scholarly journals When in Doubt … Career Indecision, Mental Wellbeing and Consultation-Seeking Behaviour—A Qualitative Interview Study among Students and Counsellors

2021 ◽  
Vol 18 (23) ◽  
pp. 12604
Author(s):  
Katherina Heinrichs ◽  
Victoria Hermülheim ◽  
Laura Pilz González ◽  
Adrian Loerbroks
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Qualitative Interview ◽  
Health Problems ◽  
Interview Study ◽  
Mental Wellbeing ◽  
Counselling Services ◽  
Qualitative Interview Study ◽  
University Dropout ◽  
German Universities

University dropout is often preceded by a phase of doubt whether to continue studying, either in general or just the given subject. Mental health problems might be interrelated with this phase of doubt. Counselling services at German universities could provide help, but do not seem to reach students in need. To explore the phase of doubt and possible (inter-)relationships with mental wellbeing among university students in Germany as well as their consultation-seeking behaviour, a qualitative interview study was conducted (2017–2018). Participants were students casting doubts on their studies (n = 14) and counsellors (n = 16) working with this target group. Examples of reasons for doubts were insufficient information, unfulfilled expectations concerning the subject, subjectively poor study conditions, performance problems, and lacking future perspectives. Mental health problems were subjectively intertwined with doubts, considered as both cause and effect. Counselling services were evaluated as hardly helpful by students, and as being in need of improvement by counsellors. Suggestions as how to improve such services comprise a more specific and proactive way to approach students. By considering the phase of doubt before dropout, German universities can improve their support services to be more responsive to students and, thus, prevent dropout and mental health problems.

scholarly journals Exploring pathways to mental healthcare for urban Aboriginal young people: a qualitative interview study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e025670
Author(s):  
Deanna Kalucy ◽  
Janice Nixon ◽  
Michael Parvizian ◽  
Peter Fernando ◽  
Simone Sherriff ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Health Workers ◽  
Care Pathway ◽  
Mental Healthcare ◽  
Qualitative Interview ◽  
Interview Study ◽  
Screening Tools ◽  
Qualitative Interview Study

ObjectivesTo explore the perceptions of Aboriginal Community Controlled Health Service (ACCHS) staff involved in providing mental healthcare to Aboriginal young people of the current and ideal pathways to mental healthcare for urban Aboriginal young people attending ACCHSs, and to identify what additional supports staff may need to provide optimal mental healthcare to Aboriginal young people.DesignQualitative interview study conducted during May 2016–2017.SettingPrimary care, at two ACCHSs participating in the Study of Environment on Aboriginal Resilience and Child Health in New South Wales.ParticipantsPurposive sampling of staff involved in mental healthcare pathways of Aboriginal young people, including general practitioners (GPs), nurses and Aboriginal Health Workers (AHWs).ResultsAll individuals approached for interview (n=21) participated in the study. Four overarching themes and seven sub-themes were identified: availability and use of tools in practice (valuing training and desire for tools and established pathways), targeting the ideal care pathway (initiating care and guiding young people through care), influencing the care pathway (adversities affecting access to care and adapting the care pathway) and assessing future need (appraising service availability).ConclusionsParticipants desired screening tools, flexible guidelines and training for healthcare providers to support pathways to mental healthcare for Aboriginal young people. Both GPs and AHWs were considered key in identifying children at risk and putting young people onto a pathway to receive appropriate mental healthcare. AHWs were deemed important in keeping young people on the care pathway, and participants felt care pathways could be improved with the addition of dedicated child and adolescent AHWs. The ACCHSs were highlighted as essential to providing culturally appropriate care for Aboriginal young people experiencing mental health problems, and funding for mental health specialists to be based at the ACCHSs was considered a priority.

scholarly journals Resist or Adapt? A Narrative Analysis of Endeavors for Belonging Among Young Adults with Co-Occurring Substance Use and Mental Health Problems

2021 ◽  
Author(s):  
Randi Semb ◽  
Knut Tore Sælør ◽  
Marit Borg
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young Adults ◽  
Narrative Analysis ◽  
Mental Health Problems ◽  
Qualitative Interview ◽  
Health Problems ◽  
Interview Data ◽  
Qualitative Interview Study ◽  
Community Belonging

AbstractThe article explores how young adults with co-occurring substance use and mental health problems experience and describe their own and others’ contributions to their sense of community belonging. This article is part of a larger qualitative interview study of young adults. The data for this report were the individual interviews with two study participants. These participants were chosen because they offered in-depth understandings relating to various aspects of community belonging. A thematic narrative analysis of the interview data was carried out. Central to this model of analysis is to transform unstructured qualitative interview data into a unified narrative for each participant, structured around a thematic plot. The analysis revealed two plots: ‘Having to go against yourself to be an insider', and ‘You have to realize that you have problems and try to do something about them'. We interpreted the first narrative as an expression of marginalized people feeling they deserve recognition from society, while the second narrative reflected the idea that each person has a personal responsibility for being valued. We conclude that the narratives expressed the importance of helping young adults to place their lived experiences in a larger social context.

