scholarly journals Does time heal all wounds?: the changing mental health of refugees over time

2021 ◽  
Author(s):  
Stephanie Nicole Fraser
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Mental Healthcare ◽  
Armed Conflicts ◽  
Traumatic Experiences ◽  
Future Research ◽  
Psychological Interventions ◽  
Health Changes ◽  
The World ◽  
Migration Factors

An increase of ongoing armed conflicts has resulted in substantial numbers of refugees around the world. The traumatic experiences refugees face can be detrimental to their mental health, further compounded by resettlement stressors upon arrival in Canada. This qualitative study incorporates an intersectional social determinants of health framework in order to understand the changes in mental health of refugees at different stages of a lifelong (re)settlement process. The findings of this study are informed by interviews with five service providers. Results indicated a number of salient post-migration factors that influence mental health in both the short and over the longer term for refugees and further elucidated the effects of a mutually-reinforcing relationship between resettlement stressors and trauma in mental health changes. Implications of the study findings reveal a critical need for a more psychosocial approach to be taken regarding refugee mental healthcare in future research as well as psychological interventions.

scholarly journals Does time heal all wounds?: the changing mental health of refugees over time

2021 ◽  
Author(s):  
Stephanie Nicole Fraser
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Mental Healthcare ◽  
Armed Conflicts ◽  
Traumatic Experiences ◽  
Future Research ◽  
Psychological Interventions ◽  
Health Changes ◽  
The World ◽  
Migration Factors

An increase of ongoing armed conflicts has resulted in substantial numbers of refugees around the world. The traumatic experiences refugees face can be detrimental to their mental health, further compounded by resettlement stressors upon arrival in Canada. This qualitative study incorporates an intersectional social determinants of health framework in order to understand the changes in mental health of refugees at different stages of a lifelong (re)settlement process. The findings of this study are informed by interviews with five service providers. Results indicated a number of salient post-migration factors that influence mental health in both the short and over the longer term for refugees and further elucidated the effects of a mutually-reinforcing relationship between resettlement stressors and trauma in mental health changes. Implications of the study findings reveal a critical need for a more psychosocial approach to be taken regarding refugee mental healthcare in future research as well as psychological interventions.

Finding Strength in the Struggle

2020 ◽  
pp. 195-219
Author(s):  
Loni Crumb ◽  
Madeline Clark ◽  
Susan M. Long
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Service Providers ◽  
Rural Poverty ◽  
Mental Healthcare ◽  
People Of Color ◽  
Future Research ◽  
Health And Wellbeing ◽  
Strength Based ◽  
Health Disorders

Poverty is an intersectional issue, as children; women; men; people of color; people who identify as lesbian, gay, or transgender; and immigrant groups are all prone to experience the multifaceted impact of poverty. People who live in rural poverty are likely to experience more severe and persistent mental health disorders. This chapter provides an overview of how rural poverty impacts the mental health and wellbeing of diverse children and families. The authors discuss issues faced by residents living in rural poverty and provide multiple strength-based strategies that behavioral service providers can use to provide culturally relevant mental healthcare in impoverished rural communities. Lastly, the authors offer suggestions for future research.

Finding Strength in the Struggle

2021 ◽  
pp. 1012-1036
Author(s):  
Loni Crumb ◽  
Madeline Clark ◽  
Susan M. Long
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Service Providers ◽  
Rural Poverty ◽  
Mental Healthcare ◽  
People Of Color ◽  
Future Research ◽  
Health And Wellbeing ◽  
Strength Based ◽  
Health Disorders

Poverty is an intersectional issue, as children; women; men; people of color; people who identify as lesbian, gay, or transgender; and immigrant groups are all prone to experience the multifaceted impact of poverty. People who live in rural poverty are likely to experience more severe and persistent mental health disorders. This chapter provides an overview of how rural poverty impacts the mental health and wellbeing of diverse children and families. The authors discuss issues faced by residents living in rural poverty and provide multiple strength-based strategies that behavioral service providers can use to provide culturally relevant mental healthcare in impoverished rural communities. Lastly, the authors offer suggestions for future research.

scholarly journals Development and acceptability of an educational video about a smoking cessation quitline for use in adult outpatient mental healthcare

2021 ◽  
Author(s):  
Adina S Kazan ◽  
Laura M Perry ◽  
Wasef F Atiya ◽  
Hallie M Voss ◽  
Seowoo Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
Tobacco Use ◽  
Transtheoretical Model ◽  
Mental Healthcare ◽  
Advisory Board ◽  
Future Research ◽  
Educational Video ◽  
Design Elements ◽  
Outpatient Mental Health ◽  
Preparation Phase

