‘Are we opening a can of worms?’: Community‐based occupational therapists' experiences working with clients with unexpected mental health issues

2022 ◽  
Author(s):  
Olivia King ◽  
Kate Ingwersen ◽  
Brooke Bufton ◽  
Danielle Hitch ◽  
Brodie Dupre ◽  
...  
Keyword(s):  
Mental Health ◽  
Occupational Therapists ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues

scholarly journals MENTAL HEALTH ISSUES AND RELEVANT LEGISLATION IN A DEVELOPING COUNTRY

1970 ◽  
Vol 7 (2) ◽  
pp. 122-126
Author(s):  
Shafquat Inayat
Keyword(s):  
Mental Health ◽  
Developing Country ◽  
Mental Health Policy ◽  
Fundamental Rights ◽  
Health Law ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues ◽  
Mental Health Legislation ◽  
Health Legislation

Mental health legislation compiles and integrates fundamental doctrine, principles, goals, objectives and mental health policy. This legislation is required to assure that the self-respect and the dignity of patients is conserved and that their fundamental rights are protected. This article considers legislation in the Indo-Pak subcontinent, especially the Mental Health Act in Pakistan, and asserts that the act has limitation that serve as a barrier to mental health services currently provided in Pakistan. The purpose of this article is to identify the mental health legislation in a developing country like Pakistan. It also emphasizes the need of a modern mental health law that provides priority to protect the rights of patient with mental disorder to promote development of community based care and improves its access.

scholarly journals Understanding mental health and wellbeing among aboriginal postsecondary students

2021 ◽  
Author(s):  
Caitlin Joy Davey
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Health Knowledge ◽  
Health Issues ◽  
Community Based ◽  
Post Secondary ◽  
Aboriginal Students ◽  
Mental Health Issues ◽  
Mental Health Knowledge

First Nations, Inuit and Métis youth in Canada report higher rates of mental health (i.e., depression, anxiety, addiction and suicide) issues than the non-Aboriginal population of youth, which impacts their ability to achieve their educational goals. Understanding mental health from an Aboriginal worldview and through culturally safe strategies designed to translate mental health information to Aboriginal people is lacking. The objectives of the present study were to develop, implement and evaluate a knowledge translation (KT) strategy to enhance wellbeing knowledge and self-efficacy in coping with mental health issues among Aboriginal postsecondary students using a community-based approach. The Tool Development Phase involved focus groups and interviews with Aboriginal post-secondary students (n=9) and community members (n=3) to develop a KT activity. The KT Phase involved a pre/post design where participants (n=4) were asked about their mental health knowledge and self-efficacy in improving their wellbeing prior to and after the KT activity. All students participated in an individual interview one month later about their knowledge and the helpfulness of activity. Key informants (n=4) were interviewed during a Follow-Up and Debriefing phase regarding the community-based approach. Mental health was defined wholistically, as related to community and as being impacted by identity, stigma, cultural connection, intergenerational trauma, and a clash between Aboriginal and positivist Western worldviews. KT preferences included incorporating traditional ceremonies; covering particular topics such as resources, traditional teachings and coping strategies; and incorporating active participation. The KT activity increased knowledge and self-efficacy related to mental health and some knowledge was retained and used at one-month follow-up. As well, participants appreciated the sense of community that the activity created and provided feedback regarding what could be changed (e.g., more active participation). Key informants thought the project addressed some community needs and that it was built on relationships. This study will contribute to increasing the wellbeing of Aboriginal students by expanding upon their mental health knowledge, and sense of self-efficacy in coping with their own mental health issues, with the aim of addressing mental health barriers to the completion of post-secondary education among Aboriginal students.

Program description and implementation findings of MyCare: enhancing community mental health care in Tasmania, Australia

2020 ◽  
Vol 26 (5) ◽  
pp. 374
Author(s):  
Renee O'Donnell ◽  
Darshini Ayton ◽  
Bengianni Pizzirani ◽  
Melissa Savaglio ◽  
Debra Fast ◽  
...  
Keyword(s):  
Mental Health ◽  
Implementation Strategy ◽  
Controlled Trial ◽  
Implementation Strategies ◽  
Health Programs ◽  
Successful Implementation ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues ◽  
Mental Health Programs

