P109 Cumulative exposure to racial discrimination across time and domains: exploring racism’s long term impact on the mental health of ethnic minority people in the UK

2016 ◽  
Vol 70 (Suppl 1) ◽  
pp. A101.2-A101
Author(s):  
L Becares ◽  
S Wallace ◽  
J Nazroo
Keyword(s):  
Mental Health ◽  
Ethnic Minority ◽  
Racial Discrimination ◽  
Cumulative Exposure ◽  
Long Term Impact ◽  
The Uk ◽  
Minority People

Heterogeneous Mental Health Consequences of COVID-19: Costs and Benefits

2020 ◽  
Author(s):  
Anthony D Mancini
Keyword(s):  
Mental Health ◽  
Health Impact ◽  
Costs And Benefits ◽  
Substantial Variation ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
The Social ◽  
Mental Health Costs ◽  
Long Term Impact

In this commentary, I argue that the mental health impact of COVID-19 will show substantial variation across individuals, contexts, and time. Further, one key contributor to this variation will be the proximal and long-term impact of COVID-19 on the social environment. In addition to the mental health costs of the pandemic, it is likely that a subset of people will experience improved social and mental health functioning.

Five-year Psychosocial Impact of Living in Post-Disaster Prefabricated Temporary Housing

2021 ◽  
pp. 1-31
Author(s):  
Tetsuya Akaishi ◽  
Tomomi Suzuki ◽  
Harumi Nemoto ◽  
Yusuke Utsumi ◽  
Moe Seto ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Interaction ◽  
The Other ◽  
Temporary Housing ◽  
Psychiatric Status ◽  
History Of ◽  
Psychosocial Conditions ◽  
Long Term Impact ◽  
Post Disaster

Abstract Objective: This study aims to evaluate the long-term impact of living in post-disaster prefabricated temporary housing on social interaction activities and mental health status. Methods: A total of 917 adult residents in a coastal town, whose residences were destroyed by the tsunami caused by the Great East Japan Earthquake (GEJE), were enrolled for the assessment held five years after the disaster. They answered questions about their experience and consequence of living in prefabricated temporary housing after the disaster. Their present scores on five types of self-reported measures regarding the psychosocial or psychiatric status and their present and recalled social interaction activities were cross-sectionally collected. Results: A total of 587 (64.0%) participants had a history of living in prefabricated temporary housing, while the other 330 (36.0%) had not. The prevalence of social interaction activities significantly decreased after the GEJE. However, the experience of living in prefabricated temporary housing did not adversely affect the subsequent social interaction activities or mental conditions of the participants five years after the disaster. Conclusions: Living in post-disaster prefabricated temporary housing may not negatively impact subsequent psychosocial conditions or social interaction activities five years later.

scholarly journals Community-centred interventions for improving public mental health among adults from ethnic minority populations in the UK: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041102
Author(s):  
Cleo Baskin ◽  
Geiske Zijlstra ◽  
Mike McGrath ◽  
Caroline Lee ◽  
Fiona Helen Duncan ◽  
...  
Keyword(s):  
Mental Health ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Public Mental Health ◽  
Risk Of Bias ◽  
Minority Populations ◽  
Ethnic Minority Groups ◽  
Ethnic Minority Populations ◽  
The Uk ◽  
Intervention Description

ObjectivesUndertake a scoping review to determine the effectiveness of community-centred interventions designed to improve the mental health and well-being of adults from ethnic minority groups in the UK.MethodsWe searched six electronic academic databases for studies published between January 1990 and September 2019: Medline, Embase, PsychINFO, Scopus, CINAHL and Cochrane. For intervention description and data extraction we used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist and Template for Intervention Description and Replication guide. Quality was assessed using Cochrane risk of bias tools. Grey literature results were deemed beyond the scope of this review due to the large number of interventions and lack of available outcomes data.ResultsOf 4501 studies, 7 met the eligibility criteria of UK-based community interventions targeting mental health in adults from ethnic minority populations: four randomised controlled trials, one pre/post-pilot study, one cross-sectional study and one ethnographic study. Interventions included therapy-style sessions, peer-support groups, educational materials, gym access and a family services programme. Common components included a focus on tackling social isolation, using lay health workers from within the community, signposting and overcoming structural barriers to access. Four studies reported a statistically significant positive effect on mental health outcomes and six were appraised as having a high risk of bias. Study populations were ethnically heterogeneous and targeted people mainly from South Asia. No studies examined interventions targeting men.ConclusionsThere is a paucity of high-quality evidence regarding community-centred interventions focused on improving public mental health among ethnic minority groups. Decision makers need scientific evidence to inform effective approaches to mitigating health disparities. Our next steps are to map promising community activities and interventions that are currently being provided to help identify emerging evidence.

Gay, Bisexual and other Men who have Sex with Men (GBMSM) remote mental health help-seeking during Covid-19

2021 ◽  
Author(s):  
Jamie Frankis ◽  
Dimitra Strongylou ◽  
Ross Andrew Kincaid ◽  
Ruth McKenna ◽  
Lisa McDaid ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Mixed Methods Study ◽  
Minority Status ◽  
Behaviour Change Wheel ◽  
Sequential Mixed Methods ◽  
Sex With Men ◽  
The Uk ◽  
Severe Anxiety

