scholarly journals User Involvement in the Handover between Mental Health Hospitals and Community Mental Health: A Critical Discourse Analysis

2021 ◽  
Vol 18 (7) ◽  
pp. 3352
Author(s):  
Kim Jørgensen ◽  
Tonie Rasmussen ◽  
Morten Hansen ◽  
Kate Andreasson ◽  
Bengt Karlsson
Keyword(s):  
Mental Health ◽  
Discourse Analysis ◽  
Community Mental Health ◽  
Critical Discourse Analysis ◽  
Health Professionals ◽  
Study Participant ◽  
Mental Healthcare ◽  
User Involvement ◽  
Analysis Framework ◽  
Mental Health Hospitals

Introduction: This study aimed to explore how healthcare professionals and users could perceive user involvement in the handover between mental health hospitals and community mental healthcare, drawing on the discourse analysis framework from Fairclough. Methods: A qualitative research design with purposive sampling was adopted. Five audio-recorded focus group interviews with nurses, users and other health professionals were explored using Fairclough’s discourse analysis framework. Ethical approval: The study was designed following the ethical principles of the Helsinki Declaration and Danish Law. Each study participant in the two intersectoral sectors gave their informed consent after verbal and written information was provided. Results: This study has shown how users can be subject to paternalistic control despite the official aims that user involvement should be an integral part of the care and treatment offered. As evidenced in discussions by both health professionals and the users themselves, the users were involved in plans with the handover on conditions determined by the health professionals who were predominantly focused on treating diseases and enabling the users to live a life independent of professional help. Conclusions: Our results can contribute to dealing with the challenges of incorporating user involvement as an ideology in the handover between mental health hospitals and community mental health. There is a need to start forming a common language across sectors and, jointly, for professionals and users to draw up plans for intersectoral care.

scholarly journals Mental health in post-earthquake Nepal

2015 ◽  
Vol 5 (4) ◽  
pp. 520-521 ◽  
Author(s):  
Kiran Thapa
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Mental Illnesses ◽  
Children And Families ◽  
Long Run

For two decades, Government of Nepal has made efforts to develop and maintain mental health professionals in all areas; however, much has to be done. This could be an opportunity for Nepal to redesign mental healthcare services at the community level. Primary mental health services integrated with community mental health could help children and families cope with and recover from mental illnesses in the long run.

Recovery-oriented intersectoral care between mental health hospitals and community mental health services: An integrative review

2020 ◽  
pp. 002076402096663 ◽  
Author(s):  
Kim Jørgensen ◽  
Tonie Rasmussen ◽  
Morten Hansen ◽  
Kate Andreasson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Healthcare ◽  
Community Mental Health Services ◽  
Routine Care ◽  
Integrative Review ◽  
Patient Journey ◽  
Mental Health Hospitals

Background: Recovery-oriented intersectoral care is described as an aim in mental healthcare to create a holistic framework for planning that provides integration of treatment and rehabilitation. Existing studies show that nurses and other professionals do not take responsibility for the collaborative element of intersectoral care between mental health hospitals and community mental health services. The users of mental healthcare do not experience their patient journey as a cohesive process when they are discharged from a mental health hospital to community mental health services. Aim: The integrative review aims to examine the professionals’ experience with recovery-oriented intersectoral care between mental health hospitals and community mental health services. Design: Since the aim was to review user experience, we chose an integrative review as an obvious choice for design. Ethical approval: Not applicable. Findings: Seven studies met the inclusion criteria. The interactive inductive and deductive analysis generated four themes, which clarify the experience of professionals with recovery-oriented intersectoral care between the mental health hospitals and community mental health services, namely ‘structurally routine care’, ‘unequal balance of power between the sectors’, ‘bureaucracy as a barrier to recovery-oriented intersectoral care’ and ‘flexible mental healthcare approaches’. Conclusion: This review achieves specific knowledge of recovery-oriented intersectoral care. The studies included show that recovery-oriented intersectoral care is not clearly defined. It is challenging to transfer intersectoral care to an organisation with different structural and linguistic barriers.

scholarly journals Language in Mental Health Disorders

Linguistics ◽  
2019 ◽  
Author(s):  
Dennis Tay
Keyword(s):  
Mental Health ◽  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Disorders ◽  
World Health ◽  
Traumatic Experiences ◽  
Trauma Patients ◽  
Health Disorders

