Medevac and Beyond: The Impact of Medical Travel on Nunavut Residents / ᑐᐊᕕᕐᓇᑐᒃᑰᕐᓂᖅ ᐊᒻᒪᓗ ᐅᖓᑎᒃᑲᓐᓂᐊᓄᑦ: ᓄᓇᕗᒻᒥᐅᑦ ᐋᓐᓂᐊᕕᓕᐊᖅᐸᑦᑐᑦ ᐊᑦᑐᖅᑕᐅᓂᕆᕙᑦᑕᖏᑦ

2015 ◽  
Vol 9 (2) ◽  
pp. 80
Author(s):  
Cameron McKenzie
Keyword(s):  
Mental Health ◽  
Cultural Sensitivity ◽  
Health Care Professionals ◽  
Psychosocial Needs ◽  
The South ◽  
Structured Interviews ◽  
Medical Outcomes ◽  
Transfer Programs ◽  
Transferred Patients ◽  
The Impact

<p>This qualitative study identifies key factors that contribute to negative psychosocial outcomes for Inuit patients using the Iqaluit, Nunavut, medevac (used for emergency transfers) and medical transfer (for non-emergency cases) programs. The study also reports on the existence and appropriateness of social and cultural supports in hospitals and communities for medically transferred patients and their families. I analyzed results from a literature review, document analysis, and 20 in-depth, semi-structured interviews with health care professionals and policy and decision makers in Iqaluit