Fear and Distrust Within the Canadian Welfare System: Experiences of People With Mental Illness

2018 ◽  
Vol 29 (4) ◽  
pp. 216-225 ◽  
Author(s):  
Rebecca E. Gewurtz ◽  
Pamela Lahey ◽  
Katie Cook ◽  
Bonnie Kirsh ◽  
Rosemary Lysaght ◽  
...  
Keyword(s):  
Mental Illness ◽  
Service Providers ◽  
Welfare System ◽  
System A ◽  
People With Mental Illness ◽  
Key Stakeholders ◽  
Constant Change ◽  
Trusting Relationships ◽  
State Of Affairs ◽  
The Impact

While experiences of fear and distrust have been documented as a part of recipients’ interactions with disability benefits, there have been few attempts to explore how they are shaped by system features and their impact on employment pursuits. The purpose of this article is to unpack how fear and distrust emerge among people with mental illness who have recently entered the welfare system. Using an interpretative qualitative approach, the authors draw on the findings from 69 in-depth interviews with key stakeholders about their experiences with employment. Stakeholders included recipients, welfare program and policy staff, and service providers in the community. Data were analyzed by exploring similarities and differences across perspectives and contexts. The findings highlight how system features shape and perpetuate fear and distrust through poorly communicating information about the system, a chaotic state of constant change and complexity, a lack of attention to building trusting relationships between caseworkers and recipients, ongoing system errors, and excessive reporting requirements. The impact of the current state of affairs is significantly harmful to recipients, especially those living with mental illness. Our findings also highlight a possible way forward by building trusting relationships and finding ways to improve communication channels.

scholarly journals Australia's National Suicide Prevention Strategy: the next chapter

2006 ◽  
Vol 30 (3) ◽  
pp. 271 ◽  
Author(s):  
Jo Robinson ◽  
Patrick McGorry ◽  
Meredith G Harris ◽  
Jane Pirkis ◽  
Philip Burgess ◽  
...  
Keyword(s):  
Mental Illness ◽  
High Risk ◽  
Suicide Prevention ◽  
Risk Groups ◽  
Evidence Base ◽  
Prevention Strategy ◽  
People With Mental Illness ◽  
Prevention Activities ◽  
The Impact

Australia?s National Suicide Prevention Strategy (NSPS) is about to move into a new funding phase. In this context this paper considers the emphasis of the NSPS since its inception in 1999. Certain high-risk groups (particularly people with mental illness and people who have selfharmed) have been relatively neglected, and some promising approaches (particularly selective and indicated interventions) have been under-emphasised. This balance should be redressed and the opportunity should be taken to build the evidence-base regarding suicide prevention. Such steps have the potential to maximise the impact of suicide prevention activities in Australia.

scholarly journals Attitudes towards disclosing a mental illness: impact on quality of life and recovery

2021 ◽  
Author(s):  
Lea Mayer ◽  
Patrick W. Corrigan ◽  
Daniela Eisheuer ◽  
Nathalie Oexle ◽  
Nicolas Rüsch
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Help Seeking ◽  
Social Withdrawal ◽  
Social Consequences ◽  
People With Mental Illness ◽  
High Internal Consistency ◽  
Initial Support ◽  
The Impact

Abstract Purpose The decision whether to disclose a mental illness has individual and social consequences. Secrecy may protect from stigma and discrimination while disclosure can increase social support and facilitate help-seeking. Therefore, disclosure decisions are a key reaction to stigma. The first aim of this study was to test a newly developed scale to measure disclosure attitudes, the Attitudes to Disclosure Questionnaire (AtDQ). The second aim was to examine the impact of attitudes towards disclosing a mental illness on quality of life and recovery. Methods Among 100 participants with mental illness, disclosure attitudes, quality of life, recovery, benefits of disclosure, secrecy, social withdrawal, self-stigma, and depressive symptoms were assessed at weeks 0, 3 and 6. Psychometric properties of the AtDQ were analysed. Longitudinal associations between disclosure attitudes at baseline and quality of life and recovery after 6 weeks were examined in linear regressions. Results The analyses of the AtDQ indicated one-factor solutions, high acceptability, high internal consistency, and good retest reliability for the total scale and the subscales as well as high construct validity of the total scale. Results provided initial support for sensitivity to change. More positive disclosure attitudes in general and in particular regarding to family at baseline predicted better quality of life and recovery after 6 weeks. Conclusion The current study provides initial support for the AtDQ as a useful measure of disclosure attitudes. Disclosing a mental illness, especially with respect to family, may improve quality of life and recovery of people with mental illness.

