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Sutton, Keith, Anton N. Isaacs, Kim Dalziel, and Darryl Maybery. "Roles and competencies of the Support Facilitator in Australia’s recovery-oriented mental health initiative: a qualitative study from Gippsland, Victoria." Australian Health Review 41, no. 1 (2017): 91. http://dx.doi.org/10.1071/ah15183.
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Objective This study explored the roles and competencies of Support Facilitators (SFs) engaged in the implementation of the Partners in Recovery initiative in a rural region of Victoria. Methods Semi-structured interviews were conducted with 32 stakeholders involved in the initiative, of which 15 were SFs. Results Two main themes and 10 subthemes emerged from the data: (1) SF competencies (which included an understanding of local services as well as administrative and social skills); and (2) the SF role (which included them being a single point of contact, providing care coordination, assisting the client to become self-reliant, achieving good outcomes for clients with confronting behaviours, judiciously using flexible funding, clearly outlining their role with clients and maintaining boundaries and performing a different role from that of the mental health case manager). Conclusions The roles and competencies of the SF in the Partners in Recovery initiative in Gippsland were congruent with the defined characteristics of a care coordination approach. The results highlight how the SF role differs from that of traditional clinical case managers. These findings are important for future mental health service policy development, education and training of mental health practitioners and recruitment of personnel to care coordination roles. What is known about the topic? There is a growing body of literature highlighting the importance of care coordination in delivery of positive outcomes for people with chronic and complex health problems. However, little is documented about the care coordination role of SFs as part of the Partners in Recovery initiative in Australia. What does this paper add? This paper identifies the roles and competencies of SFs in the Partners in Recovery initiative in a rural region of Victoria. The paper highlights that the emergent competencies and role functions are congruent with the defined characteristics of a care coordination approach but differ from that of mental health case managers. What are the implications for practitioners? These findings are important for future mental health service policy development, education and training of mental health practitioners and recruitment of personnel to care coordination roles.
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Thériault, François L., William Gardner, Franco Momoli, Bryan G. Garber, Mila Kingsbury, Zahra Clayborne, Daniel Y. Cousineau-Short, Hugues Sampasa-Kanyinga, Hannah Landry, and Ian Colman. "Mental Health Service Use in Depressed Military Personnel: A Systematic Review." Military Medicine 185, no. 7-8 (February 17, 2020): e1255-e1262. http://dx.doi.org/10.1093/milmed/usaa015.
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Abstract Introduction Major depression is a leading cause of morbidity in military personnel and an important impediment to operational readiness in military organizations. Although treatment options are available, a large proportion of individuals with depression do not access mental health services. Quantifying and closing this treatment gap is a public health priority. However, the scientific literature on the major depression treatment gap in military organizations has never been systematically reviewed. Methods We systematically searched the EMBASE, MEDLINE, and PsychINFO databases for studies measuring recent mental health service use in personnel serving in the armed forces of a Five-Eye country (Australia, Canada, New Zealand, the United Kingdom, or the United States). We excluded studies conducted with retired veterans. Because of the substantial heterogeneity in included studies, we did not pool their results. Instead, we computed median period prevalence of mental health service use. Results Twenty-eight studies were included in the systematic review; 12 had estimated mental health service use in personnel with depression, and another 16 had estimated mental health service use in personnel with depression or another mental health disorder. The period prevalence of mental health service use in depressed military personnel ranged from 20 to 75% in 12 included studies, with a median of 48%, over 2–12 months. The other 16 studies yielded similar conclusions; they reported period prevalence of mental health service use in personnel with any mental health disorder ranging from 14 to 75%, with a median of 36%, over 1–12 months. The median was higher in studies relying on diagnostic interviews to identify depressed personnel, compared to studies relying on screening tools (60% vs. 44%). Conclusions There is a large treatment gap for major depression in particular, and for mental health disorders in general, among military personnel. However, our results highlight the association between the use of measurement tools and treatment gaps: estimated treatment gaps were larger when depressed patients were identified by screening tools instead of diagnostic interviews. Researchers should be wary of overestimating the mental health treatment gap when using screening tools in future studies.
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Farhat Ullah, Sara Qayum, and Anwar Khan. "An Evaluation of Police Mental Health Issues in Peshawar, Pakistan." Progressive Research Journal of Arts & Humanities (PRJAH) 4, no. 1 (April 6, 2022): 41–53. http://dx.doi.org/10.51872/prjah.vol4.iss1.180.
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Police officers throughout the world in general and in Pakistan in a particular face a variety of pressures, which is particularly true in underdeveloped nations like Pakistan. The aim of this research was to know about mental health (MH) problems and risks as well as issues among police officers that they face during their duty in the Police Service of Pakistan, in addition to collect suggestions for workplace, wellness and interventions that would be an appropriate for police personnel. For the primary data collection, twenty five police personnel from the various ranks- were interviewed in person and over the phone from the field duty and inside police stations too. Mental health issues, health behavior, occupation, and possible positive workplace interventions were all discussed throughout the interviews from the informants. The thematic analysis strategy was employed for data analysis. Higher levels of work anxiety and stress, as well as Post Traumatic Stress Disorder (PSTD), and depression were noted among police personnel. Overloading, working hours, Culture of policing, and organizational changes were all mentioned as major pressures. Some of the police personnel acknowledged advances in managing and promoting mental health in their job, but they listed intrusions such as counselling, training, and workplace modifications as the necessary to tackle mental health challenges in police personnel.
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Teresa Dawson, Maria, Paul Grech, Brendan Hyland, Fiona Judd, John Lloyd, Anne M. Mijch, Jennifer Hoy, and Alan C Street. "A Qualitative Approach to the Mental Health Care Needs of People Living with HIV/AIDS in Victoria." Australian Journal of Primary Health 8, no. 3 (2002): 30. http://dx.doi.org/10.1071/py02041.
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This article reports on the findings of the qualitative stage of a larger project on the mental care needs of people with HIV/AIDS and mental illness (Tender T1176 Department of Human Services, Mental Health Branch, Victoria - Research on the Mental Health Care Needs of People with HIV/AIDS and Mental Illness). The purpose of the larger research was to evaluate the needs and treatment requirements of persons with HIV/AIDS, who also suffer from mental health problems, with a view to developing proposals for improving existing service delivery in Victoria, Australia. The qualitative stage was designed to complement and elucidate data obtained through the quantitative stages of the project. Thirty in-depth open-ended interviews were carried out with service providers including HIV physicians, general practitioners, psychiatrists, clinical and managerial staff of Area Mental Health Services, Contact Tracers and forensic mental health services staff, as well as representatives of community groups such as People Living with HIV/AIDS and Positive Women and carers. The interviews explored the perspective of both service providers and users of such services with respect to needs for psychiatric care and service delivery, ease of access or barriers to mental health services, and the perceived strengths and weaknesses in current service provision. This paper presents the main findings and recommendations submitted to the funding body.
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Vig, K. D., J. E. Mason, R. N. Carleton, G. J. G. Asmundson, G. S. Anderson, and D. Groll. "Mental health and social support among public safety personnel." Occupational Medicine 70, no. 6 (July 24, 2020): 427–33. http://dx.doi.org/10.1093/occmed/kqaa129.
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Abstract Background Social support may be a protective factor for the mental health of public safety personnel (PSP), who are frequently exposed to potentially psychologically traumatic events and report substantial post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) symptoms. Research examining perceived social support and its association with PTSD and MDD in different PSP categories (e.g. firefighters, paramedics) is limited. Aims To examine differences in perceived social support across PSP and determine whether perceived social support is associated with differences in rates of MDD and PTSD. Methods We asked Canadian PSP, including correctional workers and officers, public safety communications officials, firefighters, paramedics, municipal and provincial police officers, and Royal Canadian Mounted Police (RCMP) officers, to complete an online anonymous survey that assessed socio-demographic information (e.g. occupation, sex, marital status, service years), social supports and symptoms of mental disorders, including PTSD and MDD. Analyses included ANOVA and logistic regression models. Results Perceived social support differed by PSP occupation. RCMP officers reported lower social support than all other PSP except paramedics. For most PSP categories, PSP who reported greater social support were less likely to screen positive for PTSD (adjusted odds ratios [AORs]: 0.90–0.93). Across all PSP categories, greater perceived social support was associated with a decreased likelihood of screening positive for MDD (AORs: 0.85–0.91). Conclusions Perceived social support differs across some PSP categories and predicts PTSD and MDD diagnostic status. Studies involving diagnostic clinical interviews, longitudinal designs and social support interventions are needed to replicate and extend our results.