Mental health disorders are conditions that disturb thought, mood, behaviors, or combinations of all three. Familiar examples include depression, bipolar disorder, posttraumatic stress disorder, and schizophrenia. Although symptoms range from mild to severe, they generally affect an individual’s ability to function in daily life and are more common in the 2010s than popularly assumed, according to reporting by the World Health Organization. Language in mental health disorders has been researched in two broad strands. First, many of them are treated by the verbal activity of psychological counseling (or psychotherapy), sometimes called the “talking cure.” Therapists apply clinical methods and interact with clients over multiple sessions to understand and modify their behaviors, cognitions, and emotions. On the one hand, this type of interaction provides rich data for linguists working in sociolinguistics, conversation analysis, (critical) discourse analysis, and pragmatics to investigate the linguistic nature of a socially important activity. On the other hand, a growing number of mental health professionals acknowledge the relevance of linguistic research and offer similar analyses from more clinically oriented perspectives. Both groups of researchers employ diverse methodologies, including discourse analysis, corpus, survey, and (quasi)-experimental techniques on different levels of linguistic phenomena, from words to rhetorical devices such as metaphor. While research into the language of psychotherapy generally assumes that clients have intact language and communication skills that support the treatment process, the second research strand examines the relationships between specific mental health diagnoses and language-related symptoms. Trauma patients, for instance, suffer a loss of ability to produce coherent narratives of their traumatic experiences. Whether language is seen as a treatment resource or target of affliction, one can identify fairly distinct descriptive or prescriptive/interventionist foci in the literature. Descriptively oriented studies are more common in linguistics research and have the fundamental aim of documenting characteristics of language in the underexplored context of mental health. The general assumption of such studies is that all social contexts of language use are of inherent interest. Therefore, research is not primarily aimed at improving how the activities underlying these contexts are conducted; that is, better treatment outcomes. In contrast, prescriptive or interventionist studies are more common in psychological and mental health research. The emphasis is not on understanding linguistic properties, but on the relationship between language variables and treatment processes or outcomes. A survey of both literatures, however, reveals an encouraging movement toward some meeting point in between, and closer collaborative work among linguists and mental health professionals. The growing number of synergistic research resources and publication outlets also reflects this.

scholarly journals Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users

2020 ◽  
Vol 17 (23) ◽  
pp. 8777
Author(s):  
Kim Jørgensen ◽  
Tonie Rasmussen ◽  
Morten Hansen ◽  
Kate Andreasson ◽  
Bengt Karlsson
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Ethical Issues ◽  
Study Participant ◽  
Mental Healthcare ◽  
Holistic Approach ◽  
Main Theme ◽  
Written Information ◽  
Group Interviews

This study aimed to explore how mental health professionals and users perceive recovery-oriented intersectoral care when comparing mental health hospitals and community mental healthcare. Methodological design: Five audio-recorded focus group interviews of nurses, other health professionals and users were explored using manifest and latent content analysis. Ethical issues and approval: The study was designed in accordance with the ethical principles of the Helsinki Declaration and Danish law. Each study participant in the two intersectoral sectors gave their informed consent after verbal and written information was provided. Findings: From the health professionals’ perspective, the main theme informed by subthemes and categories was formulated: ‘Recovery-oriented intersectoral care requires more coordination and desire for collaboration’. Two subthemes were subsequently formulated: ‘The users´ perspective of the centre’ and ‘Need for a common agenda and understanding of recovery-oriented intersectoral care’. From the users´ perspective, the main theme was formulated as: ‘Recovery-oriented intersectoral care in tension between medical- and holistically oriented care’. This theme was informed by two subthemes: ‘The users´ perspective is not in focus’ and ‘A trusting relationship and a holistic approach brings coherence’. Conclusions: This study reveals that health professionals want to work in a recovery-oriented manner in intersectoral care, but several challenges appear which make achieving this aim difficult. A common understanding of recovery and how it should be carried out in intersectoral care does not exist. Care decisions are primarily made paternalistically, where the users’ and relatives’ voices are ignored. In an attempt to create coherence across sectors, intersectoral network meetings have been established with health professionals from both sectors. However, the meetings are characterised by a lack of a clear purpose regarding the meeting structure and content, and users are only minimally involved. Our results can contribute to dealing with the challenges of incorporating recovery-oriented intersectoral care as an ideology in all psychiatric and municipal contexts and is, therefore, important for health professionals and users.

