Paternal Perinatal Mental Health: At-Risk Fathers’ Perceptions of Help-Seeking and Screening

2019 ◽  
Vol 27 (3) ◽  
pp. 307-328 ◽  
Author(s):  
Kelly M. Schuppan ◽  
Rachel Roberts ◽  
Rosalind Powrie
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Help Seeking ◽  
Health Care Services ◽  
Perinatal Depression ◽  
Routine Screening ◽  
Perinatal Mental Health ◽  
Future Research ◽  
Help Seeking Behaviors ◽  
Care Services

Given the prevalence of paternal perinatal mental health concerns, researchers have suggested introducing routine screening. However, little is known about the acceptability of perinatal screening measures in male populations. Furthermore, the need for screening is influenced by men’s perinatal help-seeking behaviors. A thematic analysis of interview data from nine men at risk of paternal perinatal depression and/or anxiety investigated both acceptability of screening and help-seeking behaviors. Themes indicate that routine screening is desired, but acceptability is influenced by perceptions of its intention and possible outcomes. Findings also suggest that barriers to men’s perinatal help-seeking are likely to be minimized by increased awareness and normalization. Future research and clinical practice should account for complexities raised by men’s perceptions of health care services.

DETECTION OF PATIENTS AT RISK FOR PSYCHOSIS BY SCREENING THE HELP-SEEKING POPULATION REFERRED TO MENTAL HEALTH CARE SERVICES BY A SELF-REPORT QUESTIONNAIRE

2010 ◽  
Vol 117 (2-3) ◽  
pp. 301
Author(s):  
Roeline M. Nieboer ◽  
Lex Wunderink ◽  
Nynke Boonstra ◽  
Judith Rietdijk ◽  
Sara Dragt ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
At Risk ◽  
Mental Health Care ◽  
Help Seeking ◽  
Health Care Services ◽  
Self Report ◽  
Care Services ◽  
Patients At Risk

scholarly journals Service User and Service Provider Perceptions of Enablers and Barriers for Refugee and Asylum-Seeking Women Accessing and Engaging with Perinatal Mental Health Care Services in the WHO European Region: A Scoping Review Protocol

2022 ◽  
Vol 19 (2) ◽  
pp. 937
Author(s):  
Kathleen Markey ◽  
Anne MacFarlane ◽  
Maria Noonan ◽  
Mairead Moloney ◽  
Susann Huschke ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Provision ◽  
Health Care Services ◽  
Perinatal Mental Health ◽  
European Region ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services

There is a need to understand the specific perinatal mental health care needs of migrant subgroups who often have differing health care needs and specific barriers to accessing and engaging with health care services. It is important to have evidence about the WHO European context given the rising numbers of refugees and asylum seekers in the region. The aim of this scoping review is to map the factors that enable and prevent access and engagement of refugee and asylum-seeking women with perinatal mental health care services in the WHO European Region, from the perspectives of service providers and service users. The database search will include PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL complete, Scopus, Academic Search Complete, and Maternity and Infant Care (OVID). Search results will be exported to an online tool that provides a platform to help manage the review process, including title, abstract, and full-text screening and voting by reviewers independently. Data concerning access and engagement with health care services will be mapped on to the candidacy framework. Systematically searching evidence within the WHO European region and examining this evidence through the candidacy lens will help develop a more comprehensive and a deeper conceptual understanding of the barriers and levers of access and engagement with perinatal mental health care services, whilst identifying gaps in existing evidence. Exploring factors that influence access and engagement for refugee and asylum-seeking women from the perspective of key stakeholders in the service provision and/or service utilisation of perinatal mental health care services will add a more comprehensive understanding of the recursive relationship between service provision and use.

“Better issues to focus on”: Transgender Microaggressions as Ethical Violations in Therapy

2020 ◽  
Vol 48 (6) ◽  
pp. 883-915 ◽  
Author(s):  
Ezra R. Morris ◽  
Louis Lindley ◽  
M. Paz Galupo
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Online Survey ◽  
Future Research ◽  
Mental Health Providers ◽  
Health Providers ◽  
Help Seeking Behaviors ◽  
Healthcare Settings ◽  
Ethical Violations ◽  
Gender Diverse

Negative experiences in healthcare settings have been linked to decreased treatment satisfaction and reduction of future help-seeking behaviors among transgender individuals. The present study used gender-identity based microaggressions as a model for understanding the client–therapist relationship. Using a qualitative approach, we investigated instances of microaggressions from mental health providers as experienced by 91 adults who identified as transgender or gender diverse. Participants completed an online survey and described instances of microaggressions directed towards them from mental health providers. Thematic analysis resulted in four therapy-salient themes: Lack of Respect for Client Identity, Lack of Competency, Saliency of Identity, and Gatekeeping. Our discussion of the results focuses on the examination of microaggressions as ethical guideline violations. We discuss methods to improve the practical application of ethical standards to counseling with transgender clients. Implications for practice, training, and future research are also discussed.

