Barriers to Provision of Spiritual Care in Mental Health Care Centers: A Qualitative Content Analysis

Background: Spiritual care (SC) is an appropriate source for adaptation and coping with disease and life stressors. Although SC contributes to the quality of life and mental health of clients, there are barriers to the provision of such care. Objectives: This study aimed to explore barriers to the provision of SC in mental health care centers from the viewpoints of mental health care provider (MHCP) experts. Methods: This qualitative study was conducted based on conventional content analysis on 19 participants who were selected from different groups of MHCPs. The participants were selected by purposive sampling method from December 2019 to December 2020 in Karaj and Tehran, Iran, by considering the maximum diversity. Data were collected through semi-structured interviews with participants during an average time of 60 min per interview until data saturation. The transcripts of the interviews were analyzed by qualitative content analysis. Results: Barriers to SC were obtained in four categories and 10 subcategories. The categories included “SC concept-related barriers”, “barriers related to MHCPs”, “organizational barriers”, and “barriers related to SC recipients.” Conclusions: This study demonstrated various barriers to the provision of SC to the clients of health care centers that should be removed to promote the level and quality of SC.

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Working at the Intersection of Palliative End-of-Life and Mental Health Care: Provider Perspectives

Journal of Palliative Care ◽

10.1177/0825859720951360 ◽

2020 ◽

pp. 082585972095136

Author(s):

Tanya Park ◽

Kathy Hegadoren ◽

Bernadette Workun

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Illness ◽

Mental Health Care ◽

End Of Life ◽

Structured Interviews ◽

Provider Perspectives ◽

Mental Health Care Provider ◽

Mental Health Challenges

Objective: Palliative, end-of-life care (PEOLC) providers are poorly resourced in addressing the needs of patients with mental health challenges, and the dying experiences of this cohort—particularly those with a comorbid, chronic and persistent mental illness (CPMI)—are poorly documented. We sought to explore the experiences of PEOLC providers with regard to caring for patients with mental health challenges, and gather insights into ways of improving accessibility and quality of PEOLC for these patients. Method: Twenty providers of PEOLC, from different disciplines, took part in semi structured interviews. The data were coded and analyzed using a reflexive, inductive-deductive process of thematic analysis. Results: The most prominent issues pertained to assessment of patients and differential diagnosis of CPMI, and preparedness of caregivers to deliver mental health interventions, given the isolation of palliative care from other agencies. Among the assets mentioned, informal relationships with frontline caregivers were seen as the main support structure, rather than the formal policies and procedures of the practice settings. Strategies to improve mental health care in PEOLC centered on holistic roles and interventions benefiting the entire palliative population, illustrating the participants saw little point in compartmentalizing mental illness, whether diagnosed or not. Significance of Results: Continuity of care and personal advocacy can significantly improve quality of life for end-of-life patients with mental health challenges, but bureaucracy and disciplinary siloing tend to isolate these patients and their caregivers. Improved interdisciplinary connectivity and innovative, hybridized roles encompassing palliation and psychiatry are 2 strategies to address this disconnect, as well as enhanced training in core mental health care competencies for PEOLC providers.

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Challenges faced by peer support workers during the integration into hospital-based mental health-care teams: Results from a qualitative interview study

International Journal of Social Psychiatry ◽

10.1177/0020764020904764 ◽

2020 ◽

Vol 66 (3) ◽

pp. 263-269

Author(s):

