Implementation of an evidence-based parenting programme with a Latina population: feasibility and preliminary outcomes

2014 ◽  
Vol 9 (4) ◽  
pp. 295-306 ◽  
Author(s):  
Kya Fawley-King ◽  
Emily Trask ◽  
Nancy E. Calderón ◽  
Gregory A. Aarons ◽  
Ann F. Garland
Keyword(s):  
Mental Health ◽  
Parenting Styles ◽  
Maternal Mental Health ◽  
Health Care Systems ◽  
Health Agency ◽  
School Age Children ◽  
Triple P ◽  
Evidence Based ◽  
Content Type ◽  
The Usa

Purpose – The purpose of this paper is to examine the implementation and adaptation of group Triple P, an evidence-based parenting intervention developed in Australia, for a Latina population living in the USA. Design/methodology/approach – Mothers with pre-school age children participated in the programme, which was offered by a community mental health agency. The final study sample consisted of 174 Latina mothers. Findings – Participation in group Triple P was associated with clinically significant improvements in maternal mental health, parenting styles, and child behaviour problems. Additionally, mothers reported high levels of satisfaction with the programme. Practical implications – Triple P is a promising intervention for Latina caregivers who are concerned about the behaviour of their young children. It can be implemented successfully into community-based mental health care systems. Originality/value – This is the first study to examine the applicability of Triple P to Latina caregivers.

Training frontline community agency staff in dialectical behaviour therapy: building capacity to meet the mental health needs of street-involved youth

2017 ◽  
Vol 12 (2) ◽  
pp. 121-132 ◽  
Author(s):  
Elizabeth McCay ◽  
Celina Carter ◽  
Andria Aiello ◽  
Susan Quesnel ◽  
Carol Howes ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Dialectical Behavior Therapy ◽  
Mental Health Outcomes ◽  
Evidence Based ◽  
Community Agency ◽  
Behaviour Therapy ◽  
Agency Staff ◽  
Content Type ◽  
Youth Outcomes

Purpose The purpose of this paper is to evaluate the effectiveness of the dialectical behavior therapy (DBT) training which was provided to community agency staff (N=18) implementing DBT in the community with street-involved youth. Design/methodology/approach Staff participated in a multi-component approach to training which consisted of webinars, online training, self-study manuals, and ongoing peer consultation. To evaluate assess the effectiveness of the training, questionnaires assessing evaluating DBT skills knowledge, behavioral anticipation and confidence, and DBT skills use, were completed at baseline, immediately post-training, four to six months post-training, and 12-16 months post-training. Additionally, the mental health outcomes for youth receiving the DBT intervention are reported to support the effectiveness of the training outcomes. Findings Results demonstrate that the DBT skills, knowledge, and confidence of community agency staff improved significantly from pre to post-training and that knowledge and confidence were sustained over time. Additionally, the training was clinically effective as demonstrated by the significant improvement in mental health outcomes for street-involved youth participating in the intervention. Practical implications Findings suggest that this evidence-based intervention can be taught to a range of staff working in community service agencies providing care to street-involved youth and that the intervention can be delivered effectively. Originality/value These findings help to close the knowledge-practice gap between evidence-based treatment (EBT) research and practice while promoting the implementation of EBT in the community to enhance positive youth outcomes.

scholarly journals Cultural competence and relational closeness: examining refugee education

2017 ◽  
Vol 10 (1) ◽  
pp. 79-92 ◽  
Author(s):  
R.D. Nordgren
Keyword(s):  
Cultural Competence ◽  
High Volume ◽  
School Age Children ◽  
Content Type ◽  
Refugee Education ◽  
Current Accounting ◽  
Relational Closeness ◽  
Adolescents And Adults ◽  
The Usa ◽  
Effective Models

