scholarly journals Contextual factors as an analytical tool: Exploring collaboration and negotiation in mental health interviews in prisons mediated by non-professional interpreters

2021 ◽  
Vol 20 ◽  
Author(s):  
Aída Martínez-Gómez
Keyword(s):  
Mental Health ◽  
Contextual Factors ◽  
Analytical Tool ◽  
Negotiation Processes ◽  
Professional Interpreting

This article proposes a framework for analysing interpreted events mediated by non-professionals. It is based on an examination of individual contextual factors rather than on traditional definitions of setting-based features. This approach promises to be more productive for the study of non-professional interpreting and for analysing contexts that do not fit into existing categories of setting. For these purposes, this article examines a corpus of 26 prison-based mental health interviews mediated by non-professional interpreters in order to analyse the collaboration and negotiation processes that emerge among the members of the communicative triad. First, it outlines contextual factors from a conceptual perspective. Second, it describes those contextual factors that are most relevant to analysing collaboration and negotiation processes. Finally, it describes the context of prison-based mental health interviews through the lens of these factors and examines their influence on specific instances of collaboration and negotiation extracted from this corpus.

scholarly journals Use of Acute Psychiatric Hospitalisation: A Study of the Factors Influencing Decisions to Arrange Acute Admission to Inpatient Mental Health Facilities

2021 ◽  
Vol 12 ◽  
Author(s):  
Rajan Nathan ◽  
Mark Gabbay ◽  
Sean Boyle ◽  
Phil Elliott ◽  
Clarissa Giebel ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Clinical Decision Making ◽  
Contextual Factors ◽  
Clinical Decision ◽  
Personal Factors ◽  
Liaison Psychiatry ◽  
Acute Admission ◽  
Factors Influencing ◽  
Wide Range

Background: Human decision-making involves a complex interplay of intra- and inter-personal factors. The decisions clinicians make in practise are subject to a wide range of influences. Admission to a psychiatric hospital is a major clinical intervention, but the decision-making processes involved in admissions remain unclear.Aims: To delineate the range of factors influencing clinicians' decisions to arrange acute psychiatric admissions.Methods: We undertook six focus groups with teams centrally involved in decisions to admit patients to hospital (crisis resolution home treatment, liaison psychiatry, approved mental health practitioners and consultant psychiatrists). The data were analysed using qualitative thematic analysis.Results: Our analysis of the data show a complex range of factors influencing decision-making that were categorised as those related to: (i) clinical and risk factors; (ii) fear/threat factors; (iii) interpersonal dynamics; (iv) contextual factors.Conclusions: Decisions to arrange acute admission to hospital are not just based on an appraisal of clinical and risk-related information. Emotional, interpersonal and contextual factors are also critical in decision-making. Delineating the breadth of factors that bear on clinical decision-making can inform approaches to (i) clinical decision-making research, (ii) the training and supervision of clinicians, and (iii) service delivery models.

scholarly journals Evaluating the Relationship Between Fitbit Sleep Data and Self-Reported Mood, Sleep, and Environmental Contextual Factors in Healthy Adults: Pilot Observational Cohort Study (Preprint)

2020 ◽  
Author(s):  
Darshan Thota
Keyword(s):  
Mental Health ◽  
Contextual Factors ◽  
Sleep Time ◽  
Mental Health Disorders ◽  
Active Duty ◽  
Observational Cohort Study ◽  
Spearman Correlation ◽  
Observational Cohort ◽  
Health Disorders ◽  
The Relationship

