The Impact of the Process of Deinstitutionalization of Mental Health Services in Canada: An Increase in Accessing of Health Professionals for Mental Health Concerns

2012 ◽  
Vol 27 (3) ◽  
pp. 229-237 ◽  
Author(s):  
Patricia A. Sealy
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Professionals ◽  
Health Concerns ◽  
Mental Health Concerns ◽  
The Impact

scholarly journals Why Do Approved Mental Health Professionals Think Detentions under the Mental Health Act Are Rising and What Do They Think Should Be Done about It?

2020 ◽  
Vol 50 (2) ◽  
pp. 616-633 ◽  
Author(s):  
Michael Bonnet ◽  
Nicola Moran
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Online Survey ◽  
Social Risk ◽  
Social Risk Factors ◽  
Mental Health Act ◽  
The Impact

Abstract The number of people detained under the 1983 Mental Health Act has risen significantly in recent years and has recently been the subject of an independent review. Most existing research into the rise in detentions has tended to prioritise the perspectives of psychiatrists and failed to consider the views of Approved Mental Health Professionals (AMHPs), usually social workers, who ultimately determine whether detention is appropriate. This mixed-methods study focused on AMHPs’ views on the reasons behind the rise in detentions and potential solutions. It included a national online survey of AMHPs (n = 160) and semi-structured interviews with six AMHPs within a Community Mental Health Team in England. AMHPs reported that demand for mental health services vastly exceeded supply and, due to inadequate resources, more people were being detained in hospital. AMHPs argued that greater investment in preventative mental health services and ‘low intensity’ support would help to mitigate the impact of social risk factors on mental health; and greater investment in crisis services, including non-medical alternatives to hospital, was required. Such investment at either end of the spectrum was expected to be more effective than changes to the law and lead to better outcomes for mental health service users.

scholarly journals Text Mining Mental Health Reports for Issues Impacting Today’s College Students: Qualitative Study

10.2196/10032 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e10032 ◽  
Author(s):  
Fay Cobb Payton ◽  
Lynette Kvasny Yarger ◽  
Anthony Thomas Pinter
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
College Students ◽  
Cluster Analysis ◽  
Mental Health Services ◽  
Health Services ◽  
Student Services ◽  
Higher Education Institutions ◽  
Health Concerns ◽  
Mental Health Concerns

Background A growing number of college students are experiencing personal circumstances or encountering situations that feel overwhelming and negatively affect their academic studies and other aspects of life on campus. To meet this growing demand for counseling services, US colleges and universities are offering a growing variety of mental health services that provide support and services to students in distress. Objective In this study, we explore mental health issues impacting college students using a corpus of news articles, foundation reports, and media stories. Mental health concerns within this population have been on the rise. Uncovering the most salient themes articulated in current news and literature reports can better enable higher education institutions to provide health services to its students. Methods We used SAS Text Miner to analyze 165 references that were published from 2010 to 2015 and focused on mental health among college students. Key clusters were identified to reveal the themes that were most significant to the topic. Results The final cluster analysis yielded six themes in students’ mental health experiences in higher education (ie, age, race, crime, student services, aftermath, victim). Two themes, increasing demand for student services provided by campus counseling centers (113/165, 68.5%) and the increased mental health risks faced by racial and ethnic minorities (30/165, 18.2%), dominated the discourse. Conclusions Higher education institutions are actively engaged in extending mental health services and offering targeted outreach to students of color. Cluster analysis identified that institutions are devoting more and innovative resources in response to the growing number students who experience mental health concerns. However, there is a need to focus on proactive approaches to mitigate the causes of mental health and the aftermath of a negative experience, particularly violence and sexual assault. Such strategies can potentially influence how students navigate their health information seeking and how information and communication technologies, including mobile apps, can partially address the needs of college students.

scholarly journals Help-Seeking Behaviors of Transition-Aged Youth for Mental Health Concerns: Qualitative Study

10.2196/18514 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e18514
Author(s):  
Chelsea Stunden ◽  
Julie Zasada ◽  
Nicole VanHeerwaarden ◽  
Elisa Hollenberg ◽  
Alexxa Abi-Jaoudé ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Concerns ◽  
Awareness Campaigns ◽  
Sources Of Support ◽  
Mental Health Concerns

Background Transition-aged youth are particularly vulnerable to mental health problems, yet they are one of the least likely demographic groups to seek help. Objective The aim of this study is to explore the influences on and patterns in help-seeking for mental health concerns among transition-aged youth who attend postsecondary schools in Canada. Methods A qualitative research design was used, involving 12 semistructured focus groups with transition-aged youth (17-29 years) who attended postsecondary schools in Canada. A thematic analysis was conducted to code the transcripts and develop themes. Results Four main themes and subthemes regarding the process and experience of help-seeking were generated: (1) the influence of formal service providers (accessibility and experiences), (2) the influence of social factors (system navigation and stigma), (3) the influence of health literacy (symptom recognition, acting on symptoms, digital tools and the internet, and mental health awareness campaigns), and (4) the influence of low-intensity sources of support, namely, self-help. Conclusions Transition-aged youth seek help for mental health problems in different ways. Despite efforts to improve access to mental health services, transition-aged youth continue to face barriers to accessing these services, especially formal sources of support. The factors identified in this study that either hinder or facilitate help-seeking have pragmatic implications for developing help-seeking interventions and delivering mental health services for this population. In addition to other facilitators, family physicians are an important resource in the help-seeking process. Furthermore, digital help-seeking tools have unique characteristics that may make them an important source of support for transition-aged youth.