Purpose The purpose of this paper is to provide a historical and current accounting of the state of refugee education in both the USA and Sweden. The growing diaspora of people around the globe implores educators to utilize effective models and strategies to meet the needs of refugees, as well as to advocate policies that aid in this utilization. Sweden has the highest rate of refugee acceptance in Europe, and the USA has the greatest number of immigrants in the west. Design/methodology/approach A review of the literature formatted to provide the reader with a historical accounting of the states of refugee education in both host nations, as well as the current states. Strategies and promising policies are introduced based on the literature and the author’s own research conducted in Sweden. Findings The paper addresses the history and present situations of two host nations, Sweden and the USA, who have differing education systems and histories of immigration. Concerns and two possible solutions offered were to increase opportunities for interaction between native and refugee populations; and bolster funding for the education of refugee school-age children and adolescents, and adults so that effective strategies and environment described in the literature can be put into place by effectively trained educators. These solutions could improve the cultural competence among all peoples in both nations, better enabling the two countries to provide economically and socially sustainable environments for all of their inhabitants. Research limitations/implications The examination of these two nations’ education of refugees may shed light on the worldwide challenges of refugees and mass immigration. Practical implications The solutions offered in the paper could improve the cultural competence among all peoples in both nations, better enabling the two countries to provide economically and socially sustainable environments for all of their inhabitants. Originality/value A comparison of US refugee education with that of a high-volume European host nation does not yet appear to have been published.

On the go – parents are working 24/7

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mbita Mbao ◽  
Johnnie Hamilton-Mason
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
African Immigrants ◽  
Social Constructionist ◽  
Community Leaders ◽  
Work Culture ◽  
Content Type ◽  
The Usa ◽  
African Community ◽  
Community Data

Purpose The purpose of this study was to explore the perceptions of African community leaders, on factors that influence substance use and mental health status of Sub-Sahara African immigrants living in the northeast region of the USA. Design/methodology/approach A social constructionist approach to grounded theory was used to understand social life’s complexity in the African community. Data analysis consisted of initial coding and focused coding, which led to the emerging of the following mid-range theories. Findings The following mid-range theories are developed: the work culture of Sub-Sahara African immigrants may influence substance-use behaviors, impact treatment for mental health and contribute to interpersonal conflicts related to marriage and parenting; there may be a relationship between the culture of privacy and spirituality because the church is often a place of comfort, and many may not seek treatment for mental health for fear of losing that community; Sub-Sahara African immigrants’ mental health and substance-use behaviors are influenced by unique factors that stem from balancing living in the new culture while also preserving their unique cultural norms. Originality/value The analysis of perceptions of African community leaders underscored “On the go” as a metaphor for describing Sub-Sahara African immigrants.

Correlates of mental health and well-being for Mexican female partners of migrants

2017 ◽  
Vol 13 (4) ◽  
pp. 361-373
Author(s):  
Marcela Sotomayor-Peterson ◽  
Ana A. Lucero-Liu
Keyword(s):  
Mental Health ◽  
Marital Satisfaction ◽  
Well Being ◽  
Border Region ◽  
Physical Contact ◽  
Health Providers ◽  
Content Type ◽  
Female Partners ◽  
The Usa ◽  
Health And Well Being

Purpose The purpose of this paper is to assess the associations between familism, frequency of physical contact, and marital satisfaction with mental health and well-being in a sample of 58 female marital partners of migrants who stayed in Mexico when their spouses migrated to the USA. Design/methodology/approach In total, 58 women were recruited through word of mouth in Sonora, Mexico. All women had their partner (the father of her children) living in the USA. Survey was administered face-to-face in participants’ homes. Findings Hierarchical regression analysis found that higher marital satisfaction and frequency of physical contact predicts mental health and well-being. However, familism was not associated with mental health and well-being for female partners of migrants. Originality/value This work is unique in that the current sample of female partners of migrants originate from the Sonora border region and has greater physical contact with their partner than most studies on transnational families assume. Approximately 40 percent of participants residing in the Sonora border state meet with their partners at least once a month. Additionally, this work provides an intimate face to the understanding of the very specific processes distinctive of inhabitants of border regions that are part of international migration. In order to promote health equity, health providers (e.g. counselors) need evidence-based information to tailor services to the specific needs of underserved Mexican transnationals.