and Ottawa, Ontario. Respondents were either directly involved in medevac and medical transfer programs or were health professionals who work with those using the services. In addition, variables impacting patient speed of recovery and overall mental health were considered, including isolation, social support, and emotional stress. Findings revealed that Inuit patients do experience a lack of social supports such as escorts and translators on medical trips south. They also often encounter a lack of cultural sensitivity once in the south, and suffer from homesickness and isolation. This study demonstrates that the current medical transfer system in Nunavut does not fully meet the psychosocial needs of Inuit patients and their families, which has direct effects on patients’ mental health and on medical outcomes of treatment in the south.<br /><br /></p><p>ᐅᓇ  ᖃᐅᔨᓴᕐᓂᐅᓯᒪᔪᖅ  ᐃᓕᓴᖅᓯᕗᖅ  ᐱᓗᖅᑯᑕᐅᔪᓂᒃ  ᑐᓂᕐᕈᑎᖃᖅᑐᓂᒃ  ᐃᓅᓯᕐᒧᑦ  ᐃᓱᒪᒃᑯᓪᓗ  ᐃᓄᓐᓄᑦ  ᐋᓐᓂᐊᕕᓕᐊᖅᐸᑦᑐᓄᑦ  ᐊᑲᐃᓪᓕᐅᕈᑎᓂᒃ  ᐊᖅᑯᑎᒋᓪᓗᒋᑦ  ᐃᖃᓗᐃᑦ,  ᓄᓇᕗᑦ  ᑐᐊᕕᕐᓇᑐᒃᑯ  ᐊᒻᒪᓗ ᐃᖏᕐᕋᓂᒃᑯᑦ  (ᑐᐊᕕᕐᓇᖏᑦᑐᑯᓪᓗ  ᐊᖅᑯᑕᐅᕙᑦᑐᒃᑯᑦ).  