Racial and Ethnic Differences in Utilization of Mental Health Services Among High-Risk Youths

2005 ◽  
Vol 162 (7) ◽  
pp. 1336-1343 ◽  
Author(s):  
Ann F. Garland ◽  
Anna S. Lau ◽  
May Yeh ◽  
Kristen M. McCabe ◽  
Richard L. Hough ◽  
...  
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Mental Health Services ◽  
Health Services ◽  
Ethnic Differences ◽  
Racial And Ethnic Differences

scholarly journals (A66) Integration of Psycho-Social Social Support and Mental Health Services in to National Disaster Management Guidelines

2011 ◽  
Vol 26 (S1) ◽  
pp. s18-s18
Author(s):  
J.K. Christy
Keyword(s):  
Mental Health ◽  
Social Support ◽  
High Risk ◽  
Mental Health Services ◽  
Health Services ◽  
Disaster Management ◽  
Disaster Response ◽  
Social Care ◽  
Management Guidelines ◽  
National Disaster

Integration of Psycho-social Social Support and Mental Health Services in to National Disaster Management Guidelines India is vulnerable, in varying degrees, to a large number of natural as well as man-made disasters and also a high risk country for disasters due to expanding population, urbanization and industrialisation, development within high-risk zones, environmental degradation and climate changes. The creation of National Disaster Management Authority (NDMA) in 2005, as the apex body for disaster management, has brought out a paradigm shift in the area of disaster management. One of the important mandate of NDMA is to issue National Disaster Management Guidelines (NDMG) to the ministries/ departments to assist them to formulate their respective Disaster Management (DM) plans. In this direction NDMA has issued number of NDMG on different themes to provide basis of preparation of DM plans at different levels. There are policies & guidelines on Psycho-social Support and Mental Health Services (PSSMHS) in disasters at the international level in the form of Inter Agency Standing Committee guidelines (IASC) which advocates PSSMHS in disasters. In India there was no such policy which streamlines the Psycho-social Support and Mental Health Services in Disasters. During preparation of various National Disaster Management Guidelines, one remarkable factor noticed was the need for psycho-social care, subsequently preparation of NDMG on Medical Preparedness and Mass Causality Management brought out an overwhelming consensus to formulate a separate NDMG for PSSMHS. In order to translate the critical need for psycho-social care and support into guidelines, NDMA adopted a mission-mode approach for integrating PSSMHS in disaster response by involving participatory and multi step methodology to formulate NDMG on Psycho-social Support and Mental Health Services in Disasters.

Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM Study 4

1997 ◽  
Vol 171 (3) ◽  
pp. 260-264 ◽  
Author(s):  
Sue E. Parkman ◽  
Sara N. Davies ◽  
Morven Leese ◽  
Michael Phelan ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychotic Disorder ◽  
Ethnic Differences ◽  
Black Caribbean ◽  
The Caribbean ◽  
The Uk ◽  
Two Sectors ◽  
White Patients

BackgroundPrevious studies show that among Black Caribbeans there is a higher prevalence of schizophrenia and higher levels of both voluntary and compulsory admissions. These suggest that Black Caribbean patients may find psychiatric services less appropriate to their needs. The aim of this study was to establish the satisfaction with mental health services of representative psychosis patients in South London, especially in relation to ethnic group.MethodA random sample of all cases of psychotic disorder identified in the two sectors was interviewed using the Verona Service Satisfaction Schedule. Questionnaires from 50 Black Caribbean patients and 134 White patients were analysed.ResultsBlack Caribbean patients, particularly those of second generation born in the UK, were significantly less satisfied with almost every aspect of the services that they received than either older Black Caribbean patients born in the Caribbean or White patients. Using multiple regression analysis it was found that among the younger Black Caribbean patients, unlike the other patients, the number of previous admissions was a significant predictor of dissatisfaction.ConclusionPatients' ratings of satisfaction with mental health services are significantly worse for UK-born Black Caribbean than other patients with psychotic disorder in South London.

scholarly journals Immigration, acculturation, and preferred help-seeking sources for depression. Comparison of five ethnic groups

2020 ◽  
Author(s):  
Valeria Markova ◽  
Gro Mjeldheim Sandal ◽  
Ståle Pallesen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Ethnic Differences ◽  
Help Seeking ◽  
Religious Leader ◽  
Convenience Sample ◽  
Student Sample ◽  
Majority Population ◽  
Acculturation Orientation