The History of the Treatment of Mental Illness

2016 ◽  
pp. 1-16
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Illness ◽  
Middle Ages ◽  
Western Europe ◽  
Psychiatric Treatment ◽  
Shock Therapy ◽  
The United States ◽  
Models Of Care ◽  
People With Mental Illness ◽  
History Of ◽  
The Impact

Chapter 1 reviews the history of psychiatric treatment of people with mental illness in the United States and Western Europe, highlighting past perspectives in care, such as ancient trephination and exorcism during the demonology era, humorism in early Greek and Roman thought, a return to demonological perspectives in the Middle Ages, as well as mesmerism and psychoanalysis in the 19th and 20th centuries. The 20th-century biological perspective is described, including the use of insulin shock therapy, electroconvulsive therapy, and lobotomy. Next, the development of more humane treatment approaches is discussed, such as the moral treatment movement of the 1800s. The ex-patient’s movement of the 1970s is reviewed, leading up to the contemporary recovery-oriented and psychosocial rehabilitation models of care. The impact of stigma on the acceptance of serious mental illness is explored throughout this history. Discussion questions, activities, and diagrams are also included.

scholarly journals Using simulation to educate police about mental illness: A collaborative initiative

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Wendy Stanyon ◽  
Bill Goodman ◽  
Marjory Whitehouse
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Police Officers ◽  
Real Life ◽  
Ease Of Use ◽  
World Health ◽  
Health Concern ◽  
Face To Face ◽  
People With Mental Illness ◽  
The Impact

Mental illness is a major public health concern in Canada and also globally. According to the World Health Organization, five of the top ten disabilities worldwide are mental health disorders. Within Canada, one in five individuals is living with mental illness each year. Currently, there are 6.7 million Canadians living with mental illness and over 1 million Canadian youth living with mental illness. Police are frequently the first responders to situations in the community involving people with mental illness, and police services are increasingly aware of the need to provide officers with additional training and strategies for effectively interacting with these citizens.This study examined the effectiveness of four online, interactive video-based simulations designed to educate police officers about mental illness and strategies for interacting with people with mental illness. The simulations were created through the efforts of a unique partnership involving a police service, a mental health facility and two postsecondary institutions. Frontline police officers from Ontario were divided into one of three groups (simulation, face to face, control). Using a pre- and post-test questionnaire, the groups were compared on their level of knowledge and understanding of mental illness. In addition, focus groups explored the impact of the simulations on officers’ level of confidence in engaging with individuals with mental illness and officers’ perceptions of the simulations’ ease of use and level of realism. The study’s findings determined that the simulations were just as effective as face-to-face learning, and the officers reported the simulations were easy to use and reflected real-life scenarios they had encountered on the job. As mental health continues to be a major public concern, not only in Canada but also globally, interactive simulations may provide an effective and affordable education resource not only for police officers but for other professionals seeking increased knowledge and skills in interacting with citizens with mental illness.Keywords: policing, mental illness, education, computer-based simulation

Dentistry students’ views about mental illness and impact of a targeted seminar on knowledge and attitudes: a mixed-method study

2014 ◽  
Vol 9 (3) ◽  
pp. 190-202 ◽  
Author(s):  
Susan Patterson ◽  
Pauline Ford
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorder ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Dental Students ◽  
Content Type ◽  
Knowledge And Attitudes ◽  
People With Mental Illness ◽  
The Impact

