scholarly journals Health professionals’ experiences of and attitudes towards mental healthcare for migrants and refugees in Europe: A qualitative systematic review

2022 ◽  
pp. 136346152110673
Author(s):  
E. Peñuela-O’Brien ◽  
M. W. Wan ◽  
D. Edge ◽  
K. Berry
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Cultural Difference ◽  
Universal Access ◽  
Mental Healthcare ◽  
Poor Mental Health ◽  
Voluntary Organizations ◽  
Health Issues ◽  
Migrant Status ◽  
Migrant Communities

Migrants living in Europe constitute over half of the world's international migrants and are at higher risk of poor mental health than non-migrants, yet also face more barriers in accessing and engaging with services. Furthermore, the quality of care received is shaped by the experiences and attitudes of health professionals. The aim of this review was to identify professionals’ attitudes towards migrants receiving mental healthcare and their perceptions of barriers and facilitators to service provision. Four electronic databases were searched, and 23 studies met the inclusion criteria. Using thematic synthesis, we identified three themes: 1) the management of multifaceted and complex challenges associated with the migrant status; 2) professionals’ emotional responses to working with migrants; and 3) delivering care in the context of cultural difference. Professionals employed multiple strategies to overcome challenges in providing care yet attitudes towards this patient group were polarized. Professionals described mental health issues as being inseparable from material and social disadvantage, highlighting a need for effective collaboration between health services and voluntary organizations, and partnerships with migrant communities. Specialist supervision, reflective practice, increased training for professionals, and the adoption of a person-centered approach are also needed to overcome the current challenges in meeting migrants’ needs. The challenges experienced by health professionals in attempting to meet migrant needs reflect frustrations in being part of a system with insufficient resources and without universal access to care that effectively stigmatizes the migrant status.

scholarly journals Heard, known and safe in general practice? An interview study with patients with severe and persistent mental illness

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0201
Author(s):  
Nancy Jennifer Sturman ◽  
Ryan Williams ◽  
Marianne Wyder ◽  
Johanna Lynch
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practice ◽  
Physical Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Persistent Mental Illness ◽  
Community Mental Health Clinics

BackgroundAlthough GPs provide care to many patients with severe and persistent mental illness, the role and skillset of the GP in this space are contested. Patients are less satisfied with GP care of mental health than physical health issues.AimTo explore patient expectations and experiences of GP roles in their mental health, and identify opportunities for improving mental health care in general practice.Design & settingPatient participants were recruited from community mental health clinics in Brisbane, Australia.MethodIndividual semi-structured interviews were conducted with a convenience sample of patients. Interviews were audio-recorded and transcribed professionally. The authors conducted an inductive thematic analysis, attending to participant vulnerability and reflexivity.Results16 interviews were conducted by one author (RW), average duration 29 minutes. Three overarching themes were identified: being heard; being known; and being safe. Participants greatly valued ‘good GPs’ who were able to detect early signs of relapse, and with whom they came to feel heard, known and safe over time. Experiences of perfunctory, hurried care and avoidance of mental health issues were also reported. Many participants were uncertain whether GP training in mental health was sufficient to keep them safe. Patients may suspect negative attitudes to mental illness in GPs who actively engage predominantly with their physical health.ConclusionSome GPs play central roles in patients’ mental healthcare. Barriers for others need further exploration, and may include time, confidence and/or expertise. Findings challenge GPs to engage more actively and effectively with these patients in theirgeneral practice consultations.

scholarly journals Depressive Symptoms, Help-Seeking, and Barriers to Mental Healthcare Among Healthcare Professionals in Lithuania

2021 ◽  
Vol 28 (1) ◽  
pp. 3
Author(s):  
Daniel Rogoža ◽  
Robertas Strumila ◽  
Eglė Klivickaitė ◽  
Edgaras Diržius ◽  
Neringa Čėnaitė
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Help Seeking ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Health Problems ◽  
Poor Mental Health ◽  
Work Related ◽  
Patient Health

Background: Previous research suggests that healthcare professionals (HCPs) experience high levels of work-related psychological distress, including depressive symptoms. Due to the stigma of mental health problems and other barriers, HCPs are likely to be hesitant to seek appropriate mental healthcare. We aimed to explore these phenomena among HCPs in Lithuania.Methods: A web survey inquiring about depressive symptoms, help-seeking, and barriers to mental healthcare was conducted. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9). 601 complete questionnaires were included in the analyses. The barriers to help-seeking were identified using the inductive content analysis approach. Descriptive, non-parametric, and robust statistical analysis was performed using SPSS software.Results: Most of the respondents have reported depression-like symptoms over the lifetime, although only about a third of them sought professional help. Of those, roughly half preferred a private specialist. The stigma and neglect of mental health problems were the most common barriers to help-seeking. Around half of the HCPs believed that seeking mental healthcare can imperil their occupational license. About a quarter of the HCPs screened positive for clinically relevant depressive symptoms. Statistically significant differences in the PHQ-9 score were found between categories of healthcare specialty, marital status, religious beliefs, workplace, and years of work as a HCP. Fewer years of work and younger age were associated with the higher PHQ-9 score.Conclusions: Our findings suggest that HCPs in Lithuania may be inclined not to seek appropriate mental healthcare and experience poor mental health, although stronger evidence is needed to verify these findings. 

