scholarly journals Globalisation and psychiatry

2003 ◽  
Vol 9 (6) ◽  
pp. 464-470 ◽  
Author(s):  
Brendan D. Kelly
Keyword(s):  
Mental Health ◽  
Large Scale ◽  
Service Providers ◽  
Models Of Care ◽  
Focused Attention ◽  
Challenges And Opportunities ◽  
The Usa ◽  
Training Policy ◽  
Positive Engagement ◽  
The Relationship

Globalisation means crossing borders. It is a complex, large-scale social phenomenon that presents to mental health services both challenges and opportunities. These relate to the increased cultural diversity of service users and service providers; the effects of migration on mental health; and the implementation of international protocols in relation to training, policy and education. In the aftermath of 11 September 2001 in the USA, the relationship between large-scale social change and mental health has also focused attention on the concepts of anomie and social capital. An explicit return to the principles of biopsychosocial psychiatry and a positive engagement with globalisation will advance the development of effective, evidence-based models of care appropriate to the changing needs of patients.

Engaging persons with dementia in advance care planning: Challenges and opportunities

Dementia ◽  
2020 ◽  
pp. 147130122097305
Author(s):  
Tamara Sussman ◽  
Rebecca Pimienta ◽  
April Hayward
Keyword(s):  
Focus Groups ◽  
Family Caregivers ◽  
Advance Care Planning ◽  
Service Providers ◽  
Care Planning ◽  
Reflective Process ◽  
Challenges And Opportunities ◽  
Future Care ◽  
Advance Care ◽  
Positive Engagement

This study reports findings from a series of focus groups with persons with dementia and family caregivers intended to explore: (1) perceptions of and experiences with advance care planning (ACP); (2) concerns related to future care including, but not limited to, end-of-life care; and (3) practices that may support positive engagement with ACP. A total of 18 participants including 10 persons with dementia and eight family caregivers participated in five focus groups held in two urban cities in Canada. All focus group deliberations were audio recorded, transcribed verbatim, and analyzed in five stages using a semantic thematic approach. All participants expressed some form of engagement in ACP, but understandings were limited and divergence was expressed regarding the timing of more expansive conversations about future care. Although some persons with dementia were ready to engage in future care discussions, most preferred focusing on the present and suggested their families did not require direction. This placed families in the complex dilemma of protecting their loved ones while compromising their own needs for dialogue. Although individually focused models of ACP engagement hold promise for those persons with dementia ready to engage in future planning, our findings suggest that early engagement of families in the reflective process may go a long way in supporting ACP activation. Our findings further suggest that persons with dementia who do not have close family/friends may require extensive ACP encouragement and support from service providers.

scholarly journals The mass release of migrants from UK immigration detention during the COVID-19 pandemic: what can be learned?

2021 ◽  
pp. 1-6
Author(s):  
Lauren Z. Waterman ◽  
Mishka Pillay ◽  
Cornelius Katona
Keyword(s):  
Mental Health ◽  
Health Inequalities ◽  
Continuity Of Care ◽  
Large Scale ◽  
Natural Experiment ◽  
Service Providers ◽  
Immigration Detention ◽  
Immigration Control ◽  
International Evidence ◽  
Mass Release

Summary Convincing international evidence demonstrates that immigration detention adversely affects mental health. During the COVID-19 outbreak, additional concerns were raised about the safety and appropriateness of immigration detention. Consequently, several hundred migrants were released en masse from UK immigration detention centres, and few new detentions took place. Over 70% fewer migrants were held in detention centres in June 2020 compared with December 2019. This large ‘natural experiment’ has demonstrated that detaining fewer migrants is possible and it provides an opportunity to review the necessity for large-scale detention for the purpose of immigration control, as well as its impact on health inequalities. Additionally, given that detainee release arrangements had already been considered unsafe prior to the pandemic, clinicians and service providers should take into consideration that many of those released may not be receiving adequate post-release continuity of care.

scholarly journals New Directions in Mental Health Care Evaluation

1988 ◽  
Vol 12 (2) ◽  
pp. 78-78
Author(s):  
Isaac Marks ◽  
Joseph Connolly ◽  
Matthijs Muijen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Large Scale ◽  
Scientific Data ◽  
The Usa ◽  
Health Care Evaluation ◽  
Evaluative Research ◽  
The Uk ◽  
Care Evaluation

Mental health care evaluation is a priority area as mental health care services are changing rapidly, more than are most other medical services. Budgets are finite, and there is concern for value for money in meeting the needs of patients and families. A one-day workshop brought together leading figures in the USA and Europe to discuss how a unit and consortium might be established to give cohesion and catalyse evaluative research in this fragmented field in the UK. Sound scientific data are available which have not yet been widely disseminated or used in policy making. There are rich opportunities for cross-national projects. The USA has intriguing innovations in evaluative research in mental health, some on a large scale, and these are relevant to the UK.