Purpose – The purpose of this paper is to inform education of non-mental health professionals who provide care to people with severe mental illness; to describe dentistry students’ knowledge and views about mental illness, including willingness to engage in various social situations with a person hospitalised for mental illness; and to assess and understand the impact of a targeted lecture on views and attitudes. Design/methodology/approach – The paper employed mixed methods to examine dental students’ knowledge and views about mental disorder before and after a seminar covering mental disorder, disadvantage and oral health. Findings from a bespoke questionnaire administered to third-year dental students were triangulated with qualitative data gathered in interviews with a subsample. Findings – Students understood mental disorder broadly, employing diverse causal models. Although knowledge was typically grounded in media stereotypes, attitudes were benevolent and most students reported willingness to provide dental care to affected individuals. The seminar, especially the consumer delivered section, was valued and associated with increased appreciation of the impact of mental disorder on oral health and need for assertive action to promote access to care. However, students reported being reluctant to disclose their own mental health problems for fear of being considered a professional or personal failure. A minority knew how to seek support if a friend talked of suicide. Research limitations/implications – This study highlights the need for further investigation of the knowledge and attitudes of dentistry students pertinent to provision of care to people with mental illness and to examine the links between attitudes and practice. The paper also provides a useful foundation for development of brief educational interventions, particularly the value in integrating the service user perspective, and their evaluation. Research should also examine the impact of mental health education on practice. Practical implications – A single inexpensive educational session, such as the one the paper developed may support reconsideration of often unconscious views of mental illness which might affect practice. Social implications – If people with mental illness are to receive equitable access to health care, non-mental health professionals should be supported to develop knowledge and attitudes which are conducive to inclusive treatment. An education session such as this could be helpful. Originality/value – There is scant literature examining attitudes of dentistry students and no reports of mental health-specific education with this population.

Revisiting the resource-based view on logistics performance in the shipping industry

2017 ◽  
Vol 47 (9) ◽  
pp. 884-905 ◽  
Author(s):  
Chung-Shan Yang ◽  
Taih-Cherng Lirn
Keyword(s):  
Service Providers ◽  
Empirical Support ◽  
Value Added ◽  
Interfirm Relationships ◽  
Resource Based View ◽  
Content Type ◽  
Logistics Service ◽  
Container Logistics ◽  
Key Stakeholders ◽  
The Impact

Purpose The purpose of this paper is to evaluate empirically the impact of intrafirm resources, interfirm relationships, and logistics service capabilities on logistics performance (LP) in the context of container logistics. Design/methodology/approach Factor analysis was employed to identify the key intrafirm resources (i.e. tangible assets and intangible assets), interfirm relationships (i.e. communication (COM) and long-term relationships), logistics service capabilities (i.e. service efficiency, service reliability, service flexibility, and value-added service), and LP dimensions. Data were collected from a survey of container shipping service providers, and were analyzed by a structural equation model to test the research hypotheses. Findings The findings show that interfirm relationships and logistics service capabilities act as mediator variables between intrafirm resources and LP. Research limitations/implications The results of this research support the application of the general theory on firm-level performance and the resource-based view (RBV) as a lens through which LP can be achieved via logistics service capabilities. In addition, the findings lend empirical support to the capability-building view, which asserts the importance of resource investment and relationship maintenance, and the development of distinctive capabilities to enhance performance. Practical implications Container logistics operators should not view their intrafirm resources (including logistics information technology and teamwork organizational culture) or interfirm relationships (including informal COM with key stakeholders and evergreen relationship with key stakeholders) separately; instead, a systems approach should be used. Originality/value This research updates the RBV theory by clearly indicating that the overall performance of shipping firms cannot be decided solely by the firm’s own resources. Interfirm relationships and logistics service capabilities are found to be powerful moderators which help shipping firms allocate their resources effectively and thus improve their LP.

scholarly journals Voting and mental illness: the silent constituency

2014 ◽  
Vol 31 (4) ◽  
pp. 225-227 ◽  
Author(s):  
B. D. Kelly
Keyword(s):  
Mental Illness ◽  
Social Services ◽  
Mentally Ill ◽  
Service Providers ◽  
Social Economic ◽  
Voting Rights ◽  
Voter Registration ◽  
The Political ◽  
People With Mental Illness ◽  
Political Spectrum