scholarly journals Practices and Perspectives of Mental Health in the Balkan Countries: A Narrative Review

2019 ◽  
Author(s):  
Maya E. Lee
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Mental Healthcare ◽  
Research Literature ◽  
Economic Research ◽  
Health Issues ◽  
The Balkans ◽  
Historical Perspectives ◽  
Yugoslav Republic ◽  
Balkan Region

Mental health and wellness are integral parts to person’s overall health and happiness. Globally, there has been an increased initiative to treat and support people living with mental health issues and disease; the Balkan region of southeastern Europe is no exception. A literary review researching the background of mental health treatment and how it intersects with the unique history and current administrative environment within the nations of the former Yugoslav Republic was conducted. Existing literature about mental health prevalence and practices within the region was analyzed and contextualized with historical perspectives. Significant gaps in research literature were identified, including lack of research into everyday mental disorders in the region that are not to do with the recent civil war, a need for standardized data collection about where mental health infrastructure exists within the region and how effective it is in treating patients, and finally economic research to determine how and by which governing body national healthcare systems should be funded. Filling these gaps in knowledge would greatly reduce barriers to mental healthcare and overall wellness within the Balkans.

Romantic Relationships, Online Dating, and Mental Health Issues

2021 ◽  
pp. 94-102
Author(s):  
Tejaswini Bhave
Keyword(s):  
Mental Health ◽  
Romantic Relationships ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Romantic Relationship ◽  
Online Dating ◽  
Health Issues ◽  
Mental Health Issues ◽  
Potential Partner

This chapter attempts to present the overview of mental health issues associated with online dating and online romantic relationships with relevant research background. It briefly cautions about the possible risks involved in the world of online dating platforms and later delves into mental health concerns that can emerge out of experiences while selecting a potential partner online, developing a romantic relationship, and being involved in a romantic relationship online. It also discusses safety measures that need to be taken before and while being active on such online dating sites. The chapter draws attention to the specific role of mental health professionals that is needed while dealing with victims of online scams and abuse.

scholarly journals Prevalence and factors associated with poor mental health among healthcare professionals in low- and lower-middle-income countries: a systematic review protocol

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Julia Lohmann ◽  
Denny John ◽  
Aso Dzay
Keyword(s):  
Mental Health ◽  
Healthcare Professionals ◽  
Health Workers ◽  
Poor Mental Health ◽  
Psychological Wellbeing ◽  
Health Issues ◽  
Middle Income ◽  
Factors Associated ◽  
Middle Income Countries ◽  
Mental Health Issues

Abstract Background A healthy and productive health workforce is central to a well-functioning health system. However, health workers are at high risk of poor psychological wellbeing due to their particularly strenuous work demands. While mental health of health workers is a well-researched issue in high-income countries, research from low- and lower-middle-income countries (LLMIC) has begun to emerge only recently. The review aims to synthesize this body of research, specifically to assess the prevalence of mental health issues among health workers in LLMIC, to identify factors associated with good or poor mental health, and to highlight gaps in knowledge. Methods We will perform a systematic search of the published English and French language literature (from inception onwards) in MEDLINE, EMBASE, and PsycINFO. Eligible for inclusion are observational studies (e.g., cross-sectional, case-control, or cohort) and control arms of randomized controlled trials reporting investigations on the nature, prevalence, and factors associated with mental health or psychological wellbeing among formally trained health professionals and health associate professionals delivering health services in formal healthcare facilities in LLMIC. The primary outcomes will be burnout, depression, and general psychological wellbeing. Secondary outcomes include other specific mental health diagnoses, as well as general psychological stress, distress and/or trauma if work-related and explicitly framed as a mental health issue. Two authors will independently examine the studies against the eligibility criteria in the stages of title, abstract, and full-text study selection, as well as assess the risk of bias in included studies using standard checklists depending on study design. Disagreements will be resolved in discussion with the third author. Data will be extracted from included studies using a predefined and piloted coding framework. Given the anticipated heterogeneity of studies, we do not expect to be able to conduct meta-analysis and plan to summarize the extracted data in narrative form. The framework method will be used to organize narrative data by subthemes and explore patterns. Discussion In assessing the prevalence of mental health issues among healthcare professionals in LLMIC and identifying factors associated with positive or poor mental health, the review aims to synthesize all possible available information for policy makers and health system managers on a potentially highly important but not yet much-discussed issue and to highlight gaps in currently available knowledge. Systematic review registration International Prospective Register of Systematic Reviews PROSPERO (registration number CRD42019140036)

scholarly journals “It Went to the Very Heart of Who I Was as a Woman”: The Invisible Impacts of Intimate Partner Sexual Violence

