Empirically revisiting a social class scheme for mental health in Barcelona, Spain

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Xavier Bartoll-Roca ◽  
Albert Julià
Keyword(s):  
Mental Health ◽  
Social Class ◽  
Labor Force ◽  
Health Inequalities ◽  
Multiple Correspondence Analysis ◽  
Well Being ◽  
Information Criteria ◽  
Content Type ◽  
Standard Scheme ◽  
Employment Conditions

PurposeSocial inequalities in mental health can be captured by occupational situation and social class stratification. This study analyzes the adequacy of a classification of work and employment conditions and an adaptation of the Goldthorpe social class scheme in relation to mental health in Barcelona, Spain.Design/methodology/approachMultiple correspondence analysis (MCA) and hierarchical cluster analysis (CA) on working and employment conditions were used to empirically construct distinctive working groups. Through 2 logistic regression models, we contrasted the association between mental health and (1) the cluster of employment and working conditions (with 4 categories: insiders, instrumental, precarious and peripheral workers), and (2) a standard Spanish version of the Goldthorpe social class scheme. The performance of the 2 models was assessed with Akaike and Bayesian information criteria. The analyses were carried out using the Barcelona Health Survey (2016) including the labor force population from 22 to 64 years of age.FindingsWide inequalities were found in mental health with both class schemes. The empirical class scheme was more effective than the Goldthorpe social class scheme in explaining mental health inequalities. In particular, precarious and peripheral workers in the MCA-CA analysis, together with unemployed workers, emerged as distinctive social groups apparently masked within the lower social class in the standard scheme. When using the standard scheme, the authors recommend widening the scope at the bottom of the social class categories while shrinking it at the top as well as considering unemployed persons as a separate category to better represent mental health inequalities.Social implicationsThe working poor appear to report at least as much poor mental health as unemployed persons. Policies aimed at more inclusive work should consider job quality improvements to improve the mental well-being of the labor force.Originality/valueOur study examines the utility of social classes to explain mental health inequalities by comparing an empirically based social class to the Spanish adaptation of the Goldthorpe classification.

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.

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.

Micro‐enterprise:

2013 ◽  
Vol 21 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Sian Lockwood
Keyword(s):  
Health Inequalities ◽  
Design Methodology ◽  
Social Care ◽  
Community Support ◽  
Well Being ◽  
Local Health ◽  
Content Type ◽  
Local Case ◽  
The Uk ◽  
Health And Well Being

PurposeThis paper seeks to explore the potential of micro‐enterprises to assist local health and well‐being boards in delivering their strategies, especially in relation to tackling health inequalities, prevention and community support.Design/methodology/approachThis paper draws on experience gained by Community Catalysts from its work supporting social care and health micro‐enterprise across the UK. There has been little formal research into social care and health micro‐enterprise and so the paper relies heavily on data gathered by Community Catalysts in the course of its work and uses local case studies to illustrate points.FindingsThe paper explains the importance of social care and health micro‐enterprise to the work of health and well being boards, emphasising its potential to help tackle health inequalities and contribute to effective health and well‐being strategies.Originality/valueThere are no examples as yet of imaginative health and well‐being boards engaging effectively with micro‐providers, but boards can draw on learning from local authorities actively stimulating and supporting local micro‐enterprise.

scholarly journals Designing servicescapes for transformative service conversations: lessons from mental health services

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ahir Gopaldas ◽  
Anton Siebert ◽  
Burçak Ertimur
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Risk Taking ◽  
Design Theory ◽  
Well Being ◽  
Service Encounters ◽  
Design Strategies ◽  
Content Type ◽  
Emotional Risk

Purpose Dyadic services research has increasingly focused on helping providers facilitate transformative service conversations with consumers. Extant research has thoroughly documented the conversational skills that providers can use to facilitate consumer microtransformations (i.e. small changes in consumers’ thoughts, feelings and action plans toward their well-being goals). At the same time, extant research has largely neglected the role of servicescape design in transformative service conversations despite some evidence of its potential significance. To redress this oversight, this article aims to examine how servicescape design can be used to better facilitate consumer microtransformations in dyadic service conversations. Design/methodology/approach This article is based on an interpretive study of mental health services (i.e. counseling, psychotherapy and coaching). Both providers and consumers were interviewed about their lived experiences of service encounters. Informants frequently described the spatial and temporal dimensions of their service encounters as crucial to their experiences of service encounters. These data are interpreted through the lens of servicescape design theory, which disentangles servicescape design effects into dimensions, strategies, tactics, experiences and outcomes. Findings The data reveal two servicescape design strategies that help facilitate consumer microtransformations. “Service sequestration” is a suite of spatial design tactics (e.g., private offices) that creates strong consumer protections for emotional risk-taking. “Service serialization” is a suite of temporal design tactics (e.g., recurring appointments) that creates predictable rhythms for emotional risk-taking. The effects of service sequestration and service serialization on consumer microtransformations are mediated by psychological safety and psychological readiness, respectively. Practical implications The article details concrete servicescape design tactics that providers can use to improve consumer experiences and outcomes in dyadic service contexts. These tactics can help promote consumer microtransformations in the short run and consumer well-being in the long run. Originality/value This article develops a conceptual model of servicescape design strategies for transformative service conversations. This model explains how and why servicescape design can influence consumer microtransformations. The article also begins to transfer servicescape design tactics from mental health services to other dyadic services that seek to facilitate consumer microtransformations. Examples of such services include career counseling, divorce law, financial advising, geriatric social work, nutrition counseling, personal styling and professional organizing.

