scholarly journals Discrimination as predictor of mental health problems and mental health service utilisation among migrants

2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
G Koopmans
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Service Utilisation ◽  
Service Utilisation

scholarly journals Resilience and Its Association with Depression, Emotional and Behavioural Problems, and Mental Health Service Utilisation among Refugee Adolescents Living in South Australia

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Tahereh Ziaian ◽  
Helena de Anstiss ◽  
Georgia Antoniou ◽  
Peter Baghurst ◽  
Michael Sawyer
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
South Australia ◽  
Health Problems ◽  
Behavioural Problems ◽  
Refugee Children ◽  
Service Utilisation ◽  
Emotional And Behavioural Problems

Background. Despite the frequency of traumatic or stressful events experienced by refugee children and adolescents prior to migration and following resettlement, the majority do not experience mental health problems emphasising the critical nature of resilience. While a host of factors deemed to be protective of mental health in young refugees have been identified, there has been little research exploring the role of resilience as a distinct psychological construct. This study aimed to explore the nature of psychological resilience in refugee adolescents and the relationship between resilience and depression, other emotional and behavioural problems, and mental health service uptake. Method. One hundred and seventy multiethnic refugee adolescents aged 13–17 from South Australia were administered a survey comprising the Connor-Davidson Resilience Scale (CD-RISC), Children’s Depression Inventory (CDI), and Strengths and Difficulties Questionnaire (SDQ). Results. Females tended to have higher resilience, as did those adolescents who had been living in Australia longer. Adolescents suffering from depressive symptoms or other emotional or behavioural problems had lower resilience. There was little evidence of an association between resilience scores and exposure to trauma or service utilisation. Discussion. Fostering resilience may be critical to efforts to prevent or reduce mental health problems in refugee adolescents.

Exploring older adults’ experiences seeking psychological services using the network episode model

2020 ◽  
pp. 1-24
Author(s):  
Brooke E. Beatie ◽  
Corey S. Mackenzie ◽  
Genevieve Thompson ◽  
Lesley Koven ◽  
Tyler Eschenwecker ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Health Service ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Services ◽  
Health Concern ◽  
Service Utilisation

Abstract Older adults’ mental health problems are a growing public health concern, especially because their rate of mental health service use is particularly low. Decades of mental health service utilisation models have been developed, yet key assumptions from these models focus primarily on factors that facilitate or inhibit access into the treatment system without taking into considering the dynamics of how individuals respond to their mental health problems and engage in service utilisation. More recently, dynamic models like the Network Episode Model (NEM-II) have been developed to challenge the underlying, rational choice assumption of traditional utilisation models. Given the multifaceted and complex nature of older adults’ mental health problems, the objective of this study was to examine whether the NEM-II is a helpful and appropriate model for understanding the dynamic process of how older adults navigate the mental health system, including factors that advanced and delayed help-seeking. Our qualitative analyses from 15 interviews with older adults revealed that their backgrounds, social supports and treatment systems influence, and are influenced by, their illness careers. Factors that delayed help-seeking included: a lack of support, ‘inappropriate’ referrals/advice from treatment professionals and poor mental health literacy. This research suggests the NEM-II is a helpful and appropriate theory for understanding older adults’ pathways to treatment, and has implications to enhance older adults’ access to psychological services.

The internet as a setting for mental health service utilisation by young people

2010 ◽  
Vol 192 (S11) ◽  
Author(s):  
Jane M Burns ◽  
Tracey A Davenport ◽  
Lauren A Durkin ◽  
Georgina M Luscombe ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Young People ◽  
Health Service ◽  
Health Service Utilisation ◽  
The Internet ◽  
Service Utilisation

scholarly journals Coping with stigma and discrimination: evidence from mental health service users in England

2017 ◽  
Vol 27 (6) ◽  
pp. 577-588 ◽  
Author(s):  
A. Isaksson ◽  
E. Corker ◽  
J. Cotney ◽  
S. Hamilton ◽  
V. Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Stigma ◽  
Service Users ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stigma And Discrimination

Aims.Mental health stigma and discrimination are significant problems. Common coping orientations include: concealing mental health problems, challenging others and educating others. We describe the use of common stigma coping orientations and explain variations within a sample of English mental health service users.Methods.Cross-sectional survey data were collected as part of the Viewpoint survey of mental health service users’ experiences of discrimination (n = 3005). Linear regression analyses were carried out to identify factors associated with the three stigma coping orientations.Results.The most common coping orientation was to conceal mental health problems (73%), which was strongly associated with anticipated discrimination. Only 51% ever challenged others because of discriminating behaviour, this being related to experienced discrimination, but also to higher confidence to tackle stigma.Conclusions.Although stigma coping orientations vary by context, individuals often choose to conceal problems, which is associated with greater anticipated and experienced discrimination and less confidence to challenge stigma. The direction of this association requires further investigation.