Gay, bisexual and other men who have sex with men (GBMSM) experience far worse mental health (MH) than wider society. This disparity was exacerbated by additional ‘unique to sexual minority status’ COVID-19 stressors. This sequential, mixed-methods study examined MH help-seeking among GBMSM in the UK and Ireland during the first COVID-19 lockdown. Quantitative survey data (n=1,368), analysed with logistic regression, suggested GBMSM experiencing moderate-to-severe anxiety and those with a past MH diagnosis were most likely to seek MH support. Thematic analysis of qualitative interview (n=18) data identified multiple barriers and enablers to GBMSM seeking MH help, who focused on GBMSM-facing organisations and population-wide online resources. Finally, the behaviour change wheel was used to generate theoretically informed recommendations to promote MH help-seeking among GBMSM in Scotland. We discuss how applying these recommendations in the short, medium and long term will begin to address GBMSM’s MH needs, post COVID-19.

scholarly journals ABCD position statement on risk stratification of adult patients with diabetes during COVID-19 pandemic

2021 ◽  
Author(s):  
Dinesh Nagi ◽  
Emma Wilmot ◽  
Karissa Owen ◽  
Dipesh Patel ◽  
Lesley Mills ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Clinical Care ◽  
Position Statement ◽  
Specialist Care ◽  
Long Term Conditions ◽  
Use Of Technology ◽  
Patients With Diabetes ◽  
Long Term Impact ◽  
The Uk

At the time of submission of this manuscript, the COVID-19 pandemic had cost nearly 60,000 lives in the UK. This number currently stands at over 120,000 deaths. A high proportion (one third) of these lived with diabetes. The huge acute and emergency medicine effort to support people with COVID-19 has had a major knock-on impact on the delivery of routine clinical care, especially for long-term conditions like diabetes.Challenges to the delivery of diabetes services during this period include a reduction in medical and nursing staff, limitations placed by social distancing on physical clinical space, and balancing virtual vs face-to-face care. There is a need to re-group and re-organise how we deliver routine out-patient adult diabetes services during the ongoing COVID-19 pandemic. We offer some suggestions for how patients can be stratified into red (urgent), amber (priority) and green (routine) follow up with suggestions of how often people should be seen. We also offer recommendation on how we can identify those at highest risk and try and minimise the long- term impact of COVID on diabetes careDuring the COVID pandemic we have seen things happen in days that previously took years. The restart of diabetes services has triggered a more widespread use of virtual consultations and data management systems, but also offers an opportunity for more joined-up and cohesive working between primary and specialist care. While we do our best to keep our patients and colleagues safe, this pandemic is already proving to be a catalyst for change, accelerating the appropriate use of technology in diabetes care and implementing innovative solutions. To achieve this aspiration, further work – currently led by the Association of British Clinical Diabetologists in collaboration with Diabetes UK and the Primary Care Diabetes Society – to make recommendations on future proofing diabetes care in UK is in progress.

Lucky or privileged? Working with memory and reflexivity

2018 ◽  
Vol 47 (2) ◽  
pp. 208-216 ◽  
Author(s):  
Christine Trimingham Jack
Keyword(s):  
Teacher Educator ◽  
Boarding School ◽  
School Experience ◽  
Unique Contribution ◽  
Content Type ◽  
Educational History ◽  
Secondary Sources ◽  
Long Term Impact ◽  
The Uk

Purpose Through a case study of the decision making that led to the writer becoming a teacher educator, the purpose of this paper is to contribute to historiography by exploring the complex process of surfacing and interpreting memory. Design/methodology/approach The methodology draws on the concepts of autobiographical memory and reflexivity, together with documentary and archival sources including newspapers and secondary sources. Findings The outcome reveals that the process of memory is complex. It illustrates that allowing the participant a wide scope to work with pivotal memories, which may include those referring to material objects, may lead to unexpected and compelling explanations that have the power to change thinking in regards to related aspects of educational history. In this particular case, the findings reveal the long-term impact of boarding school experience. Originality/value The paper expands the way in which educational historians may think about undertaking interviews by illustrating the need for investment of time and close attention to all memories, some of which may at first seem to be irrelevant. Additionally, while a significant amount of research had been published on the long-term impact of boarding school experience on students in the UK, a little critical historical work has been undertaken in regards to the Australian experience – this paper offers a unique contribution to the undertaking of that project.

scholarly journals Mental health and poverty in the UK – time for change?

2015 ◽  
Vol 12 (2) ◽  
pp. 27-28 ◽  
Author(s):  
Jed Boardman ◽  
Nisha Dogra ◽  
Peter Hindley
Keyword(s):  
Mental Health ◽  
Income Inequality ◽  
Health Services ◽  
Detrimental Effect ◽  
Mental Health Problems ◽  
Poverty And Inequality ◽  
Population Mental Health ◽  
Long Term Consequences ◽  
The Uk

Poverty and income inequality have increased in the UK since the 1970s. Poverty and mental ill-health are closely associated and disadvantage can have long-term consequences. In addition, the recent recession and austerity measures have had a detrimental effect on people with mental health problems and the mental health of the population. Mental health services can play a role in addressing the problems of poverty and inequality.

Impact of Child Sexual Abuse on Females: Toward a Developmental, Psychobiological Integration

1993 ◽  
Vol 4 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Penelope K. Trickett ◽  
Frank W. Putnam
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Age Of Onset ◽  
Average Duration ◽  
Pubertal Development ◽  
Biological Processes ◽  
Basic Theme ◽  
Long Term Impact ◽  
The Impact

In the last decade, it has become clear that the sexual abuse of children is much more prevalent than previously realized and that such abuse has extensive mental health sequelae. Females are reported victims of sexual abuse much more often than males. The peak age of onset of sexual abuse for females is prepubertal—7 or 8 years of age—and the average duration fends to be about 2 years. The basic theme of this article is that there may be directly traceable mechanistic relationships between the impact of sexual abuse on specific psychological and biological developmental processes for females and some of the adult outcomes of that abuse. Specifically, it is proposed that, to understand the long-term impact of sexual abuse, it is necessary to investigate how it may interfere with both the psychological and the biological processes of pubertal development.

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