity. They may allow for the development of a local and community intervention strategy for mental health promotion and disease prevention, particularly for women.

scholarly journals Prevalence of health promotion programs in primary health care units in Brazil

2014 ◽  
Vol 48 (5) ◽  
pp. 837-844 ◽  
Author(s):  
Luiz Roberto Ramos ◽  
Deborah Carvalho Malta ◽  
Grace Angélica de Oliveira Gomes ◽  
Mário M Bracco ◽  
Alex Antonio Florindo ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Family Health ◽  
Healthy Environment ◽  
Primary Health ◽  
Health Strategy ◽  
Health Promotion Programs ◽  
Family Health Strategy

OBJECTIVE Assessment of prevalence of health promotion programs in primary health care units within Brazil’s health system. METHODS We conducted a cross-sectional descriptive study based on telephone interviews with managers of primary care units. Of a total 42,486 primary health care units listed in the Brazilian Unified Health System directory, 1,600 were randomly selected. Care units from all five Brazilian macroregions were selected proportionally to the number of units in each region. We examined whether any of the following five different types of health promotion programs was available: physical activity; smoking cessation; cessation of alcohol and illicit drug use; healthy eating; and healthy environment. Information was collected on the kinds of activities offered and the status of implementation of the Family Health Strategy at the units. RESULTS Most units (62.0%) reported having in place three health promotion programs or more and only 3.0% reported having none. Healthy environment (77.0%) and healthy eating (72.0%) programs were the most widely available; smoking and alcohol use cessation were reported in 54.0% and 42.0% of the units. Physical activity programs were offered in less than 40.0% of the units and their availability varied greatly nationwide, from 51.0% in the Southeast to as low as 21.0% in the North. The Family Health Strategy was implemented in most units (61.0%); however, they did not offer more health promotion programs than others did. CONCLUSIONS Our study showed that most primary care units have in place health promotion programs. Public policies are needed to strengthen primary care services and improve training of health providers to meet the goals of the agenda for health promotion in Brazil.

scholarly journals WORK PROCESS AND MENTAL HEALTH CARE FLOW IN PRIMARY HEALTH CARE

2020 ◽  
Vol 29 ◽  
Author(s):  
Luana Cristina Bellini Cardoso ◽  
Guilherme Oliveira de Arruda ◽  
Bianca Cristina Ciccone Giacon-Arruda ◽  
Marcelle Paiano ◽  
Leandro Barbosa de Pinho ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Content Analysis ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Family Health ◽  
Work Process ◽  
Primary Health ◽  
Health Strategy ◽  
Family Health Strategy

ABSTRACT Objective: to know the work process and mental health care flow in Primary Health Care from the perspective of Family Health Strategy professionals. Method: a descriptive and qualitative study developed in six of the 34 Basic Health Units in a city in northwestern Paraná. Twenty-nine Family Health Strategy professionals participated in the study. Data were collected from February to June 2018 through an open, single, individual and recorded interview. The statements were transcribed in full, and the resulting material was organized in the IRaMuTeQ® software and subjected to thematic content analysis. Results: from participants’ reports, it was possible to create a service flowchart, and after the data processing steps in the software, together with content analysis, three categories emerged. The importance of community health workers’ work, family presence, referring patients to therapeutic groups and a specialized network, assistance provided to individuals in times of acute disorder and patient referral to the unit stood out. Conclusion: it can be understood that the mental health care network in Primary Health Care is complex and there is a need for communicability between services, as disarticulation generates ambiguities in continuity of care.

scholarly journals Developing a Model to Implement National Mental Health Policy Framework and Integration of Mental Health care into HIV Services at Primary Health Care Settings

2020 ◽  
Author(s):  
Winnie Baphumelele Cele ◽  
Euphemia Mbali Mhlongo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
Mental Health Policy ◽  
Health Conditions ◽  
Policy Framework ◽  
Mental Health Conditions ◽  
Primary Health ◽  
National Mental Health

