scholarly journals A Pilot Survey of Clergy Regarding Mental Health Care for Children

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Leigh Blalock ◽  
Rachel E. Dew

Collaborations between healthcare and faith-based organizations have emerged in the drive to improve access to care. Little research has examined clergy views on collaborations in the provision of mental healthcare, particularly to children. The current paper reports survey responses of 25 clergy from diverse religious traditions concerning mental health care in children. Subjects queried include clergy referral habits, specific knowledge of childhood conditions such as depression and anxiety, past experiences with behavioral health workers, and resources available through their home institutions. Overall, surveyed clergy support collaborations to improve childhood mental health. However, they vary considerably in their confidence with recognizing mental illness in children and perceive significant barriers to collaborating with mental health providers.

2020 ◽  
Author(s):  
Markus W. Haun ◽  
Mariell Hoffmann ◽  
Alina Wildenauer ◽  
Justus Tönnies ◽  
Michel Wensing ◽  
...  

Objective: Despite available effective treatments for mental health disorders, few patients in need receive even the most basic care. Integrated telehealth services may be a viable option to increase access to mental health care. The aim of this qualitative process evaluation embedded in a randomized controlled feasibility trial was to explore health providers’ experiences with a mental health care model integrating mental health specialist video consultations (MHSVC) and primary care.Methods: A qualitative process evaluation focusing on MHSVC in primary care was conducted. In 13 semistructured interviews, we assessed the experience of all mental health specialists, primary care physicians, and medical assistants who participated in the trial. A thematic analysis, focusing on the implementation, mechanisms of impact, and context, was applied to investigate the data.Results: Considering (1) the implementation, participants evaluated the consultations as feasible, easy to use, and time-saving. Concerning (2) the mechanisms of impact, the consultations were regarded as effective for patients. Providers attributed the patients’ improvements to two key aspects: the familiarity of the primary care practice and the fast access to specialist mental healthcare. Mental health specialists observed trustful therapeutic alliances emerging and described their experience as comparable to same-room care. However, compared to same-room care, specialists perceived the video consultations as more challenging and sometimes more exhausting due to the additional effort required for establishing therapeutic alliances. Regarding (3) the intervention’s context, shorter travel distances positively affected the implementation, while technical failures, i.e. poor Internet connectivity, emerged as the main barrier.Conclusions: MHSVCs in primary care are feasible and successful in improving access to mental healthcare for patients. To optimize the engagement and comfort of both patients and health providers, future work should focus on empirical determinants for establishing robust therapeutic alliances with patients receiving video consultations (e.g., leveraging nonverbal cues for therapeutic purposes).


2021 ◽  
Author(s):  
Nicola Cogan ◽  
Heather Archbold ◽  
Karen Deakin ◽  
Bethany Griffith ◽  
Isabel Sáez Berruga ◽  
...  

Efforts have been made to adapt the delivery of mental health care and support services to the demands of COVID-19. Here we detail the perspectives and experiences of mental health workers (MHWs), in relation to what they found helpful when adapting mental health services during the COVID-19 pandemic and responding to its demands. We were interested in exploring what has helped to support MHWs’ own health and wellbeing given that staff wellbeing is central to sustaining the delivery of quality mental health services moving forward. Individual interviews were conducted with MHWs (n = 30) during the third COVID-19 lockdown. Interviews were audio-recorded, transcribed and managed using NVIVO. Qualitative data was analyzed using an inductive thematic approach. Three major themes were created, which emphasized the importance of: (1) 'self-care and peer support (checking in with each other)', (2) 'team cohesion and collaboration' and (3) 'visible and supportive management and leadership (new ways of working)'. Our findings emphasize the importance of individual, team and systems-based support in helping MHWs maintain their own wellbeing, whilst adapting and responding to the challenges in providing mental health care and support during this pandemic. Guidance and direction from management, with adaptive leadership in providing sustained, efficient, and equitable delivery of mental healthcare, is essential. Our findings support future policy, research and mental health practice developments through sharing important salutogenic lessons learned and transferable insights which may help with preparedness for future pandemics.


2011 ◽  
Vol 4 (1) ◽  
pp. 135
Author(s):  
Denize Bouttelet Munari ◽  
Terezinha Silvério de Melo ◽  
Marina Barbosa de Oliveira ◽  
Camila Cândida Barbosa ◽  
Ana Carolina de Castro Mendonça Queiroz ◽  
...  

Public health practice in Brazil calls for an ongoing search for qualified health providers for implementation of the Brazilian National Health System (SUS). In this context, mental health care is a major challenge due to its particularities. It requires establishing a channel of communication between its specific attributes and the Family Health Strategy for bringing together the community and specialized outpatient care. The objective of the present study was to report the experience of a training workshop on mental health for community health agents (CHA) organized by faculty and graduate students in nursing at Universidade Federal e Católica de Goiás School of Nursing, State of Goiás, Brazil. This initiative was developed due to a demand by CHA who reported lack of knowledge to meet the needs identified in families and their own mental health needs. The workshop was held biweekly in the second half of 2008 applying the Laboratory Education model, which enables the integration of theory and experiences based on the focus of interest of the subjects. The program was based on the needs of the group then worked through the experiential learning cycle, a key element of this approach. We conclude that involvement, attendance, interest and application of knowledge by CHA proved the efficacy of this model as a strategy capable of developing them as people and professionals.