Ina Otte ◽

Anna Werning ◽

Alexa Nossek ◽

Jochen Vollmann ◽

Georg Juckel ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Peer Support ◽

Qualitative Content Analysis ◽

Psychiatric Hospitals ◽

Health Care Teams ◽

Structured Interviews ◽

Qualitative Interview Study ◽

Specific Implementation

Background: Being aware of the challenges that may occur during the implementation of peer support work in psychiatry is important to facilitate the integration of peer support workers (PSWs) into multidisciplinary mental health-care teams. Aim: The purpose of this study is to explore the challenges faced by PSWs during their integration into hospital-based mental health-care teams. Methods: Qualitative content analysis of nine open-ended, semi-structured interviews with PSWs is undertaken in five adult psychiatric hospitals in North Rhine-Westphalia, Germany. Results: The analysis of the data revealed three themes: (1) ‘Pioneers and the pressure to succeed’; (2) ‘a colleague, a rival or yet another patient?’ and (3) ‘sharing of information, boundaries and professionalism’. All three themes relate to several concrete challenges on different systemic levels and have the potential to impede the PSWs’ integration process. Conclusion: Specific implementation strategies which address potential barriers on the different systemic levels should be developed and applied prior to the start of the integration of PSWs into multidisciplinary mental health-care teams.

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Depressions Plural

10.1093/oso/9780198801900.003.0014 ◽

2017 ◽

Author(s):

K W M (Bill) Fulford ◽

David Crepaz-Keay ◽

Giovanni Stanghellini

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Personal Values ◽

The Political ◽

Medical Law ◽

Isaiah Berlin ◽

Political Philosopher

This chapter examines how values influence the heterogeneity of depression. The plurality of values is increasingly significant for contemporary person-centred mental health care with its emphasis on quality of life and development of self-manvnagement skills. Values-based practice is a partner with medical law invn working with the plurality of personal values. The chapter explains what values are, shows how the plurality of values influences the heterogeneity of depression at several levels, and provides an overview of values-based practice. It looks at the resources available for combining values-based practice with medical law in contemporary person-centred care and indicates some of the challenges this raises. It concludes with a brief reflection on these challenges understood as an instance of what the political philosopher Isaiah Berlin called the challenge of pluralism.

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The Quality Mental Health Care Network: A roadmap to improving quality mental healthcare in Canada

Healthcare Management Forum ◽

10.1177/0840470420974713 ◽

2021 ◽

Vol 34 (2) ◽

pp. 100-106

Author(s):

Emily J. Follwell ◽

Siri Chunduri ◽

Claire Samuelson-Kiraly ◽

Nicholas Watters ◽

Jonathan I. Mitchell

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Focus Groups ◽

Lived Experiences ◽

Mental Healthcare ◽

Care Network ◽

Key Informant ◽

Health Care Network

Although there are numerous quality of care frameworks, little attention has been given to the essential concepts that encompass quality mental healthcare. HealthCare CAN and the Mental Health Commission of Canada co-lead the Quality Mental Health Care Network (QMHCN), which has developed a quality mental healthcare framework, building on existing provincial, national, and international frameworks. HealthCare CAN conducted an environmental scan, key informant interviews, and focus groups with individuals with lived experiences to develop the framework. This article outlines the findings from this scan, interviews and focus groups.

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Suicidal ideation in an ethnically mixed, highland Guatemalan community

Transcultural Psychiatry ◽

10.1177/1363461520976930 ◽

2021 ◽

pp. 136346152097693

Author(s):

Carla Pezzia ◽

Luisa M. Hernandez

Keyword(s):

