Counter-radicalization, public health, and racism: A case analysis of Prevent

Author(s):  
Tarek Younis

The threat of terrorism is well documented to be associated with Muslims and Islam in British public consciousness. This chapter will emphasize the sociopolitical context underlying public health strategies seeking to address radicalization and extremism, especially given the UK government’s recent pivoting of its ‘Prevent’ policy within mental health services. Drawing upon two years of empirical fieldwork exploring the impact of the Prevent duty in the National Health Service, this chapter will outline several key issues with counter-radicalization policies enacted within health settings. Firstly, I found that mental health professionals—especially Muslims—self-censored their critical thoughts of Prevent, largely as a result of the political and moral subscript underlying counterterrorism: the ‘good’ position was to accept their counterterrorism duty, and the ‘bad’ position was to reject it. Secondly, Prevent significantly emphasizes reliance on ‘trusting one’s gut’ given the elusive framework of psychological risk factors it outlines during training. In turn, the government engages in what I call performative colour blindness: the active recognition and erasure of a common sense that associates racialized Muslims with the threat of terrorism. Colour blindness, however, is known to be integral for the maintenance of institutionally racist practices in contemporary times. This chapter ends by highlighting two understated issues of racism in contemporary public health approaches to counter-radicalization: the reinvigorated impulse to ‘tackle’ the far-right and the question of coercion and accountability.

2021 ◽  
pp. 089198872199681
Author(s):  
Kerry Hanna ◽  
Clarissa Giebel ◽  
Hilary Tetlow ◽  
Kym Ward ◽  
Justine Shenton ◽  
...  

Background: To date, there appears to be no evidence on the longer-term impacts caused by COVID-19 and its related public health restrictions on some of the most vulnerable in our societies. The aim of this research was to explore the change in impact of COVID-19 public health measures on the mental wellbeing of people living with dementia (PLWD) and unpaid carers. Method: Semi-structured, follow-up telephone interviews were conducted with PLWD and unpaid carers between June and July 2020. Participants were asked about their experiences of accessing social support services during the pandemic, and the impact of restrictions on their daily lives. Results: 20 interviews were conducted and thematically analyzed, which produced 3 primary themes concerning emotional responses and impact to mental health and wellbeing during the course of the pandemic: 1) Impact on mental health during lockdown, 2) Changes to mental health following easing of public health, and 3) The long-term effect of public health measures. Conclusions: The findings from this research shed light on the longer-term psychological impacts of the UK Government’s public health measures on PLWD and their carers. The loss of social support services was key in impacting this cohort mentally and emotionally, displaying a need for better psychological support, for both carers and PLWD.


Author(s):  
Feifei Bu ◽  
Hei Wan Mak ◽  
Daisy Fancourt

Abstract Purpose The coronavirus disease 2019 (COVID-19) pandemic has put a great strain on people’s mental health. A growing number of studies have shown worsening mental health measures globally during the pandemic. However, there is a lack of empirical study on how people support their mental health during the COVID-19 pandemic. This study aimed to examine a number of formal and informal mental health support. Further, it explored factors that might be associated with the use of different types mental health support. Methods Data from 26,720 adults in the UCL COVID-19 Social Study were analysed between 13th April 2020 and 3rd July 2020. Data were analysed using logistic and Poisson regression models. Results About 45% of people reported talking to friends or family members to support their mental health, 43% engaging in self-care activities, 20% taking medication, 9% speaking to mental health professionals, 8% talking to a GP or other health professional, and another 8% using helpline or online services. Gender, education, living status, loneliness, pre-existing mental health conditions, general depression and anxiety, coping and personality were found to be associated with the use of mental health support. Conclusion While the negative impacts caused by the COVID-19 pandemic are inevitable, people can play an active role in managing their mental health. Understanding the patterns and predictors of various kinds of mental health support during the pandemic is crucial for future service planning and delivery through recognising potential barriers to mental health care faced by certain groups.


Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman

Although most mental health professionals receive excellent education and training that helps them to become competent and highly effective clinicians, graduate school tends not to provide training in the business side of practice that is needed for success in private practice. Many trainees and early-career clinicians may think they learned in graduate school all they need to know to be successful in the business of practice. Unfortunately, this is generally not true and many of those who enter private practice are poorly prepared for planning, establishing, and running a successful private practice. This chapter addresses the key issues every mental health clinician should know about when contemplating opening a private practice. Business and financial issues are addressed, including developing a business plan and utilizing various consultants. This chapter addresses the myth that excellent clinical skills are sufficient for success in the business of private mental health practice.


2011 ◽  
Vol 26 (S2) ◽  
pp. 574-574
Author(s):  
I. Rocha

IntroductionWHO has defined the social determinants of mental health (2008) as “social justice is a matter of life or death. Affects how people live, their propensity for disease and risk of premature death”. Underlies that health is not only determined by biological, but by social factors that can be divided into: Economic, Gender and Cultural.ObjectivesThe author proposes to do a literature review focusing on a consensus on the social determinants of mental health, and the implications on the policies of various countries.Aims and methodsWe performed a literature review using textbooks and research papers (Medline, Pubmed, 1997–2010).ResultsTopics about Social Determinants of Mental Health often establish, the social gradient, situations of stress, childhood development, poverty, drug dependence, conditions at work, unemployment, social support, food, transportation policies, gender and cultural determinants.The Global Movement for Mental Health should play an important role in public health activities, focusing on global mental illness. To do this effectively, the mental health professionals need to confront global poverty, its relationship with the political and economic developments as well as the consequences for common mental illnesses.ConclusionsIn a public health perspective, evidence of the mechanisms of this relationship can be used to consider a variety of primary and secondary preventive strategies with regard to mental health.


Subject India's efforts to address a mental health crisis. Significance The Indian government is aiming to convert 150,000 primary health centres into health and wellness centres (HWCs) providing comprehensive care, including management of mental disorders. Its plans for secondary and tertiary healthcare include medical insurance for poorer families that will cover treatment of mental illness. According to a 2016 study conducted by India’s National Institute of Mental Health and Neurosciences (NIMHANS), 150 million out of the country’s 1.3 billion people urgently need mental healthcare. Impacts Expanding mental healthcare infrastructure could lead to an overemphasis on a biomedical model of treatment for mental health disorders. The government will come under pressure to increase funding for mental health professionals as well as technological resources. Future budgets will be key indicators of the government’s commitment to its National Mental Health Programme.


2004 ◽  
Vol 28 (6) ◽  
pp. 218-221 ◽  
Author(s):  
Heinrich Kunze ◽  
Thomas Becker ◽  
Stefan Priebe

The German mental health care system differs significantly from the system in the UK. There is no central organisation with overall responsibility as in the National Health Service (NHS), and the government is not entitled to prescribe details of policy or set specific targets. It can only determine the legal framework, define general goals and, with difficulties, influence the spending level. Responsibilities for mental health care, as for other fields of health care, are shared between federal authorities, the 16 states (Lander), local authorities, and semi-statutory organisations, which govern out-patient health care provided by psychiatrists in office-based practices. Virtually every citizen is health-insured and there is free access to health care for those who have no insurance coverage, in which case social services usually cover the costs. Social services also directly fund various services in the community. The fragmented system can be difficult to comprehend. However, many of the challenges are similar to those in other countries, and policy makers and practitioners elsewhere might be interested to know some of the lessons learnt in the German system.


