scholarly journals How ‘culture bound’ is ‘cultural psychiatry’?

2004 ◽  
Vol 1 (4) ◽  
pp. 6-7 ◽  
Author(s):  
Sushrut Jadhav
Keyword(s):  
Mental Health ◽  
North America ◽  
Ethnic Minorities ◽  
Theoretical Basis ◽  
International Studies ◽  
Mental Health Training ◽  
Cultural Psychiatry ◽  
Clinical Specialty ◽  
Steady Growth ◽  
The Uk

Cultural psychiatry as a clinical specialty sprung mainly from Europe and North America, in order to respond to growing concerns of ethnic minorities in high-income countries. Academic psychiatrists pursuing comparative international studies on mental health, together with medical anthropologists conducting clinical ethnographies, contributed to its theoretical basis (Kleinman, 1987; Littlewood, 1990). What at first appeared to be a marginal specialty is no longer so. For example, the UK alone has witnessed a steady growth of the field, as evidenced by its mandatory inclusion in mental health training curricula, and the existence of several taught masters courses, academic positions in universities and three dedicated journals, as well as, more recently, lead papers in mainstream publications that have debated the cultural position of ‘biology’ itself (Timimi & Taylor, 2004). Additionally, with a proliferation of clinical jobs for ‘ethnic minority’ services in hospital trusts across the country, there is ample scope for employment. The overall evidence indicates that ‘cultural psychiatry’ in the UK is now a specialty in its own right.

scholarly journals User and carer involvement in mental health training

2004 ◽  
Vol 10 (2) ◽  
pp. 85-92 ◽  
Author(s):  
Gill Livingston ◽  
Claudia Cooper
Keyword(s):  
Mental Health ◽  
Professional Training ◽  
National Policy ◽  
Service Users ◽  
Mental Health Training ◽  
User Training ◽  
Local Initiatives ◽  
The Uk ◽  
Future Work ◽  
Voluntary Organisations

National policy in the UK emphasises the importance of involving service users and caregivers in all types of mental health provision. The training of mental health care and social service professionals has always relied on seeing patients, but the patients' role has usually been a passive one. This is now changing, and service users and carers are becoming active educators in professional training, benefiting both the teachers and those taught. Provision is still very variable and is dependent on local initiatives. Voluntary organisations are active in this field, and there are now two academic posts for service users in the UK. This article explores the current forms of service user training, its benefits and drawbacks, and makes recommendations for future work.

FC16-02 - Workshop: culutrally adapting CBT

2011 ◽  
Vol 26 (S2) ◽  
pp. 1905-1905
Author(s):  
F. Naeem ◽  
N. Hussain
Keyword(s):  
Mental Health ◽  
Ethnic Minority ◽  
Effective Treatment ◽  
Ethnic Minorities ◽  
Mental Health Problems ◽  
Health Problems ◽  
Sufficient Evidence ◽  
Current Evidence ◽  
Psychological Interventions ◽  
The Uk

There is sufficient evidence to suggest that CBT is an effective treatment for mental health problems. Current evidence suggests that ethnic minorty clients are less likely to engage in psychological interventions. We have adapted CBT for ethnic minorities in the UK. The aim of this workshop is to help the participants to realize the barriers posed by ethnic minority clients in therapy and how to overcome these.Our work has highlighted that culture, capacity of the system and cognitions and beliefs are the areas which need addressing in this regard. We found that although therapists do not need to make major changes in therapy techniques they need to be aware of issues related to culture and patients beliefs about therapy. This workshop will especially focus on difficult areas such as assessment of ethnic minority clients and their engagement with therapy.

Breaking down the barriers to mental health crisis care: Evaluation of a training package for emergency department clinicians

2017 ◽  
Vol 41 (S1) ◽  
pp. s895-s895
Author(s):  
M. Fernando ◽  
M. Bhat
Keyword(s):  
Mental Health ◽  
Care Quality ◽  
Psychotic Symptoms ◽  
Mental Health Training ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Before And After ◽  
Crisis Care ◽  
The Uk ◽  
The Impact