Since 2014, Tasmania has experienced unprecedented rates of hospitalisations related to mental health issues. To address reliance on such acute-based care, government funding was invested to enhance community-based care, which, in turn, led to the development of MyCare. This paper represents the initial phase of a larger body of work (i.e. an effectiveness-controlled trial of MyCare) that describes the MyCare program and the successful implementation strategy underpinning the program. The implementation of MyCare was evaluated with 41 key stakeholders (staff, clients and senior executives) using semistructured interviews and focus groups, informed by the Consolidated Framework for Implementation Research (CFIR). According to stakeholders, three CFIR constructs that were directly addressed by the program, namely Tension for Change, Evidence Strength and Quality, and Available Resources for Implementation, facilitated the successful implementation of MyCare. In contrast, a feature of the program that impeded implementation was Patient Needs and Resources, which restricted program access to those with the most severe mental health issues. The reporting of implementation strategies underpinning mental health programs is rare. This study describes the implementation strategy underpinning a community-based mental health program that was successful in facilitating program uptake. We encourage other researchers to not only report on implementation findings, which may help avoid replication failure, but also to apply these innovative implementation processes (i.e. address the tension for change and ensure the program is evidence informed and that sufficient resources are available for implementation) within mental health programs to aid successful uptake.

Correlates of Suicidality Among A Community-Based Cohort of Women Sex Workers: The Protective Effect of Social Cohesion

2019 ◽  
pp. 088626051987016
Author(s):  
Elena Argento ◽  
Steffanie A. Strathdee ◽  
Jean A. Shoveller ◽  
Melissa Braschel ◽  
Kate Shannon
Keyword(s):  
Mental Health ◽  
Protective Effect ◽  
Social Cohesion ◽  
Sex Workers ◽  
Interpersonal Violence ◽  
Multivariable Analysis ◽  
Health Concern ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues

Suicide is a critical public health concern globally. Sex workers experience a disproportionate burden of social and health inequities driven by forms of violence, stigma, and criminalization, yet empirical research on suicidality is limited. This study longitudinally investigated the burden and socio-structural correlates of recent suicidality among women sex workers in Vancouver, Canada. Data (2010-2017) were drawn from a community-based, prospective cohort of cis and trans women sex workers across Metro Vancouver. Women completed biannual interviewer-administered questionnaires, and correlates of suicidality in the last 6 months were analyzed using bivariate and multivariable logistic regression with generalized estimating equations (GEE). Of 867 women at baseline, 48% ( n = 413) reported lifetime suicidality, 16% (n = 141) reported suicidality in the last 6 months, and 29% reported suicidality at some point during the study. In multivariable analysis, factors independently associated with suicidality included physical/sexual childhood abuse (adjusted odds ratio [AOR]: 2.99; 95% confidence interval [CI] = [1.75, 5.10]), mental health issues (depression/anxiety/posttraumatic stress disorder; AOR = 2.19; 95% CI = [1.63, 2.95]), intimate partner violence (AOR: 2.11; 95% CI = [1.60, 2.80]), physical/sexual client violence (AOR: 1.82; 95% CI = [1.33, 2.50]), and homelessness (AOR: 1.44; 95% CI = [1.10, 1.89]). Older age (AOR: 0.97; 95% CI = [0.95, 0.99]) and higher social cohesion (AOR: 0.88; 95% CI = [0.78, 0.99]) were significantly associated with reduced odds of suicidality. Findings reveal key socio-structural correlates of suicidality among sex workers including experiences of historical and interpersonal violence, trauma/mental health issues, and homelessness. Strengthening social cohesion may have a protective effect on suicidality. Trauma-informed community-led structural interventions tailored to sex workers are urgently needed alongside a legal framework that enables collectivization and connectedness.

scholarly journals Understanding mental health and wellbeing among aboriginal postsecondary students

2021 ◽  
Author(s):  
Caitlin Joy Davey
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Health Knowledge ◽  
Health Issues ◽  
Community Based ◽  
Post Secondary ◽  
Aboriginal Students ◽  
Mental Health Issues ◽  
Mental Health Knowledge

