Improving mental health knowledge of the Charedi Orthodox Jewish Community in North London: A partnership project

2018 ◽  
Vol 64 (3) ◽  
pp. 235-247
Author(s):  
Aradhana Perry ◽  
Chelsea Gardener ◽  
Jonathan Dove ◽  
Yocheved Eiger ◽  
Kate Loewenthal
Keyword(s):  
Mental Health ◽  
Jewish Community ◽  
Group Intervention ◽  
Health Knowledge ◽  
Third Sector ◽  
Well Being ◽  
General Information ◽  
Orthodox Jewish ◽  
Service Development ◽  
North London

Introduction: This article describes a successful community-based partnership project between statutory and third-sector services targeting the strictly Orthodox Jewish community (OJC). Methods: The City and Hackney Black and Minority Ethnic (BME) Access Service (East London NHS Foundation Trust (ELFT)) collaborated with Bikur Cholim, a local third-sector organisation based in the heart of a north London Charedi OJC, to develop a brief culturally tailored psychoeducational group intervention focusing on mental health promotion and prevention. In total, 34 carers in the Charedi OJC were provided with general information on mental health, the availability of support services and self-care. Results: Overall improvements in well-being, increased intentions to access services, particularly talking therapies, and qualitative feedback indicated that the group was very well received. Conclusion: The project endorses the value of culturally relevant psychoeducation, enabling suggestions for culturally appropriate service development.

scholarly journals Exploring the cultural flexibility of the ACT model as an effective therapeutic group intervention for Turkish speaking communities in East London

2019 ◽  
Vol 12 ◽  
Author(s):  
Aradhana Perry ◽  
Chelsea Gardener ◽  
Joseph E. Oliver ◽  
Çiğdem Taş ◽  
Cansu Özenç
Keyword(s):  
Group Intervention ◽  
Local Community ◽  
Community Organization ◽  
Third Sector ◽  
Well Being ◽  
Service Development ◽  
Behavioural Intervention ◽  
Empirically Supported ◽  
Culturally Adapted ◽  
Patient Reported

AbstractThis study describes a successful community-based partnership project between statutory and third-sector services in East London; The City and Hackney Black and Minority Ethnic (BME) Access Service [East London NHS Foundation Trust (ELFT)] collaborated with Derman, a local community organization supporting the well-being of Turkish-speaking communities, to explore the cultural adaptability of an empirically supported, third-wave cognitive behavioural intervention, Acceptance and Commitment Therapy (ACT). The aim was to develop a culturally acceptable group that was responsive to the therapeutic needs of participants from Turkish-speaking communities. The study implemented a mixed-method analysis with a one group pre/post-test design to examine the effectiveness of a 7-session culturally adapted ACT group intervention and a descriptive approach was implemented to assess usefulness, relevance and acceptability. Results demonstrated an overall positive effect of the culturally adapted ACT intervention in terms of both symptoms and patient-reported outcomes. Participants showed significant improvements on measures of depression (p = 0.014), anxiety (p = 0.041) and psychological distress (p = 0.003). The magnitude of these changes was categorized as large, with effect sizes from 0.90 to 2.03. Qualitative responses indicated that the group was experienced as enjoyable and useful and was considered to be an accessible and acceptable therapeutic format. Although a pilot within clinical practice, the findings provide preliminary support for the clinical utility of ACT as an effective, culturally acceptable therapeutic approach for Turkish-speaking communities living in an urban UK setting. The study highlights the importance of culturally appropriate service development and a need for further research within this area.

scholarly journals Families First: the development of a new mentalization-based group intervention for first-time parents to promote child development and family health

2015 ◽  
Vol 17 (01) ◽  
pp. 3-17 ◽  
Author(s):  
Mirjam Kalland ◽  
Åse Fagerlund ◽  
Malin von Koskull ◽  
Marjaterttu Pajulo
Keyword(s):  
Mental Health ◽  
Child Development ◽  
Group Intervention ◽  
Child Neglect ◽  
Mental Health Problems ◽  
Family Health ◽  
Well Being ◽  
Intervention Model ◽  
Theoretical Understanding ◽  
Families First