Commissioning for health and community sector reform: perspectives on change from Victoria

2020 ◽  
Vol 26 (4) ◽  
pp. 332
Author(s):  
Kate Silburn ◽  
Virginia Lewis
Keyword(s):  
Mental Health ◽  
State Government ◽  
Service Providers ◽  
Community Support ◽  
Models Of Care ◽  
Community Services ◽  
System Level ◽  
Reform Process ◽  
Structured Interviews ◽  
Competitive Tendering

Commissioning health and community services is a complex task involving planning, purchasing and monitoring services for a population. It is particularly difficult when attempting system-level reform, and many barriers to effective commissioning have been documented. In Victoria, the state government has operated as a commissioner of many services, including mental health community support and alcohol and other drug treatment services. This study investigated the perceived consequences of a reform process in these two sectors after recommissioning was used as a mechanism to achieve sector-wide redesign. Semi-structured interviews were conducted with 23 senior staff from community health, mental health and drug and alcohol services 6 months after implementation. The process was affected by restructuring in the commissioning department resulting in truncation of preparatory planning and technical work required for system design. Consequently, reform implementation was reportedly chaotic, costly to agencies and staff, and resulted in disillusionment of enthusiastic reform supporters. Negative service system impacts were produced, such as disruption of collaborative and/or comprehensive models of care and strategies for reaching marginalised groups. Without careful planning and development commissioning processes can become over-reliant on competitive tendering to produce results, create significant costs to service providers and engender system-level issues with the potential to disrupt innovative models focused on meeting client needs.

Employment as a Social Determinant of Health: A Review of Longitudinal Studies Exploring the Relationship Between Employment Status and Mental Health

2015 ◽  
Vol 29 (3) ◽  
pp. 261-290 ◽  
Author(s):  
Kenneth C. Hergenrather ◽  
Robert J. Zeglin ◽  
Maureen McGuire-Kuletz ◽  
Scott D. Rhodes
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Psychological Distress ◽  
Longitudinal Studies ◽  
Employment Status ◽  
Job Loss ◽  
Service Providers ◽  
Social Determinant ◽  
The Relationship ◽  
Social Determinant Of Health

Purpose: To explore employment as a social determinant of health through examining the relationship between employment status and mental health.Method: The authors conducted a systematic review of 48 longitudinal studies conducted in Australia, Canada, Croatia, Germany, Ireland, Israel, the Netherlands, Norway, United Kingdom, and United States to explore the causal relationship between employment status and mental health.Results: Five common trajectories were identified as employment, unemployment, job loss, reemployment, and retired. Employment and reemployment were associated with better mental health (e.g., lower psychological distress, lower depression, lower anxiety), whereas unemployment and job loss were correlated with poorer mental health (e.g., higher depression, higher psychological distress).Conclusion: To enhance employment outcomes, service providers must acknowledge the relationship between employment status and mental health. The trajectories of employment and reemployment should be further explored by category (e.g., temporary, adequacy, income, skill level, hours, status). Additional research is needed to further elucidate the relationship between employment status and mental health.

scholarly journals Twitter Data Sentiment Analysis to Understand the Effects of COVID-19 on Mental Health

2021 ◽  
Author(s):  
Adeola Adetokunbo Ayandeyi ◽  
Baidya Nath Saha
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Large Scale ◽  
Research Work ◽  
Major Change ◽  
Recovery Process ◽  
Learning Tools ◽  
Sources Of Information ◽  
Medical Practitioners ◽  
The Usa

Coronavirus pandemic has caused major change in peoples’ personal and social lives. The psychological effects have been substantial because it has affected the ways people live, work, and even socialize. It has also become major discussions on social media platforms as people showcase their opinions and the effect of the virus on their mental health particularly. This pandemic is the first of its kind as humans has never encountered anything like this virus. Handling it was very difficult at first as its characteristics are peculiar. Eventually, it was detected that it is airborne and so there is need to social distance. Before the virus surfaced, some countries of the world were dealing with mental health cases, with over 40 percent of adults in the USA reported experiencing mental health challenges, including anxiety and depression. Social media has become one of the major sources of information due to information sharing on a very large scale. People perception and emotions are also portrayed through their conversations. In this research work, the interaction and conversation of people on social media, particularly Twitter, will be analyzed using machine learning tools and algorithm to determine the effect of the virus on the mental health of people and help suggest the area of concentration to medical practitioners in order to speed up the recovery process and reduce the mental health issues which has escalated due to the virus.