ᖃᐅᔨᓴᐅᑎ  ᐅᓂᒃᑲᐅᓯᖃᕆᕗᖅ  ᐅᓪᓗᒥ  ᐋᓐᓂᐊᕕᓐᓂ  ᓄᓇᓕᓐᓂᓗ  ᐊᑐᐃᓐᓇᐅᒪᔪᓂᒃ  ᐊᒻᒪᓗ  ᐊᑲᕐᕆᔾᔪᑕᐅᔪᓂᒃ  ᐃᓅᖃᑎᒌᓐᓂᒃᑯᑦ  ᐊᒻᒪᓗ  ᐃᓕᖅᑯᓯᒃᑯᑦ  ᐋᓐᓂᐊᕕᓕᐊᖅᓯᒪᔪᓄᑦ  ᐃᓚᖏᓐᓄᓪᓗ  ᐃᑲᔪᖅᑐᐃᔾᔪᑕᐅᔪᓂᒃ.  ᕿᒥᕐᕈᓚᐅᕆᕗᖓ  ᖃᐅᔨᓴᐅᑎᒥᓂᕐᓂᒃ  ᐅᖃᓕᒫᒐᓕᐊᖑᓯᒪᔪᓂᒃ,  ᐅᓂᒃᑳᓪᓗ  ᕿᒥᕐᕈᔭᐅᓯᒪᔪᑦ  ᐊᕙᑎᑦ  ᓈᔭᖅᑕᐅᓯᒪᑦᑎᐊᖅᑐᑎᒃ,  ᐊᐱᖅᑯᑎᓪᓗ  ᐃᓚᖓᒍᑦ  ᑎᑎᕋᖅᑕᐅᓯᒪᓪᓗᑎᒃ  ᐋᓐᓂᐊᖅᑐᓕᕆᔨᒃᑯᑦ  ᐃᖅᑲᓇᐃᔭᖅᑎᖏᓐᓄᑦ  ᐊᒻᒪᓗ  ᐊᑐᐊᒐᓕᐅᖅᑎᓄᑦ  ᐃᓱᒪᓕᐅᖅᑎᓄᓪᓗ  ᐃᖃᓗᓐᓂ  ᐋᑐᕚᒥᓗ,  ᐋᓐᑎᐅᕆᐅᒥ.  ᐊᐱᖅᓱᖅᑕᐅᓯᒪᔪᑦ  ᑐᐊᕕᕐᓇᖅᑐᒃᑰᕐᓂᑰᔪᑦ  ᐊᐅᓪᓚᖅᑐᓕᕆᔨᒃᑯᓐᓂ  ᐅᕝᕙᓗᑭᐊᖅ  ᐋᓐᓂᐊᖅᑐᓕᕆᓂᕐᒥ  ᐃᖅᑲᓇᐃᔮᖃᐅᖅᑐᑎᒃ.  ᑕᐃᒪᓗ,  ᐋᓐᓂᐊᕕᓕᐊᖅᓯᒪᔪᓄᑦ  ᐱᔾᔪᑕᐅᔪᑦ  ᐃᑉᐱᓐᓂᕈᑕᐅᓯᒪᔪᑦ  ᐊᑲᐅᓯᕙᓪᓕᐊᓂᖏᓐᓂᒃ  ᐊᒻᒪᓗ  ᐃᓱᒪᔾᔪᓯᖏᓐᓂᒃ,  ᐃᓚᓕᐅᑦᑐᒋᑦ  ᐅᖓᓯᑦᑐᒥᐅᑕᐅᓂᖏᑦ,  ᐃᓄᓕᕆᓂᒃᑯᑦ  ᐃᑲᔫᑕᐅᔪᑦ  ᐊᒻᒪᓗ  ᐃᓱᒫᓗᓐᓇᖅᑐᑎᒍᑦ.  ᖃᐅᔨᔾᔪᑕᐅᔪᑦ  ᑐᑭᓯᓇᖅᓯᓚᐅᖅᑯᑦ  ᐃᓄᐃᑦ  ᐋᓐᓂᐊᕕᓕᐊᖅᐸᑦᑐᑦ  ᐃᓄᓕᕆᓂᒃᑯᑦ  ᐃᑲᔪᖅᓱᖅᑕᐅᓂᑭᑉᐸᓐᓂᖏᓐᓂᒃ ᓲᕐᓗ ᐃᑲᔪᖅᑎᒡᒋᐊᖃᕋᑎᒃ  ᐊᒻᒪᓗ  ᑐᓵᔨᑭᔅᓴᐸᑦᑐᑎᒃ  ᖃᓪᓗᓈᓕᐊᕋᐃᒐᒥᒃ. ᐊᒥᒐᖅᓯᔾᔪᑕᐅᕙᑦᑐᑦ  ᑐᑭᓯᔾᔪᑕᐅᔪᒋᕗᖅ  ᐃᓄᐃᑦ  ᐱᖅᑯᓯᖏᓐᓂᒃ  ᖃᐅᔨᒪᓂᑭᓐᓂᖏᓐᓄᑦ  ᐋᓐᓂᐊᖅᑐᓕᕆᔨᒃᑯᑦ,  ᐊᖏᕐᕋᓯᖅᐸᑦᑐᓪᓗ  ᐊᒻᒪᓗ  ᐃᓄᑑᓕᐅᑎᕙᓐᓂᖏᓐᓂᒃ.  ᐅᓇ  ᖃᐅᔨᓴᐅᑎ  ᑕᑯᖅᑯᔾᔨᓚᐅᖅᑯᖅ  ᒫᓐᓇᒃᑯᑦ  ᐋᓐᓂᐊᕕᓕᐊᕐᓂᕆᕙᑦᑕᖏᑦ  ᓄᓇᕗᒻᒥᐅᑕᐃᑦ  ᐃᓚᖏᑕᓗ  ᐊᑲᕐᕆᔮᓐᖏᒋᐊᖏᑕ  ᐋᓐᓂᐊᕕᓕᐊᖅᐸᑦᑐᑦ  ᐃᓱᒪᖏᑎᒍᑦ  ᐃᓄᓕᕆᓂᒃᑯᑎᒍᓪᓗ.  ᑕᒪᒃᑯᐊ  ᐋᓐᓂᐊᕕᓕᐊᖅᐸᑦᑐᑦ  ᐃᓱᒪᔾᔪᓯᖏᑦ  ᐊᒻᒪᓗ  ᐋᓐᓂᐊᖏᑕ  ᖃᓄᐃᓐᓂᖏᓐᓂᒃ  ᐊᑦᑐᐃᕙᑦᑐᑦ  ᖃᓪᓗᓈᓃᑎᓪᓗᒋᒃ.</p><p> </p>