Abstract BackgroundPeople living with HIV are at a notably increased risk of developing mental health conditions or may precede the HIV infection, such as depression and anxiety, which partially arise from having to adjust, not only to the diagnosis, but coming to terms with living with a chronic, infectious illness, may also be due to direct infection of the brain by the HIV. Mental health conditions have been reported to be common in people living with HIV (PLWH). Research has shown that the chances of PLWH experiencing mental health disorder is very high. This is not far from the fact that there exists a link between mental health conditions in HIV patients with neurotoxic effect of HIV patient’s central nervous system. The incorporation of mental health services into other medical services at primary health care level is found on epidemiologic data, which shows that psychiatric conditions are over-represented in primary health care. MethodsThis study was informed by mixed methods, participatory action research and made use of quantitative (self-administered questionnaire) and qualitative (in-depth interviews and focus group discussions) data collection tools. The study was conducted in three district level hospitals that offered primary and comprehensive care for HIV (initiation and ART management) and mental health conditions in the eThekwini district of KwaZulu-Natal, South Africa. Inclusion criteria was observed throughout the process of data collection. There were face to face interviews that were conducted with the research team. Only registered nurses, doctors, psychologists, and experts in both areas of interest, had a qualification in general nursing and in mental health nursing, medical doctors that had specialized in mental health, and those specialized in HIV were included in this study. ResultsIt was evident that there were no existing models which adequately addressed how the national mental health policy framework can be successfully implemented towards integrating mental health into HIV services at primary health care settings. ConclusionHealth care providers have limited awareness of the national mental health policy framework as well as the processes involved in its implementation.

Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

2021 ◽  
Vol 36 (3) ◽  
pp. 362-369
Author(s):  
Katie A. Willson ◽  
Gerard J. FitzGerald ◽  
David Lim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Disaster Management ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Disaster Preparedness ◽  
Rural And Remote ◽  
Primary Health

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

scholarly journals Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Solomon Nyame ◽  
Edward Adiibokah ◽  
Yasmin Mohammed ◽  
Victor C. Doku ◽  
Caleb Othieno ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Primary Health Care ◽  
Service Users ◽  
Traditional Health ◽  
Healthcare Needs ◽  
Primary Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners

Abstract Background In low- and middle-income countries, the paucity of conventional health services means that many people with mental health problems rely on traditional health practitioners (THPs). This paper examines the possibility of forging partnerships at the Primary Health Care (PHC) level in two geopolitical regions of Ghana, to maximize the benefits to both health systems. Methods The study was a qualitative cross-sectional survey. Eight (8) focus group discussions (FGDs) were conducted between February and April 2014. The views of THPs, PHC providers, service users (i.e. patients) and their caregivers, on the perceived benefits, barriers and facilitators of forging partnerships were examined. A thematic framework approach was employed for analysis. Results The study revealed that underlying the widespread approval of forging partnerships, there were mutual undertones of suspicion. While PHC providers were mainly concerned that THPs may incur harms to service users (e.g., through delays in care pathways and human rights abuses), service users and their caregivers highlighted the failure of conventional medical care to meet their healthcare needs. There are practical challenges to these collaborations, including the lack of options to adequately deal with human rights issues such as some patients being chained and exposed to the vagaries of the weather at THPs. There is also the issue of the frequent shortage of psychotropic medication at PHCs. Conclusion Addressing these barriers could enhance partnerships. There is also a need to educate all providers, which should include sessions clarifying the potential value of such partnerships.

scholarly journals Social determinants of depression: association with age, gender and primary health care model

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J China
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Social Determinants ◽  
Care Physician ◽  
Health Policies ◽  
Age And Gender ◽  
Primary Health ◽  
And Gender ◽  
Primary Health Care Physician

Abstract Background Depression is one of the most common mental disorders worldwide and is a major contributor to the overall global burden of disease. The social determinants of age, gender and access to a primary health care physician have been identified as significant determinants of variability in the prevalence of depression. This research evaluates the association between depression and these social determinants in the city of Almada, in Portugal. Methods This cross-sectional study reports the one-month prevalence (December, 2015) of depression and its association with age, gender and access to a primary health care doctor in Almada's primary health care population. Data was collected from the 'Information System of the Regional Health Administration' (SIARS) database. The diagnostic tools used for the identification of cases were the ICPC-2 codes 'P76: Depressive Disorder' and 'P03: Feeling Depressed'. An odds ratio was applied as an association measure. Results Regarding gender and age: women are more likely to develop depression than men (OR 3.21) and the age group of 40-64 years is more likely to develop depression compared with other age groups (OR 2.21). The odds of being affected by depression for patients with a permanent primary health care physician, compared with users without a permanent primary health care physician, are higher (OR 2.24). Conclusions The patterns of association of age and gender, uncovered in this dataset, are consistent with previously reported findings for other Western countries. The association between depression and the assignment of a permanent primary health care doctor is highly significant. This finding suggests the existence of a higher detection rate of depression in patients with a permanent doctor and adds weight to the need to implement health policies that guarantee a primary health care physician for each patient. Key messages The age and gender gap in depression calls for stronger public health and intersectoral strategies to promote and protect mental health, in community-based settings. Reducing barriers and enhancing access to high-quality primary medical care must be a cornerstone of mental health policies.

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