scholarly journals Mental health, system barriers, and implicit bias in the treatment of refugees and newcomers: an interview with Dr. Javeed Sukhera

2020 ◽  
pp. 52-53
Author(s):  
Emily Dzongowski ◽  
Himani Dhar
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Mental Health Treatment ◽  
Implicit Bias ◽  
Healthcare Providers ◽  
Health Treatment ◽  
Refugee Youth ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
The Common

For psychiatrist Dr. Javeed Sukhera, quality mental health care for newcomer and refugee youth is extremely important. In particular, he advocates for trauma-informed care and awareness of implicit bias in medicine. Though frustrated with the currently inadequte funding of mental health treatment in Canada, Dr. Sukhera suggests that health professionals can take steps to provide care that serves the unique needs of refugee and newcomer populations. Fundamentally, he believes that this simply involves recognition of one’s own humanity and the common human experiences shared by refugees, newcomers, and healthcare providers alike.

Specialist mental health treatment in general practice: a meta-analysis

1988 ◽  
Vol 18 (3) ◽  
pp. 711-717 ◽  
Author(s):  
Matteo Balestrieri ◽  
Paul Williams ◽  
Greg Wilkinson
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Success Rate ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Treatment ◽  
Meta Analysis ◽  
Practice Setting ◽  
Health Treatment ◽  
General Practice Setting

SynopsisA meta-analysis of studies was carried out to compare treatment by specialist mental health professionals in the general practice setting and ‘usual GP treatment ’. Overall, treatment by specialist mental health professionals had a 10% greater success rate.

scholarly journals Primary health professionals’ beliefs, experiences, and willingness to treat minor attracted persons

2021 ◽  
Author(s):  
Rebecca Lievesley ◽  
Helen Swaby ◽  
Craig A. Harper ◽  
Ellie Woodward
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Treatment ◽  
Professional Training ◽  
Online Survey ◽  
Healthcare Providers ◽  
Mental Health Settings ◽  
Decision Making Processes ◽  
Treatment Priorities

There is a desire and need among minor attracted persons (MAPs) to access support within the community, and this often begins with an approach to healthcare providers working in general medical/mental health settings. However, little is known about the experiences of these non-specialist professionals in relation to their beliefs, knowledge, and decision-making processes when working with patients who disclose sexual attractions to children. Using an online survey, this study explored the knowledge, comfort, competence, and treatment willingness of 220 non-specialist healthcare providers when faced with patients who disclose sexual attractions to children. We investigated the prevalence of these disclosures, clinician stigma, treatment priorities, and professionals’ willingness to report MAPs to external agencies because of their sexual attractions. Some key differences were found when comparing primary medical vs mental health professionals, including increased likelihood to view MAPs as dangerous, unable to control behaviors and that sexual attractions are an avoidable choice, in the former group. Both groups prioritized mental health treatment targets above controlling attractions and living with stigmatized attractions, although controlling or changing attractions were still relatively high priorities. Results indicated a need for further training, focusing on increasing comfort around working with MAPs, as this was associated with a greater willingness to work with this group. We identify current gaps in service provision for MAPs seeking professional support and discuss recommendations for professional training.

scholarly journals Depression and Anxiety Symptoms among General Hospital Employees in need of Mental Health Treatment

2021 ◽  
Author(s):  
Nilson Silva ◽  
Anderson Sousa Martins da Silva ◽  
Lucas Pequeno Galvao ◽  
Julio Torales ◽  
Antonio Ventriglio ◽  
...  
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Health Professionals ◽  
Mental Health Treatment ◽  
Depressive Disorders ◽  
Demographic Data ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Health Treatment ◽  
Education Levels

Background Depression and anxiety are common and disabling mental disorders worldwide. It has been described a high prevalence of these disorders among health professionals. Aim This study aimed to investigate the association between occupation and depressive/anxiety symptoms, education levels, among professionals from a Brazilian General Hospital in need of mental health treatment. Methods This is a longitudinal twelve-years retrospective study, involving health professionals. Socio-demographic data were collected as well as two standardized scales for depression and anxiety symptoms. Results Data from 506 employees needing a mental health intervention have been described: mean age was 34.6 years, 46.2% of them worked in the administrative sector, 35.0% were nursing assistants, 7.5% were nursing technicians, 6.7% were nurses, and 4.5% reported other occupations. According to the ICD-10 criteria, the rates of diagnosis of depressive disorders and anxiety disorders were 60.9% and 37%, respectively. Conclusions The rate of depression and anxiety is higher among health professionals than the general population. Thus, specific programs of prevention based on resilience, continuing education and health promotion are needed.