scholarly journals Mental health professionals’ perceptions on patients control of data sharing

2020 ◽  
Vol 26 (3) ◽  
pp. 2011-2029 ◽  
Author(s):  
Julia Ivanova ◽  
Adela Grando ◽  
Anita Murcko ◽  
Michael Saks ◽  
Mary Jo Whitfield ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Information ◽  
Data Sharing ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Health Data ◽  
Structured Interviews ◽  
Timely Access ◽  
The Impact

Integrated mental and physical care environments require data sharing, but little is known about health professionals’ perceptions of patient-controlled health data sharing. We describe mental health professionals’ views on patient-controlled data sharing using semi-structured interviews and a mixed-method analysis with thematic coding. Health information rights, specifically those of patients and health care professionals, emerged as a key theme. Behavioral health professionals identified patient motivations for non-sharing sensitive mental health records relating to substance use, emergency treatment, and serious mental illness (94%). We explore conflicts between professional need for timely access to health information and patient desire to withhold some data categories. Health professionals’ views on data sharing are integral to the redesign of health data sharing and informed consent. As well, they seek clarity about the impact of patient-controlled sharing on health professionals’ roles and scope of practice.

Impact of the National Policy on Integrative and Complementary Practices on Brazilian Public Homeopathy Services

Homeopathy ◽  
2021 ◽  
Author(s):  
Renata Lemonica ◽  
Karina Pavao Patricio
Keyword(s):  
Research Study ◽  
National Policy ◽  
Exploratory Research ◽  
The South ◽  
Structured Interviews ◽  
Unified Health System ◽  
East Region ◽  
The Face ◽  
Health Demands ◽  
The Impact

Abstract Background Homeopathy has been experiencing a period of expansion in Brazil due to its practical relevance in the face of new global and national health demands, culminating in the launch in 2006 of the National Policy for Integrative and Complementary Practices (NPICP) by the Ministry of Health of Brazil, which standardized and regularized the position of homeopathy within the Brazilian Unified Health System (SUS). Aims To understand the impact of the guidelines proposed by the NPICP on homeopathy services in the SUS, specifically in the south-east region of Brazil, according to the perceptions of their managers. Methods This is a descriptive, exploratory research study with a qualitative approach, conducted in homeopathy services in the south-east region of Brazil, through semi-structured interviews and with data processed using content analysis. Results The data show the importance of the NPICP in regulating and offering homeopathy in the services studied. However, the NPICP's objective of promoting and fully developing integrative and complementary practices has not been achieved because it has failed to translate strategies into actions. Conclusions Though important to the development of homeopathy services in any given location, policies stated in the NPICP were revealed to have limited impact on the implementation and development of new services. Without further legislation, training programs and appropriate budget allocation, new services will be unable to thrive and their users unable to benefit from a more comprehensive approach to healthcare.

Scope for Psychosocial Treatments in Psychosis: An Overview of Collaborative Therapy

2003 ◽  
Vol 11 (2) ◽  
pp. 220-224 ◽  
Author(s):  
Monica Gilbert ◽  
Kathryn Miller ◽  
Lesley Berk ◽  
Velma Ho ◽  
David Castle
Keyword(s):  
Mental Health ◽  
Psychotic Disorders ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Psychosocial Needs ◽  
Psychosocial Treatments ◽  
Mental Health Consumers ◽  
Collaborative Therapy ◽  
Modular Treatment ◽  
The Impact

Objectives: The psychosocial needs of people with psychotic disorders are not being addressed adequately. The present paper outlines a proposed framework that will help to meet some of this deficit and deliver psychosocial treatments for these individuals, as part of routine clinical practice. Conclusions: The recent Australian study on low prevalence (psychotic) disorders found that, although most Australians (91%) with a psychotic illness were taking medication, few were receiving adequate psychosocial support from mental health services; fully 47% of these saw the need for a particular type of service that was not able to be accessed by them, either because of it simply not being available or not being affordable. The programme described herein will develop, evaluate and disseminate comprehensive modular treatment packages addressing the psychosocial needs of people with psychotic disorders. It is novel in terms of the comprehensiveness of the approach, the rigour of the evaluation (using a controlled experimental design), and the extent of intersectoral and multidisciplinary involvement in mapping needs, developing the interventions, and dissemination. The potential impact for mental health consumers with psychosis is enormous because currently there is no coherent and consistent approach to addressing their psychosocial needs. The impact for the scientific community will be great because there is currently very little by way of controlled trial data in this important area of activity.

scholarly journals The Impact of the Sars Cov-2 Pandemic on the Mental Health and Well-Being of Seniors in Social Care Facilities

2021 ◽  
Vol 12 (3) ◽  
pp. 104-110
Author(s):  
Z. Budayova ◽  
L. Ludvigh Cintulova
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Research Study ◽  
Social Care ◽  
Well Being ◽  
Structured Interviews ◽  
Care Facilities ◽  
Open Coding ◽  
The Impact ◽  
Health And Well Being

The research study analyses the effects of the Covid-19 pandemic and identifies changes in the life satisfaction of seniors in social services facilities. The research sample consisted of 79 seniors in social services facilities, the sample consisted of ten participants, data collection took place in the period from November 2020 to April 2021, where the method of qualitative research was used in empirical research, through semi-structured interviews to determine the impact of Covid-19 on We collected the data collected by open coding and pointed to those dimensions of the lives of seniors that were most marked by pandemic measures against the spread of Covid-19.

scholarly journals “Here in the Bible Belt, It’s Predominantly Negative”: Sexual Identity Stigma in the American South, 50 Years After Stonewall

