Mental Health Access Issues by People of Refugee Backgrounds in Australia

2021 ◽  
pp. 1076-1094
Author(s):  
Ndungi wa Mungai ◽  
Jeanette Ninnis ◽  
Ruth (Isobel) Bailey
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Critical Discussion ◽  
Health Access ◽  
Cultural Issues ◽  
Cultural Setting ◽  
The Individual ◽  
Mental Health Access

This chapter presents a critical discussion on the understanding and access of mental health services by people from diverse refugee backgrounds delivered in a Western cultural setting. Mental health services are heavily influenced by a biomedical approach, but there is a growing understanding of the importance of culture and biopsychosocial approaches. This chapter highlights some of the institutional and cultural issues that need to be addressed for the services to be effective. Practical approaches that have worked in different places are explored and critically discussed. A recovery-oriented model that recognizes that the individual is part of the community and the importance of spirituality are canvassed.

Mental Health Access Issues by People of Refugee Backgrounds in Australia

2019 ◽  
pp. 74-92
Author(s):  
Ndungi wa Mungai ◽  
Jeanette Ninnis ◽  
Ruth (Isobel) Bailey
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Critical Discussion ◽  
Health Access ◽  
Cultural Issues ◽  
Cultural Setting ◽  
The Individual ◽  
Mental Health Access

This chapter presents a critical discussion on the understanding and access of mental health services by people from diverse refugee backgrounds delivered in a Western cultural setting. Mental health services are heavily influenced by a biomedical approach, but there is a growing understanding of the importance of culture and biopsychosocial approaches. This chapter highlights some of the institutional and cultural issues that need to be addressed for the services to be effective. Practical approaches that have worked in different places are explored and critically discussed. A recovery-oriented model that recognizes that the individual is part of the community and the importance of spirituality are canvassed.

Consultation and Collaboration to Increase Integrity in School Mental Health

2017 ◽  
pp. 289-305
Author(s):  
Erika Coles ◽  
Greta M. Massetti
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Treatment Integrity ◽  
School Mental Health ◽  
School Staff ◽  
School Consultation ◽  
Delivery Model ◽  
The Individual

The chapter “Consultation and Collaboration to Increase Integrity in School Mental Health,” in School Mental Health Services for Adolescents, describes the indirect service delivery model of school consultation, in which a consultant works with a consultee (e.g., teacher, school staff), who in turn provides direct service to a client. The importance of treatment integrity in the process is highlighted. Imperative to the process of school consultation is defining and measuring treatment integrity, or the degree with which a treatment is adhered to, the competence of the individual delivering the treatment as intended, and the extent to which the treatment can be differentiated from other existing treatments. Issues and challenges of measuring and increasing integrity are discussed.

scholarly journals Current Problems in the Mental Health Field

2017 ◽  
Vol 11 (1) ◽  
pp. 136
Author(s):  
Kilda Çela Gusha ◽  
Irena Shala ◽  
Remila Kalo
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Mental Health Problems ◽  
Action Plan ◽  
Well Being ◽  
Health Problems ◽  
The Individual ◽  
Infrastructure Health

Mental health problems are conditions that do not meet the criteria for disease but affect the normal quality and continuity of everyday life. They are the emotional and psychological difficulties of the individual, which occur as a result of circumstantial or persistent stresses or of a reflection of the emotions between the individual and the environment where he lives (WHO, 2005). Health is seen as "not just a lack of sickness or disability," but rather as "a complete physical, mental and social well-being." This definition significantly expands the concept of mental health, which should not be defined in a restrictive manner as the absence of mental disorders, but should be defined in a positive and comprehensive view (WHO, 1985). Ultimately, mental health is defined as "a state of well-being in which the individual realizes his or her own potential, is able to cope with daily life concerns, is productive and fruitfully in his work, and is capable of delivering his contribution to the community where he lives (WHO, 2001). Mental health problems are usually associated with important concerns in social, professional, or other important activities. In many cases, there appears to be a continuity between mental health problems and mental disorders, making the diagnosis even more complex (CDC, 2011). Policies and Legislative Frameworks. Law on MS – 1996. Implementation of LLL remains low as a consequence of inadequate infrastructure (health, social and legal). There is no national or local body to monitor human or patient rights in the institutions of the MS.Policy on the Development of Mental Health Services in Albania - March 2003. Action Plan for the Development of Mental Health Services in Albania - May 2005. Mental and emotional problems are a concern for many elderly people. Depression often occurs as a result of the death of a spouse or close friends. Even this kind of loss and even more important and more common is the loss of respect of others. With retirement an individual does not feel more useful to his family, to society, and even more to himself.

Options and Directions for Psychology within a Framework for Mental Health Services in South Africa

1993 ◽  
Vol 23 (2) ◽  
pp. 64-70 ◽  
Author(s):  
Susan Kriegler
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Care Delivery ◽  
Cultural Issues ◽  
Potential Cost ◽  
Structural Problems

Structural problems in mental health services conjoined with attitudinal barriers are the cause of inadequate mental health care in South Africa. However, the major reason for the failure of psychology to address the needs of the majority lies in training deficiencies. In spite of the potential cost benefits of psychotherapy and prevention by way of counselling and educative interventions, psychologists are not perceived or employed as primary members of mental health teams. In schools they are rapidly losing ground. The profession is disempowered to position itself strategically to become a significant roleplayer in the ‘new’ South Africa. Affirmative action for psychology is needed. Ways in which the state may help are suggested, including the creation of more posts and training opportunities in health care settings, as well as use of the school as a locus for health and mental health care delivery. The author concludes with a call to the profession to get its own house in order by way of self-regenerating actions in the areas of training, addressing political and cross-cultural issues, and service delivery.

