scholarly journals Loss and assimilation: Lived experiences of Brexit for British nationals living in Luxembourg

2020 ◽  
Author(s):  
Stephanie Maria Knight ◽  
Dean Fido ◽  
Henry William Lennon ◽  
Craig A. Harper
Keyword(s):  
Mental Health ◽  
Lived Experiences ◽  
Psychological Impact ◽  
Health Issues ◽  
Structured Interviews ◽  
Critical Realist ◽  
Political Upheaval ◽  
Health Practitioners ◽  
The Uk ◽  
Political Realities

Inconsistent political realities are associated with mental health issues such as hopelessness, anxiety, and depression. The psychological impact of Brexit is clearly an important and timely issue, but hitherto has been understudied. This study uses a critical realist approach to qualitatively explore the lived experiences of British Citizens living in Luxembourg during the Brexit era. The study carried out semi-structured interviews with 8 British nationals aged 18-65. An experientially-focused Thematic Analysis was conducted, exploring two main themes: Loss (with psychological and broader social implications) and Integration (contrasting the mover's community with the receiving community). This study demonstrates the psychological impact of Brexit and highlights the urgency for future researchers and mental health practitioners alike – both in the UK and overseas – to consider the human consequences associated with political upheaval. Open access materials for this project can be viewed here: https://osf.io/38rg7/?view_only=b8c04dfc3fe5474f9aff4897e370b3e6.

scholarly journals Loss and Assimilation: Lived Experiences of Brexit for British Citizens Living in Luxembourg

2021 ◽  
Author(s):  
Stephanie Knight ◽  
Dean Fido ◽  
Henry Lennon ◽  
Craig A. Harper
Keyword(s):  
Mental Health ◽  
Lived Experiences ◽  
Psychological Impact ◽  
Health Issues ◽  
Structured Interviews ◽  
Critical Realist ◽  
Political Upheaval ◽  
Health Practitioners ◽  
The Uk ◽  
Political Realities

AbstractInconsistent political realities are associated with mental health issues such as hopelessness, anxiety, and depression. The psychological impact of Brexit is clearly an important and timely issue, but hitherto has been understudied. This study uses a critical realist approach to qualitatively explore the lived experiences of British citizens living in Luxembourg during the Brexit era. The study reports on semi-structured interviews conducted with 6 British citizens aged 18–65. An experientially focused thematic analysis was conducted, exploring two main themes: Loss (with psychological and broader social implications) and Integration (contrasting the mover’s community with the receiving community). This study demonstrates the psychological impact of Brexit and highlights the urgency for future researchers and mental health practitioners alike — both in the UK and overseas — to consider the human consequences associated with political upheaval. Open access materials for this project can be viewed here: https://osf.io/38rg7/?view_only=b8c04dfc3fe5474f9aff4897e370b3e6.

Homeless people and health: a qualitative enquiry into their practices and perceptions

2019 ◽  
Author(s):  
Dave Mc Conalogue ◽  
Nicky Maunder ◽  
Angelika Areington ◽  
Katherine Martin ◽  
Vikki Clarke ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Misuse ◽  
Homeless People ◽  
Healthcare Services ◽  
Health Issues ◽  
Structured Interviews ◽  
Living Situation ◽  
Mental Health Issues ◽  
The Uk ◽  
Early Trauma

ABSTRACT Background Homeless people experience poorer health and shorter life expectancies than the UK average, but their health needs and expectations have received little attention in research. This study aims to understand homeless people’s health perceptions and experiences. Methods Semi-structured interviews took place with 28 homeless people in Gloucestershire. The transcripts were thematically analysed drawing out key themes. Results Homelessness was often rooted in early trauma or an unstable family unit. Participants described poor support on leaving prison, termination of a cohabiting relationship or financial issues as factors precipitating homelessness. There was an expansive and positive understanding of health and its determinants. Mental health issues were common, often linked to traumatic life-events. Substance misuse issues were expressed as a mechanism to manage mental health issues. Participants were frustrated that this co-dependency was not recognized by support services. Participants’ living situation curtailed their ability to make health-enhancing choices, which was compounded by issues accessing mainstream healthcare services. Conclusions Mental health in homeless people must be recognized in the context of substance misuse and early trauma. Dealing with housing and addiction are critical to enable prioritisation of healthy behaviours. Healthcare services should recognize the chaotic nature of homeless people and their competing issues.

scholarly journals Heard, known and safe in general practice? An interview study with patients with severe and persistent mental illness

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0201
Author(s):  
Nancy Jennifer Sturman ◽  
Ryan Williams ◽  
Marianne Wyder ◽  
Johanna Lynch
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practice ◽  
Physical Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Persistent Mental Illness ◽  
Community Mental Health Clinics

