scholarly journals Bulletproofing the Psyche: Mindfulness Interventions in the Training Environment to Improve Resilience in the Military and Veteran Communities

2016 ◽  
Vol 16 (2) ◽  
pp. 312-322 ◽  
Author(s):  
Kate Hendricks Thomas ◽  
Sarah Plummer Taylor

While clinical health services exist for service members with existing mental health conditions like posttraumatic stress, they are not stemming the rising tide of service suicides. A new approach to mental health intervention and suicide prevention in military-connected personnel is required, one that speaks to the participatory, hardworking ethos of military culture. Social work and health promotion professionals working to prevent and treat mental health problems like depression and stress injuries must understand the confluence of warrior culture and mental health issues in the veteran community. While the research literature does not yet address this confluence issue directly, programs exist that provide guidance, and a mindfulness-based training protocol may provide the answer. The purpose of this review is to provide programming recommendations based on a review of successful exemplars in treatment settings, the limited evaluation of best practices currently available when working with this priority population in prevention settings, and a cultural analysis of the military veteran community.

Author(s):  
Catharina Zehetmair ◽  
Valentina Zeyher ◽  
Anna Cranz ◽  
Beate Ditzen ◽  
Sabine C. Herpertz ◽  
...  

Providing refugees with psychosocial support is particularly important considering the high level of mental health problems prevalent in this population. A psychosocial walk-in clinic operating within a state reception and registration center in Germany has been supporting mentally burdened refugees since 2016. This study focused on patients’ perspectives on their mental health burden, the psychosocial walk-in clinic, and future help seeking. We conducted interviews with n = 22 refugees attending the walk-in clinic from March to May 2019. Qualitative analysis focused on the following four topics: (1) mental burden from the patients’ perspective, (2) access to the psychosocial walk-in clinic, (3) perception of counseling sessions, and (4) perception of follow-up treatment. The results show that the majority of interviewees were burdened by psychological and somatic complaints, mostly attributed to past experiences and post-migratory stress. Therapeutic counseling and psychiatric medication were found to be particularly helpful. Most of the participants felt motivated to seek further psychosocial support. Key barriers to seeking psychosocial help included shame, fear of stigma, and lack of information. Overall, the psychosocial walk-in clinic is a highly valued support service for newly arrived refugees with mental health issues.


2020 ◽  
pp. 103985622097005
Author(s):  
Oliver Smith ◽  
Jessica Bergmann ◽  
Ulrich Schall

Objective: General practitioners (GPs) are key health professionals for referrals to mental health specialists. Youth mental health issues are particularly challenging, requiring a competent assessment and understanding of appropriate referral pathways. We surveyed local GPs about their understanding of youth mental health problems and needs to competently look after young patients. Methods: GPs working in the Hunter region were contacted via email, fax and post over a 6-month period in 2019. Results: Seventy-five GPs participated. They reported 577 of 1698 (34%) of young people seen 2 weeks prior to being surveyed presented with a mental health problem. Predominantly, referrals were to private practice psychologists and Headspace. Almost a third (31%) reported having limited understanding of ‘at-risk mental state’ and are ‘not always comfortable’ when facing a young person with a mental health problem. Nearly all (95%) expressed interest in attending specialised training. GPs identified treatment costs, scarce access to psychiatrists and limited patient engagement as the main obstacles to help young people. Conclusions: Effective treatment of a mental health problem relies on early identification. GPs are seeing young people on a regular basis but don’t feel well equipped for this task and are keen to up-skill, which needs to be addressed by targeted training.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nada Alattar ◽  
Anne Felton ◽  
Theodore Stickley

Purpose Stigma associated with mental health problems is widespread in the Kingdom of Saudi Arabia (KSA). Consequently, this may prevent many Saudi people from accessing the mental health-care services and support they need. The purpose of this study is to consider how stigma affects people needing to access mental health services in the KSA. To achieve this aim, this study reviews the knowledge base concerning stigma and mental health in KSA and considers specific further research necessary to increase the knowledge and understanding in this important area. Design/methodology/approach This review examines the relevant literature concerning mental health stigma and related issues in KSA using the Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses frameworks. As a scoping review, it has used a systematic approach in literature searching. The results of the search were then thematically analysed and the themes were then discussed in light of the concepts of stigma and mental health. Findings Stigma around mental health impedes access to care, the nature of care and current clinical practice in the KSA. The voices of those with mental health issues in KSA are almost entirely unrepresented in the literature. Originality/value The review identifies that mental health stigma and cultural beliefs about mental health in KSA may act as barriers to accessing services. The voice of mental health service users in KSA remains largely unheard. If public discussion of mental health issues can increase, people’s experiences of accessing services may be improved.