The Effects of a Brief Educational Programme Added to Community Mental Health Treatment to Improve Patient Activation and Attendance: A Randomized Controlled Trial

2017 ◽  
Vol 41 (S1) ◽  
pp. S610-S610
Author(s):  
M. Lara-Cabrera ◽  
M.B. Nesset
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Mental Health Treatment ◽  
Patient Activation ◽  
Peer Educators ◽  
Health Treatment ◽  
Treatment As Usual ◽  
Pre Treatment ◽  
Treatment Education

IntroductionThough interest grows in improving patient activation in general medical health services, there is little evidence from randomised controlled trials in mental health settings of how to achieve this.ObjectiveWe aimed to evaluate the effects of a brief pre-treatment peer-co-led educational intervention added to mental health treatment. The intervention was developed and carried out in cooperation with user representatives, peer educators and health professionals, and aimed at activating and preparing patients to participate in own treatment.AimsTo assess the 4 months and 12 months effects on patient activation measure-13 (PAM-13) and attendance.MethodsPatients from two community mental health centres were randomised to a control group (CG, n = 26) receiving treatment as usual, or an intervention group (IG, n = 26), consisting of four-hour group pre-treatment educational seminar (peer-support and encouragement to adopt an active role) followed by treatment as usual.ResultsAt 4 months follow-up only the IG improved significant on PAM-13. Preliminary results at 12 months on PAM-13 and attendance will be presented.ConclusionBrief pre-treatment education improves patient activation at 4 months and could potentially have an effect on attendance at 12 months follow-up.Practice implicationsPre-treatment education co-led in cooperation with user representatives, peer educators and health professionals is a rational and easy way to activate and engage outpatients in their own health care process.Clinicaltrials.gov Identifier: NCT01601587Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Integrating mental health professionals in residencies to reduce health disparities

2017 ◽  
Vol 52 (3) ◽  
pp. 286-297 ◽  
Author(s):  
Emilee Delbridge ◽  
Max Zubatsky ◽  
Jocelyn Fowler
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Disparities ◽  
Family Medicine ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Treatment ◽  
The United States ◽  
Health Treatment ◽  
Family Medicine Residency

Health disparities in primary care remain a continual challenge for both practitioners and patients alike. Integrating mental health services into routine patient care has been one approach to address such issues, including access to care, stigma of health-care providers, and facilitating underserved patients’ needs. This article addresses examples of training programs that have included mental health learners and licensed providers into family medicine residency training clinics. Descriptions of these models at two Midwestern Family Medicine residency clinics in the United States are highlighted. Examples of cross-training both medical residents and mental health students are described, detailing specific areas where this integration improves mental health and medical outcomes in patients. Challenges to effective integration are discussed, including larger system buy-in, medical providers’ knowledge of mental health treatment, and the skills for clinical providers to possess in order to present mental health options to patients. Patients who traditionally experience multiple barriers to mental health treatment now have increased access to comprehensive care. As a result of more primary care clinics ascribing to an integrated care model of practice, providers may benefit from not only increased coordination of patient services but also utilizing behavioral health professionals to address health barriers in patients’ lives.

Trauma informed care: a radical shift or basic good practice?

2016 ◽  
Vol 24 (6) ◽  
pp. 589-591 ◽  
Author(s):  
Sophie Isobel
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Good Practice ◽  
Mental Health Policy ◽  
Policy And Practice ◽  
Care Environment ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Health Policy And Practice ◽  
Radical Shift

Objective: There is significant multidisciplinary work contributing to the implementation of trauma informed care (TIC) into mental health policy and practice in Australia. Within psychiatry, there may be potential confusion about how to navigate the integration of TIC into a speciality built upon treating psychological distress; creating dismissive reactions of a patronising approach and paradoxical radicalism. This paper aims to discuss the need for psychiatry to view TIC as a significant and urgent paradigm shift required to integrate existing knowledge about the prevalence and effects of trauma into a progressive articulation of the relational and interpersonal underpinnings of modern psychiatric practice; and to lead and support its widespread implementation. Conclusion: Active consideration of the intent of TIC may aid in reducing misunderstanding and misaligned resistance while allowing services and individuals an important opportunity to reflect on how to deliver mental health treatment that is universally sensitive to the dynamics of trauma in the care environment.

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