The impact of economic downturn on mental health in Canada

2015 ◽  
Vol 42 (1) ◽  
pp. 33-46 ◽  
Author(s):  
Ehsan Latif
Keyword(s):  
Mental Health ◽  
Population Health ◽  
Unemployment Rate ◽  
Fixed Effects ◽  
Health Behaviours ◽  
Content Type ◽  
Canadian Data ◽  
The Usa ◽  
Specific Factors ◽  
The Impact

Purpose – The purpose of this paper is to use longitudinal Canadian data from the National Population Health Survey (1994-2006) to examine the impact of provincial unemployment rate on mental health as measured by the short form depression scale. Design/methodology/approach – To control for the unobserved individual specific factors, the study utilized individual-specific fixed-effects model. Findings – The study found that, for the overall model, provincial unemployment rate has a significant positive impact on depression. The study further examined the impact of unemployment rate on depression for a number of sub-groups based on gender, age, marital status, and education. The results suggest that the impacts of unemployment rate on depression are heterogeneous across different sub-groups. Practical implications – The results of this study have important policy implications. Previous studies suggest that mental stress may lead to risky health behaviours such excessive drinking, substance use, and smoking. These risky health behaviours may have long term health consequences in terms of chronic conditions such as heart disease, cancer, etc. Thus policy makers may consider taking appropriate steps to provide mental health support during the period of recession. Such support may also be helpful for the unemployed individuals who are too depressed to search for job. Originality/value – Previous studies on this issue may suffer from potential bias since they omitted unobserved individual specific factors from the estimating equations. This paper has taken the opportunity of utilizing longitudinal Canadian Population Health Survey and adopts an individual specific fixed effects method to estimate the effects of macroeconomic conditions on mental health. All of the studies reviewed here used data from the USA. So far no study has examined the impact of unemployment rate on mental health using Canadian data. It is interesting to conduct a study using Canadian data since there are important differences between Canada and the USA with respect to labour market policies and health care systems.

scholarly journals Identifying barriers to evidence-based care for sickle cell disease: results from the Sickle Cell Disease Implementation Consortium cross-sectional survey of healthcare providers in the USA

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e050880
Author(s):  
Matthew P Smeltzer ◽  
Kristen E Howell ◽  
Marsha Treadwell ◽  
Liliana Preiss ◽  
Allison A King ◽  
...  
Keyword(s):  
Mental Health ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Clinical Care ◽  
Evidence Based ◽  
Cell Disease ◽  
Cross Sectional Survey ◽  
Medical Needs ◽  
The Usa ◽  
Evidence Based Care

ObjectivesSickle cell disease (SCD) leads to chronic and acute complications that require specialised care to manage symptoms and optimise clinical results. The National Heart Lung and Blood Institute (NHLBI) evidence-based guidelines assist providers in caring for individuals with SCD, but adoption of these guidelines by providers has not been optimal. The objective of this study was to identify barriers to treating individuals with SCD.MethodsThe SCD Implementation Consortium aimed to investigate the perception and level of comfort of providers regarding evidence-based care by surveying providers in the regions of six clinical centres across the USA, focusing on non-emergency care from the providers’ perspective.ResultsRespondents included 105 providers delivering clinical care for individuals with SCD. Areas of practice were most frequently paediatrics (24%) or haematology/SCD specialist (24%). The majority (77%) reported that they were comfortable managing acute pain episodes while 63% expressed comfort with managing chronic pain. Haematologists and SCD specialists showed higher comfort levels prescribing opioids (100% vs 67%, p=0.004) and managing care with hydroxyurea (90% vs 51%, p=0.005) compared with non-haematology providers. Approximately 33% of providers were unaware of the 2014 NHLBI guidelines. Nearly 63% of providers felt patients’ medical needs were addressed while only 22% felt their mental health needs were met.ConclusionsA substantial number of providers did not know about NHLBI’s SCD care guidelines. Barriers to providing care for patients with SCD were influenced by providers’ specialty, training and practice setting. Increasing provider knowledge could improve hydroxyurea utilisation, pain management and mental health support.