Abstract Tobacco use is a leading preventable cause of early mortality and is prevalent among adults with mental health diagnoses, especially in the southern USA. Increasing cessation resources in outpatient mental health care and targeting individuals most receptive to changing their behavior may improve cessation. Drawing on the transtheoretical model, our goals were to develop an educational video about the Louisiana Tobacco Quitline and evaluate its acceptability. We designed the video with knowledge derived from Louisiana-specific data (2016 Louisiana Adult Tobacco Survey, N = 6,469) and stakeholder feedback. Bivariate associations between demographic/tobacco-use characteristics and participants’ stage of quitting (preparation phase vs. nonpreparation phase) were conducted, which informed design elements of the video. Four stakeholder advisory board meetings involving current smokers, mental health clinicians, and public health advocates convened to provide iterative feedback on the intervention. Our stakeholder advisory board (n = 10) and external stakeholders (n = 20) evaluated intervention acceptability. We found that 17.9% of Louisiana adults were current smokers, with 46.9% of them in the preparation phase of quitting. Using insights from data and stakeholders, we succeeded in producing a 2-min video about the Louisiana Tobacco Quitline which incorporated three themes identified as important by stakeholders: positivity, relatability, and approachability. Supporting acceptability, 96.7% of stakeholders rated the video as helpful and engaging. This study demonstrates the acceptability of combining theory, existing data, and iterative stakeholder feedback to develop a quitline educational video. Future research should examine whether the video can be used to reduce tobacco use.

scholarly journals Pathways to Mental Health–Related Treatment Among Caregiving Spouses

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 358-358
Author(s):  
Hyojin Choi ◽  
Kristin Litzelman ◽  
Molly Maher ◽  
Autumn Harnish
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Healthcare ◽  
Health Condition ◽  
Future Research ◽  
Provider Type ◽  
Hospital Emergency Room ◽  
Health Related ◽  
Nationally Representative

Abstract Spouses of cancer survivors are 33% less likely to receive guideline-concordant depression treatment than other married adults. However, depression is only one of many manifestations of psychological distress for caregivers. This exploratory study sought to assess the paths by which caregivers access mental health-related treatment. Using nationally representative data from the Medical Expenditures Panel Survey, we assessed the proportion of caregivers who received a mental health-related prescription or psychotherapy visit across care settings (office based versus outpatient hospital, emergency room, or inpatient visit), provider type (psychiatric, primary care, other specialty, or other), and visit purpose (regular checkup, diagnosis and treatment, follow-up, psychotherapy, other). In addition, we assessed the health condition(s) associated with the treatment. The findings indicate that a plurality of caregivers accessed mental health-related treatment through an office-based visit (90%) with a primary care provider (47%). A minority accessed this care through a psychologist or psychiatrist (11%) or a physician with another specialty (12%) or other provider types. Nearly a third accessed treatment as part of a regular check-up (32%). These patterns did not differ from the general population after controlling for sociodemographic characteristics. Interestingly, mental health-related treatments were associated with a mental health diagnosis in only a minority of caregivers. The findings confirm the importance of regular primary care as a door way to mental healthcare, and highlight the range of potential paths to care. Future research will examine the correlates of accessing care across path types.

Psychosocial Needs of Torture Survivors

1991 ◽  
Vol 25 (4) ◽  
pp. 481-490 ◽  
Author(s):  
Derrick Silove ◽  
Ruth Tarn ◽  
Robin Bowles ◽  
Janice Reid
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychosocial Rehabilitation ◽  
Traumatic Experiences ◽  
Torture Survivors ◽  
Psychosocial Needs ◽  
Western Countries ◽  
The World ◽  
Widespread Interest

Growing recognition that the world faces a modern epidemic of torture has stimulated widespread interest amongst mental health professionals in strategies for the treatment of survivors. In this article we outline the distinctive experiences of torture survivors who present for treatment in western countries. These survivors are usually refugees who, in addition to torture, have suffered a sequence of traumatic experiences and face ongoing linguistic, occupational, financial, educational and cultural obstacles in their country of resettlement. Their multiple needs call into question whether “working through” their trauma stories in psychotherapy will on its own ensure successful psychosocial rehabilitation. Drawing on our experience at a recently established service [1], we propose a broader therapeutic aim.