scholarly journals Oral health promotion practices of Australian community mental health professionals: a cross sectional web-based survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Roisin McGrath ◽  
Rodrigo Marino ◽  
Julie Satur
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Oral Health ◽  
Community Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Oral Health Promotion ◽  
Mental Health Consumers ◽  
Australian Community ◽  
Health Support

Abstract Background This study explored the oral health promotion practices of Australian community mental health professionals working with people living with severe mental illness (SMI). Methods An anonymous cross-sectional web-based survey was distributed to all Community Rehabilitation and Support Workers (CRSWs) working at Neami National (n = 471), an Australian community mental health service. The validated questionnaire assessed participants’ self-rated oral health knowledge and confidence (7 questions); their perceived barriers (9 questions) and attitudes (5 questions) to oral health promotion; and their oral health promotion practices (7 questions). Differences in responses between groups were analysed using Chi-square, Fisher’s exact and Mann–Whitney U tests. Logistic Regression Analysis served to explore the probability of providing oral health support to mental health consumers. Results A total of 141 CRSWs were included in this study, achieving a response rate of 30 percent. Roughly two-fifths (39.0%) of participants had oral health training in the previous 12-months. The majority of CRSWs (89.3%) believed (‘Agreed’ or ‘Strongly agreed’) that mental health support workers have a role to play in promoting oral health. However, less than half (44.0%) of CRSWs practiced oral health promotion activities when working with mental health consumers. When asked about barriers to promoting oral health, ‘lack of consumer interest’ was the most prevalent issue. CRSWs who had oral health training were over three-times (OR 3.5, 95% CI 1.25–9.83, p = 0.017) more likely to provide oral health support. Results showed the provision of oral health support was most strongly associated with self-rated knowledge and confidence (OR 4.089, 95% CI 1.629–10.263, p = 0.003) and attitudes to oral health promotion (OR 3.906, 95% CI 1.77–8.65, p = 0.001). Conclusion The results of this study suggest that mental health support workers who have more positive attitudes to oral health promotion and who have higher self-rated oral health knowledge and confidence are more likely to provide oral health support in their professional role. Training for community mental health professionals is essential to build confidence and skills to promote oral health for mental health consumers.

Constructing undesirables: A critical discourse analysis of othering of Fulani nomads in the Ghanaian news media

2021 ◽  
pp. 175048132098209
Author(s):  
Mark Nartey ◽  
Hans J Ladegaard
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
News Media ◽  
Public Debate ◽  
Critical Discourse ◽  
Analysis Framework ◽  
News Reporting ◽  
Media Attention ◽  
News Stories ◽  
Content Organization

The activities of Fulani nomads in Ghana have gained considerable media attention and engendered continuing public debate. In this paper, we analyze the prejudiced portrayals of the nomads in the Ghanaian news media, and how these contribute to an exclusionist and a discriminatory discourse that puts the nomads at the margins of Ghanaian society. The study employs a critical discourse analysis framework and draws on a dataset of 160 articles, including news stories, editorials and op-ed pieces. The analysis reveals that the nomads are discursively constructed as undesirables through an othering process that centers on three discourses: a discourse of dangerousness/criminalization, a discourse of alienization, and a discourse of stigmatization. This anti-nomad/Fulani rhetoric is evident in the choice of sensational headlines, alarmist news content, organization of arguments, and use of quotations. The paper concludes with a call for more balanced and critical news reporting on the nomads, especially since issues surrounding them border on national cohesion and security.

scholarly journals Service innovation: an old age liaison psychiatry service

2007 ◽  
Vol 31 (4) ◽  
pp. 145-147 ◽  
Author(s):  
Paul Whelan ◽  
Kirsten Lawson ◽  
Stephen W. Burton
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Old Age ◽  
Service Innovation ◽  
Mental Healthcare ◽  
Liaison Psychiatry ◽  
Service Models ◽  
Consultation Model

Service models differ for the provision of mental healthcare for elderly medical in-patients. Input by the general adult liaison psychiatry service with no age cutoff (Lipowski, 1983) and sector-based old age community mental health teams (CMHTs) (Scott et al, 1988; De Leo et al, 1989) have been described, as well as a consultation–liaison model. Holmes et al (2003) showed that old age psychiatrists favoured a liaison rather than a consultation model.

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