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McKenzie, Amber, Bethany Croak, Laura Rafferty, Neil Greenberg, and Sharon A. M. Stevelink. "A Service Evaluation of the Military HeadFIT Initiative: An Implementation Study." International Journal of Environmental Research and Public Health 18, no. 14 (July 9, 2021): 7375. http://dx.doi.org/10.3390/ijerph18147375.
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(1) Background: UK Armed Forces personnel provide first response, support and protection during national and international disasters and conflicts. They thus have a psychologically challenging role which requires them to maintain a good state of mental health and wellbeing. HeadFIT is a preventative initiative developed to help foster mental fitness through various self-help tools and resources online including techniques to de-stress and increase drive. This paper reports on an independent service evaluation of HeadFIT to examine feasibility and acceptability among Ministry of Defence (MOD) personnel. (2) Methods: Qualitative interviews were held with the HeadFIT beneficiaries, including military personnel and civil servants. The beneficiaries provided feedback on HeadFIT through questionnaires and interviews, and website traffic data were also collected. Qualitative data were analysed using framework analysis. (3) Results: Beneficiaries generally reported positive views on the HeadFIT initiative, with most agreeing that the tools could support them to foster their mental fitness. However, concerns were raised around the uptake of HeadFIT and participants suggested methods to improve usability. (4) Conclusions: Several recommendations were made to improve the resources, usability, uptake, and implementation and communication of HeadFIT.
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Yoon, Hyae-Young, Sungeun You, Soo Hyun Park, Jeong-Ho Seok, and Yun-Kyeung Choi. "Suggestions for Roles and Qualifications of Disaster Mental Health Workforce Using a Delphi Process." Crisis and Emergency Management: Theory and Praxis 17, no. 8 (August 31, 2021): 83–102. http://dx.doi.org/10.14251/crisisonomy.2021.17.8.83.
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This study aimed to derive expert consensus regarding roles and responsibilities of disaster mental health personnel using a Delphi process. The Delphi panel was composed of twenty multidisciplinary experts from the field of psychology, nursing, social welfare, and psychiatry. Based on literature review, focus group interviews, and a public forum, 20 categories and 69 subdivisions of roles and responsibilities of disaster mental health workforce were developed. The Dephi panel assessed relevance of the content and suggested qualified mental health personnel for each role and responsibility. The result indicated that expert consensus was derived for all 20 categories and 69 subdivisions, with the consensus mean of 8 or above on a scale of 1 to 10. On the other hand, there was a slight difference in expert consensus regarding qualifications of personnel to perform each role and responsibility. These results were based on the viewpoints of experts, and thus its clinical applications and practical utility in the disaster mental health field were discussed.
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Elsom, Stephen, Brenda Happell, Elizabeth Manias, and Tim Lambert. "Expanded Practice Roles for Community Mental Health Nurses: A Qualitative Exploration of Psychiatrists’ Views." Australasian Psychiatry 15, no. 4 (August 2007): 324–28. http://dx.doi.org/10.1080/10398560701344808.
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Objective: The aim of this paper was to explore the perspectives of psychiatrists regarding the potential impact of expanded nursing practice roles on mental health care delivery. Method: In-depth interviews and a focus group were conducted with psychiatrists from metropolitan and rural Victoria, Australia, using a qualitative exploratory design. Results: Four main themes emerged: nurses’ preparation to undertake expanded practice; power and autonomy of nurses; final responsibility rests with psychiatrists; and, the future of expanded nursing practice. Participant responses to these themes were varied and diverse. Conclusions: Participant responses elucidate the complexity of the issues and suggest that a number of factors influence psychiatrists’ opinions of the expanded practice role.
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Pinder, Richard J., Amy C. Iversen, Nav Kapur, Simon Wessely, and Nicola T. Fear. "Self-harm and attempted suicide among UK Armed Forces personnel: Results of a cross-sectional survey." International Journal of Social Psychiatry 58, no. 4 (June 21, 2011): 433–39. http://dx.doi.org/10.1177/0020764011408534.
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Aims: Little has been reported on self-harm among the UK Armed Forces, partly due to the difficulties in recording self-harm, within an often-difficult-to-reach population. This study assesses the lifetime prevalence of attempted suicide and self-harm within currently serving and ex-service personnel of the UK Armed Forces. Methods: Telephone interviews were conducted with 821 personnel who had previously participated in the King’s Centre for Military Health Research military health study. Within the telephone interview, participants were asked about attempted suicide and episodes of self-harm. Results: A lifetime prevalence of 5.6% for intentional self-harm (self-harm or attempted suicide) was reported. Intentional self-harm was associated with psychological morbidity (in particular, post-traumatic stress disorder) and adverse experiences in childhood. Ex-service personnel reported lifetime prevalence more than double that of serving personnel (10.5% vs 4.2%, respectively). Participants reporting intentional self-harm were younger (34.4 years vs 39.8 years). Conclusion: A lifetime prevalence of 5.6% for attempted suicide and self-harm is higher than previous research has suggested. Younger service personnel, those who have experienced adversity in childhood, those with other psychological morbidity, and ex-service personnel are more likely to report self-harm behaviours.
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Hjetland, Gunnhild Johnsen, Viktor Schønning, Bodil Elisabeth Valstad Aasan, Randi Træland Hella, and Jens Christoffer Skogen. "Pupils’ Use of Social Media and Its Relation to Mental Health from a School Personnel Perspective: A Preliminary Qualitative Study." International Journal of Environmental Research and Public Health 18, no. 17 (August 31, 2021): 9163. http://dx.doi.org/10.3390/ijerph18179163.
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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.
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Krayer, Anne, Seema Kulhari, Vimal Sharma, and Catherine Robinson. "Pathways to Suicide among Police in Rajasthan: Perceptions and Experiences of Police Personnel." International Journal of Environmental Research and Public Health 20, no. 3 (January 18, 2023): 1812. http://dx.doi.org/10.3390/ijerph20031812.
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Background: Evidence regarding the experience and perceptions of police personnel with suicide in South Asia is limited. This study explored the lived experiences and perceptions of suicide among police personnel in an Indian state. The focus was on explanations of and reasons for suicide. Methods: We conducted 20 qualitative interviews in 2021 with police of different ranks, guided by a topic guide. The reflexive thematic analysis approach was supported by the use of NVivo 12, a qualitative software package. Results: We explore three intersecting key themes around suicide in the police force, including: (1) the stressful police environment; (2) expectations of mental strength; and (3) police image and help-seeking. We discuss the tensions between these themes and how to address the challenges of supporting police personnel. Conclusion: To support and improve police personnel’s mental well-being training and support are needed but also broader changes at the organisational level. These need to take social and historical factors into account. An increased level of suicide and mental health literacy will not only benefit the police force but also the general public, and it would be very timely with recent changes in the Indian mental health and suicide policy context.
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Jones, N., N. T. Fear, S. Wessely, G. Thandi, and N. Greenberg. "Forward psychiatry – early intervention for mental health problems among UK armed forces in Afghanistan." European Psychiatry 39 (January 2017): 66–72. http://dx.doi.org/10.1016/j.eurpsy.2016.05.009.
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AbstractBackgroundThis observational study examined return to duty (RTD) rates following receipt of early mental health interventions delivered by deployed mental health practitioners.MethodIn-depth clinical interviews were conducted among 975 UK military personnel referred for mental health assessment whilst deployed in Afghanistan. Socio-demographic, military, operational, clinical and therapy outcomes were recorded in an electronic health record database. Rates and predictors of EVAC were the main outcomes examined using adjusted binary logistic regression analyses.ResultsOverall 74.8% (n = 729) of personnel RTD on completion of care. Of those that underwent evacuation home (n = 246), 69.1% (n = 170) returned by aeromedical evacuation; the remainder returned home using routine air transport. Predictors of evacuation included; inability to adjust to the operational environment, family psychiatric history, previously experiencing trauma and thinking about or carrying out acts of deliberate self-harm.ConclusionDeployed mental health practitioners helped to facilitate RTD for three quarters of mental health casualties who consulted with them during deployment; psychological rather than combat-related factors predicted evacuation home.