scholarly journals The Researcher Toolkit: a preventative, peer-support approach to postgraduate research student mental health

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sophie R. Homer ◽  
Linda Solbrig ◽  
Despina Djama ◽  
Anne Bentley ◽  
Sarah Kearns ◽  
...  
Keyword(s):  
Mental Health ◽  
Critical Pedagogy ◽  
Peer Support ◽  
Interdisciplinary Collaboration ◽  
Well Being ◽  
Population Total ◽  
Content Type ◽  
Researcher Development ◽  
Postgraduate Research ◽  
Research Students

Purpose Rates of mental ill-health among postgraduate research students (PGRs) are alarmingly high. PGRs face unique challenges and stigma around accessing support. The purpose of this paper is to introduce The Researcher Toolkit: a novel, open-source, preventative approach to PGR mental health. The Toolkit empowers PGRs and promotes positive research culture. This paper describes and evaluates the Toolkit to encourage adoption across the sector. Design/methodology/approach Four workshops were designed by integrating researcher development, critical pedagogy and psychological knowledge of well-being. A diverse group of PGRs co-designed workshops and delivered them to their peers. Workshops engaged 26% of the PGR population (total 116 attendees). PGR Workshop Leaders and attendees submitted anonymous, online feedback after workshops (74 total responses). A mixed-method approach combined quantitative analysis of ratings and qualitative analysis of open-ended comments. Findings Feedback was overwhelmingly positive. Workshops were universally appealing, enjoyable and beneficial and the peer-support approach was highly valued, strongly supporting adoption of the programme in other universities. Findings are discussed alongside wider systemic factors and recommendations for policy. Practical implications The Toolkit translates readily to other UK institutions and can be adapted for use elsewhere. Recommendations for practice are provided. Originality/value The Researcher Toolkit is a novel PGR well-being initiative. Its originality is threefold: its approach is prevention rather than intervention; its content is new and bespoke, created through interdisciplinary collaboration between psychologists, researcher development professionals and PGR stakeholders; and support is peer-led and decentralised from student support services. Its evaluation adds to the limited literature on PGR well-being and peer-support.

scholarly journals Resilience, well-being, depression symptoms and concussion levels in equestrian athletes

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Annika McGivern ◽  
Stephen Shannon ◽  
Gavin Breslin
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Well Being ◽  
Depression Symptoms ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Mental Health Support ◽  
History Of

Purpose This paper aims to conduct the first cross-sectional survey on depression, Resilience, well-being, depression symptoms and concussion levels in equestrian athletes and to assess whether past concussion rates were associated with depression, resilience and well-being. Design/methodology/approach In total, 511 participants from Canada, Republic of Ireland, UK, Australia and USA took part in an international cross-sectional, online survey evaluating concussion history, depression symptoms, resilience and well-being. Findings In total, 27.1% of athletes met clinically relevant symptoms of major depressive disorder. Significant differences were shown in the well-being and resilience scores between countries. Significant relationships were observed between reported history of concussion and both high depression scores and low well-being scores. Practical implications Findings highlight the need for mental health promotion and support in equestrian sport. Social implications Results support previous research suggesting a need for enhanced mental health support for equestrians. There is reason to believe that mental illness could still be present in riders with normal levels of resilience and well-being. Originality/value This study examined an understudied athlete group: equestrian athletes and presents important findings with implications for the physical and mental health of this population.

scholarly journals Evaluating the Prosper peer-led peer support network: a participatory, coproduced evaluation

2016 ◽  
Vol 20 (2) ◽  
pp. 80-91 ◽  
Author(s):  
Steve Gillard ◽  
Rhiannon Foster ◽  
Kati Turner
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Movement ◽  
Peer Support ◽  
Online Survey ◽  
Well Being ◽  
Support Network ◽  
Content Type ◽  
One To One

Purpose – A range of one-to-one, group and online approaches to peer support are increasingly complementing formal mental health service delivery. Evidence is emerging of the potential benefits and challenges of peer support for individuals, communities and organisations. There is more limited evidence describing peer-led peer support networks. The paper aims to discuss these issues. Design/methodology/approach – In an evaluation of Prosper, a peer-led, peer support network and social movement, members of the network played a participatory role in the design, conduct and interpretative work of the evaluation. An online survey, one-to-one interviews and group discussions were used. Findings – The evaluation describes an evolving network with planning and development meetings constituting core activity for many members alongside a monthly training programme supporting people to set up their own activities. There were strong shared values, and consensus that Prosper could strengthen social networks, improve individual well-being and impact on the way people used mental health services. Challenges were identified around feelings of uncertainty and vulnerability in relation to involvement in the network. Research limitations/implications – The participatory nature of the evaluation adds value to the learning offered. This was a descriptive evaluation; potential is indicated for the more formal modelling and testing of peer-led network and social movement initiatives. Practical implications – Clarity is needed on the relationship of the network to statutory mental health services – specifically around taking on a “service provider” role – and on the advantages and challenges of a “hybrid” organisational model that combines traditional, hierarchical and new distributed forms of leadership and structure. Social implications – Prosper demonstrated potential to create a sense of common culture based on sharing lived experience and mutual peer support, providing an alternative to the traditional culture of mental health services. Originality/value – This paper offers wider learning derived from evaluation of a highly original initiative in peer leadership, network structure and interface with statutory mental health services.

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