BackgroundAlthough GPs provide care to many patients with severe and persistent mental illness, the role and skillset of the GP in this space are contested. Patients are less satisfied with GP care of mental health than physical health issues.AimTo explore patient expectations and experiences of GP roles in their mental health, and identify opportunities for improving mental health care in general practice.Design & settingPatient participants were recruited from community mental health clinics in Brisbane, Australia.MethodIndividual semi-structured interviews were conducted with a convenience sample of patients. Interviews were audio-recorded and transcribed professionally. The authors conducted an inductive thematic analysis, attending to participant vulnerability and reflexivity.Results16 interviews were conducted by one author (RW), average duration 29 minutes. Three overarching themes were identified: being heard; being known; and being safe. Participants greatly valued ‘good GPs’ who were able to detect early signs of relapse, and with whom they came to feel heard, known and safe over time. Experiences of perfunctory, hurried care and avoidance of mental health issues were also reported. Many participants were uncertain whether GP training in mental health was sufficient to keep them safe. Patients may suspect negative attitudes to mental illness in GPs who actively engage predominantly with their physical health.ConclusionSome GPs play central roles in patients’ mental healthcare. Barriers for others need further exploration, and may include time, confidence and/or expertise. Findings challenge GPs to engage more actively and effectively with these patients in theirgeneral practice consultations.

scholarly journals A Pilot Study of a Screening Process for Evaluating the Physical, Mental and Cognitive Health of Senior Physicians

2021 ◽  
Vol 107 (2) ◽  
pp. 33-40
Author(s):  
David E. J. Bazzo ◽  
Patricia Smith ◽  
Elizabeth F. Wenghofer
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Clinical Education ◽  
Cognitive Assessment ◽  
Health Screening ◽  
Health Issues ◽  
Structured Interviews ◽  
Screening Process ◽  
Cognitive Health ◽  
The University

ABSTRACT Physicians are not immune to changes that accompany aging, including decreases in physical and cognitive health and abilities. Many are calling for, or turning to, screening senior physicians for decrements in their ability to provide safe care. Our purpose was to determine the acceptability and feasibility of a pilot screening process, which evaluates the physical, mental and cognitive health of senior physicians. The screening process was developed by the University of California, San Diego, Physician Assessment and Clinical Education Program. The screen included: mental health screening (PHQ-9, GAD-7, and substance abuse screen), cognitive health screening (MicroCog™ and Montreal Cognitive Assessment [MoCA©]) and physical health screening (medical history review and physical examination). Qualitative semi-structured interviews were conducted post-screening. Thirty senior physicians participated in the pilot process, including post-screening interviews. Eight (27%) participants were judged to “require”/“may require” further evaluation after cognitive assessment. No physicians were found to have physical or mental health issues that would prevent them from practicing competently. Interviews revealed that participants felt the screening process was a positive experience that was effective, acceptable, efficient and relevant to their practice. The results of this pilot study indicate that screening physical, mental and cognitive health is considered both feasible and acceptable to senior physicians. This is important as screening the health and cognition of senior physicians is integral to the national discussion related to regulation and patient safety.

scholarly journals The Psychological Impact of Covid-19 on University Students: Their Expectations of Mental Health Professionals

2021 ◽  
Vol 8 (4) ◽  
pp. 1-20
Author(s):  
M.Siyabend KAYA ◽  
Yavuz KOŞAN
Keyword(s):  
Mental Health ◽  
University Students ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychosocial Support ◽  
Qualitative Content Analysis ◽  
Psychological Impact ◽  
Depression And Anxiety ◽  
Structured Interviews ◽  
Main Effects

The current study focused on exploring the psychological impact of the COVID -19 outbreak on university students and participants' expectations of mental health professionals. Semi-structured interviews were conducted with 80 university students aged 18 to 33 years from 19 cities in Turkey. Qualitative content analysis was used to identify important aspects of the students' experiences. According to the results, the main effects of the epidemic COVID -19 on the participants were depression and anxiety. We found that participants used various ways to cope with COVID -19 such as reading books and paying attention to hygiene. Participants also indicated that they perceived some positive situations, such as the value of nature and humanity, the importance of family, and various negative situations, such as mental exhaustion. Finally, participants stressed that they had different expectations regarding psychosocial support and the planning of individual activities by mental health professionals

Hinduism and Counseling

2019 ◽  
pp. 211-222
Author(s):  
Devi Venashinee Muruges
Keyword(s):  
Mental Health ◽  
Psychological Problems ◽  
Mental Health Practitioners ◽  
Religious Experiences ◽  
Health Issues ◽  
Indian Psychology ◽  
States Of Consciousness ◽  
Mental Health Issues ◽  
Health Practitioners ◽  
The Mind

Indian psychology lays enormous importance on the research of religious experiences and the expansion of approaches by which to accomplish them. In addition to that, it also provides understanding of the different states of consciousness. Hence, it is undeniable that Indian psychology will be able to make a definite therapeutic contribution to many psychological problems. For mental health practitioners dealing with Hinduism, there are teachings within various texts that directly strengthen counseling and mental services. Some of the examples include perceiving the conscious and the unconsciousness aspects of the mind, utilizing meditation to support people with mental health issues, yoga exercises to curb anxiety and stress, and many others. Therefore, this chapter intends to elucidate the application of Hinduism in therapy.