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Crone, Diane M., Mustafa Sarkar, Thomas Curran, Colin M. Baker, Denise Hill, Elizabeth A. Loughren, Tabitha Dickson, and Andrew Parker. "Mental health first aid for the UK Armed Forces." Health Promotion International 35, no. 1 (January 31, 2019): 132–39. http://dx.doi.org/10.1093/heapro/day112.
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Abstract Education programmes in mental health literacy can address stigma and misunderstanding of mental health. This study investigated self-rated differences in knowledge, attitudes and confidence around mental health issues following participation in a bespoke Mental Health First Aid (MHFA) training course for the Armed Forces. The mixed methods approach comprised quantitative surveys and qualitative interviews. A survey, administered immediately post-training (n = 602) and again at 10-months post-attendance (n = 120), asked participants to rate their knowledge, attitudes and confidence around mental health issues pre- and post-training. Quantitative findings revealed a significant increase in knowledge, positive attitudes and confidence from the post-training survey which was sustained at 10-months follow-up.Semi-structured telephone interviews (n = 13) were conducted at follow-up, 6-months post-attendance. Qualitative findings revealed that participation facilitated an ‘ambassador’ type role for participants. This study is the first to have investigated the effect of MHFA in an Armed Forces community. Findings show participants perceived the training to increase knowledge regarding mental health and to enhance confidence and aptitude for identifying and supporting people with mental health problems. Results suggest that such an intervention can provide support for personnel, veterans and their families, regarding mental health in Armed Forces communities.
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Tyokighir, Deborah, Ashley Hervey, Christy Schunn, Daniel Clifford, and Caroyln Ahlers-Schmidt. "Qualitative Assessment of Access to Perinatal Mental Health Care: A Social-Ecological Framework of Barriers." Kansas Journal of Medicine 15, no. 1 (February 9, 2022): 48–54. http://dx.doi.org/10.17161/kjm.vol15.15853.
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Introduction. Psychological distress affects up to 25% of pregnant women and contributes to poor birth outcomes. This project aimed to triangulate themes from interviews with low-income pregnant or postpartum women, primary care providers and mental health providers regarding knowledge of and barriers to mental health services in the perinatal period. Methods. Study personnel conducted interviews in Sedgwick County, Kansas until saturation of themes within each group. Thirty-three interviews were transcribed, independently reviewed using grounded theory and themes were stratified using the social-ecological model framework. Results. Individual level themes including cost/lack of insurance and transportation were consistent across groups, however women only identified barriers at this level. Consistent themes across provider groups included lack of support at the interpersonal level; poor communication between providers at the organizational level; and Medicaid limitations at the public policy level. Conclusions. Multi-level interventions are needed to improve access to mental health care for low-income women in the perinatal period.
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Weiss, Linda, Marilyn Jacob, Maya Scherer, and Anna Borkina. "Supporting Mental Health in School Settings: Findings from a Qualitative Evaluation." Health Behavior and Policy Review 8, no. 5 (September 2021): 429–37. http://dx.doi.org/10.14485/hbpr.8.5.4.
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Objective: In this paper, we describe results from stakeholder interviews conducted to assess implementation and perceived outcomes of a project, implemented in 92 New York City middle and high schools, and focused on building the mental health-related skills of school personnel and promotion of healthier school environments. Methods: As part of a mixed-methods evaluation, we conducted 59 key stakeholder interviews with staff of participating community-based organizations and schools. Interview topics included mental health needs, project activities, engagement by school staff, strengths and challenges of the initiative, and perceived impact. Results: At the start of the project, interviewees reported difficulty comprehending the model and accepting its utility, given the direct service needs of students. Although concerns remained, we found positive impact, including increased awareness of mental health issues and their root causes, a greater sensitivity to students' social and emotional challenges, and improved capacity to manage behavioral issues in the classroom. Conclusions: Although targeted approaches are needed for high-risk youth, population-level approaches may increase mental health knowledge and skills and support transformation leading to healthier school environments.
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Silburn, Kate, and Virginia Lewis. "Commissioning for health and community sector reform: perspectives on change from Victoria." Australian Journal of Primary Health 26, no. 4 (2020): 332. http://dx.doi.org/10.1071/py20011.
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Commissioning health and community services is a complex task involving planning, purchasing and monitoring services for a population. It is particularly difficult when attempting system-level reform, and many barriers to effective commissioning have been documented. In Victoria, the state government has operated as a commissioner of many services, including mental health community support and alcohol and other drug treatment services. This study investigated the perceived consequences of a reform process in these two sectors after recommissioning was used as a mechanism to achieve sector-wide redesign. Semi-structured interviews were conducted with 23 senior staff from community health, mental health and drug and alcohol services 6 months after implementation. The process was affected by restructuring in the commissioning department resulting in truncation of preparatory planning and technical work required for system design. Consequently, reform implementation was reportedly chaotic, costly to agencies and staff, and resulted in disillusionment of enthusiastic reform supporters. Negative service system impacts were produced, such as disruption of collaborative and/or comprehensive models of care and strategies for reaching marginalised groups. Without careful planning and development commissioning processes can become over-reliant on competitive tendering to produce results, create significant costs to service providers and engender system-level issues with the potential to disrupt innovative models focused on meeting client needs.
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Kim, Sunah, Chaehyeon Kang, and Wongyeong Lee. "Strategies for Research Activation Related to Nursing Staffs in Psychiatric Hospitals: Focus Group Interviews." Journal of Korean Academy of psychiatric and Mental Health Nursing 31, no. 3 (September 30, 2022): 327–38. http://dx.doi.org/10.12934/jkpmhn.2022.31.3.327.
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Purpose: This study applied in-depth research methods on the level of securing mental health nurses in mental medical institutions targeting a group of experts in mental health nursing personnel, and sought paths toward revising enforcement regulations of the Mental Health Welfare Act in the future.Methods: Focus group interviews were conducted with experts experienced in conducting research on mental nursing staffing or policy development for nursing staffing.Results: Many experts in the field of psychiatric nursing must obtain additional accurate and valid support data to focus attention on the level of securing psychiatric nurses and discussing active efforts and short-and long-term strategies.Conclusion: It is important to prepare evidence for the quality level of psychiatric nursing, as well as to secure adequate manpower for psychiatric nurses. In the future, it is necessary to actively use these data for policies and research relative to psychiatric nurse workforce planning.
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Merritt, Cullen C. "Do personnel with lived experience cultivate public values? Insights and lessons from mental healthcare managers." Healthcare Management Forum 32, no. 3 (April 10, 2019): 153–57. http://dx.doi.org/10.1177/0840470419830709.
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Health organizations charged with addressing public problems sometimes employ persons with relevant lived experience in meaningful organizational roles. Because of their prior experience, these individuals have intimate knowledge of the subject matter that professional training and education cannot replicate. Mental health treatment facilities in particular have demonstrated a growing trend toward incorporating staff members with lived experience. This study conducted semi-structured interviews with senior-level managers of organizations in this field to gain insight into the public values associated with this practice. Findings reveal that several public values, including dialogue, social cohesion, sustainability, productivity, and altruism, are cultivated when treatment facilities incorporate staff members with lived experience into service delivery. This study concludes with lessons for mental health leaders seeking to address mental illness.
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Markkanen, Pihla, Minna Anttila, and Maritta Välimäki. "Knowledge, Skills, and Support Needed by Teaching Personnel for Managing Challenging Situations with Pupils." International Journal of Environmental Research and Public Health 16, no. 19 (September 28, 2019): 3646. http://dx.doi.org/10.3390/ijerph16193646.
