Journey to diagnosis for women with autism

2019 ◽  
Vol 5 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Dori Zener
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Well Being ◽  
Research Literature ◽  
Clinical Approach ◽  
Autism Diagnosis ◽  
Mental Strain ◽  
Content Type ◽  
Case Examples ◽  
Autism Phenotype

PurposeThe purpose of this paper is to review the barriers that girls and women face in receiving an accurate and timely autism diagnosis. The journey to late-in-life diagnosis will be explored with a focus on mental health and well-being. The aim is to improve the awareness of the female autism phenotype to provide access to early identification and appropriate supports and services.Design/methodology/approachThe author’s clinical experience as an individual, couple and family therapist specializing in girls and women with autism informs the paper. Research on co-occurring mental health experience and diagnoses are reviewed and combined with case examples to outline the themes leading to and obscuring autism diagnosis.FindingsFemales with autism are less likely to be diagnosed or are identified much later than their male counterparts. Living with unidentified autism places significant mental strain on adults, particularly females. Achieving a late-in-life diagnosis is very valuable for adults and can improve self-awareness and access to limited support.Practical implicationsMental health professionals will develop a better understanding of the overlap between autism and psychiatric conditions and should consider autism in females who are seeking intervention.Originality/valueThis paper provides a clinical approach to working with autistic girls and women. This knowledge can complement the existing research literature and help build the foundation for a greater understanding of the female autism phenotype.

The experimental research on well-being since 2004

2015 ◽  
Vol 14 (4) ◽  
pp. 211-213 ◽  
Author(s):  
Woody Caan
Keyword(s):  
Mental Health ◽  
Medical Officer ◽  
Public Mental Health ◽  
Well Being ◽  
Research Literature ◽  
Clinical Samples ◽  
Small Scale ◽  
Content Type ◽  
Randomised Controlled ◽  
Experimental Trials

Purpose – The purpose of this paper is to investigate the claim by the Chief Medical Officer for England that “There is virtually no robust, peer-reviewed evidence to support a ‘well-being’ approach to mental health”. Design/methodology/approach – Secondary research using research literature from two widely available databases, Scopus and Applied Social Sciences Index and Abstracts. Randomised controlled trials were sought that focused on “well-being” (including well-being or wellness), from 2004 to the present. Findings – With both clinical samples and non-clinical populations, a variety of experimental trials were found. Studies were identified with both positive benefits and no benefits from intervention. The most numerous type of paper reported positive benefits for clinical patients. Research limitations/implications – Only a single reader classified the studies in this investigation, so the inter-rater reliability may be limited. Only two databases were searched. However, future work (such as that in progress by the What Works Centre for Wellbeing) may find an abundance of evidence on mental well-being. Practical implications – In many settings, well-being can improve after intervention. Social implications – What is measured as “well-being” may need to take into account the perspective of the specific population being studied. Originality/value – This small-scale study was undertaken to inform policy in the new Public Mental Health Network.

The recontextualisation of youth wellbeing in Australian schools

2019 ◽  
Vol 119 (5/6) ◽  
pp. 321-340
Author(s):  
Susan Whatman ◽  
Roberta Thompson ◽  
Katherine Main
Keyword(s):  
Mental Health ◽  
National Policy ◽  
State Level ◽  
Well Being ◽  
Community Context ◽  
Cross Sectional ◽  
Policy Documents ◽  
Content Type ◽  
Case Examples ◽  
School Based

Purpose The purpose of this paper is to suggest how well-being messages are recontextualized into school-based contexts from an analysis of national policy and state curricular approaches to health education as reported in the findings of two selected case studies as well as community concerns about young people’s well-being. Design/methodology/approach A cross-sectional review of Australian federal and state-level student well-being policy documents was undertaken. Using two case examples of school-based in-curricular well-being programs, the paper explores how discourses from these well-being policy documents are recontextualized through progressive fields of translation and pedagogic decision making into local forms of curriculum. Findings Pedagogic messages about well-being in Australia are often extra-curricular, in that they are rarely integrated into one or across existing subject areas. Such messages are increasingly focused on mental health, around phenomena such as bullying. Both case examples clearly demonstrate how understandings of well-being respond to various power relations and pressures emanating from stakeholders within and across official pedagogic fields and other contexts such as local communities. Originality/value The paper focusses on presenting an adaptation of Bernstein’s (1990) model of social reproduction of pedagogic discourse. The adapted model demonstrates how “top-down” knowledge production from the international disciplines shaping curriculum development and pedagogic approaches can be replaced by community context-driven political pressure and perceived community crises. It offers contemporary insight into youth-at-risk discourses, well-being approaches and student mental health.

