‘It's easier just to separate them’: practice constructions in the mental health care and support of younger people with dementia and their families

2011 ◽  
Vol 19 (6) ◽  
pp. 555-562 ◽  
Author(s):  
P. ROACH ◽  
J. KEADY ◽  
P. BEE
2020 ◽  
pp. 233-248
Author(s):  
Norito Kawakami ◽  
Akihito Shimazu

This chapter provides an overview of the history and current status of mental health and mental health care in Japan in the last 50 years. One in 37 people currently receives treatment for any mental disorder, while one in 20 people have experienced a common mental disorder in the past year. Prevalence of mental disorders may not have increased significantly during the last 10–15 years, despite the economic slowdown and social change in this period. Mental hospitals played a central role in treating people with mental disorders, isolated from the community, and the number of beds in mental hospitals per population remains greater in Japan than in other countries. Policy has shifted from inpatient treatment towards community-based care and support, however change is slow. Suicide rates have been influenced by economic factors. The male rate was high between 2000 and 2012. Rates in both sexes have recently declined, but remain above those in other countries. The Japanese have a characteristic perception of wellbeing in the family- and community-oriented collective culture, based on a sense of the meaning of life (ikigai). However, it remains unclear whether the collective culture is entirely beneficial to mental health. In the last decade, Japan has faced several behavioural problems among younger generations, at home and at school. Mental health care in Japan faces many challenges.


2015 ◽  
Vol 19 (10) ◽  
pp. 902-911 ◽  
Author(s):  
L.D. Van Mierlo ◽  
A. Bootsma-Van der Wiel ◽  
F.J.M. Meiland ◽  
H.P.J. Van Hout ◽  
M.L. Stek ◽  
...  

2021 ◽  
Author(s):  
Nicola Cogan ◽  
Heather Archbold ◽  
Karen Deakin ◽  
Bethany Griffith ◽  
Isabel Sáez Berruga ◽  
...  

Efforts have been made to adapt the delivery of mental health care and support services to the demands of COVID-19. Here we detail the perspectives and experiences of mental health workers (MHWs), in relation to what they found helpful when adapting mental health services during the COVID-19 pandemic and responding to its demands. We were interested in exploring what has helped to support MHWs’ own health and wellbeing given that staff wellbeing is central to sustaining the delivery of quality mental health services moving forward. Individual interviews were conducted with MHWs (n = 30) during the third COVID-19 lockdown. Interviews were audio-recorded, transcribed and managed using NVIVO. Qualitative data was analyzed using an inductive thematic approach. Three major themes were created, which emphasized the importance of: (1) 'self-care and peer support (checking in with each other)', (2) 'team cohesion and collaboration' and (3) 'visible and supportive management and leadership (new ways of working)'. Our findings emphasize the importance of individual, team and systems-based support in helping MHWs maintain their own wellbeing, whilst adapting and responding to the challenges in providing mental health care and support during this pandemic. Guidance and direction from management, with adaptive leadership in providing sustained, efficient, and equitable delivery of mental healthcare, is essential. Our findings support future policy, research and mental health practice developments through sharing important salutogenic lessons learned and transferable insights which may help with preparedness for future pandemics.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


2020 ◽  
Author(s):  
Nosheen Akhtar ◽  
Cheryl Forchuk ◽  
Katherine McKay ◽  
Sandra Fisman ◽  
Abraham Rudnick

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.


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