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It is not uncommon for teachers to face challenging behavioral issues in their classrooms, including disruptive, aggressive, or insulting behavior toward peers or adults. In this paper, we describe what knowledge, skills, and support is needed among teaching personnel to manage challenging situations with pupils. This study was carried out in one comprehensive school in Southwest Finland. Two focus group interviews were conducted with teaching personnel (schoolteachers and classroom assistants, N = 16). The participants also wrote short texts about challenging situations they had experienced. The qualitative data were analyzed with inductive content analysis. According to the results, the teaching personnel needed better knowledge about the factors affecting pupils’ behavior and about good practices to apply with pupils in challenging situations. Moreover, the personnel lacked the skills needed to anticipate and recognize pupils’ moods and signs of mental distress, and expressed the desire for support from mental health professionals. Teachers with adequate knowledge about the factors linked to behavioral issues are more capable of promoting environments conducive to positive interactions with their pupils, thereby limiting challenging situations. When developing education and support for teaching personnel, collaboration between education and mental health professionals is essential.
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Bennetts, Wanda, Christopher Maylea, Brian McKenna, and Helen Makregiorgos. "The 'Tricky Dance' of Advocacy: A study of non-legal Mental Health Advocacy." International Journal of Mental Health and Capacity Law 2018, no. 24 (October 25, 2018): 12. http://dx.doi.org/10.19164/ijmhcl.v2018i24.746.
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<p align="LEFT">Advocacy in compulsory mental health settings is complex and contested, incorporating legal, non-legal, representational and best interests advocacy. This paper presents an approach to non-legal representational advocacy used by Independent Mental Health Advocacy (IMHA), in Victoria, Australia, drawing on in-depth qualitative interviews with advocates and other key stakeholders. After outlining the Victorian context and the IMHA model, this paper shows how IMHA privileges the consumer voice using representational advocacy, which is rights-based and works for systemic change. Using a supported decision-making model, the paper highlights the enablers and challenges which exist, before discussing the implications in terms of rights, power, capacity building and systemic change. The participants saw IMHA as working to address one of the most troubling tensions in mental health care, between the perceived need for coercion and the need to support people to make their own decisions. Representational advocacy provides a clear, easily transferable and tested framework for engaging in supported decision-making processes with people in the mental health system.</p>
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Løvsletten, Maria, Tonje Lossius Husum, Elisabeth Haug, and Arild Granerud. "Cooperation in the mental health treatment of patients with outpatient commitment." SAGE Open Medicine 8 (January 2020): 205031212092641. http://dx.doi.org/10.1177/2050312120926410.
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Background: Patients with outpatient commitment have a decision on coercive treatment from the specialist health services even if they are in their own home and receive municipal health services. Objective: The aim of this study is to gain more knowledge about how the outpatient commitment system works in the municipal health service and specialist health services, and how they collaborate with patients and across service levels from the perspectives of healthcare professionals. Methods: This is a qualitative study collecting data through focus group interviews with health personnel from the municipal health service and specialist health services. Results: The results describe the health personnel’s experiences with follow-up and interactions with the patients with outpatient commitment decisions, and their experiences with collaboration between service levels. Conclusion: The study show that outpatient commitment makes a difference in the way patients with this decision are followed up. The legislative amendment with new requirements for consent competence was challenging. Collaboration between services levels was also challenging.
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Lennox, Nicholas, and Robert Chaplin. "The Psychiatric Care of People with Intellectual Disabilities: The Perceptions of Consultant Psychiatrists in Victoria." Australian & New Zealand Journal of Psychiatry 30, no. 6 (December 1996): 774–80. http://dx.doi.org/10.3109/00048679609065044.
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Objective: This study was undertaken to establish the perceptions of psychiatrists regarding the care of people with intellectual disabilities. Method: A 28-item self-administered questionnaire was developed, piloted and sent on two occasions to 467 psychiatrists who receive the newsletter of the Victorian branch of the Royal Australian and New Zealand College of Psychiatrists. The questionnaire incorporated a Likert scale to document the opinions of the respondents. Results: A response rate of 51.1 % was achieved. The respondents indicated that, in their opinion, people with intellectual disabilities receive a poor standard of care in the inpatient and community setting. To improve this situation, the following strategies were recommended: the development of improved liaison between services; improved training for all personnel who provide services to people with intellectual disabilities; the development of greater resources; and support for professionals working in the area. The study also indicates that there is a core group of very interested psychiatrists who are currently practising and that people with intellectual disabilities are accessing private psychiatric services. In addition, the results suggest that diagnostic overshadowing is not a major barrier to psychiatric assessment, and that disorders which were presumed to be commonly overlooked by doctors (such as depression) are in fact frequently being diagnosed. Conclusions: Despite some positive findings, the majority of psychiatrists who responded held major concerns about the situation of people with intellectual disabilities. To improve the care provided to these people, it is recommended that these concerns are addressed by the psychiatric profession and responsible government departments in conjunction with university departments of psychiatry.
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Monaghan, Timothy, Jo-Anne Manski-Nankervis, and Rachel Canaway. "Big data or big risk: general practitioner, practice nurse and practice manager attitudes to providing de-identified patient health data from electronic medical records to researchers." Australian Journal of Primary Health 26, no. 6 (2020): 466. http://dx.doi.org/10.1071/py20153.
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Research utilising de-identified patient health information extracted from electronic medical records (EMRs) from general practices has steadily grown in recent years in response to calls to increase use of health data for research and other secondary purposes in Australia. Little is known about the views of key primary care personnel on this issue, which are important, as they may influence whether practices agree to provide EMR data for research. This exploratory qualitative study investigated the attitudes and beliefs of general practitioners (GPs), practice managers (PMs) and practice nurses (PNs) around sharing de-identified EMR patient health information with researchers. Semi-structured interviews were conducted with 11 participants (6 GPs, 3 PMs and 2 PNs) recruited via purposive sampling from general practices in Victoria, Australia. Transcripts were coded and thematically analysed. Participants were generally enthusiastic about research utilising de-identified health information extracted from EMRs for altruistic reasons, including: positive effects on primary care research, clinical practice and population health outcomes. Concerns raised included patient privacy and data breaches, third-party use of extracted data and patient consent. These findings can provide guidance to researchers and policymakers in designing and implementing projects involving de-identified health information extracted from EMRs.
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Kulkarni, Ragini, Ranjan K. Prusty, Tapas Chakma, Beena Thomas, Geetha R. Menon, Ravinder Singh, Sumit Aggarwal, et al. "Challenges and opportunities in mixed method data collection on mental health issues of health care workers during COVID-19 pandemic in India." International Journal of Research in Medical Sciences 10, no. 4 (March 28, 2022): 838. http://dx.doi.org/10.18203/2320-6012.ijrms20220974.
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Background: The present paper describes the key challenges and opportunities of mixed method telephonic data collection for mental health research using field notes and the experiences of the investigators in a multicenter study in ten sites of India. The study was conducted in public and private hospitals to understand the mental health status, social stigma and coping strategies of different healthcare personnel during the COVID-19 pandemic in India.Methods: Qualitative and quantitative interviews were conducted telephonically. The experiences of data collection were noted as a field notes/diary by the data collectors and principal investigators.Results: The interviewers reported challenges such as network issues, lack of transfer of visual cues and sensitive content of data. Although the telephonic interviews present various challenges in mixed method data collection, it can be used as an alternative to face-to-face data collection using available technology.Conclusions: It is important that the investigators are well trained keeping these challenges in mind so that their capacity is built to deal with these challenges and good quality data is obtained.
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Haydon, Helen M., Liam J. Caffery, Centaine L. Snoswell, Emma E. Thomas, Monica Taylor, Marc Budge, Jacinta Probert, and Anthony C. Smith. "Optimising specialist geriatric medicine services by telehealth." Journal of Telemedicine and Telecare 27, no. 10 (November 2, 2021): 674–79. http://dx.doi.org/10.1177/1357633x211041859.