The Importance of Assessment in Supporting Bereaved Students

2017 ◽  
pp. 38-51
Author(s):  
Catherine B. Woahn ◽  
Benjamin S. Fernandez
Keyword(s):  
Mental Health ◽  
Individual Differences ◽  
Rating Scales ◽  
Mental Health Practitioners ◽  
Structured Interviews ◽  
Grieving Process ◽  
School Based ◽  
Health Practitioners ◽  
Tiered Support ◽  
Over Time

This chapter provides a framework allowing school-based mental health practitioners to assess and track characteristics of grief in bereaved students. Several types of assessments and tools (observations, structured interviews, and a range of rating scales) are discussed as a part of a three-tiered support framework to assess and monitor student progress over time. Current approaches to assisting bereaved students vary widely and may over-serve or under-serve students based on limited understanding of grief. There are also individual differences in the grieving process. School-based professionals must conduct assessments that enable them to identify individual needs and potential symptoms of complicated grief that may affect a child’s functioning at school.

scholarly journals Experiences of how services supporting women with perinatal mental health difficulties work with their families: a qualitative study in England

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e030208 ◽  
Author(s):  
Billie Lever Taylor ◽  
Jo Billings ◽  
Nicola Morant ◽  
Debra Bick ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Family Involvement ◽  
Family Members ◽  
Vital Role ◽  
Perinatal Mental Health ◽  
Health Access ◽  
Structured Interviews ◽  
Mental Health Difficulties ◽  
The Uk ◽  
Mental Health Access

ObjectivesPartners and wider family members play a vital role in relation to women’s perinatal mental health. Clinical guidelines in the UK and internationally recommend that services supporting women with perinatal mental health difficulties involve and support their families too. However, little is known about family members’ needs and experiences, or whether they feel included by mental health services. This study set out to explore this.MethodsThis research formed part of a wider study exploring experiences of perinatal mental health care in England. The broader study included semi-structured interviews with 52 women across England who received treatment for a perinatal mental health difficulty, and 32 family members identified by the women as offering them some support. Data from these 84 interviews relating to how services work with partners and families were extracted and analysed thematically.ResultsAnalysis identified three overarching themes: (1) the centrality of women’s families to their perinatal mental health/access to support, (2) experiences of partners and families being excluded by services and (3) ambivalence among women and their families about increasing family involvement/support. We found that partners and families appear to have an important influence on women’s perinatal mental health, access to care and interactions with services, but that services tend to focus on individual women (and babies) with little regard for their wider family context. The complexity of involving and supporting partners and families, coupled with anxiety about this among women and their families, reinforces the tendency to marginalise them.ConclusionInvolving women’s families and providing the support they need is challenging, but important. Experiences of women and their families of services treating perinatal mental health difficulties suggests greater focus is needed on overcoming barriers to family inclusion and on challenging underlying gender roles and expectations, rather than allowing these to shape and guide practice.

scholarly journals Mental health first aid for the UK Armed Forces

2019 ◽  
Vol 35 (1) ◽  
pp. 132-139 ◽  
Author(s):  
Diane M Crone ◽  
Mustafa Sarkar ◽  
Thomas Curran ◽  
Colin M Baker ◽  
Denise Hill ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Qualitative Interviews ◽  
Armed Forces ◽  
First Aid ◽  
Mental Health First Aid ◽  
Health Issues ◽  
Mental Health Issues ◽  
Positive Attitudes ◽  
The Uk

Abstract Education programmes in mental health literacy can address stigma and misunderstanding of mental health. This study investigated self-rated differences in knowledge, attitudes and confidence around mental health issues following participation in a bespoke Mental Health First Aid (MHFA) training course for the Armed Forces. The mixed methods approach comprised quantitative surveys and qualitative interviews. A survey, administered immediately post-training (n = 602) and again at 10-months post-attendance (n = 120), asked participants to rate their knowledge, attitudes and confidence around mental health issues pre- and post-training. Quantitative findings revealed a significant increase in knowledge, positive attitudes and confidence from the post-training survey which was sustained at 10-months follow-up.Semi-structured telephone interviews (n = 13) were conducted at follow-up, 6-months post-attendance. Qualitative findings revealed that participation facilitated an ‘ambassador’ type role for participants. This study is the first to have investigated the effect of MHFA in an Armed Forces community. Findings show participants perceived the training to increase knowledge regarding mental health and to enhance confidence and aptitude for identifying and supporting people with mental health problems. Results suggest that such an intervention can provide support for personnel, veterans and their families, regarding mental health in Armed Forces communities.

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