2016 ◽  
Vol 33 (S1) ◽  
pp. S154-S154
Author(s):  
S. Kumar

IntroductionThe modern Swedish crime drama series Wallander by Henning Mankell presents a good portrayal of mental health issues in 21st century post modern world, including the contribution of biological, psychological and social issues in predisposing, perpetuating and maintaining them.AimThe aim of the exploratory synthesis is to study the characters in Wallander focusing on the portrayal of their mental health with a view on formulating biological, psychological and social factors that play a role in their development. Furthermore, mental health is reviewed in first world culture acclimatizing itself to the themes emerging from post-modern globalised world.MethodThe episodes of Wallander (Swedish Version) are reviewed focusing on the characters and the plots for each episode matching them with mental health diagnoses offered in International classification of diseases.DiscussionThe results are collated and a general commentary is offered on the observations and motifs revealed in the portrayal. The focus will be on individual character formulations (both recurring main characters as well other side characters). In addition, there is a commentary on contributing to mental health problems in a post-modern industrial society.Disclosure of interestThe author has not supplied his declaration of competing interest.


Author(s):  
Nanang E. Gunawan ◽  
Tamarine Foreman

This article aims to present a practical conceptual perspective on ecological counseling as a theoretical framework for counselors' integrative cognitive complexity to work with students who experience mental health challenges caused by the COVID-19 pandemic. The transition of educational activities into virtual learning has caused various challenges for students worldwide that risk their mental health. Indonesia is one of the countries implementing virtual learning for more than a year with various social, technical, and environmental obstacles. Besides the benefit of distanced learning, this online learning model has widely caused mild to severe anxiety among students. Although researchers have investigated the impacts of virtual learning on mental health problems, the intervention strategies to help students with mental health issues remain lack attention. Ecological counseling has been known for its principles of seeing individuals' mental health issues involving a broader milieu that allows counselors to understand clients according to their contextual living systems. This framework offers a culturally sensitive perspective to help counselors withdraw appropriate and best available information for intervention purposes. This article also includes an application illustration of the ecological counseling framework in the Indonesian community as a practical guideline. It is expected that this article provides academic supports for academics to work with students dealing with their mental health challenges during this pandemic adhere to the counselors' integrative cognitive complexity functions.Keywords: ecological counseling, cognitive complexity, COVID-19 mental health, counselors, Indonesia


Author(s):  
Gunnhild Johnsen Hjetland ◽  
Viktor Schønning ◽  
Bodil Elisabeth Valstad Aasan ◽  
Randi Træland Hella ◽  
Jens Christoffer Skogen

The extent of mental health problems among adolescents seems to be on the rise, and this observed trend has often been linked to a coinciding increase in social media use. The goal of the current preliminary study was to investigate how senior high school personnel experience the role of social media in relation to the mental health of their pupils. Two focus group interviews (total n = 11) were completed and analyzed using reflexive thematic analysis, resulting in 4 themes and 11 subthemes. The results illustrate that school personnel experience social media as a tool for communication, but also as a potential cause of mental health issues and reduced academic performance among pupils. The participants called for schools to become better equipped to meet the opportunities and challenges of social media.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S288-S289
Author(s):  
Brishti Sengupta ◽  
Pritha Dasgupta