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Telehealth can effectively increase access to specialist care and reduce the need for travel. The Geri-Connect service was established in 2017 to support people living in residential aged care facilities in regional Victoria, Australia. Using the Model for the Assessment of Telemedicine, an evaluation of the Geri-Connect service identified service activity patterns and factors associated with uptake. Service activity from 2017 to 2020 and 10 semi-structured, key stakeholder interviews were captured and analysed. Between 2017 and 2020, video consultations were provided to 53 residential aged care facilities. Sustained growth (over 178%) and strong stakeholder acceptance highlight the effectiveness of this telegeriatric service. Four recommendations provide opportunities to further enhance service delivery including: implementation of an integrated health information system; systematic evaluation of service impact on stakeholders and residents, auditing and subsequent provision of targeted training; and regular auditing of software and hardware. Additionally, the need to augment fixed room hardware with mobile telehealth systems would increase access for residents with mobility problems. Dedicated personnel of the centralised team are best suited to implementing the recommendations. Whilst the provision of routine telehealth services into residential aged care facilities is challenging, the Geri-Connect service demonstrates that telehealth can be effectively provided to residential aged care facility residents needing specialist geriatric care.
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Orchard, Christa, Nancy Carnide, Cameron Mustard, and Peter M. Smith. "Prevalence of serious mental illness and mental health service use after a workplace injury: a longitudinal study of workers’ compensation claimants in Victoria, Australia." Occupational and Environmental Medicine 77, no. 3 (January 2, 2020): 185–87. http://dx.doi.org/10.1136/oemed-2019-105995.
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ObjectivesSerious mental illness is common among those who have experienced a physical workplace injury, yet little is known about mental health service use in this population. This study aims to estimate the proportion of the workplace musculoskeletal injury population experiencing a mental illness, the proportion who access mental health services through the workers’ compensation system and the factors associated with likelihood of accessing services.MethodsA longitudinal cohort study was conducted with a random sample of 615 workers’ compensation claimants followed over three survey waves between June 2014 and July 2015. The primary outcome was receiving any type of mental health service use during this period, as determined by linking survey responses to administrative compensation system records for the 18 months after initial interview.ResultsOf 181 (29.4%) participants who met the case definition for a serious mental illness at one or more of the three interviews, 75 (41.4%) accessed a mental health service during the 18-month observation period. Older age (OR=0.96, 95% CI 0.93 to 0.99) and achieving sustained return to work (OR=0.27, 95% CI 0.11 to 0.69) were associated with reduced odds of mental health service use. Although not significant, being born in Australia was associated with an increased odds of service use (OR=2.23, 95% CI 0.97 to 5.10).ConclusionsThe proportion of injured workers with musculoskeletal conditions experiencing mental illness is high, yet the proportion receiving mental health services is low. More work is needed to explore factors associated with mental health service use in this population, including the effect of returning to work.
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Nanvubya, Annet, Rhoda Kitty Wanyenze, Onesmus Kamacooko, Teddy Nakaweesa, Juliet Mpendo, Barbarah Kawoozo, Francis Matovu, et al. "Barriers and Facilitators of Family Planning Use in Fishing Communities of Lake Victoria in Uganda." Journal of Primary Care & Community Health 11 (January 2020): 215013272094377. http://dx.doi.org/10.1177/2150132720943775.
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Introduction: Family planning (FP) is a key element in the conduct of research and is essential in managing family sizes. Although fishing communities (FCs) are targeted populations for HIV prevention research, their FP practices are poorly understood. We explored barriers and facilitators of FP use in FCs of Lake Victoria in Uganda. Methods: We employed a mixed-methods approach comprising a cross-sectional survey, in-depth interviews, and focus group discussions in 2 FCs. Multivariable logistic regression was used to analyze quantitative data and a thematic approach to generate themes from the qualitative data. Results: Up to 1410 individuals participated in the survey and 47 in the qualitative study. Just over a third (35.6%) used FP. The most commonly used methods were condoms, pills, and injectables. In Kigungu community, participants whose religion was Anglican and Muslim were more likely to use FP than Catholics (adjusted odds ratio [aOR] 1.45; 95% CI 1.05-1.99 and aOR 1.45; 95% CI 1.05-2.07, respectively). Participants were more likely to use FP if they had satisfactory FP knowledge compared to those with no satisfactory FP knowledge (aOR 1.79; 95% CI 1.23-2.61), or if they were married compared to their single counterparts (aOR 1.84; 95% CI 1.32-2.57). In both communities, participants were more likely to use FP if they had 2 or more sexual partners in the past 12 months than those with less than 2 sexual partners (aOR 1.41 95% CI 1.07-1.87 and aOR 2.60; 95% CI 1.36-4.97). Excessive bleeding and delayed fecundity; fertility desire; gender preferences of children; method stock outs and lack of FP trained personnel constituted barriers to FP use. There were also cultural influences in favor of large families. Conclusion: FP use in FCs is suboptimal. Barriers of FP use were mainly biomedical, religious, social, and cultural, which underscores a need for FP education and strengthening of FP service provision in FCs.
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Khankeh, Hamidreza, Azizeh Alizadeh, Mohsen Nouri, Reza Bidaki, and Maryam Azizi. "Long-term Consequences of the Psychological Distress in Iranian Emergency Medical Personnel: A Qualitative Research." Health in Emergencies & Disasters Quarterly 8, no. 1 (October 1, 2022): 7–14. http://dx.doi.org/10.32598/hdq.8.1.318.2.
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Background: Iran is exposed to several kinds of hazards throughout the country. Disasters cause mental health distress among survivors and disaster rescuers. Most psychological symptoms may decrease in time, but they could persist for months or even years in some individuals. Therefore, the present study aimed to explore the consequences of exposure to traumatic events with its components, which are derived from rescuers’ life experiences. Materials and Methods: A qualitative study based on content analysis was conducted according to Landman and Graneheim approach. Through the purposive sampling method, 17 semi-structured interviews were applied until reaching data saturation. Interviews were transcribed verbatim. In the next steps, data condensing, labeling, coding, and defining categories were conducted. Results: Based on the experience of the study participants, two main concepts with four categories and 12 subcategories were developed. Two main concepts included regression and resilience consequences. Conclusion: Emergency departments should be aware of work-related mental health and behavioral problems and provide appropriate support programs to prevent ineffective consequences of incidence scene psychological distress and empower the rescuer’s resiliency.
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Calleja, Shenae, Jonathan Kingsley, Fakir M. Amirul Islam, and Rachael McDonald. "Barriers to Accessing Healthcare: Perspectives from Autistic Adults and Carers." Qualitative Health Research 32, no. 2 (December 14, 2021): 267–78. http://dx.doi.org/10.1177/10497323211050362.
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Autistic adults have higher health needs compared to most, yet they continue to experience barriers to accessing appropriate healthcare. Presently, no qualitative research exists exploring these barriers which impact overall physical and mental health. We conducted a qualitative analysis in Victoria (Australia) of the perceived experiences of healthcare access for autistic adults ( n = 9) and primary caregivers of autistic adults ( n = 7). Specifically, a three-staged phenomenological approach was applied involving: (i) a communicative checklist, (ii) a health status survey and (iii) face-to-face interviews. Elements such as support, responsibilities and protective factors exhibited by caregivers, may impact healthcare access for autistic adults. Results indicate the need for further research exploring interdependent factors that impact healthcare access by caregivers, so evidence-based interventions can be developed to support caregivers in the future.
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Rafferty, Laura, Sharon Stevelink, and Neil Greenberg. "O3E.5 Military veterans pathways to mental health support: the need for new solutions." Occupational and Environmental Medicine 76, Suppl 1 (April 2019): A31.2—A31. http://dx.doi.org/10.1136/oem-2019-epi.83.
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Military service can place personnel at a greater risk of developing mental health issues yet both serving personnel and military veterans are reluctant to seek help for mental health issues. Delay in seeking support for mental health distress can result in reduced quality of life as well as a worse treatment prognosis. This research aims to explore the barriers and facilitators to care for the UK veteran population, identifying the relationship between these factors and help seeking behaviour.Sixty- two in-depth qualitative interviews were conducted with male UK military veterans who had left the Armed Forces in the last five years and screened positive for a degree of mental health distress on self-report questionnaires covering common mental disorders (anxiety or depression), post-traumatic stress disorder or alcohol misuse. Thematic analysis was utilised to identify core themes which were developed into an illustrative journey to mental health support, outlining the key stages through which a veteran may travel on their journey to engaging in effective mental health treatment.Veterans’ decision to seek care was mainly concentrated on the perceived need for treatment. Those not in mental health treatment failed to identify problems they were having as being indicative of a ‘mental health disorder’ as they had not yet reached a crisis point where they could no longer cope. Those veterans who were in mental health treatment typically had reached a point where the severity of their condition meant that their need for treatment was highlighted regardless of their intention, either due to a crisis event or to another’s intervention.Interventions are needed to target early identification and management of mental health distress and encourage veterans to seek support before reaching a crisis event. The implications for this research to other high stress, masculine occupations will be explored within the talk.
