Measures and narratives of the nature, causes and consequences of violent assaults and risk perception of psychiatric hospitals in Ghana: Mental Health workers’ perspectives

2021 ◽  
Author(s):  
Roger A. Atinga ◽  
Lily Yarney ◽  
Kingsley Saa‐Touh Mort ◽  
Joshua A. Gariba ◽  
Joana Salifu Yendork
Keyword(s):  
Mental Health ◽  
Risk Perception ◽  
Health Workers ◽  
Psychiatric Hospitals ◽  
Mental Health Workers

Has the spirit of Basaglia affected Polish psychiatry?

2020 ◽  
pp. 245-256
Author(s):  
Jacek Moskalewicz ◽  
Grażyna Herczyńska ◽  
Katarzyna Prot-Klinger
Keyword(s):  
Mental Health ◽  
Diffusion Of Innovations ◽  
Health Workers ◽  
Psychiatric Hospitals ◽  
Mental Health Workers ◽  
Structured Interviews ◽  
Moral Legitimacy ◽  
Slow Pace ◽  
The 1960S ◽  
Written Sources

The anti-psychiatry movement emerged in Poland in the 1960s, demanding changes in a system based on huge psychiatric hospitals. Nevertheless, large hospitals did not vanish. Even today, they provide three quarters of the beds and serve two thirds of all patients hospitalized within the psychiatric care system. To understand better the slow pace of the Polish reforms, a theory of diffusion of innovations has been applied. Written sources such as journals, private letters, and statistical archives have been reviewed. In addition, seven non-structured interviews were carried out with mental health workers who could remember reform efforts from the 1970s. A critical opinion of the Italian reform prevailed in Poland, based on second-hand sources and rumours. These described the Italian experiences as an irresponsible reform carried out with disregard of patients’ interests. Blaming Basaglia for irresponsible reforms provided a moral legitimacy for the slow pace of reforms in Poland.

The Yantai Model of Community Care for Rural Psychiatric Patients

1994 ◽  
Vol 165 (S24) ◽  
pp. 107-113 ◽  
Author(s):  
Qingtong Wang ◽  
Yuzhu Gong ◽  
Kezhen Niu
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Workers ◽  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Home Care Services ◽  
Mental Illnesses ◽  
Mental Health Workers ◽  
Advisory Group ◽  
Community Mental Health Workers

The main characteristics of the Yantai model are (a) a three-tier (county, township, village) management structure; (b) the vertical integration of community mental health workers, including a professional advisory group of psychiatrists from the central psychiatric hospital, groups of community psychiatrists at small county psychiatric hospitals, non-psychiatric physicians who run psychiatric out-patient clinics at township general hospitals, and village paramedics (‘village doctors’) who supervise patients in the community; (c) ongoing training of all community mental health workers; (d) registration and yearly follow-up of all patients with mental illnesses in the community; (e) provision of home-care services to a proportion of acutely ill patients; and (f) most of the cost of the service is borne by the state. The network of services provided by this model makes it convenient for patients to obtain treatment and, if necessary, go into hospital; it reduces the economic burden on the family and the community; it combines treatment, prevention, rehabilitation, and supervision under one administrative network; and it decreases the overall level of psychopathology and psychosocial dysfunction in the community.

Reducing Burnout Among Mental Health Workers

1999 ◽  
Author(s):  
S. Geurts ◽  
W. Schaufeli ◽  
J De Jonge
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Mental Health Workers

Fostering Resilience in Response to Terrorism Among Mental Health Workers

2004 ◽  
Author(s):  
Karen W. Saakvitne ◽  
◽  
B. Hudnall Stamm ◽  
Laura Barbanel
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Mental Health Workers

scholarly journals Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic

2021 ◽  
Vol 18 (9) ◽  
pp. 4457
Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Organizational Support ◽  
Sleep Problems ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Mental Health Workers ◽  
Sectional Study ◽  
Cross Sectional

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

scholarly journals Clinical effectiveness and cost effectiveness of individual mental health workers colocated within primary care practices: a systematic literature review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042052
Author(s):  
Jean-Baptiste Woods ◽  
Geva Greenfield ◽  
Azeem Majeed ◽  
Benedict Hayhoe
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cost Effectiveness ◽  
Health Worker ◽  
Health Workers ◽  
Risk Of Bias ◽  
Mental Health Workers ◽  
Mental Health Worker ◽  
Care Practices ◽  
Primary Care Practices

ObjectivesMental health disorders contribute significantly to the global burden of disease and lead to extensive strain on health systems. The integration of mental health workers into primary care has been proposed as one possible solution, but evidence of clinical and cost effectiveness of this approach is unclear. We reviewed the clinical and cost effectiveness of mental health workers colocated within primary care practices.DesignSystematic literature review.Data sourcesWe searched the Medline, Embase, PsycINFO, Healthcare Management Information Consortium (HMIC) and Global Health databases.Eligibility criteriaAll quantitative studies published before July 2019 were eligible for the review; participants of any age and gender were included. Studies did not need to report a certain outcome measure or comparator in order to be eligible.Data extraction and synthesisData were extracted using a standardised table; however, pooled analysis proved unfeasible. Studies were assessed for risk of bias using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane collaboration’s tool for assessing risk of bias in randomised trials.ResultsFifteen studies from four countries were included. Mental health worker integration was associated with mental health benefits to varied populations, including minority groups and those with comorbid chronic diseases. Furthermore, the interventions were correlated with high patient satisfaction and increases in specialist mental health referrals among minority populations. However, there was insufficient evidence to suggest clinical outcomes were significantly different from usual general practitioner care.ConclusionsWhile there appear to be some benefits associated with mental health worker integration in primary care practices, we found insufficient evidence to conclude that an onsite primary care mental health worker is significantly more clinically or cost effective when compared with usual general practitioner care. There should therefore be an increased emphasis on generating new evidence from clinical trials to better understand the benefits and effectiveness of mental health workers colocated within primary care practices.

Vicarious trauma: Strategies for legal practice and law schools

2021 ◽  
pp. 1037969X2199985
Author(s):  
Kelley Burton ◽  
Amanda Paton
Keyword(s):  
Mental Health ◽  
Vicarious Trauma ◽  
Health Workers ◽  
Mental Health Workers ◽  
Future Research ◽  
First Year ◽  
Helping Professionals ◽  
Legal Practice ◽  
Law Schools ◽  
Individual Level

We examine the effect of vicarious trauma on various stakeholders in the legal profession. Criminal lawyers are likely to experience higher levels of vicarious trauma than other lawyers. Additionally, lawyers are at a heightened risk of vicarious trauma compared to other helping professionals such as mental health workers. We identify a range of strategies that can be implemented at an organisational or individual level to address vicarious trauma. Future research should evaluate the effectiveness of vicarious trauma strategies and initiatives. Importantly, we argue that vicarious trauma initiatives should begin in first-year law courses and continue over a career.

Sign in / Sign up

Export Citation Format

Share Document