Social Problem Solving as a Predictor of Attitudes Toward Seeking Mental Health Care and Medical Care Among Veterans

2014 ◽  
Vol 2 (4) ◽  
pp. 304-315 ◽  
Author(s):  
Andrea G. Segal ◽  
Christopher E. Diaz ◽  
Christine Maguth Nezu ◽  
Arthur M. Nezu
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Zi-Han Yan ◽  
Jessica Lin ◽  
Wen-Jing Xiao ◽  
Keh-Ming Lin ◽  
Willi McFarland ◽  
...  

Abstract Background Transgender women have multiple disparities globally, including social rejection and stigma, HIV infection and untreated mental health problems. However, few data on transgender women are available in China. Therefore, this study aimed to explore transgender women’s experiences on gender identity, disclosure, discrimination, transgender-specific medical care, and perceptions of HIV and sexually transmitted infections (STI) risk in China. Methods A qualitative study was conducted in Nanjing and Suzhou city, China in 2018. Key informant interviews (n = 14) and focus group discussions (n = 2) with diverse transgender women were implemented. Text was transcribed and translated, and Dedoose™ software was used for coding, analysis and interpretation by the research team. Results Chinese transgender women share experiences with transgender women worldwide, including a long and challenging identity search, stigma and discrimination, poor access to trans-specific services and unmet needs for mental health care. Features unique to them include terms used for self-identification, culturally-shaped expectations for reproduction, and ideals of placing the familial and societal welfare over personal fulfillment. Social networks of this population appear sparse, scattered, and underground. Familial rejection was experienced by nearly all respondents. Perceptions of HIV and STI risk and history of HIV testing were notably low. Conclusions Transgender women in China face high social rejection and discrimination along with unmet need for various types of healthcare. Scaling up transgender-specific services including gender-affirming medical care, mental health care and HIV/STI prevention are warranted to address the social, medical and mental health of transgender women in China.


2008 ◽  
Vol 59 (8) ◽  
pp. 921-924 ◽  
Author(s):  
Amy L. Drapalski ◽  
Jaime Milford ◽  
Richard W. Goldberg ◽  
Clayton H. Brown ◽  
Lisa B. Dixon

2004 ◽  
Vol 19 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Josef I. Ruzek ◽  
Bruce H. Young ◽  
Matthew J. Cordova ◽  
Brian W. Flynn

AbstractDespite limited resources, emergency medical settings will be called upon to play many roles in the context of disasters and terrorist attacks that are related to preparedness, surveillance, mental health services delivery, and staff care. Such settings are a central capture site for those individuals likely to be at highest risk for developing mental health and functional problems. Because much of the potential harm to survivors of disaster or terrorism (and their families) will be related to their mental health and role functioning, preparedness requires the active integration of behavioral health into emergency medicine in every component of disaster response. There are many challenges of doing this including: (1) finding ways to integrate activities of the medical care, emergency response, and public health systems; (2) determining whether an incident has actually occurred; (3) making differential diagnoses and managing other aspects of initial medical needs; and (4) coping with the risks associated with system overload and failure. Delivery of direct mental health care must include: (1) survivor and family education; (2) identification and referral of those requiring immediate care and followup; (3) group education and support services; and (4) individual counseling. In order for effective response to occur, the integration of psychosocial care into disaster response must occur prior to the disaster itself, and will depend on effective collaboration between medical and mental health care providers. At workplaces, emergency medical care centers must ensure that staff and their families are properly trained and supported with regard to their disaster functions and encouraged to develop personal/family disaster plans.


Author(s):  
Dorinda N. Noble

Children are interesting, resilient people, whose lives are often perilous. Social workers deal extensively with children and families, and with policies that affect children, to help children and families overcome family disruption, poverty, and homelessness. Social workers also provide mental health care while working to ensure that children get medical care. Schools are areas of practice for social workers dealing with children. The issues of ethical practice and social justice for children are complex.


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