BACKGROUND Mental health disorders can disrupt a person’s sleep, resulting in lower quality of life. Early identification and referral to mental health services are critical for active duty service members returning from forward-deployed missions. Although technologies like wearable computing devices have the potential to help address this problem, research on the role of technologies like Fitbit in mental health services is in its infancy. OBJECTIVE If Fitbit proves to be an appropriate clinical tool in a military setting, it could provide potential cost savings, improve clinician access to patient data, and create real-time treatment options for the greater active duty service member population. The purpose of this study was to determine if the Fitbit device can be used to identify indicators of mental health disorders by measuring the relationship between Fitbit sleep data, self-reported mood, and environmental contextual factors that may disrupt sleep. METHODS This observational cohort study was conducted at the Madigan Army Medical Center. The study included 17 healthy adults who wore a Fitbit Flex for 2 weeks and completed a daily self-reported mood and sleep log. Daily Fitbit data were obtained for each participant. Contextual factors were collected with interim and postintervention surveys. This study had 3 specific aims: (1) Determine the correlation between daily Fitbit sleep data and daily self-reported sleep, (2) Determine the correlation between number of waking events and self-reported mood, and (3) Explore the qualitative relationships between Fitbit waking events and self-reported contextual factors for sleep. RESULTS There was no significant difference in the scores for the pre-intevention Pittsburg Sleep Quality Index (PSQI; mean 5.88 points, SD 3.71 points) and postintervention PSQI (mean 5.33 points, SD 2.83 points). The Wilcoxon signed-ranks test showed that the difference between the pre-intervention PSQI and postintervention PSQI survey data was not statistically significant (Z=0.751, <i>P</i>=.05). The Spearman correlation between Fitbit sleep time and self-reported sleep time was moderate (r=0.643, <i>P</i>=.005). The Spearman correlation between number of waking events and self-reported mood was weak (r=0.354, <i>P</i>=.163). Top contextual factors disrupting sleep were “pain,” “noises,” and “worries.” A subanalysis of participants reporting “worries” found evidence of potential stress resilience and outliers in waking events. CONCLUSIONS Findings contribute valuable evidence on the strength of the Fitbit Flex device as a proxy that is consistent with self-reported sleep data. Mood data alone do not predict number of waking events. Mood and Fitbit data combined with further screening tools may be able to identify markers of underlying mental health disease.

scholarly journals Toward a Race-Conscious Critique of Mental Health-Related Exclusionary Immigration Laws

2021 ◽  
pp. 87
Author(s):  
Monika Kashyap
Keyword(s):  
Mental Health ◽  
Critical Race Theory ◽  
Analytical Framework ◽  
The United States ◽  
Analytical Tool ◽  
Immigration Law ◽  
Anglo Saxon ◽  
White Supremacist ◽  
Immigration Laws ◽  
Health Related

This Article employs the emergent analytical framework of Dis/ability Critical Race Theory (DisCrit) to offer a race-conscious critique of a set of immigration laws that have been left out of the story of race-based immigrant exclusion in the United States—namely, the laws that exclude immigrants based on mental health-related grounds. By centering the influence of the white supremacist, racist,and ableist ideologies of the eugenics movement in shaping mental health-related exclusionary immigration laws, this Article locates the roots of these restrictive laws in the desire to protect the purity and homogeneity of the white Anglo- Saxon race against the threat of racially inferior, undesirable, and unassimilable immigrants. Moreover, by using a DisCrit framework to critique today’s mental health-related exclusionary law, INA § 212(a)(1)(A)(iii), this Article reveals how this law carries forward the white supremacist, racist, and ableist ideologies of eugenics into the present in order to shape ideas of citizenship and belonging. The ultimate goal of the Article is to broaden the conceptualization of race-based immigrant exclusion to encompass mental health-related immigrant exclusion, while demonstrating the utility of DisCrit as an exploratory analytical tool to examine the intersections of race and disability within immigration law.

scholarly journals A qualitative study of evidence-based therapeutic process in mental health services in Ghana– context-mechanisms-outcomes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eric Badu ◽  
Anthony Paul O’Brien ◽  
Rebecca Mitchell ◽  
Akwasi Osei
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Therapeutic Relationship ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Contextual Factors ◽  
Therapeutic Process ◽  
Relationship Building ◽  
Evidence Based