AimThe aim of the present study was to describe the development of Families First, a new mentalization-based group intervention model for supporting early parenthood. The general aim of the intervention was to support well-functioning models of parenting and prevent transmission of negative parenting models over generations, and thus promote child development and overall family health.BackgroundIn the Finnish society, great concern has aroused during the last decade regarding the well-being and mental health of children and adolescents. Increased number of divorces, poverty, substance abuse, and mental health problems among parents enhance the risk for child neglect and abuse. New effective, preventive, and health-promoting intervention tools are greatly needed to support families with young children. At present, the Families First intervention is being implemented in primary social and healthcare units all over Finland.Methods and findingsThis article will provide a theoretical understanding of the importance of parental mentalization for the development of the parent–child relationship and the development of the child as well as proposed mechanisms of actions in order to enhance mentalizing capacity. The cultural context will be described. The article will also provide a description of the scientific evaluation protocol of the intervention model. Finally, possible limitations and challenges of the intervention model are discussed.

Challenges in Developing Community Mental Health Services in Sri Lanka

2009 ◽  
Vol 11 (1) ◽  
pp. 195-208 ◽  
Author(s):  
Suman Fernando ◽  
Chamindra Weerackody
Keyword(s):  
Mental Health ◽  
Sri Lanka ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Problems ◽  
Systems Of Care ◽  
Subsequent Development ◽  
Well Being ◽  
Service Development ◽  
2004 Tsunami

There are several issues to be faced in developing mental health services in South Asia if they are to be culturally and socially appropriate to the needs of the communities in the region. The meanings of mental health relevant to culturally appropriate service development can be obtained by exploring local notions of well-being, systems of care available to people and current practices among those seeking help for mental health problems. Participatory research carried out in communities in Sri Lanka affected by prolonged armed conflict and by the 2004 tsunami clarified the nature of well-being as perceived by communities themselves. Subsequent development of mental health services for Sri Lanka can be based on community consultation, using methodologies and interventions that involve the participation of the communities and their local institutions, and adapting relevant western approaches to the Sri Lankan context.

Cultural adaptations of cognitive behaviour therapy for the Orthodox Jewish community: a qualitative study of therapists’ perspectives

2021 ◽  
Vol 14 ◽  
Author(s):  
Chaim Golker ◽  
Maria Cristina Cioffi
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Jewish Community ◽  
Religious Beliefs ◽  
Psychological Treatment ◽  
Health Conditions ◽  
Orthodox Jewish ◽  
Cultural Adaptations ◽  
Mental Health Conditions ◽  
Client Group

Abstract Cultural factors are influential in the prevalence, diagnosis and treatment efficacy of mental health conditions. Although the literature has advanced substantially towards the development of cultural adaptations of cognitive behavioural therapy (CBT) for various minority cultural groups, research into cultural adaptations of CBT for the Orthodox Jewish community has been scarce. This qualitative study interviewed five CBT therapists about their experiences working with clients from the London Orthodox Jewish community and uncovered several key practical implications for the clinical practice of CBT with this client group. This study indicates that CBT is a culturally appropriate psychological treatment for this client group that accords with Orthodox Jewish teachings and religious beliefs. CBT therapists are encouraged to become familiar with Orthodox Jewish cultural practices and beliefs and adopt a culturally sensitive approach to treatment. Despite the reduced mental health stigma within the community, this study recommends that CBT therapists normalise mental health conditions and therapy with Orthodox Jewish clients. Due to the close-knit nature of the community, it is suggested that CBT therapists display heightened confidentiality with this client group. To overcome the mistrust of their Orthodox Jewish clients, CBT therapists are advised to display cultural sensitivity and genuine respect for the Orthodox Jewish way of life, in addition to building a strong therapeutic alliance. Further qualitative research exploring different perspectives is necessary to produce evidence-based guidelines for the cultural adaptation of CBT for the Orthodox Jewish community. Key learning aims (1) To explore how CBT therapists work with the religious beliefs and practices of Orthodox Jewish clients. (2) To discover the challenges faced by Orthodox Jewish clients when accessing psychological treatment. (3) To consider the ways in which CBT can be culturally adapted to meet the needs of the Orthodox Jewish community.