What is the Threshold of Teachers' Recognition and Report of Concerns About Anxiety and Depression in Students? An Exploratory Study With Teachers of Adolescents in Regional Australia

2011 ◽  
Vol 21 (2) ◽  
pp. 126-141 ◽  
Author(s):  
Michelle Trudgen ◽  
Sharon Lawn
Keyword(s):  
Mental Health ◽  
Professional Learning ◽  
Mental Health Problems ◽  
Teaching Experience ◽  
Later Life ◽  
Health Problems ◽  
Mental Wellbeing ◽  
Anxiety And Depression ◽  
Mental Health Training ◽  
School Students

AbstractIntroduction:Anxiety and depression in adolescence is prevalent but often unrecognised and untreated. This can lead to serious disorders in later life. This study explored how teachers recognise anxiety and depression in secondary school students and act on their concerns.Method:Twenty teachers from four secondary colleges in regional Victoria, Australia were interviewed regarding their experiences. In-depth interviews were analysed using descriptive thematic analysis in order to understand how teachers respond to this issue.Results:Teachers' recognition of mental health problems in students and the threshold for reporting their concerns was subjective and not based on any formal knowledge of how to identify anxiety or depression risk factors in students. Years of teaching experience was not associated with increased knowledge of mental health problems in students. Time pressures and lack of resources in student wellbeing teams were barriers to teachers reporting their concerns about students.Conclusion:Education bodies and teaching universities responsible for training teachers and providing ongoing professional learning need to ensure that mental health training is part of every teacher's core skill set, so that teachers can confidently promote mental wellbeing, identify emerging mental health problems, know how to facilitate access to more specialist intervention where required and contribute effectively to follow-up support.

scholarly journals Capability, Opportunity and Motivation of pregnant women to enact social distancing behaviour in the Covid-19 pandemic in the UK: A qualitative interview study

2020 ◽  
Author(s):  
Emma Anderson ◽  
Amberly Brigden ◽  
Anna Davies ◽  
Emily Shepherd ◽  
Jenny Ingram
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Pregnant Women ◽  
Health Effects ◽  
Qualitative Interview ◽  
Interview Study ◽  
Framework Analysis ◽  
Social Distancing ◽  
Qualitative Interview Study ◽  
Mental Health Effects

Abstract Background Covid-19 triggered the rapid roll-out of mass social distancing behavioural measures for infection control. Pregnant women were categorised as ‘at risk’ requiring extra vigilance with behavioural guidelines. Their understanding and ability to adhere to recommendations was unknown.Objectives To complete a behavioural analysis of the determinants of recommended social distancing behaviour in pregnant women, according to the ‘capability, opportunity, motivation and behaviour’ (‘COM-B’) model to inform the development of recommendations/materials to support pregnant women in understanding and adhering to behavioural guidelines.Design Qualitative interview study with pregnant women in the Bristol area (UK).Methods Semi-structured telephone/videoconference interviews were conducted following a topic guide informed by the COM-B model, transcribed verbatim and subjected to framework analysis. Infographic materials were iteratively produced with stakeholder consultation, to support pregnant women’s behaviour.Results Thirty-one women participated (selected for demographic range). Women reported adhering to social distancing recommendations and intended to continue. COM-B analysis identified gaps in understanding around risk, vulnerability, and the extent of required social distancing, as well as facilitators of social distancing behaviour (e.g. social support, motivation to stay safe, home environment/resources). Additional themes around detrimental mental health effects and changes to maternity healthcare from the social distancing measures were identified. Infographic resources (plus midwife report) addressing women’s key concerns were produced and disseminated.Conclusions The COM-B model provided useful details of determinants of pregnant women’s adherence to social distancing behaviours. The confusion of what being ‘at risk’ meant and varying interpretation of what was expected indicates a need for greater clarity around categories and guidance. The loss of maternity care and negative mental health effects of social distancing suggests a growing area of unmet health needs to be addressed in future.

Experiences of acute mental health care in an ethnically diverse inner city: qualitative interview study

2010 ◽  
Vol 47 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Scott Weich ◽  
Laura Griffith ◽  
Martin Commander ◽  
Hannah Bradby ◽  
S. P. Sashidharan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Inner City ◽  
Ethnically Diverse ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study
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