Mental Health ◽

Health Care ◽

Ethnic Identity ◽

Suicidal Ideation ◽

Mental Health Care ◽

Protective Factor ◽

Indigenous Populations ◽

Structured Interviews ◽

And Gender ◽

Survey Responses

Reported suicide rates in Latin America remain low, but there is evidence to suggest they may be increasing, particularly among indigenous populations. To better understand who may be at risk for suicide, we examined the prevalence of suicidal ideation and explored factors contributing to suicidal thoughts in an ethnically mixed, highland Guatemalan community. The data presented in this article are from a mixed methods ethnographic field project conducted over 15 months from 2010 to 2011 in Panajachel, Guatemala. We surveyed a random sample of 350 community members. Survey questions included standardized modules from the Mini-International Neuropsychiatric Interview, as well as questions on experiences of violence and mental health care. We also conducted semi-structured interviews with 13 self-selected survey participants with current suicidal ideation. These interviews included questions regarding survey responses, experiences of mental illness, and access to mental health care. A total of 55 survey participants (N = 350; 15.7%) scored positive for suicidality. Ethnic identity, gender, psychiatric illness, and experiences of violence were all correlated to suicidal ideation. Qualitative interview data highlight distinctions between genders within prominent themes of religion, family, experiences of violence, and seeking resources. Three key findings emerged from our research that are relevant to the literature: 1) ethnic identity may be both a critical risk and a protective factor for suicide in some indigenous people; 2) intersections between violence and gender highlight different patterns in suicidal ideation; and 3) high rates of suicidal ideation and other psychiatric comorbidities underscore the need for greater access to mental health services.

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Inpatient Volume and Quality of Mental Health Care Among Patients With Unipolar Depression

Psychiatric Services ◽

10.1176/appi.ps.201700426 ◽

2018 ◽

Vol 69 (7) ◽

pp. 797-803 ◽

Cited By ~ 2

Author(s):

Line Ryberg Rasmussen ◽

Jan Mainz ◽

Mette Jørgensen ◽

Poul Videbech ◽

Søren Paaske Johnsen

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Unipolar Depression

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Improving the quality of mental health care

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzp048 ◽

2009 ◽

Vol 21 (6) ◽

pp. 415-420 ◽

Cited By ~ 7

Author(s):

M. Funk ◽

C. Lund ◽

M. Freeman ◽

N. Drew

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care

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Quality of Mental Health Care in Integrated Veterans Affairs Patient-Centered Medical Homes: a National Observational Study

Journal of General Internal Medicine ◽

10.1007/s11606-019-05310-1 ◽

2019 ◽

Vol 34 (12) ◽

pp. 2700-2701

Author(s):

Lucinda B. Leung ◽

Edward P. Post ◽

Erin Jaske ◽

Kenneth B. Wells ◽

Lisa V. Rubenstein

Keyword(s):

Mental Health ◽

Health Care ◽

Observational Study ◽

Mental Health Care ◽

Veterans Affairs ◽

Patient Centered ◽

Patient Centered Medical Homes ◽

Medical Homes

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Mental health care in Italy: Basaglia’s ashes in the wind of the crisis of the last decade

International Journal of Social Psychiatry ◽

10.1177/0020764020908620 ◽

2020 ◽

Vol 66 (4) ◽

pp. 321-330 ◽

Cited By ~ 2

Author(s):

Mauro G Carta ◽

Matthias C Angermeyer ◽

Anita Holzinger

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Psychiatric Hospitals ◽

Scientific Methods ◽

Italian Experience ◽

Italian Regions ◽

Care Culture ◽

Health Care Culture

Background and Aims: The purpose is to highlight the legal and ethical principles that inspired the reform of mental health care in Italy, the only country to have closed its psychiatric hospitals. The article will also try to verify some macro-indicators of the quality of care and discuss the crisis that the mental health care system in Italy is experiencing. Methods: Narrative review. Results: The principal changes in the legislation on mental health care in Italy assumed an important role in the evolution of morals and common sense of the civil society of that country. We describe three critical points: first, the differences in implementation in the different Italian regions; second, the progressive lack of resources that cannot be totally attributed to the economic crisis and which has compromised application of the law; and finally, the scarce attention given to measurement of change with scientific methods. Conclusion: Italy created a revolutionary approach to mental health care in a historical framework in which it produced impressive cultural expressions in many fields. At that time, people were accustomed to ‘believing and doing’ rather than questioning results and producing research, and this led to underestimating the importance of a scientific approach. With its economic and cultural crisis, Italy has lost creativity as well as interest in mental health, which has been guiltily neglected. Any future humanitarian approach to mental health must take the Italian experience into account, but must not forget that verification is the basis for any transformation in health care culture.

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