scholarly journals Coping mechanisms used by the families of mental health care users in Mahikeng sub-district, North West province

2021 ◽  
Vol 26 ◽  
Author(s):  
Tshepang P. Modise ◽  
Isaac O. Mokgaola ◽  
Leepile A. Sehularo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Family Members ◽  
Well Being ◽  
Coping Mechanisms ◽  
Emotional Impact ◽  
North West ◽  
The Family ◽  
North West Province

Background: Families of the mental health care users (MHCUs) face different challenges in dealing with, supporting and caring for MHCUs on a daily basis. The divergent coping mechanisms that the family members use aim to lower the negative, psychological and emotional impact of the stress. These include: escape, avoidance and denial.Aim: To explore, describe and contextualise coping mechanisms used by the families of MHCUs and to suggest recommendations for improving their coping mechanisms in Mahikeng sub-district, North West province (NWP), South Africa.Setting: The study was conducted in three community health centres in Mahikeng sub-district, NWP, South Africa.Methods: A qualitative-exploratory-descriptive and contextual research design was used. Non-probability convenience and purposive sampling techniques were used to select participants. WhatsApp video calls were used to collect data which were analysed following Creswell’s six steps of qualitative data analysis.Results: The study established three themes namely; challenges experienced by the family members, coping mechanism used by the family members, and suggestions for improvement in the coping mechanisms for the family members.Conclusion: The findings of this study show that the family members of MHCUs are faced with different challenges. Some of the coping mechanisms used by the family members are insufficient and require improvement to enable them to cope effectively. When the coping mechanisms of the family members of MHCUs are improved, their well-being and that of the MHCUs might improve significantly.Contribution: The findings of this study provides information that may be used to improve the coping mechanisms of the families of MHCUs in the NWP, South Africa.

scholarly journals Evaluation of primary mental health care in North West province – a qualitative view

2008 ◽  
Vol 14 (4) ◽  
pp. 5 ◽  
Author(s):  
Claire Van Deventer ◽  
Ian Couper ◽  
Anne Wright ◽  
Anne Wright ◽  
John Tumbo ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Services ◽  
Resource Constraints ◽  
Standard Of Care ◽  
North West ◽  
Care Services ◽  
North West Province

<p><strong>Background.</strong> Due to many complaints by health care workers and patients and a perceived poor standard of care, the mental health care services in the North West province were assessed using quantitative and qualitative methods. The Mental Health Care Act of 2002 makes provision for the integration of services into primary health care. Previously, dedicated mental health care co-ordinators were doing the bulk of the management of this category of patients.</p><p><strong> Methodology.</strong> The qualitative part of the study consisted of free attitude interviews with professional nurses at clinics and focus group interviews with patients, caregivers and mental health care coordinators. <strong></strong></p><p><strong>Results.</strong> There was general satisfaction with the current services. Some dissatisfaction was expressed regarding issues of individualised care versus integration into the general primary care services. Concerns were expressed about resource constraints – in terms of human and physical resources, communication, training, and the role of specialised care.</p><p><strong>Conclusion.</strong> This study highlights issues around integration of mental health care services into primary care, and has provided information for managers and clinicians to utilise in the improvement of mental health care.</p>

scholarly journals A Potential Role for Family Members in Mental Health Care Delivery: The Family Community Navigation Specialist

2015 ◽  
Vol 66 (6) ◽  
pp. 653-655 ◽  
Author(s):  
Neely Anne Laurenzo Myers ◽  
Yazeed Alolayan ◽  
Kelly Smith ◽  
Susan Alicia Pope ◽  
Beth Broussard ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Delivery ◽  
Potential Role ◽  
Care Delivery ◽  
Family Members ◽  
Mental Health Care Delivery ◽  
The Family ◽  
Community Navigation

scholarly journals Women: Mental Health Care Needs

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Sunanda. G. T ◽  
Mrs. Ashwini. R ◽  
Dr. Eilean Lazarus Victoria
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Needs ◽  
Media Law ◽  
Care Needs ◽  
Policy Makers ◽  
Professional Interest ◽  
The Family ◽  
Biological Differences

Women mental health needs arise from the biological differences, life situations of women, the stresses of changing society, decreasing social support from family and community and related issues. The broader aspects of meet the needs of women mental health care must need to be strengthen the family support, increase the mental health professional interest on these issues and also sensitize the writers, media, law, policy makers regarding women’s mental health care needs.

scholarly journals Facilitating Eudaimonic Well-Being in Mental Health Care Organizations: The Role of Servant Leadership and Workplace Civility Climate