Now they’re listening: involvement in clinical psychology training

2019 ◽  
Vol 23 (1) ◽  
pp. 23-29
Author(s):  
Laura Lea ◽  
Sue Holttum ◽  
Victoria Butters ◽  
Diana Byrne ◽  
Helen Cable ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Clinical Psychology ◽  
Health Professionals ◽  
Service User ◽  
Health Workers ◽  
Psychology Training ◽  
Service Users ◽  
Clinical Psychology Training ◽  
Content Type

PurposeThe 2014/2015 UK requirement for involvement of service users and carers in training mental health professionals has prompted the authors to review the work of involvement in clinical psychology training in the university programme. Have the voices of service users and carers been heard? The paper aims to discuss this issue.Design/methodology/approachThe authors update the paper of 2011 in which the authors described the challenges of inclusion and the specific approaches the authors take to involvement. The authors do this in the context of the recent change to UK standards for service user and carer involvement, and recent developments in relation to partnership working and co-production in mental healthcare. The authors describe the work carried out by the authors – members of a service user involvement group at a UK university – to ensure the voices of people affected by mental health difficulties are included in all aspects of training.FindingsCareful work and the need for dedicated time is required to enable inclusive, effective and comprehensive participation in a mental health training programme. It is apparent that there is a group of service users whose voice is less heard: those who are training to be mental health workers.Social implicationsFor some people, involvement has increased. Trainee mental health professionals’ own experience of distress may need more recognition and valuing.Originality/valueThe authors are in a unique position to review a service-user-led project, which has run for 12 years, whose aim has been to embed involvement in training. The authors can identify both achievements and challenges.

scholarly journals Exploring the antecedents of the mental health of business professionals in Sweden

Work ◽  
2020 ◽  
Vol 67 (3) ◽  
pp. 665-669
Author(s):  
Timur Uman ◽  
Pernilla Broberg ◽  
Torbjörn Tagesson
Keyword(s):  
Mental Health ◽  
Job Satisfaction ◽  
Life Satisfaction ◽  
Well Being ◽  
Economic Welfare ◽  
Regression Analyses ◽  
Business Professionals ◽  
Mental Strain ◽  
Work Related ◽  
The Relationship

BACKGROUND: Business professionals are an important occupational group that carries responsibility for the economic welfare of organizations and of society at large. These professionals have recently been reported to be experiencing increased mental strain, which may have a significant effect on the role they play in organizations and in society. Understanding the causes of this strain is thus an important endeavour. OBJECTIVE: This study explores the antecedents of the mental health of business professionals. METHODS: Multiple linear regression analyses were used to examine the relationship between business professionals’ mental health and its demographic, work-related, and other triggers. T-tests and descriptive statistics were used to explore the gender of the respondents in relation to these triggers and mental health. RESULTS: Compared with their male counterparts, female business professionals report poorer mental health; however, no gender differences were found in job satisfaction or life satisfaction. According to this study, age, overtime pay, higher salary and position as a manager have a positive relation with mental health, whereas working overtime has a negative relation with mental health. Job satisfaction and life satisfaction are important determinants of the mental health of business professionals. CONCLUSIONS: Business professionals are important to the economic welfare of their organization and of society as a whole. Our study suggests that demographic characteristics, work-related aspects and subjective dimensions of well-being have a profound effect on the mental health of business professionals.

Health literacy and mental health of school principals. Results from a German cross-sectional survey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kevin Dadaczynski ◽  
Claudia Kotarski ◽  
Katharina Rathmann ◽  
Orkan Okan
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Emotional Exhaustion ◽  
Regression Models ◽  
School Principals ◽  
Health Indicators ◽  
Well Being ◽  
Work Characteristics ◽  
Cross Sectional ◽  
Content Type

