scholarly journals Community-based participatory research to improve primary mental health services

Author(s):  
Abi Muhlisin ◽  
Arum Pratiwi

Background: Global statistics show that mental illness is among the three most common diseases globally: about 12% to 15% of the global population suffer from mental illness, this is a rate higher than heart disease and disability and twice as high as cancer. The objective of this study was to improve public health conditions through community involvement and social action that is mental health worker knowledge and skill.Methods: A purposive sampling of communities was undertaken in a village of Indonesia. The numbers of participants were trained about knowledge and skill as a mental health workers, then selected 15 people who have the best score and the most capable. Level of knowledge and skill were measured sequent for three times using multiple choice test questions. Periodic analysis used repeated measure ANOVA.Results: There were differences of mental health worker knowledge of each period. The differences between the mental health workers’ knowledge in each period is shown by a test of between-subjects effect to have an F score of 189.476 with a P value of 0.00; and the most remarkable improvement in knowledge as after given skill training in Wilk lambda of 248.71 by P value 0.00.Conclusions: There were differences of mental health worker knowledge of each period. The differences between the mental health workers’ knowledge in each period is shown by a test of between-subjects effect to have an F score of 189.476 with a P value of 0.00; and the most remarkable improvement in knowledge as after given skill training in Wilk lambda of 248.71 by P value 0.00.

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042052
Author(s):  
Jean-Baptiste Woods ◽  
Geva Greenfield ◽  
Azeem Majeed ◽  
Benedict Hayhoe

ObjectivesMental health disorders contribute significantly to the global burden of disease and lead to extensive strain on health systems. The integration of mental health workers into primary care has been proposed as one possible solution, but evidence of clinical and cost effectiveness of this approach is unclear. We reviewed the clinical and cost effectiveness of mental health workers colocated within primary care practices.DesignSystematic literature review.Data sourcesWe searched the Medline, Embase, PsycINFO, Healthcare Management Information Consortium (HMIC) and Global Health databases.Eligibility criteriaAll quantitative studies published before July 2019 were eligible for the review; participants of any age and gender were included. Studies did not need to report a certain outcome measure or comparator in order to be eligible.Data extraction and synthesisData were extracted using a standardised table; however, pooled analysis proved unfeasible. Studies were assessed for risk of bias using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane collaboration’s tool for assessing risk of bias in randomised trials.ResultsFifteen studies from four countries were included. Mental health worker integration was associated with mental health benefits to varied populations, including minority groups and those with comorbid chronic diseases. Furthermore, the interventions were correlated with high patient satisfaction and increases in specialist mental health referrals among minority populations. However, there was insufficient evidence to suggest clinical outcomes were significantly different from usual general practitioner care.ConclusionsWhile there appear to be some benefits associated with mental health worker integration in primary care practices, we found insufficient evidence to conclude that an onsite primary care mental health worker is significantly more clinically or cost effective when compared with usual general practitioner care. There should therefore be an increased emphasis on generating new evidence from clinical trials to better understand the benefits and effectiveness of mental health workers colocated within primary care practices.


2003 ◽  
Vol 11 (3) ◽  
pp. 295-297 ◽  
Author(s):  
Robert Parker

Objective: To provide background and context for the recent Royal Australian and New Zealand College of Psychiatrists (RANZCP) statement on indigenous mental health workers. Conclusions: There are a number of difficulties facing indigenous mental health workers in Australia today. The RANZCP statement is one step in a move to increase recognition of these workers. National registration of Aboriginal mental health workers or the formation of a national association may further promote their identity.


2018 ◽  
Author(s):  
Anne Williams ◽  
Ellie Fossey ◽  
John Farhall ◽  
Fiona Foley ◽  
Neil Thomas

BACKGROUND Digital interventions offer an innovative way to make the experiences of people living with mental illness available to others. As part of the Self-Management And Recovery Technology (SMART) research program on the use of digital resources in mental health services, an interactive website was developed including videos of people with lived experience of mental illness discussing their recovery. These peer videos were designed to be watched on a tablet device with a mental health worker, or independently. OBJECTIVE Our aim was to explore how service users experienced viewing the lived experience videos on this interactive website, as well as its influence on their recovery journey. METHODS In total, 36 service users with experience of using the website participated in individual semistructured qualitative interviews. All participants had experience of psychosis. Data analysis occurred alongside data collection, following principles of constructivist grounded theory methodology. RESULTS According to participants, engaging with lived experience videos was a pivotal experience of using the website. Participants engaged with peers through choosing and watching the videos and reflecting on their own experience in discussions that opened up with a mental health worker. Benefits of seeing others talking about their experience included “being inspired,” “knowing I’m not alone,” and “believing recovery is possible.” Experiences of watching the videos were influenced by the participants’ intrapersonal context, particularly their ways of coping with life and use of technology. The interpersonal context of watching the videos with a worker, who guided website use and facilitated reflection, enriched the experience. CONCLUSIONS Engaging with lived experience videos was powerful for participants, contributing to their feeling connected and hopeful. Making websites with lived experience video content available to service users and mental health workers demonstrates strong potential to support service users’ recovery.


