scholarly journals Description and evaluation of a pathway for unaccompanied asylum-seeking children

2021 ◽  
pp. archdischild-2021-322319
Author(s):  
Alice Jane Armitage ◽  
Jonathan Cohen ◽  
Michelle Heys ◽  
Pia Hardelid ◽  
Allison Ward ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Assault ◽  
Health Service ◽  
Emotional Health ◽  
Latent Tuberculosis ◽  
Health Needs ◽  
Health Improvement ◽  
Physical Assault ◽  
Integrated Pathway ◽  
Using Data

Objective(1) To describe a novel integrated pathway for unaccompanied asylum-seeking children (UASC).(2) To evaluate a population engaged with this service.DesignDescription of the integrated pathway (objective 1) and retrospective evaluation, using data from community paediatrics, infectious diseases (IDs) screening and a sexual health (SH) service (objective 2).SettingUnlinked data were collected from three services across three National Health Service (NHS) trusts in London.PatientsAll Camden UASC engaged with the service from 01 January 2016 to 30 March 2019.InterventionsA multidisciplinary approach prioritising the health needs of UASC including a childre and adolescent mental health service (CAMHS) clinican and a health improvement practitioner. There are low thresholds for onward referral and universal asymptomatic screening of UASC for ID.Main outcome measuresData on demographics, unmet health needs and known outcomes.ResultsData were available for 101 UASC, 16% female, median age 16 years (range 14–17). Physical assault/abuse was reported in 67% and 13% disclosed sexual assault/abuse, including 38% of female UASC. Mental health symptoms were documented in 77%. IDs warranting treatment were identified in 41% including latent tuberculosis (25%) and schistosomiasis (13%). Interpreters were required for 97% and initial non-attendance rates at follow-up were 40% (ID) and 49% (SH).ConclusionsThese data demonstrate high rates of historical physical and sexual assault/abuse, unmet physical, mental and emotional health needs among UASC and significant barriers to engaging with services. An integrated pathway has been successfully implemented and shown to deliver appropriate, joined-up care for UASC, consistent with current recommendations, with the potential to improve outcomes.

Occupational Therapy Practitioners’ Perspectives of Mental Health Practices With Clients in Stroke Rehabilitation

2018 ◽  
Vol 38 (3) ◽  
pp. 181-189 ◽  
Author(s):  
Emily K. Simpson ◽  
Narissa M. Ramirez ◽  
Brittany Branstetter ◽  
Aileen Reed ◽  
Evan Lines
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Online Survey ◽  
Emotional Health ◽  
The United States ◽  
Health Needs ◽  
Physical And Mental Health ◽  
Mental Health Needs ◽  
Post Stroke ◽  
Mental Health Practices

Following a stroke, depression and anxiety may negatively affect recovery and decrease quality of life. Occupational therapy (OT) practitioners are distinctly qualified to address both the physical and psychosocial sequelae of a stroke, including clients’ mental and emotional health. This study explored the ways in which OT practitioners address the mental health needs of clients post stroke. A sequential explanatory mixed-methods design was used to collect both survey and focus group data. In all, 754 OT practitioners across the United States completed an online survey, and 10 practitioners participated in focus groups. Practitioners considered their clients’ mental health needs to be a priority (68.17%); however, only 56.64% were satisfied with the care they provided related to mental and emotional health. They identified barriers that included limited time, increased productivity standards, expectations related to physical recovery, and poor educational preparation. Practitioners are motivated to improve their provision of mental health services to clients post stroke. To address the conflict between practice realities and professional values, education programs should better integrate curricular components that focus on physical and mental health.

“I’m Not a Traditional Woman”: Tranquilizer Misuse as Self-Medication Among Adult Women

2018 ◽  
Vol 62 (11) ◽  
pp. 1562-1585 ◽  
Author(s):  
Cindy Brooks Dollar ◽  
Joshua A. Hendrix
Keyword(s):  
Mental Health ◽  
Drug Use ◽  
General Strain Theory ◽  
Emotional Health ◽  
Poor Mental Health ◽  
Strain Theory ◽  
Adult Women ◽  
Self Medication ◽  
General Strain ◽  
Using Data