Abstract Background: Immigrants are more likely than the majority population to have unmet needs for public mental health services. This study aims to understand potential ethnic differences in preferred help-seeking sources for depression in Norway, and how such preferences relate to acculturation orientation. Methods: A convenience sample of immigrants from Russia ( n =164), Poland ( n =127), Pakistan ( n =128), and Somalia ( n =114), and Norwegian students ( n =250) completed a survey. The sample was recruited from social media platforms, emails, and direct contact. The survey consisted of a vignette describing a moderately depressed person. Respondents were asked to provide advice to the person by completing a modified version of the General Help-Seeking Questionnaire. The immigrant sample also responded to questions about acculturation orientation using the Vancouver Index of Acculturation Scale. Results: Significant differences were found in the endorsement of traditional (e.g., religious leader), informal (e.g., family), and semiformal (e.g., internet forum) help-sources between immigrant groups, and between immigrant groups and the Norwegian respondent group. Immigrants from Pakistan and Somalia endorsed traditional help sources to a greater extent than immigrants from Russia and Poland, and the Norwegian student sample. There were no ethnic differences in endorsement of formal mental help sources (e.g., a medical doctor). Maintenance of the culture of origin as the acculturation orientation was associated with preferences for traditional and informal help sources, while the adoption of mainstream culture was associated with semiformal and formal help-seeking sources. Conclusion: Ethnic differences in help-seeking sources need to be considered when designing and implementing mental health services.

scholarly journals Forensic mental health services for children and adolescents: Rationale and development

2017 ◽  
Vol 23 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Nick Hindley ◽  
César Lengua ◽  
Oliver White
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Forensic Mental Health ◽  
Children And Young People ◽  
Service Accessibility ◽  
Specialist Services ◽  
Form Part

SummaryThis article outlines the rationale for dedicated specialist services for high-risk young people about whom there may be family or professional concerns in relation to mental disorder. It provides an overview of the development and remit of such services and emphasises the need for them to form part of overall service provision for children and young people.Learning Objectives• Greater understanding of the scope and emphasis of forensic child and adolescent mental health services (FCAMHS)• Greater understanding of the different statutory jurisdictions that frequently apply in the cases of high-risk young people• Greater understanding of the importance of initial service accessibility for concerned professionals and for authoritative understanding by FCAMHS of the wide variety of circumstances in which high-risk young people may find themselves

scholarly journals “Who needs secure services for personality disorder?” Results of an expert Delphi study with professional staff

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zoe Foyston ◽  
Celia Taylor ◽  
Mark Freestone
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Personality Disorder ◽  
Mental Health Services ◽  
Health Services ◽  
Delphi Study ◽  
Professional Staff ◽  
Free Text ◽  
Forensic Mental Health ◽  
Increased Risk

Abstract Background Personality Disorder (PD) is an enduring, multi-faceted mental disorder, associated with adverse health effects, difficulties with interpersonal relationships and in some cases increased risk to others. A limited number of dedicated forensic mental health services are available for serious offenders with severe personality disorder. The recent Offender Personality Disorder (OPD) strategy aims to ensure that most such offenders are treated in prison rather than secure psychiatric services, except in highly complex cases where this is not possible. While the strategy sets out very broad criteria relating to this, greater clarity is needed to support decisions about appropriate transfer and hence enhance public protection. This study explored which characteristics professional experts associate with appropriate transfer from prison to forensic mental health services for high-risk offenders with PD. Method A modified Delphi survey distributed through an online survey system was conducted in two-rounds with a group of professional experts recruited from forensic mental healthcare; criminal justice and specialist commissioning. Results Fifty-one (56%) respondents completed stage one of the Delphi and 34 (61%) of these completed stage two. Consensus was reached for a total of 22 items indicating complexity, including co-morbid mental illness, high level of risk, lack of progress in prison and high motivation for treatment. A preliminary checklist for these factors was developed. Panel members consistently emphasised the importance of the individual’s presenting need, the overall clinical picture and formulation in their free text responses. Conclusions Professionals face a complex picture when making decisions regarding suitability for hospital admission for high-risk male offenders with PD, with varied opinions amongst professional experts as to priorities for intervention and a focus on individual needs through formulation. It was, nevertheless, possible to condense these views into a set of consistent variables that can be used to highlight the need for transfer into hospital-based treatment services.

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