Privatization and school mental health

2020 ◽  
Vol 19 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Mark Weist ◽  
Kathleen Blackburn Franke ◽  
Rob Lucio ◽  
Jefferson Bass ◽  
Terry Doan ◽  
...  
Keyword(s):  
Mental Health ◽  
South Carolina ◽  
Health Systems ◽  
School Mental Health ◽  
Public Mental Health ◽  
Mental Health Systems ◽  
Public And Private ◽  
Content Type ◽  
The Usa ◽  
General Funding

Purpose The purpose of this paper is to describe the relationship between privatization and school mental health (SMH) in the USA, as well as to present a case study of the SMH system in South Carolina. Design/methodology/approach The authors reviewed data regarding states’ mental health systems (e.g. public, private and hybrid of public and private), mental health budgets and percentages of schools with mental health clinicians. Findings The results demonstrate that the majority of states have public mental health systems. There is variability between states regarding general funding, as well as funding for SMH. Further, there was variability in the percentage of schools with SMH clinicians, with South Carolina reporting the greatest percentage. South Carolina’s mental health system, which is a public–private hybrid is reviewed, along with relevant history on the development of SMH programs in the state. Originality/value This paper contributes to the general knowledge by describing the provision and funding sources for SMH services within the USA. It yields important implications for integrating public mental health services within schools.

The association of cultural and environmental factors with mental health among Asian immigrants

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jaehyun Kim ◽  
Andrew Mowen ◽  
Benjamin Hickerson ◽  
Alan Graefe ◽  
Melissa Bopp
Keyword(s):  
Mental Health ◽  
Path Analysis ◽  
Acculturative Stress ◽  
Cultural Adjustment ◽  
Asian Immigrants ◽  
Life Changes ◽  
Neighborhood Quality ◽  
Indirect Pathway ◽  
Content Type ◽  
The Usa

Purpose During exposure to new cultures, immigrants face numerous life changes and challenges, which negatively affect mental health, yet environmental supports may address these concerns. This study aims to examine how neighborhood quality, acculturation and acculturative stress are associated with immigrants’ mental health. Design/methodology/approach The sample consisted of 511 Asian immigrants who were born in their country of origin and immigrated to the USA. Path analysis using analysis of moment structures (version 22.0) was conducted to test the hypothesized model. Findings The results from the path analysis indicated that perceived neighborhood quality and acculturative stress had direct effects on mental health among Asian immigrants. The study also found a significant indirect pathway to mental health where more favorable perceptions of neighborhood quality were associated with higher levels of acculturation and lower levels of acculturative stress, which, in turn, resulted in better mental health. Originality/value The results of the study highlight the importance of improving neighborhood quality as a means by which to facilitate cultural adjustment/adaptation to US culture and thus, improve mental health among Asian immigrants. In addition, the authors suggested considering cultural origin in designing health programs and/or policies for Asian immigrants, which could promote mental health among Asian immigrants. Based on the results of the model, this study produced insightful information and suggestions on how to improve Asian immigrants’ mental health more effectively.