IntroductionAbout one in 20 attendances at emergency departments (EDs) in the UK relate to mental health, yet recent work has shown that a majority of people presenting with mental health crises do not report positive experiences (Care Quality Commission, 2015). Although there are many reasons for this, one may be a lack of mental health training for staff working in EDs. In response to this, a new training module for multi-professional ED staff was developed.Objectives and methodsWe aimed to assess the impact of this new module on clinicians’ confidence in managing mental health presentations. Thirty-eight ED doctors and nurses across two centers were asked to complete surveys before and after receiving training.ResultsFollowing training, we found improvements in confidence in each of five domains explored: assessing self-harm; managing someone with personality difficulties; assessing psychotic symptoms; distinguishing between physical and psychotic symptoms; and, managing psychotic symptoms. These improvements were seen for clinicians across both centers.ConclusionsThe results show that training can help to improve confidence around mental health. This is particularly important given that before the training was developed a survey of local ED doctors had shown that 31% felt under-confident in managing mental health conditions. Since developing the training, it has been further enhanced at the request of local EDs to include video-based scenarios. We continue to assess its impact in improving the confidence of ED clinicians (as well as their knowledge, skills and attitudes towards mental health), and ultimately the benefit to patients experiencing mental health crises.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals On the persistence of mental health deterioration during the COVID-19 pandemic by sex and ethnicity in the UK: evidence from Understanding Society

2021 ◽  
Author(s):  
Climent Quintana-Domeque ◽  
Eugenio Proto
Keyword(s):  
Mental Health ◽  
Longitudinal Data ◽  
Ethnic Minorities ◽  
Gender Gap ◽  
Representative Sample ◽  
Mean Difference ◽  
The Mean ◽  
The Uk ◽  
Health Deterioration

We use longitudinal data from a representative sample of the UK and compare self-reported mental health, as measured by the GHQ-12 score, at three timepoints (2017-2019, April 2020 and March 2021), for the whole sample and by sex and ethnicity. Out of the 14,382 individuals interviewed in 2017-2019 and April 2020, 10,445 were interviewed again in March 2021. The mean GHQ-12 in April 2020 is 12.37 [95% CI: 12.22, 12.52] and in March 2021 is 12.36 [95% CI: 12.21, 12.51], above that in 2017-2019, 11.13 [95% CI: 10.99, 11.26]. We do not find evidence that the level of mental health goes back to pre-pandemic levels. In terms of inequalities, while the gender gap (mean difference between women and men) in mental health deterioration among White British is closing, there is no clear evidence that the ethnic gap (mean difference between ethnic minorities and White British) among men is changing.

scholarly journals GPs’ attitudes towards digital technologies for depression: an online survey in primary care

2018 ◽  
Vol 69 (680) ◽  
pp. e164-e170 ◽  
Author(s):  
Josefien JF Breedvelt ◽  
Victoria Zamperoni ◽  
David Kessler ◽  
Heleen Riper ◽  
Annet M Kleiboer ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Online Survey ◽  
Health Interventions ◽  
Mental Health Training ◽  
Multiple Choice Questions ◽  
Knowledge Use ◽  
Effective Interventions ◽  
Mental Health Interventions ◽  
The Uk

BackgroundDigital or electronic mental health (e-mental health) interventions can be useful approaches in reducing the burden of depression, with tools available for use in prevention, treatment, or relapse prevention. They may have specific benefit for primary care, as depression is often managed in this setting. However, little is known about attitudes and barriers among GPs towards e-mental health interventions for depression.AimThis study aimed to assess attitudes, knowledge, use, and barriers for depression-focused e-mental health among GPs across the UK.Design and settingAn online survey of self-selecting GPs in the UK conducted over a 10-day period in December 2017.MethodThe survey consisted of 13 multiple choice questions posted on the Doctors.net.uk (DNUK) website.ResultsIn all, 1044 responses were included; 72% of GPs reported using at least one type of e-mental health intervention for depression. Overall, GPs reported that e-mental health interventions are most effective when delivered in a guided way, rather than in an unguided manner. In addition, 92% of GPs reported that neither they nor their colleagues received e-mental health training.ConclusionA moderate number of GPs use e-mental health for depression in their services, and report it is likely that its use will increase. There is a gap in training and awareness of effective interventions. GPs consider guided e-mental health interventions to be most effective, in contrast to the unguided way it is mostly offered in primary care.

The crisis model of preventive mental health and its potential application for support services for children coping with parental separation

2018 ◽  
pp. 89-112
Author(s):  
Mervyn Murch
Keyword(s):  
Mental Health ◽  
Crisis Intervention ◽  
Support Services ◽  
Theoretical Basis ◽  
Parental Relationships ◽  
Health And Wellbeing ◽  
Preventive Mental Health ◽  
The Uk ◽  
Second World

This chapter considers the development of a conceptual framework modelled on Caplanian Community Mental Health principles, an approach which offers a theoretical basis for early support for children and families undergoing stressful critical life experiences. It first outlines the key elements of the crisis model of mental health, briefly explaining its development in the period following the Second World War. It then summarizes the related practice of short-term crisis intervention, which can be used by various services offering support to children as they adapt socially and psychologically to challenges posed by stressful life-changing events — in this instance, parental conflict and separation. The chapter concludes by speculating as to why such a preventive approach has not caught on in the UK despite mounting evidence of the long-term risks to young people's mental health and wellbeing resulting from the breakdown of parental relationships.