Determinants of treatment disengagement among those at risk of suicide referred to primary mental health care services in Western Sydney, Australia

2020 ◽  
pp. 000486742096373
Author(s):  
Sithum Munasinghe ◽  
Andrew Page ◽  
Haider Mannan ◽  
Shahana Ferdousi ◽  
Brendan Peek
Keyword(s):  
Mental Health ◽  
Health Care ◽  
At Risk ◽  
Mental Health Care ◽  
Early Treatment ◽  
Health Care Services ◽  
Treatment Cessation ◽  
Care Services ◽  
Primary Mental Health Care ◽  
Sydney Australia

Objective: Continued engagement with primary mental health services has been associated with the prevention of subsequent suicidal behaviour; however, there are few studies that identify determinants of treatment disengagement among those at risk of suicide in primary care settings. This study investigated determinants of treatment disengagement of those at risk of suicide who were referred to primary mental health care services in Western Sydney, Australia. Method: This study used routinely collected data of those referred for suicide prevention services provided through primary mental health care services between July 2012 and June 2018. Associations between sociodemographic, diagnostic, referral- and service-level factors and treatment non-attendance and early treatment cessation were investigated using a series of multivariable generalised estimation equations. Results: There were 1654 suicidal referrals for 1444 people during the study period. Those identified with a risk of suicide were less likely to never attend treatments (16.14% vs 19.77%), but were more likely to disengage earlier from subsequent service sessions (16.02% vs 12.41%), compared to those with no risk of suicide. A higher likelihood of non-attendance to any primary mental health care service sessions was associated with those aged 25–44, lower socioeconomic status, a presentation for substance use and a referral from acute care (either emergency department or hospital). Among those who attended an initial treatment session, younger age (18–24 years) and a longer waiting time for an initial follow-up appointment were associated with a higher likelihood of early treatment cessation from primary mental health care services. Conclusion: These findings can inform potential strategies in routine primary mental health care practice to improve treatment engagement among those at risk of suicidal behaviour. Youth-specific interventions, behavioural engagement strategies and prompt access to services are policy and service priorities.

scholarly journals A Review of the Involvement of Partners and Family Members in Psychosocial Interventions for Supporting Women at Risk of or Experiencing Perinatal Depression and Anxiety

2021 ◽  
Vol 18 (10) ◽  
pp. 5396
Author(s):  
Maria Noonan ◽  
Julie Jomeen ◽  
Owen Doody
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Family Relationships ◽  
Perinatal Depression ◽  
Family Members ◽  
Psychosocial Interventions ◽  
Assessment Tools ◽  
Perinatal Mental Health ◽  
Depression And Anxiety ◽  
Eligibility Criteria

A maternal experience of perinatal mental health conditions can have serious short- and long-term consequences for child development and family relationships. Women with perinatal depression and/or anxiety are primarily supported by their partner/spouse and family. The aim of this review was to synthesise data from studies that have examined the inclusion of partners or family members in psychosocial interventions for women at risk of or experiencing perinatal depression and/or anxiety. A systematic search of five databases was conducted to identify literature published between 2010 and 2020. Nine empirical studies met the eligibility criteria and were independently assessed by two authors using the National Heart, Lung and Blood Institute Quality Assessment Tools and data were extracted and narratively synthesised guided by TIDieR (Template for Intervention Description and Replication) checklist. Eligible studies detailed diverse interventions facilitated by a variety of programme facilitators, with no central model of intervention or study outcome measures evident across the studies. All studies except one reported a significant change in maternal depression and anxiety scores. The interventions had limited evaluation of the woman’s, partner’s or family member’s experiences of involvement in the intervention. Further research is required to firmly establish the effectiveness of co-designed interventions to support the sustainable integration of such interventions into routine perinatal mental health services.

scholarly journals An Examination of Fathers’ Mental Health Help Seeking

2016 ◽  
Vol 10 (6) ◽  
pp. NP33-NP38 ◽  
Author(s):  
Anthony Isacco ◽  
Richard Hofscher ◽  
Sonia Molloy
Keyword(s):  
Mental Health ◽  
Parental Stress ◽  
Help Seeking ◽  
Mental Health Counseling ◽  
Fragile Families ◽  
Future Research ◽  
Help Seeking Behaviors ◽  
Health Counseling ◽  
Independent Variables ◽  
Anxiety Depression

Fathers’ mental health help seeking is an understudied area. Using participants ( N = 1,989) from the Fragile Families and Child Wellbeing Study, this study hypothesized that few fathers would seek mental health services; and increases in anxiety, depression, and parental stress would predict less mental health help seeking. Only 3.2% of the participants reported seeking mental health counseling. Among the three independent variables, only depression emerged as a significant factor that predicted less mental health help-seeking behaviors in fathers. Future research and clinical efforts need to better understand the low rates of help seeking and to identify pathways that facilitate positive mental health help seeking among fathers.

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