scholarly journals “Tolerated” and non-status persons‟ access to mental health support services: a comparison between Toronto, Canada and Aachen, Germany

2021 ◽  
Author(s):  
Avery Toppan

Using the theoretical framework of Identity Formation, this Major Research Paper (MRP) aims to explore the Post-national rights of “tolerated” or undocumented persons in Toronto and Aachen, and their access to necessary mental health services. The assumption is that the experiences of these groups are both traumatic and unique, often creating emotional, mental and physical stress. These forms of stress require various forms of treatment, from formal mental health evaluations, to informal group counselling or bonding with persons of similar experiences. This work takes three service providers in each city, discusses the perspectives and services available, and offers an analysis as to whether they provide the suitable and necessary care for “tolerated” or non-status persons. I will argue that social exclusion in the form of contestant enmity is utilized to deny full access to support services. Recent legal and policy changes in both countries will be accounted for, and recommendations given as to how the service providers and actors at the municipal level can move forward to provide the necessary services.

2021 ◽  
Author(s):  
Avery Toppan

Using the theoretical framework of Identity Formation, this Major Research Paper (MRP) aims to explore the Post-national rights of “tolerated” or undocumented persons in Toronto and Aachen, and their access to necessary mental health services. The assumption is that the experiences of these groups are both traumatic and unique, often creating emotional, mental and physical stress. These forms of stress require various forms of treatment, from formal mental health evaluations, to informal group counselling or bonding with persons of similar experiences. This work takes three service providers in each city, discusses the perspectives and services available, and offers an analysis as to whether they provide the suitable and necessary care for “tolerated” or non-status persons. I will argue that social exclusion in the form of contestant enmity is utilized to deny full access to support services. Recent legal and policy changes in both countries will be accounted for, and recommendations given as to how the service providers and actors at the municipal level can move forward to provide the necessary services.


2021 ◽  
pp. 002205742110468
Author(s):  
Melissa Erickson ◽  
Trish Harvey

A case study was implemented in one rural district as it transitioned to a trauma-informed environment. A theoretical framework based on the literature framed the data collection around the seven themes of awareness, positive culture, intentional instruction, restorative practice, self-care, mental health support services, and professional development. The collected data from surveys, observations, document analysis and a focus group were used to determine strengths and areas for improvement in implementing trauma-informed practices at the case study site.


2020 ◽  
Vol 17 ◽  
Author(s):  
Kelly Mackinnon ◽  
Timothy Everett ◽  
Lisa Holmes ◽  
Erin Smith ◽  
Brennen Mills

IntroductionParamedics are exposed to significant and cumulative stressors that contribute to poor mental health. The provision of effective and engaging mental health support is essential in improving overall wellbeing. Many ambulance services have adapted their available support services to reflect this need. However, there remains limited research into the perceived efficacy of these services and barriers that limit uptake from paramedics.MethodsParamedics and ambulance volunteers from Australia and New Zealand were invited to complete an online survey consisting of a series of Likert-scale and open-ended response questions. The well-validated Kessler Psychological Distress Scale was also incorporated into the online survey.ResultsA total of 184 participants completed the survey. A total of 50 (27%) participants reported high/very high levels of psychological distress. Participants exposed to at least one adverse event while working reported higher psychological distress scores than those that had not. Just over half (51%) of all participants disagreed/strongly disagreed there was no stigma associated with seeking mental health support from paramedic colleagues and 54% of participants disagreed/strongly disagreed there was no stigma from managerial staff.ConclusionThese findings suggest paramedics are at a greater risk of psychological distress than the general population. This is particularly problematic given there is a clear perception of ongoing stigma among paramedics associated with the utilisation of mental health support services. Future research should explore methods for reducing stigma and encouraging help-seeking behaviours in this vulnerable population throughout all phases of an emergency service workers career.


2019 ◽  
Author(s):  
Andrew Mayers ◽  
Sarah Hambidge ◽  
Olivia Bryant ◽  
Emily Arden-Close

Abstract Recent interest has been shown regarding support provided for maternal postnatal mental illness. Fathers appear to play an important role within this support, however many feel alienated within maternal services. The current qualitative study aimed to investigate fathers’ experience of support provided to fathers, to help support their partner through postnatal mental illness. Twenty-five fathers participated in an online questionnaire regarding their experience of their partner’s mental illness and the support provided to fathers. Thematic analysis revealed three main themes: ‘Support received to help support their partner’, ‘Support fathers wanted that was not received’ and ‘Father’s mental health’. These themes, and subsequent sub-themes, are discussed, highlighting an overall lack of support for many fathers, despite many wanting support on how to help their partner, and information on their own mental health and the services available. Fathers specifically wanted healthcare professionals to sign-post them to someone they can talk to for emotional support, and to be taught coping strategies which would help them to support both their partner and baby. The implications for these findings will also be explored, especially in light of the need to inform mental health support services.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027892 ◽  
Author(s):  
Daniel Poulter ◽  
Nicole Votruba ◽  
Ioannis Bakolis ◽  
Frances Debell ◽  
Jayati Das-Munshi ◽  
...  

ObjectivesThe purpose of this study was to assess (1) the overall mental health of Members of Parliament (MPs) and (2) awareness among MPs of the mental health support services available to them in Parliament.DesignAn anonymous self-completed online cross-sectional survey was conducted in December 2016.Setting56th UK House of Commons.ParticipantsAll 650 members of the 56th UK House of Commons were invited to participate; 146 MPs (23%) completed the survey.OutcomesThe General Health Questionnaire-12 was used to assess age- and sex-standardised prevalence of probable common mental disorders (CMD). Results were compared with a nationally representative survey, the Health Survey for England (HSE) 2014. Core demographic questions, MPs’ awareness of available mental health services, their willingness to discuss mental health issues with party Whips and fellow MPs and the effects of employment outside Parliament were assessed.ResultsComparison of MP respondents with HSE comparator groups found that MPs have higher rates of mental health problems (age- and sex-standardised prevalence of probable CMD in 49 surveyed MPs 34% (95% CI 27% to 42%) versus 17% (95% CI 13% to 21%) in the high-income comparison group). Survey respondents were younger, more likely to be female and more educated compared with all MPs. 77% of MPs (n=112) did not know how to access in-house mental health support. 52% (n=76) would not discuss their mental health with party Whips or other MPs (48%; n=70).ConclusionsMPs in the study sample had higher rates of mental health problems than rates seen in the whole English population or comparable occupational groups. Most surveyed MPs are unaware of mental health support services or how to access them. Our findings represent a relatively small sample of MPs. There is a need for MPs to have better awareness of, and access to, mental health support.


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