PurposeSchool principals are generally seen as key facilitators for the delivery and long-term implementation of activities on school health promotion, including health literacy. However, there is little evidence on the health literacy and health status of this occupational group. The purpose of this paper is to investigate the health literacy of school principals and its association with mental health indicators.Design/methodology/approachA cross-sectional online survey with German school principals and members of the management board (vice principals) was conducted (n = 680, 68.3% female). Demographic (gender, age) and work characteristics (type of school, professional role) as well as health literacy served as independent variables. Mental health as a dependent variable included well-being, emotional exhaustion and psychosomatic complaints. Next to uni- and bivariate analysis, a series of binary logistic regression models was performed.FindingsOf the respondents, 29.2% showed a limited health literacy with significant differences to the disadvantage of male principals. With regard to mental health, respondents aged over 60 years and those from schools for children with special educational needs were less often affected by low well-being as well as frequent emotional exhaustion and psychosomatic complaints. Taking into account demographic and work characteristics, regression models revealed significant associations between a low level of health literacy and poor mental health across all indicators.Research limitations/implicationsThe cross-sectional nature of this study does not allow to draw conclusions about the causal pathways between health literacy and mental health. Although the sample has been weighted, the results cannot be generalized to the whole population of school principals. There is a need for evidence-based interventions aiming at promoting health literacy and mental health tailored to the needs of school principals.Originality/valueThis is the first study to investigate health literacy and its association with health indicators among school principals.

Recovery college features and context: advancing a recovery and well-being policy agenda

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amadene Woolsey ◽  
Gillian Mulvale
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Mental Health System ◽  
Well Being ◽  
System Reform ◽  
Educational Approach ◽  
Content Type ◽  
Policy Objectives ◽  
Mental Health Association

Purpose Internationally, there has been a move towards more recovery-oriented mental health policies for people living with mental illness, and some countries have included well-being as a population-level objective. In practice, these policy objectives can be difficult to achieve because of deeply rooted policy legacies, including a biomedical approach to care and the stigma associated with mental illness. The purpose of this paper is to investigate how interventions that operate outside the formal mental health system, such as recovery colleges (RCs), may advance these policy objectives more easily than efforts at broader system reform. Design/methodology/approach This study conducted a scoping review to explore the features and context of RCs that make the model an attractive and feasible opportunity to advance a recovery and well-being agenda. Our research is motivated by the initial and growing adoption of RCs by the Canadian Mental Health Association. This paper applies the consolidated framework for implementation research to analyse features of the model and the context of its implementation in Canada. Findings The RC’s educational approach, adaptability, coproduced nature and positioning outside the formal mental health system are key features that facilitate implementation without disrupting deeply entrenched policy legacies. Other facilitators in the Canadian context include the implementing organisation’s independence from government, its federated structure and the model’s alignment with national policy objectives. Originality/value This paper highlights how interventions outside the formal mental healthcare system can promote stated recovery and well-being policy goals.

scholarly journals How managers experience situations involving employee mental ill-health

2018 ◽  
Vol 11 (6) ◽  
pp. 442-463 ◽  
Author(s):  
Angela Martin ◽  
Megan Woods ◽  
Sarah Dawkins
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Safety Climate ◽  
Well Being ◽  
The Body ◽  
Health Issue ◽  
Mental Health Issue ◽  
Successful Implementation ◽  
Health Issues ◽  
Content Type

Purpose Mental health conditions such as depression are prevalent in working adults, costly to employers, and have implications for legal liability and corporate social responsibility. Managers play an important role in determining how employees’ and organizations’ interests are reconciled in situations involving employee mental ill-health issues. The purpose of this paper is to explore these situations from the perspective of managers in order to develop theory and inform practice in workplace mental health promotion. Design/methodology/approach Semi-structured interviews were conducted with 24 Australian managers who had supervised an employee with a mental health issue. Interview transcripts were content analyzed to explore themes in managers’ experiences. Findings Managing an employee with a mental health issue involves becoming aware of the issue, taking action to understand the situation and develop an action response, implementing the response and managing the ongoing situation. Each of these tasks had a range of positive and negative aspects to them, e.g., managing the situation can be experienced as both a source of stress for the manager but also as an opportunity to develop greater management skills. Practical implications Understanding line managers’ experiences is critical to successful implementation of HR policies regarding employee health and well-being. HR strategies for dealing with employee mental health issues need to consider implementation support for managers, including promotion of guiding policies, training, emotional support and creating a psychosocial safety climate in their work units or teams. Originality/value The insights gained from this study contribute to the body of knowledge regarding psychosocial safety climate, an emergent theoretical framework concerned with values, attitudes and philosophy regarding worker psychological health. The findings also have important implications for strategic human resource management approaches to managing mental health in the workplace.