First Nations, Inuit and Métis youth in Canada report higher rates of mental health (i.e., depression, anxiety, addiction and suicide) issues than the non-Aboriginal population of youth, which impacts their ability to achieve their educational goals. Understanding mental health from an Aboriginal worldview and through culturally safe strategies designed to translate mental health information to Aboriginal people is lacking. The objectives of the present study were to develop, implement and evaluate a knowledge translation (KT) strategy to enhance wellbeing knowledge and self-efficacy in coping with mental health issues among Aboriginal postsecondary students using a community-based approach. The Tool Development Phase involved focus groups and interviews with Aboriginal post-secondary students (n=9) and community members (n=3) to develop a KT activity. The KT Phase involved a pre/post design where participants (n=4) were asked about their mental health knowledge and self-efficacy in improving their wellbeing prior to and after the KT activity. All students participated in an individual interview one month later about their knowledge and the helpfulness of activity. Key informants (n=4) were interviewed during a Follow-Up and Debriefing phase regarding the community-based approach. Mental health was defined wholistically, as related to community and as being impacted by identity, stigma, cultural connection, intergenerational trauma, and a clash between Aboriginal and positivist Western worldviews. KT preferences included incorporating traditional ceremonies; covering particular topics such as resources, traditional teachings and coping strategies; and incorporating active participation. The KT activity increased knowledge and self-efficacy related to mental health and some knowledge was retained and used at one-month follow-up. As well, participants appreciated the sense of community that the activity created and provided feedback regarding what could be changed (e.g., more active participation). Key informants thought the project addressed some community needs and that it was built on relationships. This study will contribute to increasing the wellbeing of Aboriginal students by expanding upon their mental health knowledge, and sense of self-efficacy in coping with their own mental health issues, with the aim of addressing mental health barriers to the completion of post-secondary education among Aboriginal students.

Psychiatric Consultation in the Eastern Canadian Arctic: III. Mental Health Issues in Inuit Women in the Eastern Arctic

1993 ◽  
Vol 38 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Susan E. Abbey ◽  
Eric Hood ◽  
L. Trevor Young ◽  
Samuel A. Malcolmson
Keyword(s):  
Mental Health ◽  
Cultural Change ◽  
Treatment Strategies ◽  
Canadian Arctic ◽  
Health Issues ◽  
Psychiatric Consultation ◽  
Community Based ◽  
Mental Health Issues ◽  
Patient Will ◽  
Eastern Canadian Arctic

This report describes mental health issues affecting Inuit women as seen in psychiatric consultation. Recent public and governmental attention has focused on the emotional and behavioural sequelae of rapid cultural change, spousal assault and sexual violence. The process of psychiatric consultant with the Inuit woman patient will be described. The need for innovative, community-based treatment strategies in this population will be emphasized.

scholarly journals Prevalence and predictors of depression, anxiety, and stress among adults in Ghana: A community-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258105
Author(s):  
Hubert Amu ◽  
Eric Osei ◽  
Philip Kofie ◽  
Richard Owusu ◽  
Samuel Adolf Bosoka ◽  
...  
Keyword(s):  
Mental Health ◽  
Formal Education ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Health Issues ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mental Health Issues ◽  
Predictors Of Depression

Introduction Over the past two decades, there have been several global interventions including the Sustainable Development Goals (SDGs), aimed at improving health outcomes. Despite efforts by countries to achieve the SDG targets, mental health challenges remain major public health concerns globally. We examined the prevalence and predictors of depression, anxiety, and stress as well as the comorbidities of these mental health issues among adults. Materials and methods This was a community-based cross-sectional study conducted among 2456 adults in four districts of the Volta Region of Ghana using data from the UHAS-Yonsei University Partnership Project. We analysed the data using frequency, percentage, mean, standard deviation, correlation, and binary logistic regression. Results Overall, 51.8% of the participants had at least one of the mental health issues examined. The prevalence of a mental health issue was 25.2%, 53.3%, and 9.7% for depression, anxiety, and stress respectively. Participants constituting 8.3% experienced all three mental health issues as comorbidities. Participants’ level of formal education and income significantly predicted depression, anxiety, and stress respectively at the multivariable level. Adults with a tertiary level of education were, for instance, 68% (AOR = 0.32, 95%CI = 0.15–0.66), 65% (AOR = 0.35, 95%CI = 0.17–0.73), and 50% (AOR = 0.50, 95%CI = 0.33–0.76) less likely to experience depression, anxiety, and stress, respectively compared with those who had no formal education. Conclusion The majority of our study participants either experienced depression, anxiety, or stress. There were quite high comorbidities of the mental health issues among the adult population. To accelerate progress towards the achievement of SDG 3.4 target of promoting mental health and wellbeing for all by the year 2030, there is a need for effective implementation of the country’s 2012 Mental Health Act which makes provisions for the establishment of a Mental Health Fund. This could improve the financial circumstances of indigenes as income has been realised in the present study as an important factor influencing depression, anxiety, and stress among the adult population.

scholarly journals An Exploration of Facilitators and Challenges to Young Adult Engagement in a Community-Based Program for Mental Health Promotion

