scholarly journals Whole Person Care in Underresourced Communities: Stakeholder Priorities at Long-Term Follow-Up in Community Partners in Care

2018 ◽  
Vol 28 (Supp) ◽  
pp. 371-380 ◽  
Author(s):  
Dmitry Khodyakov ◽  
Mienah Zulfacar Sharif ◽  
Felica Jones ◽  
S. Megan Heller ◽  
Esmeralda Pulido ◽  
...  
Keyword(s):  
Mental Health ◽  
Needs Assessment ◽  
Service Providers ◽  
Cluster Randomized Trial ◽  
Social Needs ◽  
Coalition Building ◽  
Physical And Mental Health ◽  
Community Partners ◽  
Whole Person ◽  
Improvement Programs

Objective: Depressed individuals may require help from different agencies to ad­dress health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, ex­plore whether service providers understand client priorities, and describe how providers address them.Methods: Between October 2014 and February 2015, we interviewed 104 clients stratified by depression history and 50 representatives of different programs in health and social community agencies who participated in Community Partners in Care, a cluster-randomized trial of coalition-building approaches to delivering depres­sion quality improvement programs. Clients were queried about their most pressing needs; program representatives identified their clients’ needs and explained how they addressed them.Results: Physical and mental health were clients’ top priorities, followed by housing, caring for and building relationships with others, and employment. While persistently depressed clients prioritized mental health, those with improved depression prioritized relationships with others. Program repre­sentatives identified housing, employment, mental health, and improving relationships with others as clients’ top priorities. Needs assessment, client-centered services, and linkages to other agencies were main strate­gies used to address client needs.Conclusion: Depressed clients have mul­tiple health and social needs, and program representatives in under-resourced commu­nities understand the complexity of clients’ needs. Agencies rely on needs assessment and referrals to meet their clients’ needs, which enhances the importance of agency partnership in “whole person” initiatives. Our results illustrate agency capacity to adopt integrated care models that will ad­dress clients’ multiple needs through multi-sector collaboration and describe potential strategies to help reach the goal of whole person care.Ethn Dis. 2018;(Suppl 2): 371- 380; doi:10.18865/ed.28.S2.371.

scholarly journals Migrant children in transit: health profile and social needs of unaccompanied and accompanied children visiting the MSF clinic in Belgrade, Serbia

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tijana Topalovic ◽  
Maria Episkopou ◽  
Erin Schillberg ◽  
Jelena Brcanski ◽  
Milica Jocic
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Social Services ◽  
Social Needs ◽  
Migrant Children ◽  
Health Profile ◽  
Physical And Mental Health ◽  
Daily Stressors ◽  
Skin Conditions ◽  
In Transit

Abstract Background Thousands of children migrate to Europe each year in search of safety and the promise of a better life. Many of them transited through Serbia in 2018. Children journey alone or along with their family members or caregivers. Accompanied migrant children (AMC) and particularly unaccompanied migrant children (UMC) have specific needs and experience difficulties in accessing services. Uncertainty about the journey and daily stressors affect their physical and mental health, making them one of the most vulnerable migrant sub-populations. The aim of the study is to describe the demographic, health profile of UMC and AMC and the social services they accessed to better understand the health and social needs of this vulnerable population. Methods We conducted a retrospective, descriptive study using routinely collected program data of UMC and AMC receiving medical, mental and social care at the Médecins sans Frontières clinic, in Belgrade, Serbia from January 2018 through January 2019. Results There were 3869 children who received medical care (1718 UMC, 2151 AMC). UMC were slightly older, mostly males (99%) from Afghanistan (82%). Skin conditions were the most prevalent among UMC (62%) and AMC (51%). Among the 66 mental health consultations (45 UMC, 21 AMC), most patients were from Afghanistan, with 98% of UMC and 67% of AMC being male. UMC as well as AMC were most likely to present with symptoms of anxiety (22 and 24%). There were 24 UMC (96% males and 88% from Afghanistan) that received social services. They had complex and differing case types. 83% of UMC required assistance with accommodation and 75% with accessing essential needs, food and non-food items. Several required administrative assistance (12.5%) and nearly a third (29%) legal assistance. 38% of beneficiaries needed medical care. Most frequently provided service was referral to a state Centre for social welfare. Conclusion Our study shows that unaccompanied and accompanied migrant children have a lot of physical, mental health and social needs. These needs are complex and meeting them in the context of migration is difficult. Services need to better adapt by improving access, flexibility, increasing accommodation capacity and training a qualified workforce.

scholarly journals A Scenario of COVID-19 Disease on Mental Health Among the General Age-groups

