scholarly journals Comparing characteristics of epilepsy treatment providers on the Kenyan coast: implications for treatment-seeking and intervention

2009 ◽  
Author(s):  
Nathaniel Kendall-Taylor ◽  
Caroline Kathomi ◽  
Keneth Rimba ◽  
Charles Newton
Keyword(s):  
Treatment Seeking ◽  
Treatment Providers ◽  
Epilepsy Treatment ◽  
Kenyan Coast

Treatment Seeking for a Chronic Disorder: How Families in Coastal Kenya Make Epilepsy Treatment Decisions

2009 ◽  
Vol 68 (2) ◽  
pp. 141-153 ◽  
Author(s):  
Nathaniel Kendall-Taylor
Keyword(s):  
Decision Making ◽  
Treatment Decisions ◽  
Subsequent Treatment ◽  
Treatment Seeking ◽  
Decision Making Process ◽  
Cultural Perceptions ◽  
Study Approach ◽  
Treatment Providers ◽  
Seizure Disorders ◽  
Coastal Kenya

A person-centered case-study approach was used to account for treatment choices made by families of children with epilepsy seizure disorders in Kilifi, Kenya. Observations of individual families and treatment providers suggest that the local cultural system of illness classification and the process of assessing treatment results are fundamental influences on family decisions to seek treatment for childhood seizure disorders. The findings also indicate that the dominance of these two factors shifts throughout the illness experience. Family classification of seizures and cultural perceptions of their causation are primary in initial treatment seeking, while the perception of results of the last treatment sought dominates subsequent treatment decisions. External factors, including pressure from individuals outside the family, and financial and time resources, are described as secondary constraining factors in the decision making process. A model is presented to summarize the decision making process. The model accounts for treatment seeking in families of children with seizure disorders in coastal Kenya but may also help explain how families manage other chronic conditions.

INTRA-HOUSEHOLD RELATIONS AND TREATMENT DECISION-MAKING FOR CHILDHOOD ILLNESS: A KENYAN CASE STUDY

2002 ◽  
Vol 34 (1) ◽  
pp. 109-131 ◽  
Author(s):  
C. S. MOLYNEUX ◽  
G. MURIRA ◽  
J. MASHA ◽  
R. W. SNOW
Keyword(s):  
Decision Making ◽  
Household Head ◽  
Treatment Decision ◽  
Treatment Seeking ◽  
Treatment Decision Making ◽  
Rural And Urban ◽  
Kenyan Coast ◽  
Appropriate Therapy ◽  
Household Relations ◽  
Maternal Responses

This study, conducted on the Kenyan coast, assesses the effect of intra-household relations on maternal treatment-seeking. Rural and urban Mijikenda mothers’ responses to childhood fevers in the last 2 weeks (n=317), and to childhood convulsions in the previous year (n=43), were documented through survey work. The intra-household relations and decision-making dynamics surrounding maternal responses were explored through in-depth individual and group interviews, primarily with women (n=223). Responses to convulsions were more likely than responses to fevers to include a healer consultation (p<0·0001), and less likely to include the purchase of over-the-counter medications (p<0·0001). Mothers received financial or advisory assistance from others in 71% (n=236) of actions taken outside the household in response to fevers. In-depth interviews suggested that general agreement on appropriate therapy results in relatively few intra-household conflicts over the treatment of fevers. Disputes over perceived cause and appropriate therapy of convulsions, however, highlighted the importance of age, gender and relationship to household head in intra-household relations and treatment decision-making. Although mothers’ treatment-seeking preferences are often circumscribed by these relations, a number of strategies can be drawn upon to circumvent ‘inappropriate’ decisions, sometimes with implications for future household responses to similar syndromes. The findings highlight the complexity of intra-household relations and treatment decision-making dynamics. Tentative implications for interventions aimed at improving the home management of malaria, and for further research, are presented.

scholarly journals Alienation and Lack of Trust

2020 ◽  
Vol 3 (2) ◽  
pp. 94-115 ◽  
Author(s):  
Ingrid Amalia Havnes ◽  
Thea Steen Skogheim
Keyword(s):  
Substance Use ◽  
Health Problems ◽  
Treatment Seeking ◽  
Anabolic Androgenic Steroid ◽  
Psychoactive Substances ◽  
Major Barrier ◽  
Treatment Providers ◽  
Treatment Services ◽  
And Performance ◽  
Performance Enhancing Drugs