Resource Management: Parity and Access to Care

2019 ◽  
Author(s):  
Destry L. East ◽  
Ryan P. Peirson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Physical Health ◽  
Access To Care ◽  
Affordable Care Act ◽  
Health Access ◽  
Health Plans ◽  
Mental Health Parity ◽  
Health Coverage

The current structure of our mental health parity laws are a combination of multiple bills at the national and state levels which have been passed since the original Mental Health Parity and Addiction Act of 2008 (MHPAEA). With the MHPAEA only employer-provided insurance programs that covered 50 or more employees and covered mental health services were required to have parity between mental health and physical health coverage. With the passage of the Affordable Care Act in 2010 and its essential benefit mandate (which required the coverage of mental health services) the MHPAEA broadened its reach to include smaller health plans and some Medicaid plans. Reforms in Medicare, CHIP and Tricare also have included parity between mental health and physical health coverage. Despite these changes there is still work needed in regards to state parity laws and better access to care. This review contains 5 figures, and 25 references. Key Words: Parity, Mental Health, Access, Coverage, MHPA, MHPAEA, NQTL, Essential Health Benefits

scholarly journals Lived Experience, Transparency, Help, and Humility: Four Characteristics of Clergy Responding to Mental and Emotional Problems

2020 ◽  
Vol 74 (1) ◽  
pp. 4-11
Author(s):  
Krystal Hays ◽  
Jennifer Shepard Payne
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Mental Health Professionals ◽  
Help Seeking ◽  
Emotional Problems ◽  
Individual Characteristics ◽  
Mental Illnesses ◽  
The Individual

Many individuals who experience mental and emotional problems prefer support from clergy instead of formal mental health services. Because clergy are often sought out by those with mental illnesses, it is essential to understand their perspectives about mental and emotional problems and identify the individual characteristics that influence these perspectives. This study utilized qualitative data from a conversation among pastors in an online social networking group to examine the characteristics of clergy who held affirming attitudes toward professional mental health services. Thirty-five pastors participated in the discussion, generating more than 140 comments over 13 days in response to the question: “If the church is where we are to come for healing, how do we handle people who are depressed, suicidal, suffering from PTSD or anxiety?” Thematic analysis was conducted, and results suggest four characteristics common among clergy: personal experiences with mental and emotional problems, transparency in sharing their stories, personal help-seeking, and humility. These four characteristics may influence clergy members’ present-day understanding and responses to mental and emotional problems. Implications for spiritual care professionals and mental health professionals are presented.

Remarkable lives: Shaun Hunt in conversation with Jerome Carson

2017 ◽  
Vol 21 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Shaun Hunt ◽  
Jerome Carson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Lived Experience ◽  
Case Studies ◽  
Design Methodology ◽  
Single Case ◽  
Content Type ◽  
The Individual ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of Shaun Hunt. Design/methodology/approach Shaun provides a short biographical description of his life. Shaun is then interviewed by Jerome. Findings Shaun tells us about the long journey of recovery that he has made to the point where he is now a University Lecturer. Research limitations/implications In large group studies the individual gets lost in statistical tables and the lived experience is absent. Single case studies provide us with stories to nurture and encourage us all. Practical implications Shaun says that we often miss the obvious question in our interactions with people with lived experience. “What happened to you?” seems a simple but telling conversation opener. Social implications As Shaun says there are some amazing people who work in mental health services, but they are the ones who spoke to him and not to a “schizophrenic”. Originality/value As Shaun also says, “Never, ever give up hope, no matter how dark and bad things become, there is always a way back”.

scholarly journals Recognition as a valued human being: Perspectives of mental health service users

2012 ◽  
Vol 19 (3) ◽  
pp. 357-368 ◽  
Author(s):  
Kristin Ådnøy Eriksen ◽  
Bengt Sundfør ◽  
Bengt Karlsson ◽  
Maj-Britt Råholm ◽  
Maria Arman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Research Process ◽  
Service Users ◽  
Process Data ◽  
Starting Point ◽  
The Individual

The acknowledgement of basic human vulnerability in relationships between mental health service users and professionals working in community-based mental health services (in Norway) was a starting point. The purpose was to explore how users of these services describe and make sense of their meetings with other people. The research is collaborative, with researcher and person with experienced-based knowledge cooperating through the research process. Data is derived from 19 interviews with 11 people who depend on mental health services for assistance at least three times a week. Data is analysed according to the Interpretative Phenomenological Analysis (IPA). Results confirm that reciprocity is fundamental for relationships, and that recognizing the individual entails personal involvement. The participants describe a struggle, and recognizing this struggle may help the professional to achieve a deeper understanding of the individual.

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