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Ker, Alex, Gloria Fraser, Antonia Lyons, Cathy Stephenson, and Theresa Fleming. "Providing gender-affirming hormone therapy through primary care: service users." Journal of Primary Health Care 12, no. 1 (2020): 72. http://dx.doi.org/10.1071/hc19040.
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ABSTRACT INTRODUCTIONPrimary health care providers are playing an increasingly important role in providing gender-affirming health care for gender diverse people. This article explores the experiences of a primary care-based pilot clinic providing gender-affirming hormone therapy in Wellington, New Zealand. AIMTo evaluate service users’ and health professionals’ experiences of a pilot clinic at Mauri Ora (Victoria University of Wellington’s Student Health and Counselling Service) that provided gender-affirming hormones through primary care. METHODSIn-depth interviews were conducted with four (out of six) service users and four health professionals about their perspectives on the clinic. Interviews were transcribed verbatim and analysed using thematic analysis. RESULTSThree themes were identified in service users’ interviews, who discussed receiving affirming care due to the clinic’s accessibility, relationship-centred care and timeliness. Three themes were identified in the health professionals’ interviews, who described how the clinic involves partnership, affirms users’ gender and agency, and is adaptable to other primary care settings. Both service users and health professionals discussed concerns about the lack of adequate funding for primary care services and the tensions between addressing mental health needs and accessing timely care. DISCUSSIONThe experiences of service users and health professionals confirm the value of providing gender-affirming hormone therapy in primary care. Models based in primary care are likely to increase accessibility, depathologise gender diversity and reduce wait times.
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Siegloff, Shari, and Rosalie Aroni. "Mental illness and "self"-management in rural Australia: caregivers' perspectives." Australian Journal of Primary Health 9, no. 3 (2003): 90. http://dx.doi.org/10.1071/py03029.
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Current models of chronic disease self-management incorporate an understanding that people with chronic illnesses, their carers and clinicians need to work together in addressing illness management issues (Von Korff, Gruman, Schaefer, Curry, & Wagner, 1997) and that this process enhances personal control of health (Lorig, Ritter et al., 2000). The question we ask is whether the understandings in these models, both implicit and explicit, apply to those people living with mental illness in rural areas in Australia. In-depth interviews were used to explore and examine the way in which carers of people living with mental illness in rural Victoria experienced and perceived the nature of chronic disease self-management. Our findings indicate that illness management in rural areas occurs predominantly as a partnership between the person with mental illness and the family members who act as caregivers, rather than a partnership with health professionals. This confirms that the lack of resources in the rural mental health care system results in a crisis-oriented service rather than a service that is able to respond to preventative and ongoing mental health care. This is recognised as a considerable burden for many families and requires further examination. In addition, a finding of considerable clinical and policy importance in this arena is the experience of family caregivers as partners in not only the support of the ?management? aspects of self-management of mental illness, but also in supporting the person living with mental illness in the maintenance of the ?self? aspect of self-management.
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Lee, Kieun, Jinyoung Olivia Choi, and Sunghyup Sean Hyun. "A Study on Job Stress Factors Caused by Gender Ratio Imbalance in a Female-Dominated Workplace: Focusing on Male Airline Flight Attendants." International Journal of Environmental Research and Public Health 19, no. 15 (August 1, 2022): 9418. http://dx.doi.org/10.3390/ijerph19159418.
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This study investigated the factors that cause job stress among male flight attendants in a female-dominated airline organization, as well as the impact of job stress on their mental health and turnover intention. It also attempted to determine whether perceived family support, perceived organizational support, and job positions had moderating effects on male flight attendants’ job stress. Six job stress factors were identified through focus group interviews and a literature review. A survey was conducted from 1 January to 2 February 2022 to validate the research model, and 188 valid samples were used for statistical analysis. This study discovered that gender differences in communication, relationship conflict with colleagues, hierarchical organizational culture, and role overload had a direct impact on male flight attendants’ job stress. Job stress was found to have a negative impact on mental health and a positive impact on turnover intention. Perceived organizational support was also found to reduce job stress. This study is notably the first to address stress encountered by male flight attendants at work. It offers new directions for future airline personnel management and research. It also presents practical implications, such as the development of training and personnel management programs for male flight attendants.
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Rosewarne, Emalie, Wai-Kwan Chislett, Briar McKenzie, Cliona Ni Mhurchu, Tara Boelsen-Robinson, Miranda Blake, and Jacqui Webster. "Understanding Enablers and Barriers to the Implementation of Nutrition Standards in Publicly Funded Institutions in Victoria." Nutrients 14, no. 13 (June 24, 2022): 2628. http://dx.doi.org/10.3390/nu14132628.
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Effective implementation of nutrition standards in publicly funded institutions can facilitate healthy food and beverage consumption by communities and populations, which can enable improvements in dietary intake and reduce disease burden. This study aimed to understand stakeholder perspectives on the implementation of government nutrition standards in publicly funded institutions in the Australian state of Victoria, as well as to determine enablers and barriers to successful implementation. Pre-interview questionnaires and semi-structured interviews were administered to stakeholders involved in the implementation of nutrition standards in publicly funded institutions in Victoria. The Interactive Systems Framework, which allows understanding of the infrastructure and systems needed to implement policies, was used to design the survey instruments and guide the data analysis. Forty-four stakeholders were interviewed, including program implementers, support personnel and food providers, across public sector hospitals and health services, workplaces, sport and recreation centres and schools. Though translated materials and resources have been developed for end-users to facilitate uptake and implementation, current nutrition standards were perceived to be long and complex, which hindered implementation. The existence of a government-funded implementation support service enabled action by providing technical support, troubleshooting and capacity-building. A specific pathway for successful guideline implementation was determined through the analysis. Opportunities to close the policy-implementation gap were identified. This will be crucial to maximising the impact of nutrition standards on population diets and reducing diet-related disease. Strengthening the guidelines and their governance, streamlining the support system and overcoming barriers within and outside of implementing organisations, are urgently required to propel statewide progress.
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Wriedt, Kimberley, Daryl Oehm, Brendon Moss, and Prem Chopra. "Perinatal mental health cultural responsiveness training – an evaluation." Journal of Mental Health Training, Education and Practice 9, no. 2 (June 3, 2014): 109–22. http://dx.doi.org/10.1108/jmhtep-05-2013-0020.
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Purpose – Women from culturally and linguistically diverse communities face barriers to accessing perinatal mental health care. Victorian Transcultural Mental Health (VTMH) is a state-wide service in Victoria, Australia, that supports specialist mental health service providers to improve cultural responsiveness. VTMH provided training for perinatal health professionals in cultural responsiveness. The paper aims to discuss these issues. Design/methodology/approach – A curriculum was specifically developed based on a literature review, consultation forum, and input from members of an industry-based reference group. An Evaluation Tool was designed to collect participants’ feedback regarding the perceived relevance of the training content and its impact on practice. Responses were analysed using quantitative techniques and thematic analysis. Findings – Nine face-to-face training sessions were provided, in metropolitan and rural regions. In all, 174 professionals of various backgrounds (including midwives, mental health professionals, and maternal child health nurses) attended. In all, 161 completed evaluations were received and responses indicated that the training was of high relevance to the target workforce, that the training would have implications for their practice, and support was given for further training to be delivered using online methods. Research limitations/implications – First, an assessment of the cultural competence of participants prior to enrolment in the course was not conducted, and no matched control group was available for comparison with the participants. Second, generalisability of these findings to other settings requires further investigation. Third, the sustainability of the project is an area for further study in the future. Fourth, other methods including direct interviews of focus groups with participants may have yielded more detailed qualitative feedback regarding the effectiveness of the programme. Practical implications – To facilitate the sustainability of the project, following the face-to-face training, an online training module and a resource portal were developed, offering links to relevant web sites and resources for health professionals working in this field. Originality/value – The training addressed a significant unmet need for cultural responsiveness training for a diverse range of practitioners in the field of perinatal mental health. Online training can be adapted from face-to-face training and it is anticipated that online training will facilitate the sustainability of this initiative.