Increased propensity for violence among female jail detainees with PTSD, panic disorder and alcohol use disorder

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Stephanie L. Taylor ◽  
Alexa J. Barrett ◽  
Albert M. Kopak ◽  
Norman G. Hoffmann
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Panic Disorder ◽  
Alcohol Use Disorder ◽  
Post Traumatic Stress ◽  
Content Type ◽  
Violent Offending ◽  
Jail Detainees ◽  
The Usa ◽  
Violent Offenses

Purpose The female jail population is steadily growing in rural jails across the country. Detainees have high rates of mental health and substance use disorders, some of which are linked to violent offenses. These conditions include post-traumatic stress disorder (PTSD), panic disorder (PD) and alcohol use disorder (AUD). This study aims to examine the associations between these disorders among females charged with violent offenses. Design/methodology/approach The sample consists of 167 female detainees from local rural jails in the USA. To assess participants’ behavioral health, the Comprehensive Addictions and Psychological Evaluation – 5 (CAAPE-5) was administered. The associations between PTSD, PD, AUD and violent offenses were investigated using bivariate statistics and multivariate logistic regression. Findings Over half of the female detainees in the sample met criteria individually for PTSD, PD or AUD, substantiating previous work on prevalence rate. Of the sample, only 10% were charged with violent offenses, from which the predominant condition reported was PTSD. Among detainees arrested for violent offenses, 69% also met criteria for PTSD, 56% for AUD and 44% for PD. Multivariate results indicate AUD was the only significant predictor for violent offenses. Research limitations/implications Female detainees experience trauma and mental health conditions at high rates. Research-informed mental health care may result in increased treatment efficacy. Provided the links between PTSD, PD and AUD, special considerations for this population should address interpersonal factors in treatment that may relate to violent offenses. Originality/value Little research exists examining female jail detainees and the implications of AUD, PTSD and PD on violent offending. To the authors' knowledge, this is the first study to examine the relationship between AUD, PTSD and PD in female jail detainees with violent offenses.

An exemplar of GP commissioning and child and adolescent mental health service partnership

2016 ◽  
Vol 24 (1) ◽  
pp. 26-37 ◽  
Author(s):  
Ayla Humphrey ◽  
Lynne Eastwood ◽  
Helen Atkins ◽  
Maris Vainre ◽  
Caroline Lea-Cox
Keyword(s):  
Mental Health ◽  
Capacity Planning ◽  
Service User ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Evidence Based ◽  
Service Users ◽  
Content Type ◽  
Health Report ◽  
Shared Goals

Purpose – The purpose of this paper is to draw attention to commissioning and service structures enabling implementation of evidence-based cost-effective care as illustrated by the “1419” young people’s service treating mild to moderate severity mental health difficulties in teenagers old 14 to 19 years. The authors describe relevant local contextual factors: “relational commissioning”, demand capacity planning and a receptive and safe clinical context. Design/methodology/approach – The authors used a participant observer qualitative research design to describe commissioning and service design. Treatment outcomes were analysed using a quantitative design and found significant improvement in service user mental health and daily function. These results will be reported elsewhere. Findings – The dynamics and structures described here enabled clear shared goals between service user, service purchaser, service provider and service partners. The goals and design of the service were not static and were subject to ongoing development using routine outcome measures and conversations between referrers, commissioners, service users and within the team about what was and was not working. Research limitations/implications – The methods are limited by the lack of a prospective systematic evaluation of the implementation process and by the time limitations of the service. Practical implications – Implementation of whole system change such as that envisioned by Children and Young People’s Improving Access to Psychological Therapies requires consideration of local context and process of implementation. The authors suggest key factors: consideration of “relational commissioning” with purchasers, providers and service users designing services together; case-level collaboration between services and partner agencies; smaller child and adolescent mental health teams eliminating competing task demands, permitting speed of action, providing psychological safety for staff, promoting shared goals and innovation; rigorous demand/capacity planning to inform funding. Social implications – The failings of child and adolescent mental health services (CAMHS) are detailed in the Department of Health report “Future in mind: promoting, protecting and improving our children and young people’s mental health and wellbeing” (2015). The aims of the report are contingent on the ability of local health providers to implement its recommendations. The authors provide a theoretical approach to enable this implementation. Originality/value – To date there are no published papers addressing the key characteristics enabling implementation of evidence-based practice within CAMHS. The unique experience in forming the“1419” service has important implications nationally and brings together evidence of an effective service within a theoretical underpinned context.

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