The transition between mental health services in Scotland

2018 ◽  
Vol 23 (1) ◽  
pp. 12-24 ◽  
Author(s):  
Juliette van der Kamp
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Transition Period ◽  
Organisational Development ◽  
Structured Interviews ◽  
Content Type ◽  
Experience Difficulty

Purpose The purpose of this paper is to describe the barriers and facilitators to an effective transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). It also presents a new entry into considering how the transition can be improved. Design/methodology/approach Insights into the transition from CAMHS to AMHS were gathered through eight semi-structured interviews with mental health professionals. Two methods of data analysis were employed to explore the emerging themes in the data and the observed deficit approach to organisational development. Findings The findings identified a vast volume of barriers in comparison to facilitators to the transition. Adolescents who transition from CAMHS to AMHS initially experience difficulty adapting to the differences in the services due to the short duration of the transition period. However, despite the established barriers to the transition, adolescents tend to adapt to the differences between the services. Findings also showed a negative framing towards the transition amongst the mental health professionals which resembles a deficit approach to organisational development. Originality/value This paper explores mental health professionals’ perspectives regarding the transition in Dumfries and Galloway, Scotland. The transition is increasingly recognised as an area in health care that requires improvement. This research provides a new way to consider the transition by exploring the perceived deficit approach to organisational development in the services.

Marketing dispossession

2017 ◽  
Vol 35 (1) ◽  
pp. 112-127 ◽  
Author(s):  
Paul Sergius Koku ◽  
Hannah Emma Acquaye
Keyword(s):  
Mental Health ◽  
Financial Institutions ◽  
Mental State ◽  
Well Being ◽  
Small Sample ◽  
Real Property ◽  
Content Type ◽  
Alternative Approach ◽  
Hard Times

Purpose The purpose of this paper is to examine the mental state and the disposition of those who have fallen on hard times during the recent financial crisis and have had their homes foreclosed on or their automobiles repossessed. It also proposes an alternative process for dispossessing individuals that preserves the mental health of such individuals and the banks’ reputation. Design/methodology/approach This study uses the hermeneutics approach to analyze the predicament of those whose homes have been foreclosed on or whose properties have been repossessed by financial institutions to better understand their predicament. Findings Those whose homes have been foreclosed on or whose properties have been repossessed by financial institutions are traumatized. They feel victimized, bitter, helpless and hopeless and have poor mental state. The study draws on theories in counseling psychology to propose an alternative approach to making loans that take long time to be repaid (long-term loans), and for repossessing personal properties such as automobiles and for foreclosing on real property (homes). Research limitations/implications As a qualitative study based on a small sample, the findings of the study are limited to only those who have been studied. A further study that leads to a generalized result will be useful. Practical implications The study develops a practical framework that could be useful to financial institutions in making long-term loans and to foreclose on delinquent loans (i.e. to dispossess individuals). Social implications The proposed strategy, if implemented, could have a significant positive impact on the mental well-being of those who have fallen on financial hard times. Originality/value To the best of the knowledge, this is the first marketing paper that has explored the mental health of those who have defaulted on loans, and has proposed an alternative approach to making long-term loans that not only preserves the mental health of banks’ customers, but also protects the reputation and market share of banks.

scholarly journals Migrant mental health and representation in routine administrative registers

2018 ◽  
Vol 14 (1) ◽  
pp. 82-95
Author(s):  
Ciara Mary Close ◽  
Tania Bosqui ◽  
Dermot O’Reilly ◽  
Michael Donnelly ◽  
Anne Kouvonen
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Cultural Awareness ◽  
Service Use ◽  
Well Being ◽  
Health Staff ◽  
Local Health ◽  
Migrant Population ◽  
Content Type ◽  
Migrant Mental Health

Purpose There has been an increase in the use of registers and record linkages to study migrant mental health. However, the accuracy of these registers and the degree to which they are representative of the migrant population in Northern Ireland (NI) are unclear. The purpose of this paper is to explore: the coverage of the NI migrant population in general practitioner (GP) data and Census records; the issues faced by migrants in terms of registering and accessing the local health system; and the reporting of racial hate crimes against migrants to police. Design/methodology/approach Two focus groups of professionals (n=17) who worked with migrants were conducted. Group discussions were guided by a research-informed topic guide, and the data were analysed using thematic analysis. Findings Three main themes emerged: issues with the use of GP registration, Census and hate crime data for researching migrant mental health; barriers to health service use (e.g. low cultural awareness among health staff and access to interpreters); and risk factor exposure and mental health status in migrant communities (e.g. poverty, isolation and poor working conditions). Originality/value Record linkage and registry studies of migrant health and well-being using Census and health service sources need to be mindful of the likelihood that some migrants may be missed. The possible underrepresentation of migrants in health registers may be explained by reduced use of such services which may be caused my encountering staff with limited cultural competency and the inability to access an interpreter promptly.

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