The Linkage of Baltimore's Mental Health and Public Health Systems

1991 ◽  
Vol 12 (1) ◽  
pp. 50
Author(s):  
Maxie T. Collier ◽  
A. Soula Lambropoulos ◽  
Gail Williams-Glasser ◽  
Stephen T. Baron ◽  
John Birkmeyer
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Systems ◽  
Public Health Systems

Collaboration Among the Education, Mental Health, and Public Health Systems to Promote Youth Mental Health

2001 ◽  
Vol 52 (10) ◽  
pp. 1348-1351 ◽  
Author(s):  
Mark D. Weist ◽  
Jennifer Axelrod Lowie ◽  
Lois T. Flaherty ◽  
David Pruitt
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Systems ◽  
Youth Mental Health ◽  
Public Health Systems

scholarly journals Exploring Community Mental Health Systems – A Participatory Health Needs and Assets Assessment in the Yamuna Valley, North India

2020 ◽  
Author(s):  
Kaaren Mathias ◽  
Meenal Rawat ◽  
Anna Thompson ◽  
Rakhal Gaitonde ◽  
Sumeet Jain
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Community Mental Health ◽  
Health Systems ◽  
Traditional Healers ◽  
North India ◽  
Mental Health Systems ◽  
Government Health ◽  
Public Health Systems ◽  
Community And Public Health

Background: In India and global mental health, a key component of the care gap for people with mental health problems is poor system engagement with the contexts and priorities of community members. This study aimed to explore the nature of community mental health systems by conducting a participatory community assessment of the assets and needs for mental health in Uttarkashi, a remote district in North India. Methods: The data collection and analysis process were emergent, iterative, dialogic and participatory. Transcripts of 28 in-depth interviews (IDIs) with key informants such as traditional healers, people with lived experience and doctors at the government health centres (CHCs), as well as 10 participatory rural appraisal (PRA) meetings with 120 people in community and public health systems, were thematically analysed. The 753 codes were grouped into 93 categories and ultimately nine themes and three meta-themes (place, people, practices), paying attention to equity. Results: Yamuna valley was described as both ‘blessed’ and limited by geography, with bountiful natural resources enhancing mental health, yet remoteness limiting access to care. The people described strong norms of social support, yet hierarchical with entrenched exclusions related to caste and gender, and social conformity that limited social accountability of services. Care practices were porous, pluralist and fragmented, with operational primary care services that acknowledged traditional care providers, and trusted resources for mental health such as traditional healers (malis) and government health workers (accredited social health activists. ASHAs). Yet care was often absent or limited by being experienced as disrespectful or of low quality. Conclusion: Findings support the value of participatory methods, and policy actions that address power relations as well as social determinants within community and public health systems. To improve mental health in this remote setting and other South Asian rural locations, community and public health systems must dialogue with the local context, assets and priorities and be socially accountable.

Participatory public health systems research: Value of community involvement in a study series in mental health emergency preparedness

2012 ◽  
Vol 7 (4) ◽  
pp. 303-312 ◽  
Author(s):  
O. Lee McCabe, PhD ◽  
Felicity Marum, MHA ◽  
Natalie Semon, MSEd ◽  
Adrian Mosley, MSW, LCSW-C ◽  
Howard Gwon, MS ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Rural Communities ◽  
Health Systems ◽  
Emergency Preparedness ◽  
The State ◽  
Public Health Systems ◽  
Preparedness Planning ◽  
Systems Research ◽  
Public Health Systems Research

Background: Concerns have arisen over recent years about the absence of empirically derived evidence on which to base policy and practice in the public health system, in general, and to meet the challenge of public health emergency preparedness, in particular. Related issues include the challenge of disaster-caused, behavioral health surge, and the frequent exclusion of populations from studies that the research is meant to aid.Objective: To characterize the contributions of nonacademic collaborators to a series of projects validating a set of interventions to enhance capacity and competency of public mental health preparedness planning and response.Methods: Setting(s): Urban, suburban, and rural communities of the state of Maryland and rural communities of the state of Iowa. Participants: Study partners and participants (both of this project and the studies examined) were representatives of academic health centers (AHCs), local health departments (LHDs), and faith-based organizations (FBOs) and their communities. Procedures: A multiple-project, case study analysis was conducted, that is, four research projects implemented by the authors from 2005 through 2011 to determine the types and impact of contributions made by nonacademic collaborators to those projects. The analysis involved reviewing research records, conceptualizing contributions (and providing examples) for government, faith, and (nonacademic) institutional collaborators.Results: Ten areas were identified where partners made valuable contributions to the study series; these “value-areas” were as follows: 1) leadership and management of the projects; 2) formulation and refinement of research topics, aims, etc; 3) recruitment and retention of participants; 4) design and enhancement of interventions; 5) delivery of interventions; 6) collection, analysis, and interpretation of data; 7) dissemination of findings; 8) ensuring sustainability of faith/government preparedness planning relationships; 9) optimizing scalability and portability of the model; and 10) facilitating translational impact of study findings.Conclusions: Systems-based partnerships among academic, faith, and government entities offer an especially promising infrastructure for conducting participatory public health systems research in domestic emergency preparedness and response.

Maternal health services in China’s western rural areas: uptake and correlates

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Chengfang Liu ◽  
Linxiu Zhang ◽  
Yaojiang Shi ◽  
Huan ZHOU ◽  
Alexis Medina ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Services ◽  
Health Systems ◽  
Uptake Rate ◽  
Rural Areas ◽  
Design Methodology ◽  
Maternal Health Services ◽  
Western China ◽  
Public Health Systems

Purpose Many public health systems have struggled with the dual questions of (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it. The objective of this study is to assess the uptake rate of a new set of maternal health services in poor rural areas of China. Design/methodology/approach The analysis is based on the survey responses of women’s representatives and village cadres from almost 1000 villages in June 2012 as part of a wide-scale public health survey in Sichuan, Gansu and Yunnan provinces in the western part of China. Findings We find that the uptake rate of maternal health services (including in-hospital delivery, antenatal care visits and post-partum care visits) in poor rural areas of western China are far below average in China, and that the rates vary across provinces and ethnic groups. Our analyses demonstrate that distance, income, ethnicity and availability appear to be systematically correlated with low uptake rates of all maternal health services. Demand-side factors seem to be by far the most important sources of the differences between subpopulations. We also find that there is potential for creating a Conditional Cash Transfer program to improve the usage of maternal health services. Originality/value We believe that our results will contribute positively to the exploration of answers to the dual questions that many public health systems have struggled with (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it.

scholarly journals Integrating oral health with public health systems under the framework of the Global Charter for the Public's Health

2018 ◽  
Vol 69 (3) ◽  
pp. 167-170
Author(s):  
Aimee Lee ◽  
Marta Lomazzi ◽  
Hyewon Lee ◽  
Raman Bedi
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Health Systems ◽  
Public Health Systems
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