scholarly journals The role of ethnicity in psychopharmacology

2007 ◽  
Vol 4 (3) ◽  
pp. 55-56 ◽  
Author(s):  
Pedro Ruiz
Keyword(s):  
Large Scale ◽  
Minority Groups ◽  
Second World War ◽  
World War ◽  
The Usa ◽  
The Relationship ◽  
Second World ◽  
Psychopharmacological Agents ◽  
Migrant Groups

The association between ethnicity and pharmacology has been reported in the medical literature for several decades. However, the relationship between ethnicity and psychopharmacology has become widely recognised only in the last two or three decades. The large-scale migration which started after the Second World War, at first to the USA and more recently to other higher-income countries, as a result of globalisation, has greatly contributed to the attention and focus given to these migrant groups. In this context, these migrant groups primarily comprise ethnic and racial minority groups. This article briefly reviews the relationship between ethnicity and psychopharmacological agents.

scholarly journals The perceived impact of the 2016 election: A mediation model predicting health outcomes

2019 ◽  
Vol 7 (1) ◽  
pp. 651-664
Author(s):  
Hannah Rose Koerten ◽  
Leah Michelle Bogusch ◽  
Aniko Viktoria Varga ◽  
William H. O’Brien
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Large Scale ◽  
Online Survey ◽  
Thought Suppression ◽  
Mediation Model ◽  
Physical And Mental Health ◽  
Personal Impact ◽  
Perceived Impact ◽  
The Relationship

The present study examined the relationship between the self-reported personal impact of the election of President Donald J. Trump, as measured by the Personal Impact of the Election Scale (PIES), and physical and mental health. A sample of 299 MTurk Amazon workers completed an online survey, including measures of the perceived personal impact of the 2016 presidential election, thought suppression, and mental and physical health. A mediation model was tested, with thought suppression included as a mediator of the relationship between the PIES and physical and mental health. Results indicated that thought suppression partially mediated the relationship between the PIES and physical and mental health. Specifically, the perceived impact of the election was positively associated with thought suppression (β = .51, SE = .01, p < .001), which was in turn negatively associated with physical health (β = -.25, SE = .44, p < .001) and mental health (β = -.50, SE = .47, p < .001). The results of this study suggest that perceptions of this sociopolitical event were related to the health of United States citizens and show a need for large-scale interventions to address this relationship, especially for those who feel threatened based on their ethnic or religious background.

Familism and Parenting Stress in Latinx Caregivers of Young Children with Developmental Delays

2021 ◽  
pp. 106648072110524
Author(s):  
Ann Marie Martin ◽  
Diane G. Marin ◽  
Laura Lee McIntyre ◽  
Cameron Neece
Keyword(s):  
Mental Health ◽  
Young Children ◽  
Parenting Stress ◽  
Service Providers ◽  
Unique Role ◽  
White Families ◽  
Affiliate Stigma ◽  
Caregiver Mental Health ◽  
Low Levels ◽  
The Relationship

Several studies have documented the difficult experience of raising a child with a developmental delay (DD; DeGrace et al., 2014) but the majority of research has focused on non-Latinx White families and their experiences in childrearing and interacting with service providers (Hayes & Watson, 2013; Blanche et al., 2015). Additionally, stigma associated with mental illness and DD disproportionally affects Latinx communities (Burke et al., 2019). Familism plays a unique role among families of Latinx backgrounds (Moore, 1970; Coohey, 2001) and may act as a buffer to caregiver mental health. The current study aims to (1) determine the association between affiliate stigma and parenting stress among Latinx parents of young children with DD and (2) test whether familism moderates the relationship between affiliate stigma and parenting stress. Results revealed that the relationship between affiliate stigma and parenting stress was strongest in caregivers who reported low levels of familism, suggesting that familism may act as a buffer. More research is needed to further unpack the protective factors of familism on caregiver mental health.

The Research of Copyright Protection in P2P Network Mode

2014 ◽  
Vol 998-999 ◽  
pp. 1291-1294
Author(s):  
Wen Bo Yu
Keyword(s):  
Theoretical Analysis ◽  
Copyright Protection ◽  
Large Scale ◽  
Publishing Industry ◽  
Service Providers ◽  
Copyright Infringement ◽  
P2p Network ◽  
The Relationship ◽  
P2p Technology ◽  
P2p Service

The presence of P2P technology makes the large-scale personal infringement possible. It has a great effect on the traditional publishing industry. This paper makes a theoretical analysis of copyright infringement of P2P service providers and researches into the mechanism of copyright protection. The results show that we should construct the copyright infringement confirmative rules and balance the relationship between the development of P2P technology and copyright protection.

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