Literature on health inequalities

2019 ◽  
pp. 81-102
Author(s):  
Sandra Torres
Keyword(s):  
Mental Health ◽  
North America ◽  
Cognitive Functioning ◽  
Old Age ◽  
Ethnic Minorities ◽  
Health Inequalities ◽  
Physical Functioning ◽  
Perceived Racism ◽  
Ethnicity And Race ◽  
Disease Specific

This chapter aims specifically to describe what characterises the portion of the scholarship on the intersection of ethnicity/ race and ageing/ old age that focuses on health inequalities. This chapter brings attention to the fact that this literature regards ethnicity and race as crude proxies and fails therefore to acknowledge the complexity embedded in these social positions. The chapter brings attention to the main trends observed when reviewing the literature (i.e. that most studies come from North America and focus on a small number of ethnic minorities, most fail to address how ethnicity and race is made sense of in the studies, most are informed by the essentialist and/ or structuralist perspectives, and that most studies rely on studies that have not been designed to specifically explore the nexus in question). In doing so, this chapter shows what the perspectives that inform this literature mean not only for the themes that have received attention (i.e. general health/ physical functioning, disability and mobility/ disease-specific/ mental health/ cognitive functioning), but also for the ones that remain unexplored (such as, for example, the study of how perceived racism impacts the health of older ethnic minorities).

scholarly journals A three-phased model to support the design and development of core competency education for liaison mental health clinicians

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gary Lamph ◽  
Claire Bullen-Foster
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Core Competencies ◽  
Core Competency ◽  
Training Programme ◽  
Mental Health Training ◽  
Health Training ◽  
Content Type ◽  
The Uk ◽  
Insight Into

Purpose This paper aims to provide an insight into the design, development and delivery proposals for a first of its kind “Liaison Mental Health Training Programme”. In the UK, there has been a significant investment in Liaison Mental Health Services and an expansion of the workforce (NHS England, 2016). However, the complexity and varied presentations of patients who attend to acute physical health services now requires a dedicated strategy to address any skills deficit in the mental health liaison workforce and to support core competency development (DOH, 2016). Design/methodology/approach This paper provides an overview of preparations to develop a regional educational pilot programme using a three-phased model: Phase 1 – Review of policy and best practice guidelines; Phase 2 – Stakeholder Data Collection; and Phase 3 – Synthesis and Development. Findings An insight into the developmental processes undertaken to shape a core competency liaison mental health training programme is presented. Additionally, the authors provide insight into educational theory and an overview of the LMH Core Competency Curricula. Practical implications This paper provides the reader with an insight into our findings and a focussed core competency training model for those working within LMH services. This programme development was reviewed throughout by both those using LMH services and the LMH practitioners working within them, ensuring the curriculum proposed was endorsed by key stakeholders. The three-phased model has transferable benefits to other training development initiatives. Originality/value To the best of the authors’ knowledge, this training is the first of its kind in the UK and addresses the education of essential core competencies of a regional liaison mental health workforce. The collaboration of clinical and academic expertise and model of co-production makes this endeavour unique.

scholarly journals Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey

2016 ◽  
Vol 2 ◽  
pp. 20-26 ◽  
Author(s):  
Bibha Simkhada ◽  
Geeta Sharma ◽  
Samridhi Pradhan ◽  
Edwin Van Teijlingen ◽  
Jillian Ireland ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Mental Health Training ◽  
Health Issues ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pregnancy And Childbirth ◽  
Auxiliary Nurse ◽  
Nurse Midwives ◽  
The Uk

Mental health in pregnant women and new mothers is increasing recognised on the global health agenda. In Nepal mental health is generally a difficult to topic to discuss. THET, a London-based organisation, funded Bournemouth University, and Liverpool John Moores University in the UK and Tribhuvan University in Nepal to train community-based maternity workers on issues around mental health.This paper reports on a quantitative survey with nearly all Auxiliary Nurse Midwives in Nawalparasi (southern part of Nepal). The findings illustrate the lack of training on mental health issues related to pregnancy and childbirth in this group of health workers. Thus the paper’s conclusions stress the need for dedicated training in this field.Journal of Manmohan Memorial Institute of Health Sciences Vol. 2 2016 p.20-26

Mental Health Training: Revolution in Professional Training

1970 ◽  
Author(s):  
Norman Metalef ◽  
Karl Pottharst ◽  
Mortimer Appley
Keyword(s):  
Mental Health ◽  
Professional Training ◽  
Mental Health Training ◽  
Health Training
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