Anabolic-androgenic steroid (AAS) use became illegal when the Norwegian Drug Act was amended in 2013, and AAS and other image- and performance-enhancing drugs were included in the politics and treatment of substance use. Few individuals with AAS-related health problems seek substance use disorder (SUD) treatment. This article aims to explore understandings of AAS dependence, barriers to treatment-seeking, and experiences of entering SUD treatment among a sample of men with AAS-related health problems struggling to cease AAS use. Seeking treatment for AAS-related health problems within SUD treatment services was described as alienating. First, because the participants experienced their struggle to quit using AAS to be different from being dependent upon psychoactive substances. They linked their struggles to symptoms of hormonal disturbance, need for a certain body size, and/or the sense of wellbeing provided by AAS and which enable them to function socially. Second, they experienced alienation because of their healthy identities, bodies and lifestyles, as opposed to how they viewed individuals with severe SUDs and emaciated bodies. A major barrier to treatment-seeking was participants’ lack of trust that SUD treatment providers had the knowledge and the means to provide treatment of their AAS-related health problems and struggle to quit AAS use. Experienced barriers towards seeking SUD treatment should be taken into account when planning, organizing and implementing health services for individuals with AAS-related health problems.

scholarly journals Treatment-Seeking Problem Gamblers: Characteristics of Individuals Who Offend to Finance Gambling

2019 ◽  
Author(s):  
Amanda Roberts ◽  
Stephen Sharman ◽  
Matthew King ◽  
Andy Bayston ◽  
Henrietta Bowden-Jones
Keyword(s):  
Childhood Abuse ◽  
Mental Health Problems ◽  
Severity Index ◽  
Treatment Seeking ◽  
Treatment Needs ◽  
Treatment Providers ◽  
Problem Gamblers ◽  
Patient Health ◽  
Offending Behaviour ◽  
Family Mental Health

AbstractThe relationship between crime and gambling is well established; however, few studies have examined offending specifically to finance gambling within a UK gambling treatment-seeking population. A total of 1226 treatment-seeking gamblers completed the Problem Gambling Severity Index (PGSI), Patient Health Questionnaire and the Generalized Anxiety Disorder 7 item scale, and were asked whether they had committed any illegal behaviours to finance gambling. A total of 42.5% reported offending behaviour. A greater proportion of the offending group was single or married/cohabiting, had a lower level qualifications, lower income, had experienced childhood abuse, family mental health problems and gambling-related harms compared with the non-offending group. Offenders reported higher anxiety, depression and disordered gambling scores. Disordered gamblers who offend make up a discrete and complex subgroup with distinct vulnerabilities. Findings will be useful to clinicians involved in the assessment and management of problematic gambling. Gamblers who offend to finance gambling may have different treatment needs and treatment providers should administer appropriate clinical interventions to address vulnerabilities.

DSM-5 alcohol use disorder features among treatment-seeking older adults

2018 ◽  
Vol 64 (4) ◽  
pp. 185-196 ◽  
Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
The Elderly ◽  
Treatment Seeking ◽  
Controlled Clinical Trial ◽  
Dsm 5 ◽  
Wide Range ◽  
And Gender ◽  
International Multicenter

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

An Intervention With Meaning

Crisis ◽  
2017 ◽  
Vol 38 (6) ◽  
pp. 376-383 ◽  
Author(s):  
Brooke A. Levandowski ◽  
Constance M. Cass ◽  
Stephanie N. Miller ◽  
Janet E. Kemp ◽  
Kenneth R. Conner
Keyword(s):  
High Risk ◽  
Qualitative Methodology ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Safety Planning ◽  
Health Administration ◽  
Suicide Method ◽  
Treatment Providers ◽  
Interactive Nature ◽  
Behavioral Health Treatment

Abstract. Background: The Veterans Health Administration (VHA) health-care system utilizes a multilevel suicide prevention intervention that features the use of standardized safety plans with veterans considered to be at high risk for suicide. Aims: Little is known about clinician perceptions on the value of safety planning with veterans at high risk for suicide. Method: Audio-recorded interviews with 29 VHA behavioral health treatment providers in a southeastern city were transcribed and analyzed using qualitative methodology. Results: Clinical providers consider safety planning feasible, acceptable, and valuable to veterans at high risk for suicide owing to the collaborative and interactive nature of the intervention. Providers identified the types of veterans who easily engaged in safety planning and those who may experience more difficulty with the process. Conclusion: Additional research with VHA providers in other locations and with veteran consumers is needed.

Sign in / Sign up

Export Citation Format

Share Document