scholarly journals Saudi service users’ perceptions and experiences of the quality of their mental health care provision in the Kingdom of Saudi Arabia (KSA): A qualitative inquiry

2020 ◽  
Author(s):  
Yaqoub Al Mousa ◽  
Patrick Callaghan ◽  
Maria Michail ◽  
Glenys Caswell
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Saudi Arabia ◽  
Mental Health Care ◽  
Qualitative Inquiry ◽  
Health Care Provision ◽  
Service Users ◽  
Care Provision ◽  
Kingdom Of Saudi Arabia

scholarly journals A Prospective Evaluation of Structures and Processes Associated with the Quality of Mental Health Care in the Kingdom of Saudi Arabia

2021 ◽  
pp. 1-16
Author(s):  
Yaqoub Al Mousa ◽  
Patrick Callaghan ◽  
Maria Michail
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Saudi Arabia ◽  
Quality Of Care ◽  
Educational Level ◽  
Service Users ◽  
Kingdom Of Saudi Arabia ◽  
Mental Care

<b><i>Introduction:</i></b> Quality of care is important for improving outcomes of service users in inpatient mental health settings. There is a lack of research investigating the predictors of quality of mental health care and their relationship with service user outcomes, particularly in Saudi Arabia, despite the high priority given to this in the Kingdom of Saudi Arabia (KSA) national health strategy. <b><i>Objective:</i></b> This study investigates the factors associated with the quality of mental care and their relationship with service users’ outcomes, disability, disease, discomfort, and dissatisfaction, using Donabedian’s framework. <b><i>Methods:</i></b> A questionnaire survey was distributed to 176 nurses and 321 service users in an inpatient psychiatric hospital in Saudi Arabia. Data were gathered on structures (staff and service users’ characteristics) and processes (staff attitudes to mental illness, competency, and level of interaction with service users) linked to service users’ outcomes. <b><i>Results:</i></b> Multilevel modelling showed that service users’ characteristics, for example, age, marital status, employment status, educational level, area of residence, and diagnosis, significantly predicted disability. With 1 exception (unemployment), none of the service users’ characteristics was found to be a statistically significant predictor of disease, although educational level was found to be a significant predictor of discomfort and dissatisfaction. Age and years of experience were found to significantly predict service user disability among nurses, and years of experience was a significant predictor of users’ dissatisfaction. Nurses’ competence was found to be a statistically significant predictor of disability, while their attitudes to mental illness and their interactions with users did not significantly predict the latter’s outcomes. <b><i>Conclusions:</i></b> These findings suggest that factors other than those studied here have more currency in relation to quality of care in Saudi Arabia, despite these factors have been shown to relate to quality of care outside the KSA. A more detailed qualitative approach to better understand factors relevant to the quality of mental care in Saudi Arabia is reported by the authors in a concomitant article.

scholarly journals Mental Health Care Provision in the U.K. Armed Forces

2010 ◽  
Vol 175 (10) ◽  
pp. 805-810 ◽  
Author(s):  
Richard J. Pinder ◽  
Nicola T. Fear ◽  
Simon Wessely ◽  
Geoffrey E. Reid ◽  
Neil Greenberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Armed Forces ◽  
Health Care Provision ◽  
Care Provision

Healers and Psychiatrists: The Transformation of Mental Health Care in Tajikistan

2010 ◽  
Vol 47 (3) ◽  
pp. 419-451 ◽  
Author(s):  
Alisher Latypov
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Focus Group ◽  
Mental Health Care ◽  
Traditional Healers ◽  
Mental Illnesses ◽  
Health Care Provision ◽  
Care Provision ◽  
Focus Group Discussions ◽  
Group Discussions

This article examines the transformation of mental health care in Tajikistan from the time of Russian colonization of Central Asia until the most recent years of post-independence. It incorporates a review of published literature into the analysis of locally available reports, focus group discussions, interviews and oral histories collected between 2005 and 2008. Traditional healers play a significant role in contemporary Tajikistan, where mental health care provision is influenced by the legacy of Soviet psychiatry. Tajik mental health care may now be in a “dormant” phase, characterized by a widespread neglect of people with mental illnesses.

scholarly journals Disparities in mental health care provision to immigrants with severe mental illness in Italy

2014 ◽  
Vol 24 (4) ◽  
pp. 342-352 ◽  
Author(s):  
P. Rucci ◽  
A. Piazza ◽  
E. Perrone ◽  
I. Tarricone ◽  
R. Maisto ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Severe Mental Illness ◽  
Health Information System ◽  
Health Care Provision ◽  
Care Provision ◽  
Mental Health Information ◽  
Mental Health Information System

Aim.To determine whether disparities exist in mental health care provision to immigrants and Italian citizens with severe mental illness in Bologna, Italy.Methods.Records of prevalent cases on 31/12/2010 with severe mental illness and ≥1 contact with Community Mental Health Centers in 2011 were extracted from the mental health information system. Logistic and Poisson regressions were carried out to estimate the probability of receiving rehabilitation, residential or inpatient care, the intensity of outpatient treatments and the duration of hospitalisations and residential care for immigrant patients compared to Italians, adjusting for demographic and clinical covariates.Results.The study population included 8602 Italian and 388 immigrant patients. Immigrants were significantly younger, more likely to be married and living with people other than their original family and had a shorter duration of contact with mental health services. The percentages of patients receiving psychosocial rehabilitation, admitted to hospital wards or to residential facilities were similar between Italians and immigrants. The number of interventions was higher for Italians. Admissions to acute wards or residential facilities were significantly longer for Italians. Moreover, immigrants received significantly more group rehabilitation interventions, while more social support individual interventions were provided to Italians.Conclusions.The probability of receiving any mental health intervention is similar between immigrants and Italians, but the number of interventions and the duration of admissions are lower for immigrants. Data from mental health information system should be integrated with qualitative data on unmet needs from the immigrants' perspective to inform mental health care programmes and policies.

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