Research consistently finds that men use all types of drugs more frequently and extensively than women. However, the misuse of prescription tranquilizers provides an exception. Recent research has found that women are more likely to misuse tranquilizers than men, yet few efforts have been made to systematically understand why this is the case and whether there are gendered factors that might help explain their misuse. Building on general strain theory and other scholarship concerning the links between psychological strain, mental–emotional health, and illicit drug use, we employed a mixed-methods design to investigate the interrelationships between gender, mental health, and tranquilizer misuse. Using data from the 2010 National Survey of Drug Use and Health, we examined tranquilizer misuse among women using various social, demographic, and health-related characteristics. Following this, we drew on nine in-depth interviews with adult women aged 21 to 69 years who reported a history of misusing tranquilizers. The quantitative data reveal that the odds of tranquilizer misuse are nearly two times higher for each unit increase on the poor mental health scale. Whereas being married increases the risk of misuse, having young children is associated with a decreased risk. Our analysis of the interview data reveals three main themes, related to tranquilizer access, reasons for misuse, and shame related to misuse. The interviews clearly uncover tranquilizer misuse as an attempt by women to manage competing demands between their work and home lives, and more specifically as a means of promoting success in both devotions. We conclude by arguing that women’s misuse of tranquilizers is a gendered behavior in response to gender-specific strains, which in turn reproduces gendering as an institution as well as in individual lives. The implications of these findings for general strain theory are also discussed.

Mental Health Service Needs in the Prison Boom: The Case of Children of Incarcerated Mothers

2015 ◽  
Vol 28 (5) ◽  
pp. 415-436 ◽  
Author(s):  
Jillian J. Turanovic ◽  
Nancy Rodriguez
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Health Needs ◽  
Mental Health Service Use ◽  
Incarcerated Mothers ◽  
Mental Health Needs ◽  
To Receive

This study identifies the factors related to mental health service use among children of incarcerated mothers. Data on 700 children collected from a diverse sample of mothers in Arizona are used, and a two-stage probit model with sample selection is estimated to assess the various child, mother, and caregiver characteristics associated with children’s use of mental health services. Results indicate that children involved in child protective services (CPS) and children cared for by grandparents are more likely to receive mental health services, whereas children of Native American mothers and children who have been exposed to violence are less likely to receive services for their mental health needs. These findings have important implications for correctional policy regarding the intake screening of female inmates and suggest that criminal justice agencies communicate more closely with CPS and community-based services to ensure children’s mental health needs are addressed while their mothers are in prison.

scholarly journals Hispanic Mothers' Experiences with School-Based Emotional Health Curriculum and Perspectives of Their Own Mental Health Needs

2018 ◽  
Vol 40 (8) ◽  
pp. 720-724
Author(s):  
Yuqing Guo ◽  
Julie Rousseau ◽  
Patricia Renno ◽  
Priscilla Kehoe ◽  
Monique Daviss ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Health ◽  
Health Needs ◽  
Mental Health Needs ◽  
Health Curriculum ◽  
School Based ◽  
Hispanic Mothers ◽  
Mothers Experiences

scholarly journals Service innovations: developing a service for the mental health needs of South-Asian children and adolescents

2006 ◽  
Vol 30 (12) ◽  
pp. 460-462 ◽  
Author(s):  
Latha Hackett ◽  
Louise Theodosiou ◽  
Jamila Patel
Keyword(s):  
Mental Health ◽  
Health Service ◽  
South Asian ◽  
Health Needs ◽  
Mental Health Needs ◽  
Service Accessibility ◽  
Minority Ethnic Groups ◽  
Asian Children ◽  
Minority Ethnic ◽  
Health Service Accessibility

Over recent years there has been concern regarding health service accessibility for minority ethnic groups and this was reflected in the introduction of mandatory recordings of patient ethnicity upon hospital admission (Giu & Johnson, 1995).

Stigma and the Structure of Title IX Compliance

2017 ◽  
Vol 45 (4) ◽  
pp. 558-568
Author(s):  
Jenelle M. Beavers ◽  
Sam F. Halabi
Keyword(s):  
Mental Health ◽  
Sexual Assault ◽  
Sexual Harassment ◽  
Title Ix ◽  
Health Needs ◽  
Mental Health Needs ◽  
Assault Victims ◽  
The Relationship

This article analyzes the relationship between the structure of federal Title IX investigations and the existing evidence addressing the emotional and mental health needs of sexual harassment and sexual assault victims. The article argues that federal requirements for investigating sexual harassment should be restructured so as to address the challenges stigma poses for the realization of Title IX's objectives.

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