2020 ◽  
Vol 31 (2) ◽  
pp. 287-297
Author(s):  
Laura Tarzia
Keyword(s):  
Mental Health ◽  
Sexual Violence ◽  
Partner Violence ◽  
Interpretative Phenomenological Analysis ◽  
Scar Tissue ◽  
Intimate Partner ◽  
Poor Mental Health ◽  
Health Issues ◽  
Psychological Violence ◽  
The Invisible

Intimate partner sexual violence (IPSV) sits within the intersection of intimate partner violence and sexual violence. It is prevalent, yet poorly understood. Research consistently shows that IPSV is associated with many mental and physical health issues although the mental health aspects are often the most damaging. Despite this, there is poor understanding of the mechanisms through which IPSV causes trauma and poor mental health. To address this gap, I used interpretative phenomenological analysis of n = 38 in-depth interviews with women in Australia to explore their lived experiences of IPSV. The essence of IPSV was described as “Being attacked from the inside out” and comprised four themes. The first, “Shaken foundations,” described devastating betrayal and loss of trust. The second, “A different kind of damage,” suggested that sexual violence impacts women differently from physical or psychological violence in a relationship. The third theme, “It kills something inside you,” addressed the dehumanizing aspects of IPSV. The final theme, “Lingering scar tissue,” focused on the long-term impacts of IPSV on women’s sexuality and relationships. The findings of this study highlight the “invisible impacts” of IPSV, which may be the pathways through which it causes trauma.

Geriatric Mental Healthcare Training: A Mini-Fellowship Approach to Interprofessional Assessment and Management of Geriatric Mental Health Issues

2019 ◽  
Vol 27 (7) ◽  
pp. 706-711 ◽  
Author(s):  
LalithKumar K. Solai ◽  
Keerthana Kumar ◽  
Elizabeth Mulvaney ◽  
Daniel Rosen ◽  
Juleen Rodakowski ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Mental Health Issues ◽  
Geriatric Mental Health ◽  
Healthcare Training

Parental mental health: The Perinatal Positivity project

2020 ◽  
Vol 8 (5) ◽  
pp. 200-202
Author(s):  
Barbara Jayson
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Perinatal Mental Health ◽  
Health Issues ◽  
Parental Mental Health ◽  
Mental Health Issues

The Perinatal Positivity film and website is a resource for health professionals and charities working with families to raise awareness of perinatal mental health issues, and provide information for expectant and new parents

CHAOS: A Co-Creation

2020 ◽  
Vol 7 (1) ◽  
pp. 205-223
Author(s):  
Hannah Waldron ◽  
Steve Braund
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Creative Process ◽  
Life Story ◽  
Mental Healthcare ◽  
Self Esteem ◽  
Service Users ◽  
Health Issues ◽  
Critical Account ◽  
Collective Empowerment

This is a critical account of a year-long collaboration between MA Authorial Illustration students and service users of a social services organization and mental healthcare provider, The CHAOS Group (Community Helping All Of Society), with the aim of communicating the journey of those experiencing mental health issues and the efficacy of authorial illustration in promoting wellbeing. Central to the project was the production of the book CHAOS: A Co-Creation, and this article describes the book’s development and the experience of working in the co-creation mode. Drawing upon research methods in narrative and authorial illustration, the article explores the potential of authorial illustration to serve as a tool for benefitting mental health: could an illustrational mindset ‐ one rooted within personal authorship ‐ bring out those personal voices, rekindling a sense of worth and self-esteem? At the heart of the project was the concept of shared creative process, a ‘thinking-through-making’ in which weekly creative sessions allowed each of the participants’ individual voices to emerge and feel empowered through a gradual encouragement to author personal stories. Alongside the fostering of individual authorial voices through illustration, the article describes how, through a non-hierarchical co-creation process, we witnessed a collective empowerment. The article draws upon the recent research-based publication Co-Creation (in France) and draws on the notion from social psychology that there seems to be a sense in which narrative, rather than referring to ‘reality’, may in fact create or constitute it, as when ‘fiction’ creates a ‘world’ of its own: empowering each individual to author their own life-story (Jerome Bruner 1991: 1‐21).

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