2022 ◽  
Vol 74 (1) ◽  
pp. 64-67
Author(s):  
Somadatta Das ◽  
Rabindra Nath Padhy ◽  
Bibhuti Bhusan Pradhan
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Age Groups ◽  
World Health ◽  
Physical And Mental Health ◽  
Daily Routines ◽  
Health Service Providers ◽  
Health Organization ◽  
Mental Health Effects ◽  
Watching Tv

The COVID-19 (SARS-CoV-2) virus causes a respiratory disease with physical and mental health effects, ending at general morbidity and fatality from some latest coronavirus strains, at times. During the present pandemics, people stay mainly at home, contributing to some elevated stress levels. World Health Organization (WHO) contemplates that the additional steps like, quarantine and self-isolation have stimulated daily routines of peoples, leading to a rise in agitation, oppression, sleeplessness, alcohol addiction, drug-addictions and suicidal behaviors; consequently, causing increase in cases of domestic violence, even. At this stage, health service providers cannot help the poor, elderly people, children who are susceptible to pre-medical adverse conditions. This work aims to highlight the general scenario of the mental health locally in India during covid-19 pandemic. Some lifestyles, such as yoga, meditation, Ayurvedic medication, avoiding reading on corona too much and watching TV about it, while staying with the own family with the popular healthier lifestyles are recommended to alleviate stress.

Exploring the Disproportionate Impact of Disasters: Social Service Providers’ Perceptions of Factors Increasing Vulnerability Among Hurricane Survivors

2021 ◽  
pp. 104438942110515
Author(s):  
Shinwoo Choi ◽  
Tara M. Powell ◽  
Jenna M. Muller ◽  
Emily A. Lux
Keyword(s):  
Mental Health ◽  
Social Service ◽  
Service Providers ◽  
Vital Role ◽  
Language And Literacy ◽  
Physical And Mental Health ◽  
Service Workers ◽  
Social Service Providers ◽  
Literacy Proficiency ◽  
Group Interviews

Social service providers play a vital role in addressing the physical and mental health needs of vulnerable individuals, families, and communities during and after disasters. Considering the essential role of social service providers during and after disasters, it is vital to understand the challenges their clients encounter during emergencies. Our study explored social service providers’ perceptions of the barriers socially vulnerable individuals and communities experienced after hurricanes Michael and Irma struck coastal communities in Florida in 2017–2018. Seventeen social service workers who provided direct support to survivors during and after the hurricanes participated in four focus group interviews. Providers described five factors that increased vulnerability of their clients including risk perception, socioeconomic constraints, physical and mental health challenges, language and literacy proficiency, and resource dependency.

Parents’ Perspectives of their Children's Reactions to an Australian Military Deployment

2014 ◽  
Vol 39 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Philip Siebler ◽  
Christopher Goddard
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Military Families ◽  
Service Providers ◽  
Military Deployment ◽  
Physical And Mental Health ◽  
Parent Relationships ◽  
Australian Defence Force ◽  
Prevention Programmes ◽  
Depth Interviews

This article reports on a qualitative study of Australian parents’ perceptions of their children's reactions to a military deployment as well as their help-seeking behaviours. Thirty-eight in-depth interviews were conducted with 34 Australian Defence Force (ADF) parents and 33 non-deployed parents (67 participants). Twenty-nine interviews were with couples and nine were with individuals. The findings revealed that this group of children generally fared poorly in terms of physical and mental health, and behavioural outcomes. Children and adolescents had a number of needs which were not identified, assessed or treated, and prevention programmes were reported to be limited. Factors that are associated with positive and negative outcomes from the families’ perspective are outlined. The data showed how developing a deeper understanding of military families’ needs, as well as positive worker–parent relationships, would enhance the therapeutic alliance between parents and service providers. Implications for prevention and intervention approaches in relation to both policy and service delivery are outlined.

Rapid Needs Assessment of Hurricane Katrina Evacuees—Oklahoma, September 2005

2006 ◽  
Vol 21 (6) ◽  
pp. 390-395 ◽  
Author(s):  
Sara Russell Rodriguez ◽  
Jolianne Stone Tocco ◽  
Sue Mallonee ◽  
Lauri Smithee ◽  
Timothy Cathey ◽  
...  
Keyword(s):  
Mental Health ◽  
Needs Assessment ◽  
Hurricane Katrina ◽  
Traumatic Stress ◽  
Service Providers ◽  
Social Systems ◽  
Adult Women ◽  
Post Traumatic Stress ◽  
Convenience Sample ◽  
Post Traumatic