2020 ◽  
Vol 7 ◽  
pp. 233339362092282
Author(s):  
Anne Marie Creamer ◽  
Jean Hughes ◽  
Nicole Snow
Keyword(s):  
Mental Health ◽  
Young Adulthood ◽  
Mental Health Center ◽  
Health Issues ◽  
Community Based ◽  
Health Concerns ◽  
Mental Health Issues ◽  
Canadian City ◽  
Trauma Informed ◽  
Adolescence And Young Adulthood

Adolescence and young adulthood can be particularly daunting for those with mental health concerns. In one Canadian city, a community-based drop-in psychosocial mental health center (Center) was designed specifically for youth who self-identified as struggling with mental health issues. The purpose of this study was to identify the features of the program that promoted or discouraged engagement. Narrative inquiry was used to guide the project. One-on-one interviews were conducted with 10 Center users. Four major categories were identified: (a) Reasons for Coming: Motivated to Work on Goals; (b) Facilitators of Engagement and Beyond; (c) Challenges to Engagement; and (d) Benefits of Engaging: Finding My Way. These categories were further delineated into themes. All participants had experienced trauma, and the Center assisted them in their coping. The researchers believe that to aid recovery, agencies working with this population need to use trauma-informed and healing-centered engagement.

scholarly journals Why They Did It? Sex Differences in the Impact of Mental Health and Substance Use on Motivations for Offending

2017 ◽  
Vol 64 (6) ◽  
pp. 723-757 ◽  
Author(s):  
Jessica M. Craig ◽  
Angie D. Wilson ◽  
Michael T. Baglivio ◽  
Kevin T. Wolff ◽  
Alex R. Piquero ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Multinomial Logistic Regression ◽  
Future Research ◽  
Health Issues ◽  
Community Based ◽  
Adjudicated Youth ◽  
Logistic Regression Models ◽  
Mental Health Issues ◽  
The Impact

This study examined how mental health issues and substance use relate to motivations for offending among a large sample of adjudicated youth who completed a community-based placement in a large southeastern state ( n = 18,749). The extent to which these relationships differed by sex was also considered. Multinomial logistic regression models revealed that although both mental health issues and substance use were related to a variety of reasons for offending, these relationships differed and did not appear to influence one another. In addition, findings revealed that mental health issues and substance use have differential effects on reasons for offending across sex. Treatment implications are highlighted along with suggestions for future research.

scholarly journals Protocol of a Community-Based Intervention on Mental Health in Kashmir

2020 ◽  
Vol 42 (6_suppl) ◽  
pp. S68-S72
Author(s):  
Aadil Bashir ◽  
Margaret McDonald ◽  
James Egan ◽  
Mary E. Hawk
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Behavioral Therapy ◽  
Clinical Psychologist ◽  
Mental Health Training ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues

Introduction: Mental health issues are on an exponential rise in Kashmir due to varied reasons including political instability, eco fragility, the growing lag in the provision of education and employment, and several other reasons. Impediments such as the overwhelming stigma and the cultural sensitivity associated with mental health issues both sustain and perpetuate mental ill health and also prevent any treatment and rehabilitation. This article describes the protocol of a research project, funded by the Indian Council of Medical Research, which aims to address this issue. Aim: To screen the population for mental health issues and to provide community-based intervention for the identified cases also to train community health workers for sustainable mental health support. Methods: We will conduct a household survey using the Hopkins Symptom Checklist (HSCL-25) for the identification of the clients. A multi-stage random sampling shall be used to select the villages and the households from the marginalized communities. A sample of 500 respondents shall be screened using HSCL-25. Those who screen positive for mental health issues will be offered cognitive behavioral therapy (CBT) by a qualified clinical psychologist. The research will be able to address the diagnosis of depression and anxiety-related cases and the subsequent intervention. Additionally, we will utilize the facilitator’s manual for Mental Health Training Program for Community Health Workers to build sustainable mental health services in community settings. Discussion: The study shall present a roadmap focusing on the indispensability of a comprehensive community-based intervention on mental health utilizing a non-pharmacological method. Assessing and analyzing the dynamics of mental health illness first hand, the study shall move ahead to offer a culturally tailored counseling program at the community level. The study also aims to highlight the role of the indigenous human resource (community health workers) and how its participation leads to a more scientific and sustainable intervention for more effective results, with an increased level of awareness and sensitization in a conventional society like Kashmir.

Sign in / Sign up

Export Citation Format

Share Document