The “constant tug-of-war” in mental health care in Greece

2018 ◽  
Vol 23 (3) ◽  
pp. 121-130 ◽  
Author(s):  
Niki Kyriakidou ◽  
Sofia Triliva
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Public Mental Health ◽  
Service Users ◽  
Content Type ◽  
Therapeutic Services ◽  
The Impact

Purpose The purpose of this paper is to focus on how mental health professionals involved in the therapeutic treatment of children in public mental health facilities in Greece experience and talk about the impact of the socioeconomic crises on the psychotherapeutic process. Design/methodology/approach In all, 21 semi-structured interviews were conducted and phenomenologically informed thematic analysis was used in analysing the data. Findings The results coalesced into two all-encompassing thematic structures articulating the following: first, the socioeconomic crises have permeated society and therapeutic praxis like a torrential and chronic rain storm. This has resulted in a deluge in demand for therapeutic services within the public mental health sector; second, mental health professionals describe their positioning and work as “a constant tug-of-war” where they are inundated and often overwhelmed with work, find themselves identifying with service users and taking on several roles simultaneously, and being challenged to find solutions often in dire and complex situations. They describe how creativity and flexibility are in demand in their day-to-day interactions and if they are to intervene in place of a health and welfare system that is faltering. Doing therapeutic work under such circumstances appears to be both emotionally onerous and stimulating with regard to conceptualising new ways of intervening in such complex psychosocial situations. Research limitations/implications The study is limited in that only mental health professionals presented their experiences and service users were not included. The findings do highlight how severe austerity policies impact mental health services and peoples’ lives. Practical implications The study has implications for policy regarding the provision and organisation of mental health services in contexts where crises and economic turmoil prevail. Social implications The results associate severe austerity with major changes in family and community life. Originality/value The paper provides insights and implications on how mental health services are impacted by socioeconomic conditions.

scholarly journals “It’s still taboo”: Help-seeking behaviors of transition-aged youth for mental health concerns – a qualitative study (Preprint)

2020 ◽  
Author(s):  
Chelsea Stunden ◽  
Julie Zasada ◽  
Nicole VanHeerwaarden ◽  
Elisa Hollenberg ◽  
Alexxa Abi-Jaoude ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Concerns ◽  
Post Secondary ◽  
Sources Of Support ◽  
Mental Health Concerns

BACKGROUND Transition-aged youth are particularly vulnerable to mental health problems, yet they are one of the least likely demographic groups to seek help. OBJECTIVE The aim of this study was to explore influences on and patterns in help-seeking for mental health concerns among transition-aged youth who attend post-secondary school in Canada. METHODS A qualitative research design was used, involving 12 semi-structured focus groups with transition-aged youth (17–29 years) attending Canadian post-secondary schools. Thematic analysis was conducted to code the transcripts and develop themes. RESULTS Four main themes and sub-themes regarding the process and experience of help-seeking were generated: (1) the influence of formal service providers (accessibility; experiences); (2) the influence of social factors (system navigation; stigma); (3) the influence of health literacy (symptom recognition; acting on symptoms; digital tools and the internet; mental health awareness campaigns); and (4) the influence of low-intensity sources of support, namely self-help. CONCLUSIONS Transition-aged youth seek help for mental health problems in different ways. Despite efforts to improve access to mental health services, transition-aged youth continue to face barriers to accessing these services, especially formal sources of support. Factors identified in this study that either hinder or facilitate help-seeking have pragmatic implications for developing help-seeking interventions and delivering mental health services for this population. In addition to other facilitators, family physicians are an important resource in the help-seeking process. Moreover, digital help-seeking tools have unique characteristics that may make these tools an important source of support for transition-aged youth. CLINICALTRIAL

scholarly journals Text Mining Mental Health Reports for Issues Impacting Today’s College Students: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Fay Cobb Payton ◽  
Lynette Kvasny Yarger ◽  
Anthony Thomas Pinter
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
College Students ◽  
Cluster Analysis ◽  
Mental Health Services ◽  
Health Services ◽  
Student Services ◽  
Higher Education Institutions ◽  
Health Concerns ◽  
Mental Health Concerns

BACKGROUND A growing number of college students are experiencing personal circumstances or encountering situations that feel overwhelming and negatively affect their academic studies and other aspects of life on campus. To meet this growing demand for counseling services, US colleges and universities are offering a growing variety of mental health services that provide support and services to students in distress. OBJECTIVE In this study, we explore mental health issues impacting college students using a corpus of news articles, foundation reports, and media stories. Mental health concerns within this population have been on the rise. Uncovering the most salient themes articulated in current news and literature reports can better enable higher education institutions to provide health services to its students. METHODS We used SAS Text Miner to analyze 165 references that were published from 2010 to 2015 and focused on mental health among college students. Key clusters were identified to reveal the themes that were most significant to the topic. RESULTS The final cluster analysis yielded six themes in students’ mental health experiences in higher education (ie, age, race, crime, student services, aftermath, victim). Two themes, increasing demand for student services provided by campus counseling centers (113/165, 68.5%) and the increased mental health risks faced by racial and ethnic minorities (30/165, 18.2%), dominated the discourse. CONCLUSIONS Higher education institutions are actively engaged in extending mental health services and offering targeted outreach to students of color. Cluster analysis identified that institutions are devoting more and innovative resources in response to the growing number students who experience mental health concerns. However, there is a need to focus on proactive approaches to mitigate the causes of mental health and the aftermath of a negative experience, particularly violence and sexual assault. Such strategies can potentially influence how students navigate their health information seeking and how information and communication technologies, including mobile apps, can partially address the needs of college students.

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