AbstractIntroduction:On 04 September 2005, 1,589 Hurricane Katrina evacuees from the New Orleans area arrived in Oklahoma. The Oklahoma State Department of Health conducted a rapid needs assessment of the evacuees housed at a National Guard training facility to determine the medical and social needs of the population in order to allocate resources appropriately.Methods:A standardized questionnaire that focused on individual and household evacuee characteristics was developed. Households from each shel-ter building were targeted for surveying, and a convenience sample was used.Results:Data were collected on 197 households and 373 persons. When com-pared with the population of Orleans Parish, Louisiana, the evacuees sampled were more likely to be male, black, and 45–64 years of age. They also were less likely to report receiving a high school education and being employed pre-hurricane. Of those households of <1 persons, 63% had at least one missing household member. Fifty-six percent of adults and 21% of children reported having at least one chronic disease. Adult women and non-black persons were more likely to report a pre-existing mental health condition. Fourteen percent of adult evacuees reported a mental illness that required medication pre-hur-ricane, and eight adults indicated that they either had been physically or sex-ually assaulted after the hurricane. Approximately half of adults reported that they had witnessed someone being severely injured or dead, and 10% of per-sons reported that someone close to them (family or friend) had died since the hurricane. Of the adults answering questions related to acute stress disor-der, 50% indicated that they suffered at least one symptom of the disorder.Conclusions:The results from this needs assessment highlight that the evac-uees surveyed predominantly were black, of lower socio-economic status, and had substantial, pre-existing medical and mental health concerns. The evac-uees experienced multiple emotional traumas, including witnessing grotesque scenes and the disruption of social systems, and had pre-existing psy-chopathologies that predisposed this population to post-traumatic stress dis-order (Post-traumatic Stress Disorder).x When disaster populations are displaced, mental health and social service providers should be available immediately upon the arrival of the evacuees, and should be integrally coordinated with the relief response. Because the displaced population is at high risk for disaster-related mental health problems, it should be monitored closely for persons with PTSD. This displaced population will likely require a substantial re-establishment of financial, medical, and educational resources in new communities or upon their return to Louisiana.

scholarly journals Adolescent access to health services in fragile and conflict-affected contexts: the case of the Gaza Strip

2020 ◽  
Author(s):  
Bassam Abu Hamad ◽  
Nicola Jones ◽  
Ingrid Gercama
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Adolescent Health ◽  
Service Providers ◽  
Gaza Strip ◽  
Well Being ◽  
Physical And Mental Health ◽  
Access To Health Services ◽  
Access To Health ◽  
The Gaza Strip

Abstract Background: Enjoyment of physical and mental health is not only recognized as a human right but also as an integral part of development, as reflected in Sustainable Development Goal (SDG) 3 – to ensure healthy lives and promote well-being for all at all ages. The rapid physical, psychosocial and behavioural changes that take place during adolescence have a strong influence on the rest of a person’s life course, so investments in adolescent health services constitute a unique opportunity to reap lifelong and inter-generational dividends. Yet the evidence base on adolescents’ access to health services, particularly in conflict-affected contexts, remains thin. This article explores adolescents’ access to health services in the Gaza Strip, and their experiences and perceptions of those services. Methods: The article draws on mixed-methods research in the Gaza Strip in 2016 and 2017 involving 240 adolescents and 65 service providers, combining a QuickTapSurvey,™ key informant interviews, peer-to-peer research and individual in-depth interviews. Results: The findings underscore that gender norms—especially those pertaining to adolescent girls’ sexual purity––shape adolescent health in multiple ways. Girls face increasing restrictions on their mobility and social interactions, leaving them with limited opportunities for leisure or exercise, socializing with peers or seeking health (including mental health) services. Adolescent boys in Gaza do not face the same restrictions, but given the multiple political, economic and familial stressors, they are at high risk of substance abuse and involvement in peer violence. Moreover, our findings suggest that a range of socioeconomic, cultural and structural barriers prevent adolescents in Gaza from accessing quality and appropriate health care. Study participants cited the main challenges as an absence of preventive adolescent health initiatives and limited information on sexual and reproductive health, as well as drug shortages, high treatment costs, and negative interactions with service providers. Conclusions: The article highlights the importance of (1) designing and implementing conflict-sensitive and age- and gender-appropriate adolescent services and information; (2) promoting preventive services targeted at adolescents; and (3) improving service provider awareness of adolescents’ specific health needs in all contexts.

scholarly journals Preconception care in mental health services: planning for a better future

2019 ◽  
Vol 216 (4) ◽  
pp. 180-181 ◽  
Author(s):  
Raquel Catalao ◽  
Sue Mann ◽  
Claire Wilson ◽  
Louise M. Howard
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Preconception Care ◽  
Service Providers ◽  
Physical And Mental Health ◽  
Policy Makers ◽  
Health Service Providers ◽  
Health Services Planning ◽  
Medical Health ◽  
Improve Health

SummaryIt is increasingly recognised that the preconception period is a window of opportunity to intervene to improve outcomes for women and the next generation. The importance of preconception mental health and comorbidity problems has not traditionally been taken into account by policy makers or mental health service providers. We argue that by addressing preconception physical and mental health in men and women, medical health professionals could improve health outcomes across the whole life course.