2020 ◽  
Vol 17 (4) ◽  
pp. 1173 ◽  
Author(s):  
Susan der Kinderen ◽  
Amber Valk ◽  
Svetlana N. Khapova ◽  
Maria Tims
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Servant Leadership ◽  
Mental Health Care ◽  
Health Care Organizations ◽  
Well Being ◽  
Care Organization ◽  
Psychological Well Being ◽  
Workplace Civility

Demanding and complex work within mental health care organizations places employee well-being at risk and raises the question of how we can positively influence the psychological well-being and functioning of these employees. This study explores the role of servant leadership and workplace civility climate in shaping eudaimonic well-being among 312 employees in a Dutch mental health care organization. The findings showed that servant leadership had a stronger relationship with eudaimonic well-being when workplace civility climate was high. Furthermore, the results showed that servant leadership was positively related to workplace outcomes, partially through eudaimonic well-being, and that this mediating process varied across different levels of workplace civility climate. This study contributes to the scholarly understanding of the role of servant leadership and a positive work climate in shaping psychological well-being at work.

scholarly journals Older, Church-Going African Americans’ Attitudes and Expectations About Formal Depression Care

2016 ◽  
Vol 40 (1) ◽  
pp. 3-26 ◽  
Author(s):  
Tracy Wharton ◽  
Daphne C. Watkins ◽  
Jamie Mitchell ◽  
Helen Kales
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
African American Women ◽  
Phenomenological Study ◽  
Treatment Options ◽  
Well Being ◽  
Comparative Approach ◽  
Depression Care ◽  
Health And Well Being

This phenomenological study involved focus groups with church-affiliated, African American women and men ( N = 50; ages 50 and older) in southeast Michigan to determine their attitudes and expectations around formal mental health care. Data analysis employed a constant comparative approach and yielded themes related to formal mental health care, along with delineating concerns about defining depression, health, and well-being. Health and well-being were defined as inclusive of physical and spiritual aspects of self. Churches have a central role in how formal mental health care is viewed by their attendees, with prayer being an important aspect of this care. Provider expectations included privacy and confidentiality; respect for autonomy and need for information, having providers who discuss treatment options; and issues related to environmental cleanliness, comfort, and accessibility. Implications include providing effective, culturally tailored formal depression care that acknowledges and integrates faith for this group.

Syrian Refugees in Canada: Clinical Experience in Mental Health Care

2017 ◽  
Vol 41 (S1) ◽  
pp. S620-S620
Author(s):  
K. Bazaid
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Well Being ◽  
World Health ◽  
Idioms Of Distress ◽  
Syrian Refugees ◽  
Competing Interest ◽  
And Migration ◽  
Health Organization

War is the most serious of all threats to health (World Health Organization, 1982) and can have severe and lasting impacts on mental health. Forced displacement and migration generate risks to mental well-being, which can result in psychiatric illness. Yet, the majority of refugees do not develop psychopathology. Rather, they demonstrate resilience in the face of tremendous adversity. The influx of Syrian refugees to Canada poses challenges to the health care system. We will present our experience to date in the Ottawa region, including a multisector collaborative effort to provide settlement and health services to newly arriving refugees from the Middle East and elsewhere. The workshop will be brought to life by engaging with clinical cases and public health scenarios that present real world clinical challenges to the provision of mental health care for refugees.Objectives(1) Understand the predicament of refugees including risks to mental health, coping strategies and mental health consequences, (2) know the evidence for the emergence of mental illness in refugees and the effectiveness of multi-level interventions, (3) become familiar with published guidelines and gain a working knowledge of assessment and management of psychiatric conditions in refugee populations and cultural idioms of distress.How will the participants receive feedback about their learning? Participants will have direct feedback through answers to questions. The authors welcome subsequent communication by email. Presenters can give attendants handouts on pertinent and concise information linked to the workshop.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Mental Health In Primary Care

10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Prescription Drugs ◽  
Family Health ◽  
Structured Interview ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.

scholarly journals Increasing equity of access to high-quality mental health services in primary care: a mixed-methods study

2013 ◽  
Vol 1 (2) ◽  
pp. XXXX-XXXX ◽  
Author(s):  
C Dowrick ◽  
C Chew-Graham ◽  
K Lovell ◽  
J Lamb ◽  
S Aseem ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Research Programme ◽  
Psychosocial Interventions ◽  
Well Being ◽  
High Quality ◽  
Underserved Groups