Adolescent mental health

2018 ◽  
pp. 70-73
Author(s):  
Kelly Clarke ◽  
Sílvia Shikanai Yasuda ◽  
Atif Rahman
Keyword(s):  
Mental Health ◽  
Stakeholder Involvement ◽  
Mental Healthcare ◽  
Health Resources ◽  
Adolescent Mental Health ◽  
Armed Conflicts ◽  
Healthcare Provision ◽  
Health Disorders ◽  
Socioeconomic Consequences ◽  
And Training

Adolescent mental health disorders have serious health and socioeconomic consequences and may persist into adulthood and affect future generations. They account for four of the top ten causes of DALYs among young people, with suicide as the main cause of adolescent mortality. New threats are constantly emerging and changing with urbanisation, social media, and armed conflicts. As a neglected area of public health, resources are needed to improve awareness and develop global research, policies and training. Stakeholder involvement and government commitment are also essential to address the gap between burden and resource allocation. Promotion and prevention at a community level, coordinated between different sectors, could help to foster youth resilience. Non-specialist mental healthcare provision is a promising approach in low-resource settings but must be adapted to local needs.

scholarly journals Development of a psychological first-aid model in inpatients with COVID-19 in Wuhan, China

2020 ◽  
Vol 33 (3) ◽  
pp. e100292 ◽  
Author(s):  
Wenhong Cheng ◽  
Fang Zhang ◽  
Yingqi Hua ◽  
Zhi Yang ◽  
Jun Liu
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Psychological Intervention ◽  
Mental Healthcare ◽  
First Aid ◽  
Mental Health Workers ◽  
Psychological Interventions ◽  
Medical Systems ◽  
Psychological First Aid ◽  
Face To Face

BackgroundFacing the social panic and substantial shortage of medical resources during the coronavirus disease 2019 (COVID-19) outbreak, providing psychological first-aid to inpatients is essential for their rehabilitation and the orderly operating of medical systems. However, the closed-ward environment and extreme shortage of onsite mental health workers have limited the use of traditional face-to-face diagnosis and psychological interventions.AimTo develop a mental health intervention model for inpatients that can be applied during a widespread epidemic, such as COVID-19.MethodsIn a medical team stationed in Leishenshan Hospital, Wuhan, China, we integrated onsite and online psychological support resources to implement a graded psychological intervention system. The onsite psychiatrist established trust with the patients and classified them into categories according to their symptom severity. While face-to-face evaluation and intervention are critical for effective online support, the online team effectively extended the scope of the ‘first-aid’ to all patients.ConclusionThis integrated onsite and online approach was effective and efficient in providing psychological interventions for inpatients during the crisis. Our model provides a realistic scheme for healthcare systems in or after the COVID-19 epidemic and also could be adopted in areas of the world with insufficient mental healthcare resources.

scholarly journals Identifying research priorities for patient safety in mental health: an international expert Delphi study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e021361 ◽  
Author(s):  
Lindsay H Dewa ◽  
Kevin Murray ◽  
Bethan Thibaut ◽  
Sonny Christian Ramtale ◽  
Sheila Adam ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Safety ◽  
Delphi Study ◽  
Service User ◽  
Patient Perspective ◽  
Research Priorities ◽  
Mental Healthcare ◽  
Field Research ◽  
Future Research ◽  
A Priority

ObjectivePhysical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health.DesignSemistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements.Setting and participantsAcademic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included.Main outcome measuresAgreement in research priorities on a five-point scale.ResultsSeventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important.ConclusionsThis is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this.

scholarly journals State of mental healthcare systems in Eastern Europe: do we really understand what is going on?

2016 ◽  
Vol 13 (4) ◽  
pp. 96-99 ◽  
Author(s):  
Dzmitry Krupchanka ◽  
Petr Winkler
Keyword(s):  
Mental Health ◽  
Eastern Europe ◽  
Mental Healthcare ◽  
Healthcare Systems ◽  
World Health ◽  
Quality Data ◽  
Service Development ◽  
Future Research ◽  
Current State ◽  
Development Analysis

The article examines the current state of mental healthcare systems in countries of Eastern Europe and derives implications for future research and service development. Analysis of available statistics from the World Health Organization's Mental Health Atlas suggests the need for better-quality data collection. Nonetheless, there appear to be insufficient resources allocated to mental health, lack of involvement of service users in policy-making and, to a large extent, systems continue to rely on mental hospitals. Based on the data presented, a set of directions for future reforms was drafted.

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