2021 ◽  
Vol 12 ◽  
Author(s):  
Joseph J. Frey ◽  
William J. Hall ◽  
Jeremy T. Goldbach ◽  
Paul Lanier
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Disparities ◽  
Sexual Identity ◽  
Minority Stress ◽  
The United States ◽  
Mental Health Disparities ◽  
Structured Interviews ◽  
United States South ◽  
The Impact

Lesbian, gay, bisexual, and pansexual (LGB+) individuals have disproportionate rates of mental illness. Minority stress and sexual identity stigma are posited as the primary social determinants of LGB+ mental health disparities. Discussions in the literature have questioned the impact of sexual identity stigma in a world increasingly accepting of sexual minorities. Additionally, the LGB+ population in the United States South is often overlooked in American research. This article details a qualitative study exploring experiences related to sexual identity stigma among adults who identify as LGB+ in the United States South. Semi-structured interviews with 16 individuals were analyzed using content analysis. Six thematic categories of stigma emerged from participants’ experiences: (a) navigating an LGB+ identity, (b) social acceptability of an LGB+ identity, (c) expectation of LGB+ stigma, (d) interpersonal discrimination and harassment, (e) structural stigma, and (f) relationship with the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Findings suggest that sexual identity stigma remains a common experience among these Southern United States participants. Further, thematic categories and subcategories primarily aligned with extant theory with one exception: Intracommunity stigma, a form of stigma emanating from the LGBTQ community, emerged as a stigma type not currently accounted for in theoretical foundations underpinning mental health disparities in this population.

scholarly journals The familiar stranger of mental health

2020 ◽  
Vol 15 (4) ◽  
pp. 237-247
Author(s):  
Matthew Sydney Long
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Facility ◽  
Health Care Professionals ◽  
Service User ◽  
Health Care Facilities ◽  
Mental Health Facility ◽  
Content Type ◽  
The Impact

Purpose This paper aims to contribute to the debate about the closure of institutional mental health-care facilities, from an experiential perspective of a former mental health inpatient, ongoing service user and campaigner for retention of such facilities. It argues that auto-ethnographic accounts of mental illness by those with multiple social identities can have a greater role in terms of future training of mental health-care professionals. Design/methodology/approach The paper offers an experiential account of the impact of mental health facility bed closures as a patient admitted to institutional mental health facilities; as a mental health campaigner, fighting for the provision of both places of safety and “safe space” within his own local community; and as an ongoing service user. The research is in the interpretivist tradition of social science in taking an auto-ethnographical methodological stance. Findings This paper is underpinned by two key theoretical notions. Firstly, Stuart Hall’s concept of the Familiar Stranger (2017) is used to explore the tensions of self-identity as the author SHIFTS uncomfortably between his three-fold statuses. Secondly, the notion of “ontological insecurity” offered by Giddens (1991) is used with the paper exploring the paradox that admission to a mental health facility so-called “place of safety” is in fact itself a disorientating experience for both patient and carer(s). Research limitations/implications No positivistic claims to reliability, representativeness or generalisability can be made. It is the authenticity of the account which the reader feels should be afforded primacy in terms of its original contribution to knowledge. Practical implications This paper should have practical use for those tasked with developing educational and training curriculums for professionals across the mental health-care sector. Social implications This paper implicitly assesses the political wisdom of the policy of mental health bed closures within the wider context of the deinstitutionalisation movement. Originality/value This paper is underpinned by original experiential accounts from the author as patient, campaigner for places of safety and onging service-user of mental health care provision.

scholarly journals Improving mental health and psychosocial wellbeing in humanitarian settings: reflections on research funded through R2HC

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Wietse A. Tol ◽  
Alastair Ager ◽  
Cecile Bizouerne ◽  
Richard Bryant ◽  
Rabih El Chammay ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychosocial Support ◽  
Scale Up ◽  
Lessons Learned ◽  
Research Projects ◽  
Psychosocial Needs ◽  
Knowledge Gaps ◽  
Humanitarian Settings ◽  
Wide Range ◽  
The Impact