Mental illness has been long associated with denial of certain human rights, social exclusion and political disempowerment. Too often, the effects of adverse social, economic and political circumstances, along with stigma, constitute a form of ‘structural violence’, which impairs access to psychiatric and social services, and amplifies the effects of mental illness in the lives of sufferers and their families. Existing literature indicates that voting rates are low among people with mental illness and, whereas voting preferences in the mentally ill may tend towards the liberal end of the political spectrum, they do not differ dramatically from the overall population. Rates of voting could be improved by mental health service users, service providers, advocacy services and others through (a) improved awareness of voting rights; (b) provision of information, especially to inpatients; (c) assessments of voting capacity, where indicated, using standardised, well-proven tools; and (d) pro-active voter-registration programmes.

scholarly journals Social Distance from Mental Illness Among Counseling, Social Work, and Psychology Students and Helping Professionals

2018 ◽  
Vol 10 (1) ◽  
pp. 24-37
Author(s):  
Douglas R. Tillman ◽  
David D. Hof ◽  
Aiste Pranckeviciene ◽  
Auksė Endriulaitienė ◽  
Rasa Markšaitytė ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Work ◽  
Social Distance ◽  
Psychology Students ◽  
Helping Professionals ◽  
Negative Stereotypes ◽  
People With Mental Illness ◽  
Study Results ◽  
The Impact

Negative stereotypes of people with mental illness may lead to stigma of those with mental illness, impacting their self-confidence and willingness to seek mental health treatment. Few studies have looked at the health professional’s role and the impact they may have on the stigmatization process of people with mental illness. The purpose of this article was to better understand the concept of social distance among individuals in the helping professions of counseling, social work, and psychology. A total of 305 students and 95 professionals from counseling, social work and psychology participated in this study. Results revealed that counseling, social work, and psychology students, and helping professionals do not differ in their need for social distance from people with mental illness. Helping professionals reported significantly more social distance from people with mental health problems in close personal relationships, compared to their social relationships. In conclusion, there were no significant differences in social distance observed as a function of professional experience.

scholarly journals Report review: Not for service: experiences of injustice and despair in mental health care in Australia

2006 ◽  
Vol 30 (2) ◽  
pp. 261
Author(s):  
Michael Summers ◽  
Peter McKenzie
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
National Standards ◽  
Summary Report ◽  
Current State ◽  
People With Mental Illness ◽  
Starting Point ◽  
The Impact ◽  
Service Experiences

IT IS ONLY BY EXAMINING the impact of public policies on the lives of people that we can begin to assess the success or failure of those policies. With this as a starting point, Not for service presents an extensive (just over 1000 pages) and balanced picture of the impact of policies on the lives of people with mental illness and their families and friends. The authors take care to state that their research is not a rigorous examination of the extent to which the National Standards for Mental Health Services have been implemented, but do observe that the ?volume and consistency of the information demonstrate the gaps and difficulties governments have had in meeting these standards? (p 14). The report is lengthy, but is well laid out and ?easy? to read, although the content will leave any reader feeling uneasy about the current state of our mental health system. There is also a shorter (96 page) summary report available.

Children of Parents with a Mental Illness — The COPMI Project

2003 ◽  
Vol 13 (1) ◽  
pp. 99-105
Author(s):  
Elizabeth Fudge
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Outcomes ◽  
Mental Health Problems ◽  
Service Providers ◽  
Good Practice ◽  
Health Problems ◽  
Mental Health Outcomes ◽  
Outcomes For Children ◽  
The Impact

When adults experience mental health problems, the effect on their family members can be immense. The impact on the person's children, both of the parent's behaviour and of their treatment, can be profound but is frequently overlooked by service providers for a range of reasons. The current national COPMI project has been initiated to promote better mental health outcomes for children of parents with a mental illness, especially by providing information and good practice guidance for services and people in the community who work with these families and their children.

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