2014 ◽  
Vol 1 (5) ◽  
pp. 21
Author(s):  
Herschel Prins

<p align="LEFT">The Government White Paper Reforming the Mental Health Act follows closely on the heels of the Green Paper - Reform of the Mental Health Act, 1983 which derives from (but also departs from in many respects) the Report of the Expert Committee chaired by Professor Genevra Richardson. One could say, with some justification, that mental health professionals have been ‘deluged’ with paper in this area in the past year or two, so that trying to discern trends has become very difficult. In particular, the material in the White Paper is somewhat closely written and needs to be read with a good deal of care (or, so it seemed to me). To complicate matters further, offender-patients are also discussed in Part I of the White Paper (The Legal Framework) whereas it would have been more logical to have dealt with the proposed provisions for them in Part II. For clarity, I propose to deal with all these matters under one heading.</p>


Author(s):  
Jennifer Dykxhoorn ◽  
James B. Kirkbride

Psychiatric disorders, including common mental disorders, schizophrenia, and suicide, contribute substantially to the global burden of disease in terms of both morbidity and premature mortality, making them an important issue for public mental health. Epidemiological tools quantifying the burden of psychiatric disorders are important in furthering our understanding of psychiatric disorders and informing decision-making. In this chapter, we review major epidemiological studies from the past 30 years of psychiatric epidemiology to provide an overview of the burden of common mental disorders (depression and anxiety), psychotic disorders (schizophrenia and other psychotic disorders), and suicide. We also describe how the incidence and prevalence of these disorder vary by person and place, with a particular focus on the patterns of psychiatric disorders by ethnicity. Finally, we discuss the challenge of applying epidemiological evidence to public health, highlighting key issues facing public health professionals, researchers, and policymakers working in public mental health.


2019 ◽  
Vol 65 (5) ◽  
pp. 435-442 ◽  
Author(s):  
Ganesh Kumar ◽  
Mamta Sood ◽  
Rohit Verma ◽  
Ananya Mahapatra ◽  
Rakesh Kumar Chadda

Background: The caregivers of patients with first episode psychosis (FEP) experience significant distress. It is important to understand their needs to plan adequate interventions for them. Aim: The aim of this study was to explore the needs of caregivers of young patients with FEP in India, using a qualitative approach. Methods: The study was conducted in two phases. In phase I, a script for conducting focus group discussions (FGDs) with caregivers was developed, based on literature search and expert opinion generated from FGD with mental health professionals. In phase II, five FGDs were conducted with 30 caregivers of young patients with FEP having minimal of 6 participants in each FGD. Data was analyzed using principles of grounded theory. Results: Seven broad themes and subthemes of the needs of caregivers emerged from the FGDs. The final themes, which highlighted the needs of caregivers of young patients with FEP, were (in order of ranking) as follows: information regarding treatment, information regarding illness, services provided by the government, optimum quality of care from treatment facility, management of psychosocial issues related to patient’s illness, availability and accessibility of treatment, and identification and recognition of mental health and physical problems in family members. Conclusion: Qualitative method was useful to identify the needs of the caregivers of young patients with FEP in multiple domains.


2021 ◽  
pp. 1-12
Author(s):  
Idura N. Hisham ◽  
Jacqueline Sin ◽  
Khadj Rouf ◽  
Danny Taggart ◽  
Giles Townsend ◽  
...  

SUMMARY No recent pandemic has had such a severe socioeconomic impact as COVID-19. Significant economic uncertainty and social restrictions have led to increased levels of stress for many. There has been increased social isolation, financial stress and alcohol intake, all of which can increase domestic abuse and other forms of household abuse. Increases in abuse in the home found in other public health emergencies and economic recessions can be seen now – reported UK domestic abuse rates have increased since the start of COVID-19. This article focuses on how COVID-19 and its anticipated aftermath exacerbate the risk factors for domestic abuse in the general population and discusses clinical implications for mental health practitioners in the UK. It aims to provide a point of learning based on previous disease outbreaks and recessions, with a focus on specific factors, such as unemployment and alcohol misuse, and how these contribute to increasing incidence and severity of abuse – and more importantly, how mental health professionals can mitigate these for patients, 1 in 3 of whom are estimated to have already experienced abuse before the COVID-19 pandemic.


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