Abstract Major knowledge gaps remain concerning the most effective ways to address mental health and psychosocial needs of populations affected by humanitarian crises. The Research for Health in Humanitarian Crisis (R2HC) program aims to strengthen humanitarian health practice and policy through research. As a significant portion of R2HC’s research has focused on mental health and psychosocial support interventions, the program has been interested in strengthening a community of practice in this field. Following a meeting between grantees, we set out to provide an overview of the R2HC portfolio, and draw lessons learned. In this paper, we discuss the mental health and psychosocial support-focused research projects funded by R2HC; review the implications of initial findings from this research portfolio; and highlight four remaining knowledge gaps in this field. Between 2014 and 2019, R2HC funded 18 academic-practitioner partnerships focused on mental health and psychosocial support, comprising 38% of the overall portfolio (18 of 48 projects) at a value of approximately 7.2 million GBP. All projects have focused on evaluating the impact of interventions. In line with consensus-based recommendations to consider a wide range of mental health and psychosocial needs in humanitarian settings, research projects have evaluated diverse interventions. Findings so far have both challenged and confirmed widely-held assumptions about the effectiveness of mental health and psychosocial interventions in humanitarian settings. They point to the importance of building effective, sustained, and diverse partnerships between scholars, humanitarian practitioners, and funders, to ensure long-term program improvements and appropriate evidence-informed decision making. Further research needs to fill knowledge gaps regarding how to: scale-up interventions that have been found to be effective (e.g., questions related to integration across sectors, adaptation of interventions across different contexts, and optimal care systems); address neglected mental health conditions and populations (e.g., elderly, people with disabilities, sexual minorities, people with severe, pre-existing mental disorders); build on available local resources and supports (e.g., how to build on traditional, religious healing and community-wide social support practices); and ensure equity, quality, fidelity, and sustainability for interventions in real-world contexts (e.g., answering questions about how interventions from controlled studies can be transferred to more representative humanitarian contexts).

scholarly journals An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner

2019 ◽  
Vol 12 ◽  
Author(s):  
Naheem Hakim ◽  
Andrew R. Thompson ◽  
Gail Coleman-Oluwabusola
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Worker ◽  
Culturally Responsive ◽  
Behavioural Therapy ◽  
Psychological Wellbeing ◽  
Mental Health Worker ◽  
Structured Interviews ◽  
Low Intensity ◽  
The Impact

AbstractThe Improving Access to Psychological Therapies (IAPT) programme started in 2008, but it contained little provision for specifically meeting the needs of Black, Asian and minority ethnic (BAME) groups. The purpose of this evaluation was to describe the experience of transition from BAME community mental health worker (CMHW) to IAPT low-intensity psychological wellbeing practitioner (PWP) in order to identify possible gains and losses for the former communities served, and the factors that might contribute to successful training of people with BAME expertise. Four former CMHWs who had transitioned into working as PWPs were interviewed. Semi-structured interviews were used. The data were analysed using thematic analysis. Six major themes were identified with the benefits of training emerging as an important factor for the participants in enhancing their role. Three of the themes interconnected and focused on the impact for BAME communities in terms of access to service and barriers. Evident in the interviews were descriptions of adaptations that were made as a result of CMHW having access to both new and old skills. Finally, two themes focused on the participant recommendations as to how IAPT services might become more culturally responsive. The findings suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. The participants reported that low-intensity cognitive behavioural therapy (LICBT) was effective, but only when cultural sensitive adaptations were made. The evaluation has some clear recommendations as to how IAPT services might seek to offer culturally responsive CBT. Suggestions for carrying out further practice-based evaluations are made.

scholarly journals 79 Acceptability and impact of psychosocial screening in the emergency department