Abstract Background Evidence-based clinical practice is an inherent component of mental health professional practice in developed countries. However, little is known about professional perspectives of evidence-based practice in mental in developing countries such as Ghana. This paper describes the processes involved in the delivery of best practice in Ghana. The paper reports on a realistic evaluation of mental health nurses and allied health professionals’ views on the evidence-based therapeutic process in Ghana. Methods A purposive sample of 30 mental health professionals (MHPs) was recruited to participate in semi-structured, in-depth interviews. Thematic analysis was used to analyse the data. A program theory of Context + Mechanism = Outcome (CMO) configuration was developed from the analysis. Results The thematic analysis identified two contexts, mechanism and outcome configurations (themes): 1) technical competency stimulates evidence-based mental health services, and 2) therapeutic relationship building ensures effective interaction. The study demonstrates that contextual factors (technical competencies and therapeutic relationship building) together with mechanisms (intentional and unintentional) help to promote quality in mental health service provision. However, contextual factors such as a lack of sign language interpreters yielded unintended outcomes including barriers to communication with providers for consumers with hearing impairment and those from linguistic minority backgrounds. Conclusion Government stakeholders and policymakers should prioritise policies, periodic monitoring and adequate financial incentives to support the mechanisms that promote technical competence in MHPs and the building of therapeutic relationship.

Self-reassurance and self-efficacy for controlling upsetting thoughts predict depression, anxiety, and perceived stress in help-seeking female family caregivers

2019 ◽  
Vol 32 (2) ◽  
pp. 229-240 ◽  
Author(s):  
Katherine Arenella ◽  
Ann M. Steffen
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Family Caregivers ◽  
Perceived Stress ◽  
Self Efficacy ◽  
Help Seeking ◽  
Contextual Factors ◽  
Mental Health Outcomes ◽  
Adult Women ◽  
Cross Sectional

ABSTRACTObjectives:Providing care for an older family member is a common experience for women and has been linked with increased depression, anxiety, and stress for some caregivers. This study aimed to investigate the role of self-reassurance and self-efficacy for controlling upsetting thoughts in mitigating the negative effects of caregiving stressors on mental health.Design:Measures were collected during a pre-intervention assessment for a larger study in the U.S.A. evaluating online interventions for intergenerational caregivers. Hierarchical linear regressions were used to examine the contribution of self-reassurance and self-efficacy for controlling upsetting thoughts on mental health outcomes, after controlling for caregiving-related contextual variables and stressors.Setting:Participants completed online questionnaires on a computer or tablet at their convenience.Participants:Participants were 150 help-seeking adult women providing health-care assistance to older relatives living in the community.Measurements:Measures were completed for the mental health outcomes of depression, anxiety, and stress. Measures also included contextual factors of caregiving and demographics. Cognitive impairment, caregiver assistance, role overload, percentage of care provided, family conflict, self-reassurance, and self-efficacy for controlling upsetting thoughts were also measured.Results:Regression models revealed that both self-reassurance and self-efficacy for controlling upsetting thoughts predicted depression, anxiety, and perceived stress after controlling for caregiving contextual factors and stressors.Conclusions:The results indicate that self-reassurance and self-efficacy for controlling upsetting thoughts are effective resources linked to mental health outcomes. Although results were obtained with cross-sectional data, these findings suggest the potential of targeting these resources in transdiagnostic interventions for family caregivers.

Who defines role?

2020 ◽  
Vol 15 (1) ◽  
pp. 108-131 ◽  
Author(s):  
Aída Martínez-Gómez
Keyword(s):  
Mental Health ◽  
Analytical Tool ◽  
Communicative Behaviors ◽  
Prison Setting ◽  
Collaboration Patterns

Abstract This article analyzes the communicative behaviors of non-professional interpreters and primary participants in the context of therapy/counseling sessions in a prison setting. It describes the negotiation and collaboration patterns established among all members of the communicative triad in order to co-construct the interpreter’s role dialogically, in a corpus of 26 mental health interviews in a prison setting between therapists/counselors and allophone prisoners, with other inmates as interpreters. Using Goffman’s (1981) concept of footing as the main analytical tool, it sheds light on the conversational strategies that all members of the triad use to initiate, accept, or resist the interpreter’s shifts to different footings, especially those that depart most dramatically from widely accepted “translator” ones.

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