Barriers to Mental Health Care: A 25-Year Follow-Up Study of the Orthodox Jewish Community

2014 ◽  
Vol 42 (3) ◽  
pp. 161-173 ◽  
Author(s):  
Eliezer Schnall ◽  
Solomon Kalkstein ◽  
Ayelet Gottesman ◽  
Karyn Feinberg ◽  
Charles B. Schaeffer ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Jewish Community ◽  
Orthodox Jewish ◽  
Follow Up Study

scholarly journals LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation

10.2196/19344 ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. e19344
Author(s):  
Lex van Velsen ◽  
Miriam Cabrita ◽  
Harm op den Akker ◽  
Lena Brandl ◽  
Joana Isaac ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Technology Acceptance ◽  
Real Life ◽  
Later Life ◽  
Well Being ◽  
End Users ◽  
Service Development ◽  
Poor Sleep ◽  
Online Therapy

Background Loss of a spouse is a frequent occurrence in later life. While most older adults successfully process this loss and will return to a normal life, about 10% of the individuals are unable to cope, and progress to prolonged grief (PG). PG, in turn, can result in mental and physical problems including poor sleep, cardiovascular problems, depression, and suicidal tendencies. Objective LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy) is an online bereavement program that will support the prevention and treatment of PG, so that elderly mourners can continue to lead an active, meaningful, and dignified life. LEAVES will cater to secondary end users (eg, family, informal caregivers) by reducing stress. Methods LEAVES will help older adults to process the loss of a spouse in an online environment, which consists of (1) an existing online grief self-help program LIVIA, (2) the Before You Leave program that allows for storing personal memories, (3) a virtual agent platform, and (4) an accessible front-end design. LEAVES can detect persons at risk for complications, reveal negative trends in their emotional life, and act to counter such trends. The service relies on online support whenever possible but is blended with telephone or face-to-face counseling when necessary. Results The project will take place between February 2020 and January 2023 and includes a real-life evaluation in which 315 end users will use the service across 3 countries (the Netherlands, Portugal, and Switzerland). The evaluation of LEAVES will focus on clinical effect, its business case, and technology acceptance. The results will pave the way for smooth integration into existing care paths and reimbursement schemes. Conclusions The LEAVES service aims to soften the mourning process, prevents depression or social isolation, strengthens widow(er)s resilience and well-being, and quickens one’s return to societal participation. International Registered Report Identifier (IRRID) DERR1-10.2196/19344

Effectiveness of training workplace managers to understand and support the mental health needs of employees: a systematic review and meta-analysis

2018 ◽  
Vol 75 (6) ◽  
pp. 462-470 ◽  
Author(s):  
Aimée Gayed ◽  
Josie S Milligan-Saville ◽  
Jennifer Nicholas ◽  
Bridget T Bryan ◽  
Anthony D LaMontagne ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Knowledge ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Well Being ◽  
Health Problems ◽  
Effect Sizes ◽  
Employee Outcomes ◽  
Manager Training ◽  
The Impact

Managers are in an influential position to make decisions that can impact on the mental health and well-being of their employees. As a result, there is an increasing trend for organisations to provide managers with training in how to reduce work-based mental health risk factors for their employees. A systematic search of the literature was conducted to identify workplace interventions for managers with an emphasis on the mental health of employees reporting directing to them. A meta-analysis was performed to calculate pooled effect sizes using the random effects model for both manager and employee outcomes. Ten controlled trials were identified as relevant for this review. Outcomes evaluating managers’ mental health knowledge (standardised mean difference (SMD)=0.73; 95% CI 0.43 to 1.03; p<0.001), non-stigmatising attitudes towards mental health (SMD=0.36; 95% CI 0.18 to 0.53; p<0.001) and improving behaviour in supporting employees experiencing mental health problems (SMD=0.59; 95% CI 0.14 to 1.03; p=0.01) were found to have significant pooled effect sizes favouring the intervention. A significant pooled effect was not found for the small number of studies evaluating psychological symptoms in employees (p=0.28). Our meta-analysis indicates that training managers in workplace mental health can improve their knowledge, attitudes and self-reported behaviour in supporting employees experiencing mental health problems. At present, any findings regarding the impact of manager training on levels of psychological distress among employees remain preliminary as only a very limited amount of research evaluating employee outcomes is available. Our review suggests that in order to understand the effectiveness of manager training on employees, an increase in collection of employee level data is required.

scholarly journals A Digital Game and School-Based Intervention for Students in Hong Kong: Quasi-Experimental Design (Preprint)