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e33-e33
Author(s):  
Elizabeth Hankinson ◽  
Quynh Doan ◽  
Bruce Wright ◽  
Amanbir Atwal ◽  
Punit Virk ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Psychosocial Care ◽  
Primary Objective ◽  
Psychosocial Needs ◽  
Self Assessment ◽  
Psychosocial Screening ◽  
Psychosocial Resource ◽  
The Impact ◽  
Clinician Assessment

Abstract Background Psychosocial concerns in youth are prevalent and undertreated. Early identification through screening may promote appropriate management before youth present in crisis. Objectives Our primary objective was to assess the acceptability of psychosocial screening in the pediatric emergency department (ED) setting. Secondarily, we report the prevalence of psychosocial issues among youth with non-psychiatric ED presentations, and the impact of screening on mental health resource-seeking behaviour. Design/Methods We conducted a prospective cohort study of youth aged 10-17 years at two pediatric EDs. Youth with a mental health-related reason for visiting the ED were excluded. Eligible and consenting youth (and their families) completed a comprehensive psychosocial self-assessment delivered on an electronic tablet, followed by standardized clinician assessment. Consent to participate in the study was used as a proxy measure for acceptability of screening. Participants with identified psychosocial resource needs were followed up at 30 days with a semi-structured telephone/email interview to assess whether they had sought recommended resources and to explore barriers to accessing care. Results Of the 1432 eligible youth given the opportunity to enrol, 795 consented. Among the 637 youth who declined enrolment, 467 specified that they declined for reasons other than not wanting to conduct a psychosocial self-assessment. This suggests that at least 55.5% (95% CI = 52.9%, 58.1%) and up to 88.1% (95% CI = 86.4%, 89.8%) find screening acceptable. Among the 760 participants who completed clinician assessment, 276 (36.3%) were identified as having a psychosocial resource need. Resources were already in place for 105 youth, leaving 171 (22.5%) with newly identified or unmet psychosocial needs. Only 41 (33.1%) of the 124 participants and/or their families who completed a 30-day follow up interview reported attempting to access the recommended resources, despite 92 (74.2%) stating they agreed with the original recommendations. The most common reason for not accessing care was the belief that the recommendations were not yet necessary or were not a priority. Of those who had attempted to access resources, 18 (43.9%) were unsuccessful at the time of interview, with the most common barrier being access delay (e.g. on a waitlist). Conclusion We found that previously unidentified/unmet psychosocial needs are prevalent among youth in the ED, and that screening is generally acceptable. However, a limited number of those who screened positive attempted to access resources, and when they did, access was often unsuccessful or delayed. More work is needed to address barriers to timely psychosocial care.

scholarly journals Mental Health in Equestrian Sport

2019 ◽  
Vol 13 (3) ◽  
pp. 405-420
Author(s):  
Hannah Butler-Coyne ◽  
Vaithehy Shanmuganathan-Felton ◽  
Jamie Taylor
Keyword(s):  
Mental Health ◽  
Professional Training ◽  
Qualitative Data ◽  
Emotional Wellbeing ◽  
Structured Interviews ◽  
Dual Approach ◽  
Mental Health Difficulties ◽  
Equestrian Sport ◽  
The Impact ◽  
General Wellbeing

Equestrian media is showing an increasing interest in the impact of mental health on performance and general wellbeing of equestrian athletes. This study explores the awareness of mental health difficulties and psychological wellbeing within equestrian sport from the perspectives of equestrian athletes, instructors/coaches and parents. The exploratory nature of the research offered opportunity to use a dual approach including e-surveys and semi-structured interviews. Analysis of the qualitative data identified five key themes (Emotional WellbeinginBalance; Emotional WellbeingImbalance; WellbeingImbalance—Impact on Equestrian Sportspeople; Impact of Equestrian Sport on Wellbeing; Regaining Balance) and 22 sub-themes. The findings determine a compelling need for education, promotion of sharing experiences, facilitation of specialist (clinical and sport) professional training and intervention as well as a review of regulations from equestrian Governing Bodies.

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