The African/Caribbean Cultural Therapy Service: Northern Birmingham Mental Health NHS Trust

1997 ◽  
Vol 2 (1) ◽  
pp. 29-29 ◽  
Keyword(s):  
Mental Health ◽  
Cultural Therapy ◽  
African Caribbean ◽  
Therapy Service

scholarly journals Pathways to care and ethnicity. 2: Source of referral and help-seeking

2005 ◽  
Vol 186 (4) ◽  
pp. 290-296 ◽  
Author(s):  
Craig Morgan ◽  
Rosemarie Mallett ◽  
Gerard Hutchinson ◽  
Hemant Bagalkote ◽  
Kevin Morgan ◽  
...  
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Help Seeking ◽  
Pathways To Care ◽  
First Episode ◽  
Criminal Justice Agency ◽  
Black African ◽  
African Caribbean ◽  
African Patients ◽  
Pathway To Care

BackgroundPrevious research has found that African–Caribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We sought to investigate pathways to mental health care and ethnicity in a sample of patients with a first episode of psychosis drawn from two UK centres.MethodWe included all White British, other White, African–Caribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes.ResultsCompared with White British patients, general practitioner referral was less frequent for both African–Caribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders.ConclusionsThese findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.

scholarly journals Adopting Minds — a mentalization-based therapy for families in a post-adoption support service: preliminary evaluation and service user experience

2018 ◽  
Vol 42 (1) ◽  
pp. 22-37 ◽  
Author(s):  
Nick Midgley ◽  
Adriana Alayza ◽  
Hannah Lawrence ◽  
Rebecca Bellew
Keyword(s):  
Mental Health ◽  
Family Therapy ◽  
Mental Health Problems ◽  
Support Service ◽  
Adoptive Parents ◽  
Therapeutic Interventions ◽  
Preliminary Evaluation ◽  
Adoptive Families ◽  
Past Experiences ◽  
Therapy Service

Children placed for adoption often face unique challenges and are at higher risk of mental health problems compared to the general population. Yet despite some important clinical developments, there is still a lack of evidence related to effective therapeutic interventions for this population. This study reports on the preliminary evaluation of a mentalization-based family therapy service, Adopting Minds, offered as part of a post-adoption support service. Thirty-six families who had adopted 42 children were referred to the service between September 2015 and December 2016. Demographic information was collected and assessments undertaken on the families at baseline and at the end of therapy, using a range of validated measures. Five families who had completed therapy were also interviewed about their experience of the approach. For those families on which data were available, positive outcomes in mental health and parental self-efficacy were identified, and adoptive parents reported high levels of satisfaction with the mentalization-based family therapy service. Analysis of the interviews revealed that the families found it a containing space that was supportive and non-judgemental. They felt able to express their fears and worries to a therapist who was friendly and knowledgeable and reported that the service helped them to deal with and link struggles they were facing to their own as well as their child's past experiences. However, some adoptive families felt that this short-term, six-session service alone was not enough to address all the difficulties that had brought the family to seek help, and would have preferred a longer-term intervention or therapy in combination with other types of support.

scholarly journals Pathways to Forensic Mental Health Care in Toronto: A Comparison of European, African-Caribbean, and other Ethnoracial Groups in Toronto

2012 ◽  
Vol 57 (7) ◽  
pp. 414-421 ◽  
Author(s):  
Nina Flora ◽  
Howard Barbaree ◽  
Alexander I F Simpson ◽  
Samuel Noh ◽  
Kwame McKenzie
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Forensic Mental Health ◽  
African Caribbean

scholarly journals Victimization Experiences, Substance Misuse, and Mental Health Problems in Relation to Risk for Lethality Among African American and African Caribbean Women

2013 ◽  
Vol 28 (16) ◽  
pp. 3223-3241 ◽  
Author(s):  
Bushra Sabri ◽  
Jamila K. Stockman ◽  
Desiree R. Bertrand ◽  
Doris W. Campbell ◽  
Gloria B. Callwood ◽  
...  
Keyword(s):  
Mental Health ◽  
African American ◽  
Substance Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Caribbean Women ◽  
African Caribbean

scholarly journals Digital phenotyping of complex psychological responses to the COVID-19 pandemic (Preprint)

2020 ◽  
Author(s):  
Thomas D. Hull ◽  
Jacob Levine ◽  
Niels Bantilan ◽  
Angel N. Desai ◽  
Maimuna S. Majumder
Keyword(s):  
Mental Health ◽  
Language Processing ◽  
Anxiety Symptoms ◽  
Depression Symptoms ◽  
The Novel ◽  
Depression And Anxiety ◽  
Clinical Assessments ◽  
Digital Phenotyping ◽  
Novel Coronavirus ◽  
Therapy Service