2018 ◽  
Author(s):  
Angie KY Shum ◽  
Eliza SY Lai ◽  
Wing Gi Leung ◽  
Mabel NS Cheng ◽  
Ho Kit Wong ◽  
...  
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Perspective Taking ◽  
Primary Schools ◽  
Health Knowledge ◽  
Well Being ◽  
Anxiety Symptoms ◽  
Control Group ◽  
Digital Game ◽  
School Based

BACKGROUND In Hong Kong, with an increasing number of children experiencing mental health issues, there is a need to not only develop innovative interventions but also develop comprehensive prevention interventions so as to reduce their anxiety symptoms and enhance their emotional management and interpersonal relationships. OBJECTIVE The aim of this study was to determine the effectiveness of The Adventures of DoReMiFa, an integration model of the cognitive-behavioral approach and positive psychology by using digital game–based and school-based mental health enhancement intervention to magnify the social and emotional health and well-being of the school children in Hong Kong aged 9 to 11 years. METHODS A quasi-experimental design method was used to evaluate this digital game and school-based intervention. The Adventures of DoReMiFa was piloted in 4 primary schools where students were allocated to either an intervention or a control group. The participants were assessed at pre- and postintervention with a 6-month follow-up measuring their mental health knowledge, levels of anxiety symptoms, positive and negative thinking, perspective-taking, and self-esteem. RESULTS A total of 459 primary school students from 4 primary schools participated in the study. The response rate on the questionnaires answered on the Web was up to 85.1% (391/459). Compared with the control group, the intervention group was found to have significant association with improved mental health knowledge at the time immediately after the intervention (beta=.46; P=.01) and in the 6-month postintervention period (beta=.66; P<.001); for perspective-taking, the intervention group had exhibited a significant improvement 6 months after the completion of the universal program (beta=1.50; P=.03). The intervention, however, was found not to be effective in reducing the rates of anxiety symptoms and negative thinking among the participating students. CONCLUSIONS The Adventures of DoReMiFa, an integration of a digital game–based and school-based mental health enhancement intervention, was shown to be effective in elevating the knowledge of mental health and promoting perspective-taking in the primary school students of Hong Kong. Although there was insufficient evidence to support a reduction in symptoms of anxiety and negative automatic thoughts, the overall results were still encouraging in that a preventive effect was found, indicating that the program has the potential to enhance the mental well-being of schoolchildren. It also suggests that knowledge enhancement may not necessarily lead to behavior change, and more focused effort may be needed to achieve the translation. The implications and limitations of this study and suggestions for future research were also discussed.

scholarly journals Implementing an Action Over Inertia Group Program in Community Residential Rehabilitation Services: Group Participant and Facilitator Perspectives

2021 ◽  
Vol 12 ◽  
Author(s):  
Erin F. Rees ◽  
Priscilla Ennals ◽  
Ellie Fossey
Keyword(s):  
Mental Health ◽  
Time Use ◽  
Group Intervention ◽  
Activity Patterns ◽  
Case Study Research ◽  
Well Being ◽  
Group Participant ◽  
Australian Community ◽  
Mental Health Rehabilitation ◽  
Group Facilitators

Introduction: A time-use focused intervention, Action Over Inertia (AOI) designed to address restricted activity patterns and support recovery, was adapted for use in Australian community residential mental health services.Method: Qualitative case study research explored the use of AOI groups across three Community Care Units from the perspectives of group participants with enduring mental illness and group facilitators. Fifteen interviews were conducted: five group participants were interviewed twice 4 weeks apart, and five group facilitators on completion of the group intervention. Interview data were analyzed thematically using constant comparative methods.Findings: Two overarching themes, “Making Change” and “Facilitating Change” were identified. Efforts to make change in their lives were supported by participants recognising the value of personally meaningful activities for well-being and of activity experiences that fostered hope and recovery, whereas a sense of “stuckness,” time for activities and life events could disrupt “getting me going.” For the facilitators, facilitating change involved recognizing inertia as a challenge; getting people going; and looking at how AOI intervention works to impact inertia.Conclusion: AOI in a group format supports participants to identify barriers to more active living; to appreciate how time-use and well-being interrelate; and to reframe and take steps to overcome inertia. Further research should evaluate AOI groups as a means of providing individualized support for activity re-engagement as part of recovery oriented mental health rehabilitation.

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