BackgroundEvidence-based interventions exist for common mental health problems. However, many people are unable to access effective care because it is not available to them or because interactions with caregivers do not address their needs. Current policy initiatives focus on supply-side factors, with less consideration of demand.Aim and objectivesOur aim was to increase equity of access to high-quality primary mental health care for underserved groups. Our objectives were to clarify the mental health needs of people from underserved groups; identify relevant evidence-based services and barriers to, and facilitators of, access to such services; develop and evaluate interventions that are acceptable to underserved groups; establish effective dissemination strategies; and begin to integrate effective and acceptable interventions into primary care.Methods and resultsExamination of evidence from seven sources brought forward a better understanding of dimensions of access, including how people from underserved groups formulate (mental) health problems and the factors limiting access to existing psychosocial interventions. This informed a multifaceted model with three elements to improve access: community engagement, primary care quality and tailored psychosocial interventions. Using a quasi-experimental design with a no-intervention comparator for each element, we tested the model in four disadvantaged localities, focusing on older people and minority ethnic populations. Community engagement involved information gathering, community champions and focus groups, and a community working group. There was strong engagement with third-sector organisations and variable engagement with health practitioners and commissioners. Outputs included innovative ways to improve health literacy. With regard to primary care, we offered an interactive training package to 8 of 16 practices, including knowledge transfer, systems review and active linking, and seven agreed to participate. Ethnographic observation identified complexity in the role of receptionists in negotiating access. Engagement was facilitated by prior knowledge, the presence of a practice champion and a sense of coproduction of the training. We developed a culturally sensitive well-being intervention with individual, group and signposting elements and tested its feasibility and acceptability for ethnic minority and older people in an exploratory randomised trial. We recruited 57 patients (57% of target) with high levels of unmet need, mainly through general practitioners (GPs). Although recruitment was problematic, qualitative data suggested that patients found the content and delivery of the intervention acceptable. Quantitative analysis suggested that patients in groups receiving the well-being intervention improved compared with the group receiving usual care. The combined effects of the model included enhanced awareness of the psychosocial intervention among community organisations and increased referral by GPs. Primary care practitioners valued community information gathering and access to the Improving Access to Mental Health in Primary Care (AMP) psychosocial intervention. We consequently initiated educational, policy and service developments, including a dedicated website.ConclusionsFurther research is needed to test the generalisability of our model. Mental health expertise exists in communities but needs to be nurtured. Primary care is one point of access to high-quality mental health care. Psychosocial interventions can be adapted to meet the needs of underserved groups. A multilevel intervention to increase access to high-quality mental health care in primary care can be greater than the sum of its parts.Study registrationCurrent Controlled Trials ISRCTN68572159.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

scholarly journals Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

2014 ◽  
Vol 48 (6) ◽  
pp. 1060-1066 ◽  
Author(s):  
Maria Salete Bessa Jorge ◽  
Mardênia Gomes Ferreira Vasconcelos ◽  
Euton Freitas de Castro Junior ◽  
Levi Alves Barreto ◽  
Lianna Ramalho de Sena Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychosocial Care ◽  
Family Health ◽  
Social Representation ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context.


Stressed Spaces: Mental Health and Architecture

2013 ◽  
Vol 6 (4) ◽  
pp. 127-168 ◽  
Author(s):  
Kathleen Connellan ◽  
Mads Gaardboe ◽  
Damien Riggs ◽  
Clemence Due ◽  
Amanda Reinschmidt ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Design Process ◽  
Care Facility ◽  
Numerical Data ◽  
Well Being ◽  
Research Literature ◽  
Systematic Search ◽  
User Engagement

OBJECTIVE:To present a comprehensive review of the research literature on the effects of the architectural designs of mental health facilities on the users.BACKGROUND:Using a team of cross-disciplinary researchers, this review builds upon previous reviews on general and geriatric healthcare design in order to focus on research undertaken for mental health care facility design.METHODS:Sources were gathered in 2010 and 2011. In 2010 a broad search was undertaken across health and architecture; in 2011, using keywords and 13 databases, researchers conducted a systematic search of peer reviewed literature addressing mental health care and architectural design published between 2005 to 2012, as well as a systematic search for academic theses for the period 2000 to 2012. Recurrent themes and subthemes were identified and numerical data that emerged from quantitative studies was tabulated.RESULTS:Key themes that emerged were nursing stations, light, therapeutic milieu, security, privacy, designing for the adolescent, forensic facilities, interior detail, patients' rooms, art, dementia, model of care, gardens, post-occupancy evaluation, and user engagement in design process. Of the 165 articles (including conference proceedings, books, and theses), 25 contained numerical data from empirical studies and 7 were review articles.CONCLUSIONS:Based on the review results, especially the growing evidence of the benefits of therapeutic design on patient and staff well-being and client length of stay, additional research questions are suggested concerning optimal design considerations, designs to be avoided, and the involvement of major stakeholders in the design process.

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