Staying Connected: Consumer Experience of the Recovery Journey and Long-Term Engagement with a Rural Mental Health Clinic. Ethnographic Phenomenological Study.

2021 ◽  
Author(s):  
Lyuda Krupin ◽  
Eric Howey ◽  
Tara Perry ◽  
Nick Todd

Background: there has been much interest in recent years about the potential impact short-term therapy can have on those needing mental health support, relatively little attention has been paid to the needs of those who require longer term support. Methods: In an ethnographic study that incorporates a participatory action research (PAR) design, exploring long-term clients’ experiences of the recovery journey and the role of rural mental health support, a sample of 6 (n = 6) consumers who had a minimum of five years of continuous involvement with a community-based mental health clinic participated in a series of two focus groups. The first focus group examined consumers’ experiences of the recovery journey and the role of the clinic in supporting their journey. The second focus group involved a member-check that allowed for participant feedback on the researchers’ summary of themes that arose from the first session. In this way, participants were given voice in revising and shaping the thematic analysis, to share their lived experiences of illness, recovery and resilience. Results: Emerging findings demonstrate how the journeys shared highlight themes of contending with extreme violence, the importance of accessible ongoing support, and finding a reason to go on in the wake of devastating personal experiences. Interpretation: Themes of being too helpful as unhelpful, balancing relationship with being able to offer advice or a challenge and connection to people and places were all highlighted. Large part of what recovery meant and participants challenge and invitation to the practitioners of its meaning was voiced.

2021 ◽  
Author(s):  
Hannah Hobson ◽  
Mya Kalsi ◽  
Louise Cotton ◽  
Melanie Forster ◽  
Umar Toseeb

Background & aims: A high rate of children in mental health services have poor language skills, but little evidence exists on how mental health support is delivered to and received by children with language needs. This study looked at parental experiences, asking parents of children speech, language and communication needs (SLCN) about their experiences seeking help for their children’s mental health. We were particularly interested on the experiences of parents of children with Developmental Language Disorder (DLD), a specific SLCN that remains relatively unknown to the general public. Methods: We conducted an online survey of 74 parents of children with speech, language and communication needs (SLCN). Survey respondents included parents of children with a range of difficulties, including DLD, autism, verbal dyspraxia, global intellectual delay, a history of hearing problems, and SLCN without a primary diagnosis. Survey respondents were asked what sources of support they had accessed for their child’s mental health and to provide comments on what was good and what was not good about this support. We then conducted 9 semi-structured interviews of parents of children with DLD about their experiences. These were parents of children with DLD aged 7 to 17 years, from across a range of educational settings, and with a range of present mental health concerns. Results: Content analyses of the survey responses from parents of children with SLCN highlighted three broad factors of importance to parents’ experiences: relational aspects of care, organisational aspects of care, and professionals’ knowledge. Thematic analyses of the interviews of parents of children with DLD identified 5 themes: the effects of language problems on the presentation of distress; the role of the school environment; the role of key professionals; standard approaches to mental health support might not be appropriate; and the role and impact on parents. Parents expressed concerns that their children’s mental health problems and need for support would not be recognised, and felt interventions were not accessible, or delivered in a manner that was not comfortable for their children due to high reliance on oral language skills. Some parents were left feeling that there was no provision suitable for their children.Conclusions: Parents of children with SLCN face barriers accessing support for their children’s mental health, including a lack of professional knowledge about their children’s language needs. Parents argued that language and communication needs can significantly affect the delivery and success of psychological therapies and interventions.


Author(s):  
Julia L. Hennessy ◽  
Liz Smythe ◽  
Max Abbott ◽  
Frances A. Hughes

This chapter provides the background for policy setting, educational preparation, and emergence of mental health support workers (MHSWs) in New Zealand and examines the work they do in mental health services. New Zealand formally introduced the MHSW role in the early 1990's to provide non-clinical services for mental health consumers or clients through either hospital or community-based services. The work MHSWs undertake and their relationship with other health professionals is discussed. Also discussed, is the relationship that MHSWs have with mental health consumers/clients and the attributes that the MHSW brings to the relationship. Consideration is given to the debate as to whether the role of the MHSW should be regulated, what it means to be considered a health professional, and the possibilities of expanding the scope of practice for MHSWs.


Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 142
Author(s):  
Alexandra Moss ◽  
Toni Green ◽  
Simon Moss ◽  
Janique Waghorn ◽  
Mary-Jessimine Bushell

Background: Australians are no strangers to sudden natural disasters, such as bushfires. The effects of a natural disaster can devastate local communities and health care services. Currently, limited research has explored the role of the pharmacist during a natural disaster. This study explores the role of the Australian pharmacist during the 2019/2020 Black Summer Bushfires. Methods: Semi-structured phone interviews were conducted with ten community pharmacists who worked through the Black Summer Bushfires whose daily tasks and work environment were directly affected by the bushfires. Thematic analysis using NVivo®, a qualitative data analysis software was conducted. Results: Analysis of the transcripts generated six main themes: collaboration; trauma and mental health; power and communication; acute presentations; triaging and emergency prescribing. Pharmacists worked in close collaboration with doctors and members of the local community. They provided triaging services, timely health advice about chronic health problems, and managed acute issues, including wound and burn management and mental health support in traumatic conditions, sometimes without power and communication amenities. The challenges presented to pharmacists during the bushfires warranted creative and flexible approaches at times. Conclusion: This study highlights the need for mental health support and training for pharmacists, provisional prescribing privileges, and a clearer set of contingency regulations and legislation related to emergencies and natural disasters. Further research is warranted to gain greater insight into the roles undertaken by Australian pharmacists during natural disasters and their autonomy in decision making processes during such times.


Author(s):  
Maria Lucia DiPlacito-DeRango

AbstractUsing Recognize, Render, and Redirect (RRR) (Di Placito-De Rango, International Journal of Mental Health and Addiction 16:284–290, 2018) as a framing organizational model, this study engaged in online document analysis to (a) locate the instructor’s position within student mental health support frameworks across Canadian colleges and universities, and (b) understand how their role is exactly defined and described. The role of instructors within student mental health support systems was detailed in 20 Canadian post-secondary institutions. Strategies to recognize, render, and redirect students were observed in most frameworks. For example, 45% of college and university support frameworks featured instructors engaging in compassionate narrative exchanges with students, which included instructors listening to student narratives with concern, no judgement, anti-discriminatory demeanor, and minimal interruption. Post-secondary institutions are urged to continue clearly defining and updating the role of instructors in post-secondary student mental health support frameworks.


2017 ◽  
Vol 83 ◽  
pp. 34
Author(s):  
Caroline Thew ◽  
Cindy Yu ◽  
Michaela Corr ◽  
Jayashri Kulkarni

Author(s):  
Sarah Parenzo ◽  
Michal Schuster

This chapter aims to provide an interpretation of the role of the mental health interpreter, using the concept of “third space” taken from the field of cultural translation and the psychoanalytical concept of transference/counter-transference. Such interpretation provides a unique and novel analysis of the work of the mental health interpreter through the perspective of the “third space”, thus enabling a broader view of the interpreter's role in the therapeutic session. The authors' insights are based on a reflective journal written by the first author while working as an interpreter during a parental training in a public mental health clinic in Israel. By reviewing the different roles, powerplays, and challenges in this third space, the authors will suggest some practical recommendation regarding the training and supervision of mental health interpreters, allowing them to serve as competent and ethical mediators between the patient and the therapist.


Sociologias ◽  
2020 ◽  
Vol 22 (53) ◽  
pp. 282-286
Author(s):  
Breno Augusto Souto Maior Fontes

2020 ◽  
Vol 18 (3) ◽  
pp. 314-318
Author(s):  
Jade French ◽  
Nic Lunt ◽  
Martin Pearson

Catalyst is a science discovery centre and independent museum based in Widnes, United Kingdom. Since 2018, it has collaborated with mental health charity Mind Halton on The MindLab project; a science inspired wellbeing programme for residents local to the museum in an area where access to mental health support is low. As museums in the twenty-first century are being increasingly regarded as community resources capable of producing valuable social impact, this article considers the role of museums in harnessing this potential to enhance community health and wellbeing during the COVID-19 pandemic. It reflects on the challenges encountered during this unprecedented period of lockdown, as well as the emerging opportunities through the perspectives of those delivering The MindLab project.


2020 ◽  
Author(s):  
Eileen M. Condon ◽  
Amanda Dettmer ◽  
Dylan Gee ◽  
Cheyanne Hagan BA ◽  
Ka Shu Lee ◽  
...  

As a call to action in the field, we highlight that the COVID-19 pandemic is an abrupt and chronic stressor to children and families of disadvantaged and marginalized backgrounds. Critically, this global crisis has a disproportionate impact on the physical, mental and behavioral health of these vulnerable members of society, due to pre-existing disadvantages such as economic hardship, educational inequities, risks of maltreatment and community violence. A lack of access to mental health support further deprives children and their caregivers of the resources needed to cope with magnified adversities during the pandemic. We believe these inequalities are not the mere result of the pandemic, but enduring issues in society that are detrimental to the wellbeing of the most vulnerable. We advocate for long-term strategies to change societal structures that oppress marginalized children and families, and believe the pandemic reflects a pressing need to invest in interventions.


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