To The Question of Destigmatization of Psychiatry and Mentally III Persons In The Modern Society

2016 ◽  
Vol 33 (S1) ◽  
pp. S523-S523
Author(s):  
S. Vladimirova ◽  
V. Lebedeva ◽  
E. Gutkevich ◽  
A. Semke ◽  
N. Bokhan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mentally Ill ◽  
Health Research ◽  
Mental Health Problems ◽  
Mental Health Research ◽  
Health Problems ◽  
Mental Health Research Institute ◽  
Mentally Ill Persons

In recent decades, new medications have been developed that entailed possibility of rehabilitation and socialization of mentally ill persons.PurposeTo consider a phenomenon of destigmatization of mentally ill persons on the example of the analysis of screening-questioning in mental health service.MethodsRandomized screening-questioning of participants of Open Doors Day in the clinics of Mental Health Research Institute (Tomsk, Russia) in connection with World Mental Health Day in October, 2015.ResultsOne hundred and forty-six residents of Tomsk and inhabitants of the Tomsk Region as well as other cities visited Mental Health Research Institute. 76,5% of them visited mental health service for the first time. More than a half of visitors (51%) was the most able-bodied age group – 20-50 years old; elderly people – 20%. According to many-year observation of authors of the work, there is a gradual destigmatization of people with mental health problems. Process of destigmatization will develop further, and mass media should also be engaged in it. One more moment should be emphasized – reduction of self-stigmatization. Though people do not still aim to seek for psychiatric help at the appropriate institutions (they prefer to visit the psychiatrist of the catchment area policlinic), they after all started recognizing presence of the problem, understanding the need of its overcoming, and possibility of its correction.ConclusionThe attitude of society towards people with mental health problems and towards psychiatry reasonably changes, and this promotes further development in the field of help to patients and their relatives.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Trends in mental health service utilisation in immigrant youth in Ontario, Canada, 1996–2012: a population-based longitudinal cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022647 ◽  
Author(s):  
Natasha Ruth Saunders ◽  
Michael Lebenbaum ◽  
Hong Lu ◽  
Therese A Stukel ◽  
Marcelo Luis Urquia ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Acute Care ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Recent Immigrants ◽  
Recent Immigrant ◽  
Ed Visits

ObjectiveTo describe trends in mental health service use of youth by immigration status and characteristics.DesignPopulation-based longitudinal cohort study from 1996 to 2012 using linked health and administrative datasets.SettingOntario, Canada.ParticipantsYouth 10–24 years, living in Ontario, Canada.ExposureThe main exposure was immigration status (recent immigrants vs long-term residents). Secondary exposures were region of origin and refugee status.Main outcome measureMental health hospitalisations, emergency department (ED) visits and outpatient visits within consecutive 3-year time periods. Poisson regression models estimated rate ratios (RR).ResultsOver 2.5 million person years per period were included. Rates of recent immigrant mental health service utilisation were at least 40% lower than long-term residents (p<0.0001).Mental health hospitalisation and ED visit rates increased in long-term residents (hospitalisations, RR 1.09 (95% CI 1.08 to 1.09); ED visits, RR 1.15 (1.14 to 1.15)) and recent immigrants (hospitalisations RR 1.05 (1.03 to 1.07); ED visits, RR 1.08 (1.05 to 1.11)). Mental health outpatient visit rates increased in long-term residents (RR 1.03 (1.03 to 1.03)) but declined in recent immigrant (RR 0.94 (0.93 to 0.95)). Comparable divergent trends in acute care and outpatient service use were observed among refugees and across most regions of origin. Recent immigrant acute care use was driven by longer-term refugees (hospitalisations RR 1.12 (1.03 to 1.21); ED visits RR 1.11 (1.02 to 1.20)).ConclusionsMental health service utilisation was lower among recent immigrants than long-term residents. While acute care use is increasing at a faster rate among long-term residents than recent immigrants, the decrease in outpatient mental health visits in immigrants highlights a potential emerging disparity in access to preventative care.

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