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He, Ling, and Melissa Petrakis. "Spiritual Diversity in Personal Recovery from Mental Health Challenges: A Qualitative Study from Chinese-Australian Service Users’ Perspectives." International Journal of Environmental Research and Public Health 20, no. 3 (January 26, 2023): 2210. http://dx.doi.org/10.3390/ijerph20032210.
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Spiritual diversity and the positive role of spirituality in personal recovery have received growing attention in mental health literature. However, the spiritual experiences and views of service users from cultural communities, particularly the Chinese community, are understudied in Australia. This research explores Chinese service users’ spiritual identities and their views and perspectives on the roles of spirituality in their mental health recovery and attempts to provide inspiration for practitioners to engage with service users’ spirituality in non-clinical mental health practice. A qualitative exploratory approach guided this study. Semi-structured interviews were employed with four Chinese participants with spiritual identities, who were recruited through the community Psychosocial Support Service in Victoria. The template analysis method supported the data analysis. The results indicate that spirituality has a positive impact on the mental health recovery of participants, primarily through coping, self-regulatory, and social support mechanisms. The findings also present that Chinese service users’ understanding and approaches to spirituality are shaped by both original and Australian Cultures. These findings suggest that practitioners should provide a creative understanding and cultural awareness when discussing with service users their spiritual identities, perspectives, and spirituality in the wider context. The research fills a gap in the spiritual views and perspectives of service users accessing a non-clinical mental health service from the Chinese community.
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Bernadowski, Carianne, and Nena Hisle. "School personnel perceptions of working conditions during a pandemic: A mixed methods study." Journal of Education and Learning (EduLearn) 17, no. 1 (February 1, 2023): 158–64. http://dx.doi.org/10.11591/edulearn.v17i1.20759.
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This mixed-method study explored whether school staff (teachers, principals, vice-principals, paraprofessionals, school counselors, and school social workers) experienced any challenges while working in a school setting during the COVID-19 pandemic. Both quantitative and qualitative data were collected from an online survey instrument and follow-up semi-structured interviews. A total of 207 educational staff from 30 different states in the U.S. completed the online questionnaire, and ten volunteered to be interviewed. The results revealed the challenges educational school staff experienced during the COVID-19 Pandemic, March 2020-present. The major challenges faced by staff relative to students was poor attendance and student mental health. Personal challenges experienced by the staff included concerns about contacting COVID-19 and infecting family members. A thematic analysis of the data led to the identification of four main themes: Blurred lines between home and school, Mental health challenges should guide educational reform, Obstacles to learning, and Lack of support from home. These findings serve to begin a larger conversation about the needs of students and school personnel during a global pandemic.
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Cadenas, Girlie I., and Glenne Berja Lagura. "Customer Service Management Practices of Tagum Water District: A Case Study." Journal of Public Management Research 7, no. 1 (December 12, 2022): 8. http://dx.doi.org/10.5296/jpmr.v7i1.20539.
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This study identified the Customer Service Management (CSM) practices of Tagum Water District (TWD) from the perspective of its customers and customer service personnel as to how TWD responded and addressed the customers inquiries, requests, and complaints. The Evolution of Customer Service by Blake Morgan serves as the foundation for the study's theoretical framework. Focus groups and in-depth interviews were used to get the data. The findings showed that although both customers and customer service staff agreed that TWD practices good customer service, they also encountered some issues and challenges when processing transactions, such as limited channels for disseminating information and constrained access to its customer service. Thus, it is recommended to provide innovations on its practices that the technology offers to keep up with the evolving needs of its both internal and external customers.
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Hopwood, Max, Elena Cama, John de Wit, and Carla Treloar. "Stigma, Anxiety, and Depression Among Gay and Bisexual Men in Mixed-Orientation Marriages." Qualitative Health Research 30, no. 4 (July 17, 2019): 622–33. http://dx.doi.org/10.1177/1049732319862536.
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The mental health of gay and bisexual men in mixed-orientation marriages is poorly understood. In this article, the authors explore the development of anxiety and depression among gay and bisexual men in heterosexual marriages. Sixteen men, living in the Australian states of New South Wales, Queensland, Victoria, and Tasmania were interviewed throughout 2016 and 2017. An analysis of interviews identified four main themes, namely, compulsory heterosexuality, existential distress, compartmentalization, and integration and resolution. Participants reported experiencing anxiety and depression, which were exacerbated by the stigmatization of same-sex attraction and by an overwhelming distress from feelings of shame and guilt regarding their marital infidelity. Findings indicate that gay and bisexual men in mixed-orientation marriages develop anxiety and depression in response to the exigencies of compulsory heterosexuality and the compartmentalizing of same-sex attraction and identity during heterosexual marriage. Coming-out as same-sex attracted resolved men’s distress by facilitating an integrative self-structure.
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Hing, Nerilee, and Sharen Nisbet. "A Qualitative Perspective on Physical, Social and Cognitive Accessibility to Gambling." Journal of Gambling Issues, no. 24 (July 1, 2010): 101. http://dx.doi.org/10.4309/jgi.2010.24.7.
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A possible relationship exists between heightened accessibility to gambling and the development and maintenance of gambling problems amongst employees at gambling venues. This paper takes an interpretive approach to exploring how working in a gambling venue influences accessibility to gambling. Semi-structured telephone interviews were conducted with 40 hotel and club employees in Victoria, Australia. Data were analysed along three key dimensions of accessibility to gambling. In terms of physical accessibility, respondents generally felt shiftwork and split shifts heavily influence the times staff are likely to access gambling facilities. Aspects of social accessibility, including familiarity and comfort of gambling in the workplace, encouragement by other staff, and workplace cultures that do not deter staff gambling, were considered encouraging influences. Cognitive accessibility (or knowledge and understanding about gambling) was heightened by enhanced knowledge of gambling products and processes, greater knowledge of jackpot levels, a desire to know what competing venues are offering, and cognitive distortions around winning.
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Parker, Alexandra, Sarah Dash, Matthew Bourke, Rhiannon Patten, Melinda Craike, Peter Baldwin, Warwick Hosking, et al. "A Brief, Daily, Online Mental Health and Well-being Intervention for University Staff During the COVID-19 Pandemic: Program Description and Outcomes Using a Mixed Methods Design." JMIR Formative Research 6, no. 2 (February 25, 2022): e35776. http://dx.doi.org/10.2196/35776.
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Background The unprecedented changes and isolation measures to contain COVID-19 have had multiple psychological and social impacts, with implications for professional and personal functioning. Evidence-informed interventions that can be rapidly implemented under pandemic conditions to support mental health during such times are urgently needed. Objective The aim of this study was to determine the acceptability and preliminary outcomes of a daily online mental health promotion program for tertiary education staff during the COVID-19 pandemic. Methods The “Victoria University (VU) Elevenses” program was delivered as an uncontrolled intervention at Victoria University (VU) in the western metropolitan region of Melbourne, Australia. In April 2020, an email invitation was sent to all academic and professional staff inviting them to: (1) participate in the program and (2) opt-in to the research component. The “VU Elevenses” program provided 10-15–minute microinterventions comprising lifestyle and well-being strategies to promote mental health via an online meeting platform at 11 AM each weekday. A mixed methods approach was used to evaluate the program, combining structured questionnaires with semistructured interviews to investigate the experiences of staff who participated in the program. Results Between 16 and 90 participants provided weekly program feedback. A total of 106 university staff opted into the longitudinal research component and 10 staff participated in the interviews. Participants reported high levels of satisfaction with sessions and perceived benefits for mental health. Approximately one quarter of participants reported moderate to severe symptoms of depression, anxiety, and stress at baseline, with significant reductions in these symptoms in the first 7 weeks of the program, corresponding with easing in mandatory isolation (“lockdown”) restrictions. Symptoms of depression, anxiety, and stress all increased when lockdown measures were reintroduced, but not to the same levels as found during the initial lockdown period. Overall changes in depression and anxiety from baseline to the end of the program were explained by changes in COVID-19–related distress, whereas changes in self-compassion explained changes in stress. Conclusions We show that it is feasible and acceptable to develop and deliver a program of brief interventions in a timely manner, using a simple and accessible online platform. Although participation in the program was initially associated with reduced symptoms of depression, anxiety, and stress, participants’ mental health worsened with the reintroduction of a “lockdown” period. However, as symptoms of depression, anxiety, and stress did not return to levels observed at the start of the VU Elevenses program, participation in the uncontrolled intervention may have offered a protective benefit against the impact of the second significant lockdown period.