BACKGROUND The novel coronavirus disease 2019 (COVID-19) has negatively impacted mortality, economic conditions, and mental health and these impacts are likely to continue after the pandemic comes to an end. OBJECTIVE At present, no method has characterized the mental health burden of the pandemic distinct from pre-COVID-19 levels. Accurate detection of illness is critical to facilitate pandemic-related treatment to prevent worsening symptoms. METHODS An algorithm for the isolation of pandemic-related concerns on a large digital mental health service is reported that utilized natural language processing (NLP) on unstructured therapy transcript data, in parallel with brief clinical assessments of depression and anxiety symptoms. RESULTS Results demonstrate a significant increase in COVID-related intake anxiety symptoms, but no detectable difference in intake depression symptoms. Transcript analyses identified terms classifiable into 24 symptoms in excess of those included in the diagnostic criteria for anxiety and depression. CONCLUSIONS Findings for this large digital therapy service suggest that treatment seekers are presenting with more severe intake anxiety levels than before the COVID-19 outbreak. Importantly, monitoring additional symptoms as part of a new COVID-19 Syndrome category could be advised to fully capture the effects of COVID019 on mental health.

scholarly journals Excess mortality in mental health service users during the COVID-19 pandemic described by ethnic group: South London and Maudsley data

2020 ◽  
Author(s):  
Robert Stewart ◽  
Matthew Broadbent ◽  
Jayati Das-Munshi
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Ethnic Group ◽  
Ethnic Groups ◽  
Excess Mortality ◽  
Premature Mortality ◽  
Service Users ◽  
Black African ◽  
African Caribbean

The COVID-19 pandemic in the UK was accompanied by excess all-cause mortality at a national level, only part of which was accounted for by known infections. Excess mortality has previously been described in people who had received care from the South London and Maudsley NHS Foundation Trust (SLaM), a large mental health service provider for 1.2m residents in south London. The SLaM Clinical Record Interactive Search (CRIS) data resource receives 24-hourly updates from its full electronic health record, including regularly sourced national mortality on all past and present SLaM service users. The SLaM urban catchment has high levels of deprivation and is ethnically diverse, so the objective of the descriptive analyses reported in this manuscript was to compare mortality in SLaM service users from 16th March to 15th May 2020 to that for the same period in 2019 within specific ethnic groups: i) White British, ii) Other White, iii) Black African/Caribbean, iv) South Asian, v) Other, and vi) missing/not stated. For Black African/Caribbean patients (the largest minority ethnic group) this ratio was 3.33, compared to 2.47 for White British patients. Considering premature mortality (restricting to deaths below age 70), these ratios were 2.74 and 1.96 respectively. Ratios were also high for those from Other ethnic groups (2.63 for all mortality, 3.07 for premature mortality).

scholarly journals Trauma and orthopaedic team members’ mental health during the COVID-19 pandemic

2020 ◽  
Vol 1 (6) ◽  
pp. 316-325 ◽  
Author(s):  
Amit Thakrar ◽  
Ali Raheem ◽  
Karen Chui ◽  
Edward Karam ◽  
Lilanthi Wickramarachchi ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Health Impact ◽  
Primary Objective ◽  
Cross Sectional ◽  
Team Members ◽  
Black African ◽  
Black British ◽  
African Caribbean ◽  
The Impact

Aims Healthcare systems have been rapidly restructured to meet COVID-19 demand. Clinicians are working to novel clinical guidelines, treating new patient cohorts and working in unfamiliar environments. Trauma and orthopaedics (T&O) has experienced cancellation of routine clinics and operating, with redistribution of the workload and human resources. To date, no studies have evaluated the mental health impact of these changes on the T&O workforce. We report the results of a novel survey on the impact of the pandemic on the mental health of our orthopaedic workforce and the contributory factors. Methods A 20-question survey-based cross-sectional study of orthopaedic team members was conducted during the COVID-19 pandemic. The primary objective was to identify the impact of the pandemic on mental health in the form of major depressive disorder (MDD) and general anxiety disorder (GAD). The survey incorporated the patient health questionnaire (PHQ-2), which is validated for screening of MDD, and the generalized anxiety disorder questionnaire (GAD-2), which is validated for screening of GAD. Results There were 62 respondents (18 females and 44 males). As compared to the general population, we noted a greater estimated prevalence of GAD (17.7% vs 5.9%, p = 0.0009297) and MDD (19.4% vs 3.3%, p = 0.0000007731). The prevalence of MDD symptoms was greatest among senior house officers (SHOs) (p = 0.02216). Female respondents scored higher for symptoms of MDD (p = 0.03583) and GAD (p = 0.0001086). Those identifying as ‘Black, African, Caribbean or Black British’ displayed a higher prevalence of GAD symptoms (p = 0.001575) and felt least supported at work (p = 0.001341). Conclusion Our study, in the first of its kind, shows a significant prevalence of GAD and MDD in the workforce. We found that SHOs, females and those of Black, African, Caribbean, or Black British origin were disproportionately affected. Action should be taken to help prevent adverse mental health outcomes for our colleagues during the pandemic. Cite this article: Bone Joint Open 2020;1-6:316–325.

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