2022 ◽  
Vol 75 (suppl 3) ◽  
Author(s):  
Luana Cristina Bellini Cardoso ◽  
Sonia Silva Marcon ◽  
Thamires Fernandes Cardoso da Silva Rodrigues ◽  
Marcelle Paiano ◽  
Hellen Emília Peruzzo ◽  
...  

ABSTRACT Objective: To learn about the perceptions of the professionals who work in Primary Health Care about mental health care. Methods: Descriptive and qualitative study, carried out with 29 health workers through open and individual interviews. The IRaMuTeQ® software was used to organize the data which, then, was submitted to a content analysis process in the thematic modality. Results: Three classes emerged from the content analysis: “Perceptions about the mental health care provided in the city”, “The biomedical paradigm in mental healthcare”, and “Elements for the construction of a new way for professionals to act in mental health”. Final considerations: It was found that, despite the good infrastructure of the services and the elements pointed at by the professionals to create a new way to act, they do not do so, and the responsibility falls, mostly, on the psychologist to carry out these activities.


2018 ◽  
Author(s):  
Tanjir Rashid Soron

UNSTRUCTURED Though health and shelter are two basic human rights, millions of refugees around the world are deprived of these basic needs. Moreover, the mental health need is one of least priority issues for the refugees. Bangladesh a developing country in the Southeast Asia where the health system is fragile and the sudden influx of thousands of Rohingya put the system in a more critical situation. It is beyond the capacity of the country to provide the minimum mental health care using existing resource. However, the refuges need immediate and extensive mental health care as the trauma, torture and being uprooted from homeland makes them vulnerable for various mental. Telepsychiatry (using technology for mental health service) opened a new window to provide mental health service for them. Mobile phone opened several options to reach to the refugees, screen them with mobile apps, connect them with self-help apps and system, track their symptoms, provide distance intervention and train the frontline health workers about the primary psychological supports. The social networking sites give the opportunity to connect the refugees with experts, create peer support group and provide interventions. Bangladesh can explore and can use the telepsychiatry to provide mental health service to the rohingya people.


2021 ◽  
Vol 34 (2) ◽  
pp. 100-106
Author(s):  
Emily J. Follwell ◽  
Siri Chunduri ◽  
Claire Samuelson-Kiraly ◽  
Nicholas Watters ◽  
Jonathan I. Mitchell

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.


2022 ◽  
Vol 07 (01) ◽  
pp. 37-41
Author(s):  
Ramdas Ransing ◽  
Sujita Kumar Kar ◽  
Vikas Menon

In recent years, the Indian government has been promoting healthcare with an insufficient evidence base, or which is non-evidence-based, alongside delivery of evidence-based care by untrained practitioners, through supportive legislation and guidelines. The Mental Health Care Act, 2017, is a unique example of a law endorsing such practices. In this paper, we aim to highlight the positive and negative implications of such practices for the delivery of good quality mental healthcare in India.


2021 ◽  
Vol 11 ◽  
Author(s):  
Edith Kwobah ◽  
Florence Jaguga ◽  
Kiptoo Robert ◽  
Elias Ndolo ◽  
Jane Kariuki

The rising number of patients with Covid-19 as well as the infection control measures have affected healthcare service delivery, including mental healthcare. Mental healthcare delivery in low and middle income countries where resources were already limited are likely to be affected more during this pandemic. This paper describes the efforts of ensuring mental healthcare delivery is continued in a referral hospital in Kenya, Moi Teaching and Referral hospital, as well as the challenges faced. These efforts are guided by the interim guidelines developed by the Kenyan ministry of health. Some of the adjustments described includes reducing number of patients admitted, shortening the stay in the inpatient setting, using outdoors for therapy to promote physical distancing, utilization of electronic platforms for family therapy sessions, strengthening outpatient services, and supporting primary care workers to deliver mental health care services. Some of the challenges include limited ability to move about, declining ability for patients to pay out of pocket due to the economic challenges brought about by measures to control Covid-19, limited drug supplies in primary care facilities, inability to fully implement telehealth due to connectivity issues and stigma for mental health which results in poor social support for the mentally ill patients. It is clear that current pandemic has jeopardized the continuity of usual mental healthcare in many settings. This has brought to sharp focus the need to decentralize mental health care and promote community based services. Meanwhile, there is need to explore feasible alternatives to ensure continuity of care.


2020 ◽  
Vol 44 (4) ◽  
pp. 544-564
Author(s):  
Christien Muusse ◽  
Hans Kroon ◽  
Cornelis L. Mulder ◽  
Jeannette Pols

Abstract Deinstitutionalization is often described as an organizational shift of moving care from the psychiatric hospital towards the community. This paper analyses deinstitutionalization as a daily care practice by adopting an empirical ethics approach instead. Deinstitutionalization of mental healthcare is seen as an important way of improving the quality of lives of people suffering from severe mental illness. But how is this done in practice and which different goods are strived for by those involved? We examine these questions by giving an ethnographic description of community mental health care in Trieste, a city that underwent a radical process of deinstitutionalization in the 1970s. We show that paying attention to the spatial metaphors used in daily care direct us to different notions of good care in which relationships are central. Addressing the question of how daily care practices of mental healthcare outside the hospital may be constituted and the importance of spatial metaphors used may inform other practices that want to shape community mental health care.


2019 ◽  
Vol 71 (5) ◽  
pp. 591-601 ◽  
Author(s):  
Andrea Knight ◽  
Michelle Vickery ◽  
Lauren Faust ◽  
Eyal Muscal ◽  
Alaina Davis ◽  
...  

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