AimsTo survey the effect of COVID-19 on mental health of both medical professionals and the general population, as well as attitudes surrounding the disclosure of mental illness.MethodAn online survey comprised of two questionnaires, one for medical professionals and one for the general population, were conducted via social media. Both questionnaires asked respondents of the effect of COVID-19 on their mental health, and the former asked respondents about the effect of COVID-19 on their patient group's mental health. The questionnaires went on to ask respondents about their attitudes to mental health disclosure in various scenarios, to varying groups of people. The general population group was also asked how they would react if someone else disclosed their mental illness to them.ResultThe questionnaire for the medical professionals gained 62 respondents and the one for the general population had 122 respondents, with responses from multiple nations. Overall, COVID-19 has affected everyone's mental health to a degree, and all groups had reservations about disclosing their mental health issues to others. The medical professionals were especially reluctant to disclose mental illness to their patients, but were more comfortable when it came to disclosing mental illness to colleagues. The general population, however, was much more reluctant to disclose mental health issues to their colleagues. The general population were, on the whole, willing to listen to and help anyone who came to them with mental health concerns. Both groups surveyed showed reluctance toward disclosure to the wider community.ConclusionCOVID-19 appears to significantly affect not only physical health, but mental health as well. There is at least some degree of stigma surrounding the disclosure of mental health issues. While most would be happy to help anyone who came to them with their mental health problems, there seems to be an attitude shift when people must contend with mental health issues of their own.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S256-S256
Author(s):  
Nalin Hettiarachchi ◽  
Praveen Kumar ◽  
vikramraj balasundaram

AimsTo assess the level of understanding and difficulties encountered when obtaining sexual health details of their patients among mental health clinicians.BackgroundPeople with mental health problems, especially those treated with psychiatric medication experience greater rates of sexual difficulties than those in the general population. Mental health practitioners need to examine personal beliefs and attitudes about sexuality among people with mental health problems. Providing information about sexuality and sexual practice benefits and enhances the quality of life of people with mental health problems. Therefore taking a sexual history should be an integral part of psychiatric assessment.MethodAn online survey consisted of 17 questions to cover 3 areas of objectives mentioned above was created using Survey Monkey. A link to the survey was emailed to all the clinicians who perform psychiatric assessments. Response collection and data analysis was performed by the trust IT team.ResultTotal of 54 clinicians participated in the survey representing nurses, junior, middle grade doctors and consultants. Almost all stated that mental health patients have capacity to make appropriate decisions about their sexual behaviour patterns. 43% thought people with mental health problems don't have similar patterns of sexual behaviour compared to people without mental health problems. 11% stated that people with mental health problems do not experience greater rates of sexual difficulties than those in the general population. Nearly a third did not believe that telling patients about potential sexual side effects may lead to poor compliance. Nearly 70% stated taking a sexual history should be an integral part of psychiatric assessment. 44% reported lack of knowledge and skills when talking about sexual health and 33% avoided asking about sexual health due to lack of knowledge. Half of the clinicians avoided asking about sexual health due to the fear of embarrassing or causing distress to patients while 16% avoided asking about sexual health due to self-embarrassment. 65% talk about sexual health issues only if patients brought them up.During last 3 clinical encounters majority never asked about sexual difficulties, high risk behaviour and drug side-effects related to sexual difficulties. A significant proportion of clinicians never asked about contraception from their female clients.ConclusionSurvey revealed majority of mental health clinicians lack understanding and skills about sexual health issues highlighting the importance of raising awareness among clinicians about sexual health issues.


2021 ◽  
Vol 13 (2-2) ◽  
Author(s):  
Siti Nur Farahin Eraman ◽  
Thuaibah@Suaibah Abu Bakar ◽  
Zulkifli Hamisan @ Khair ◽  
Hashim Fauzy Yaacob

The current change in lifestyle and the rapid development of the world has led to the rise in mental health issues and symptoms of mental health problems. Therefore, the objective of this study was to examine the respondents' perceptions and mental health differences in terms of gender and personal status as well as the relationship between social support and mental health. This study is a quantitative study that used questionnaires to obtain data. The sample consisted of 103 police officers in the training, management and administration and operations departments. Multidimensional Scale of Perceived Social Support (MSPSS), Depression Anxiety Stress Scale 21 (DASS 21) and Perceived Organizational Support (POS) were used as study instruments. The data was analyzed using Statistical Package for Social Science (SPSS) version 18 and using descriptive statistics and inference statistics. The findings show that mental health conditions are affected by social support received.


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