2018 ◽  
Vol 5 (2) ◽  
pp. e37 ◽  
Author(s):  
Anne Williams ◽  
Ellie Fossey ◽  
John Farhall ◽  
Fiona Foley ◽  
Neil Thomas

Background Digital interventions offer an innovative way to make the experiences of people living with mental illness available to others. As part of the Self-Management And Recovery Technology (SMART) research program on the use of digital resources in mental health services, an interactive website was developed including videos of people with lived experience of mental illness discussing their recovery. These peer videos were designed to be watched on a tablet device with a mental health worker, or independently. Objective Our aim was to explore how service users experienced viewing the lived experience videos on this interactive website, as well as its influence on their recovery journey. Methods In total, 36 service users with experience of using the website participated in individual semistructured qualitative interviews. All participants had experience of psychosis. Data analysis occurred alongside data collection, following principles of constructivist grounded theory methodology. Results According to participants, engaging with lived experience videos was a pivotal experience of using the website. Participants engaged with peers through choosing and watching the videos and reflecting on their own experience in discussions that opened up with a mental health worker. Benefits of seeing others talking about their experience included “being inspired,” “knowing I’m not alone,” and “believing recovery is possible.” Experiences of watching the videos were influenced by the participants’ intrapersonal context, particularly their ways of coping with life and use of technology. The interpersonal context of watching the videos with a worker, who guided website use and facilitated reflection, enriched the experience. Conclusions Engaging with lived experience videos was powerful for participants, contributing to their feeling connected and hopeful. Making websites with lived experience video content available to service users and mental health workers demonstrates strong potential to support service users’ recovery.


2020 ◽  
pp. 003435522092260
Author(s):  
Andrea Lettieri ◽  
Felipe Soto-Pérez ◽  
Manuel A. Franco-Martín ◽  
Francisco de Borja Jordán de Urríes ◽  
Kate R. Shiells ◽  
...  

Having prior contact with people with mental illness in the workplace can lead to an improvement in employers’ attitudes toward this group. However, there is currently a lack of instruments to measure attitudes toward the employability of people with mental illness. The overall aim of this study was to develop a Spanish scale of attitudes toward the employability of people with mental illness (CEPEM) and obtain preliminary data regarding its psychometric properties. Ninety-four items from three content domains were selected (attitudes, employability, and impact) and revised in an inter-rater agreement procedure in order to produce an initial scale. The scale was tested by employers and workers from the field of mental health. A reduced set of items was selected according to variability and homogeneity indexes. Additional analyses were conducted to explore the validity of the scale. Internal consistency was estimated for the full 33-item scale. Scale scores partially captured attitudinal differences between employers and workers. Finally, linear multiple regression analysis showed that the scale score, in combination with educational level, can help to predict employers’ intentions to hire people with mental illness. Limitations and future research directions are also addressed.


2018 ◽  
Vol 55 (4) ◽  
pp. 680-685 ◽  
Author(s):  
Laura Giusti ◽  
Donatella Ussorio ◽  
Anna Salza ◽  
Maurizio Malavolta ◽  
Annalisa Aggio ◽  
...  

2017 ◽  
Vol 63 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Lotte Groth Jensen ◽  
Stina Lou ◽  
Jørgen Aagaard ◽  
Ulla Væggemose

Background: Social interventions targeted at people with severe mental illness (SMI) often include volunteers. Volunteers’ perspectives are important for these interventions to work. This article investigates the experiences of volunteer families who befriend a person with SMI. Material: Qualitative interviews with members of volunteer families. Discussion: The families were motivated by helping a vulnerable person and by engaging in a rewarding relationship. However, the families often doubted their personal judgement and relied on mental health workers to act as safety net. Conclusion: The volunteer involvement is meaningful but also challenging. The families value professional support.


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