No health without mental health?

2020 ◽  
Vol 9 (2) ◽  
pp. 1-7
Author(s):  
Christopher Francis Barber
Keyword(s):  
Mental Health ◽  
Service Delivery ◽  
Service Providers ◽  
Physical And Mental Health

The phrase ‘no health without mental health’ has become a campaigning and political slogan over recent years, with varying degrees of attention being paid to it depending on who is using it and why. This article will briefly explore the connections between physical and mental health from an experiential perspective, the consequences if service providers ‘get it right’ and the consequences if service providers ‘get it wrong’ in terms of understanding and service delivery.

scholarly journals Health Needs Assessment of Five Pennsylvania Plain Populations

2019 ◽  
Vol 16 (13) ◽  
pp. 2378
Author(s):  
Kirk Miller ◽  
Berwood Yost ◽  
Christina Abbott ◽  
Scottie Thompson Buckland ◽  
Emily Dlugi ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Needs Assessment ◽  
Raw Milk ◽  
Health Condition ◽  
Health Needs ◽  
Physical And Mental Health ◽  
Agricultural Chemicals ◽  
Health Needs Assessment ◽  
Regular Doctor

We performed a health needs assessment for five Plain communities in Pennsylvania from a random sample of households, comparing them to the general population of Pennsylvania adults. Plain respondents were more likely to drink well water, as likely to eat fruit and vegetables and much more likely to drink raw milk and be exposed to agricultural chemicals. Plain respondents were less likely to receive screening exams compared to the general population and there was variation from settlement to settlement in whether respondents had a regular doctor, whether they received preventive screenings or had their children vaccinated, with Mifflin County Amish generally lowest in these and Plain Mennonites highest. Plain respondents reported good physical and mental health compared to the general population but Groffdale Mennonite respondents had a high proportion of diagnoses of depression and were more likely to be receiving treatment for a mental health condition. Most Plain respondents would want a spouse tested for genetic disease with Mifflin County Amish least in favor of these tests. Despite their geographic and genetic isolation, the health of Plain communities in Pennsylvania is similar to that of other adults in the state.

scholarly journals 118 Innovating Pediatric Behavioural Assessments and Care Pathways: Community Consultation Phase

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e49-e49
Author(s):  
Sarah Gander ◽  
Sarah Campbell ◽  
Kate Flood ◽  
Bryn Robinson
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Current System ◽  
Community Services ◽  
Working Environment ◽  
Positive Interactions ◽  
Physical And Mental Health ◽  
Care Community ◽  
Social Pediatrics ◽  
The Impact

Abstract Background It is well-documented that children facing social disparities, trauma and toxic stress will experience a disproportionate number of negative physical and mental health outcomes across their lifespan. A common manifestation of this is the increasing prevalence of behaviour-related diagnoses in school-aged children. Regardless of whether a child suffers from a true behaviour disorder, or if they are displaying symptoms that relate to complex and challenging social conditions, they require a thoughtful, collaborative and inclusive approach to their care. Community Social Pediatrics adopts such an approach. Objectives The objective of the current study is to examine and understand the experiences of children and their families during the referral and treatment process for pediatric behavioural referrals in our local region. We will also explore the perspective of service providers on the challenges and strengths of the current system. Design/Methods A focus group (n=8) using semi-structured group interviews was conducted with caregivers whose children were in various stages of care/treatment regarding behavorial issues in the region surrounding Saint John, NB. Questions focused on: experiences in the system; efficacy of services; the child’s experience; wait times; and system cohesion. Qualitative thematic analysis was used to analyze the data. Through a strategic planning exercise (n=26), we were able to engage service providers and experts in this area to delineate the challenges and strengths that they perceive in the current system, and to provide insights they have into working with families. Results The major themes identified by families were defined by positive interactions, negative interactions, barriers, their own behavioural responses to the system and the impact on the child. Families’ positive experiences were associated with respectful and effective communication, integrated wrap-around services, assistance with navigation, and a child-centred approach. Negative experiences were rooted in feeling stigmatized by service providers, lack of communication between service providers, and inadequate mental health services for children. A number of system and personal barriers were identified. The service providers echoed these issues: provide equitable and efficient access to services; understand the needs of the family; strengthen relationships with partners and clients; and create a supportive working environment. Conclusion Consultation with families and service providers identified a number of issues in how children access and engage with community services. Community Social Pediatrics seeks to impact health at the community level and addresses the needs of children in a way that reflects the social context of their lives, community and society. Assessment and care procedures that are delivered through this model aim to remove barriers, reduce fragmentation and increase collaboration and communication across the entire care team.

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