scholarly journals Mental Health Services at Tertiary Level for Children from Residential Child Care: Professionals' Point of View

Social Work ◽  
2013 ◽  
Vol 12 (2) ◽  
pp. 273-283
Author(s):  
Alina Petrauskienė ◽  
Jolanta Pivorienė ◽  
Monika Misiukaitė
2017 ◽  
Author(s):  
Aliya Naheed ◽  
Kamrun Nahar Koly ◽  
Helal Uddin Ahmed ◽  
Shaheen Akhter ◽  
MM Jalal Uddin ◽  
...  

BACKGROUND Mothers of children with autism spectrum disorder (ASD) have reported a higher level of depression than mothers of children with other neurodevelopmental disorders in both developed and developing countries. Mothers are the lifetime caregivers of children with ASD, and a high burden of depression can negatively impact their ability to provide care. However, access to mental health services in primary care is limited, given the scarcity of qualified providers in Bangladesh. OBJECTIVE We aim to pilot the feasibility of integrating mental health services for the mothers of children with ASD attending schools offering ASD care and improve skills of mothers for child care through a home-based training program. METHODS The study will be conducted in two selected schools in Dhaka in Bangladesh that have been offering services for ASD for more than 10 years. A female psychologist will be deployed at the schools to offer nonpharmacological services for all mothers having a depressive episode. Referral for pharmacological treatment will be made at the discretion of supervising psychiatrists. An ASD special educator will provide training to the mothers for enhancing their child care skills at home on a monthly basis. The proposed intervention package will be implemented over a period of 4-6 months, and the feasibility of the intervention will be assessed through a pre- and postintervention evaluation by obtaining the perspectives of various stakeholders involved in the implementation of mental health services and maternal training. The primary outcome will include assessment of acceptability, adaptability, demand, practicality, implementation, and integration of the package intervention in the school settings. The secondary outcomes will include assessment of: 1) the prevalence of maternal depression; 2) children’s behavioral, social, and communication skills; and 3) the intervention participation costs incurred by institutions and families. RESULTS Between February and March 2017, 188 mothers of children with ASD were screened for depression following a written informed consent. Based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), the Structured Clinical Interview for the DSM-IV (SCID-1) was administered to 66 mothers. In-depth interviews were conducted with 10 mothers and 8 various stakeholders. Between January-June 2017, the team finalized a draft psychosocial counseling module and a maternal training module. Between April-May 2017, mental health services were provided by psychologists to 41 mothers who attended the counseling centers at each school. Three special educators have been trained in June 2017 to initiate training of the participating mothers. CONCLUSIONS This is the first study of a mental health intervention for mothers of children with ASD to reduce their burden of depression and improve the outcomes of their children. The findings will inform the provision of services for children with ASD and their mothers in Bangladesh and similar settings.


2015 ◽  
Vol 19 (1) ◽  
pp. 52-55
Author(s):  
Di Hurley

Purpose – The purpose of this paper is to outline, from the perspective of someone involved in smoking cessation, concerns about the intention to make all hospital grounds “smoke free”. Design/methodology/approach – This paper takes the form of a narrative account. Findings – Reflective account offering a personal point of view – no findings presented. Originality/value – An important viewpoint relating to an issue of great concern to many people working in and using mental health services.


1997 ◽  
Vol 31 (4) ◽  
pp. 504-513 ◽  
Author(s):  
Jordana K. Bayer ◽  
Marilyn Y. Peay

Objective: This study investigates the factors related to the intention to seek professional help for psychological problems utilising Ajzen and Fishbein's theory of reasoned action [1,2]. Many of the variables identified in previous studies can be subsumed within this theory, which emphasises the importance of the subjective point of view of the individual. Method: One hundred and forty-two patients waiting for consultations at a community based general practice completed a questionnaire designed to assess the components of this theory as they relate to seeking help from mental health professionals. Results: The results of this study supported the prediction of the intention to seek help from a mental health professional from the variables ‘attitude toward the behaviour’ and ‘subjective norm’. However, personal attitudes toward seeking help were found to be more important than the approval or disapproval of significant others in predicting help-seeking intentions. Conclusions: Overall, the findings indicate that a significant factor influencing people's decisions to utilise professional mental health services in Australia may be the belief that mental health professionals are not actually able to provide a great deal of help or support for people's difficulties.


2013 ◽  
Vol 39 ◽  
pp. 19-22 ◽  
Author(s):  
Jack Tsai ◽  
Daryn H. David ◽  
Ellen L. Edens ◽  
Audra Crutchfield

Crisis ◽  
1998 ◽  
Vol 19 (1) ◽  
pp. 4-5
Author(s):  
Mary Frances Seeley

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