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Paton, Kate, Lynn Gillam, Hayley Warren, Melissa Mulraney, David Coghill, Daryl Efron, Michael Sawyer, and Harriet Hiscock. "How can the education sector support children’s mental health? Views of Australian healthcare clinicians." PLOS ONE 17, no. 1 (January 24, 2022): e0261827. http://dx.doi.org/10.1371/journal.pone.0261827.
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Objectives Policy makers in developed countries have long considered the education system an avenue for supporting mental health care for children. Whilst educators have identified many challenges to providing this support (e.g. non-core role, stigma, overcrowded curriculum), understanding clinicians’ views on the role of educators and schools and how clinicians and schools could work together to achieve good mental health outcomes are important questions. However, clinician voices in how schools and health should work together for children’s mental health care are frequently missing from the debate. We aimed to report clinicians’ views about how the education system could support student’s mental health and improve access to mental health care for children and adolescents. Methods 143 clinicians (approximately 35 each of child and adolescent psychiatrists, pediatricians, child psychologists and general practitioners (GPs)) from the states of Victoria and South Australia participated in semi-structured phone interviews between March 2018 and February 2019. Inductive content analysis was applied to address the broad study aims. Findings Key themes emerged: (1) The role of schools in supporting individual children; (2) School based programs to support children and families; and (3) Challenges of implementing these suggestions. Clinicians across all professional groups suggested the education system could play an important role in improving access to mental health services through harnessing existing staff or co-locating mental health clinicians. They also suggested schools could identify at risk children and implement coping and social skills programs. Conclusions Schools and educators could play a key role in prevention and early intervention of children’s mental health problems. However, before recommending exactly how to do this, key evidence gaps need to be addressed.
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Paton, Kate, Lynn Gillam, Hayley Warren, Melissa Mulraney, David Coghill, Daryl Efron, Michael Sawyer, and Harriet Hiscock. "Clinicians’ perceptions of the Australian Paediatric Mental Health Service System: Problems and solutions." Australian & New Zealand Journal of Psychiatry 55, no. 5 (January 18, 2021): 494–505. http://dx.doi.org/10.1177/0004867420984242.
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Objectives: Despite substantial investment by governments, the prevalence of mental health disorders in developed countries remains unchanged over the past 20 years. As 50% of mental health conditions present before 14 years of age, access to high-quality mental health care for children is crucial. Barriers to access identified by parents include high costs and long wait times, difficulty navigating the health system, and a lack of recognition of the existence and/or severity of the child’s mental health disorder. Often neglected, but equally important, are clinician views about the barriers to and enablers of access to high-quality mental health care. We aimed to determine perspectives of Australian clinicians including child and adolescent psychiatrists, paediatricians, psychologists and general practitioners, on barriers and enablers within the current system and components of an optimal system. Methods: A total of 143 clinicians (approximately 35 each of child and adolescent psychiatrists, paediatricians, child psychologists and general practitioners) from Victoria and South Australia participated in semi-structured phone interviews between March 2018 and February 2019. Inductive content analysis was applied to address the broad study aims. Findings: Clinician-identified barriers included multi-dimensional family factors, service fragmentation, long wait times and inadequate training for paediatricians and general practitioners. Rural and regional locations provided additional challenges but a greater sense of collaboration resulting from the proximity of clinicians in rural areas, creating an opportunity to develop support networks. Suggestions for an optimal system included novel ways to improve access to child psychiatry expertise, training for paediatricians and general practitioners, and co-located multidisciplinary services. Conclusion: Within the current mental health system for children, structural, training and workforce barriers prevent optimal access to care. Clinicians identified many practical and systemic ideas to improve the system. Implementation and evaluation of effectiveness and cost effectiveness of these ideas is the next challenge for Australia’s children’s mental health.
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Trudgen, Michelle, and Sharon Lawn. "What is the Threshold of Teachers' Recognition and Report of Concerns About Anxiety and Depression in Students? An Exploratory Study With Teachers of Adolescents in Regional Australia." Australian Journal of Guidance and Counselling 21, no. 2 (December 1, 2011): 126–41. http://dx.doi.org/10.1375/ajgc.21.2.126.
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AbstractIntroduction:Anxiety and depression in adolescence is prevalent but often unrecognised and untreated. This can lead to serious disorders in later life. This study explored how teachers recognise anxiety and depression in secondary school students and act on their concerns.Method:Twenty teachers from four secondary colleges in regional Victoria, Australia were interviewed regarding their experiences. In-depth interviews were analysed using descriptive thematic analysis in order to understand how teachers respond to this issue.Results:Teachers' recognition of mental health problems in students and the threshold for reporting their concerns was subjective and not based on any formal knowledge of how to identify anxiety or depression risk factors in students. Years of teaching experience was not associated with increased knowledge of mental health problems in students. Time pressures and lack of resources in student wellbeing teams were barriers to teachers reporting their concerns about students.Conclusion:Education bodies and teaching universities responsible for training teachers and providing ongoing professional learning need to ensure that mental health training is part of every teacher's core skill set, so that teachers can confidently promote mental wellbeing, identify emerging mental health problems, know how to facilitate access to more specialist intervention where required and contribute effectively to follow-up support.
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Sæterstrand, T. M. "Taking Care of People Suffering from Neuropsychiatric Illness Living at Home." European Psychiatry 41, S1 (April 2017): S614. http://dx.doi.org/10.1016/j.eurpsy.2017.01.979.
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Content backgroundPeople suffering from neuropsychiatric illness are often in need of caring and nursing over a long period of time. Research shows that patients suffering from such illness do not very often get enough care in practice.AimTo gain knowledge about nurses experiences from taking care of older people living at home and suffering from chronic and neuropsychiatric illness.MethodQualitative analysis: fieldwork and qualitative interviews with 11 nurses who worked in four units in two different municipalities in Norway.ResultsChallenges in clinical nursing explain the process nurses work in when they take care of people with neuropsychiatric illnesses living at home. This is caring for patients, taking care of family members, managing complex patient situations and the need for coaching and cooperation.ConclusionTo gain a good cooperation with other health personnel to strengthen the competence is important, especially when the goal is caring. Nurses with education in neuropsychiatric care can strengthen the competence maybe and reach a better patient care. The organization of the community health system needs to be studied.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Stathopoulos, Mary, and Rebecca Jenkinson. "Informing service responses to co-occurring complex needs." Advances in Dual Diagnosis 10, no. 1 (February 20, 2017): 5–12. http://dx.doi.org/10.1108/add-12-2016-0021.
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Purpose The sexual assault and alcohol and other drug (AOD) sectors have much in common in the context of clients presenting with histories of abuse and trauma. The Establishing the Connection project aimed to improve understanding of the complex intersections between sexual victimisation and AOD use, and to build the capacity of the sexual assault and AOD sectors in Victoria, Australia, to respond more effectively to the needs of affected individuals. The paper aims to discuss these issues. Design/methodology/approach Establishing the Connection involved a detailed literature review; face-to-face semi-structured interviews and an online quantitative survey with key stakeholders from the AOD and sexual assault sectors; and a cross-sector forum to bring together the practice knowledge and needs of both sectors. Findings Most practitioners and clinicians were aware of the interrelationship between sexual victimisation and AOD use, but many lacked access to resources, formal referral processes and pathways, or information about how the other sector worked – all tools which would assist them to respond to clients with complex co-occurring issues. Participants expressed enthusiasm for greater cross-sector communication and collaboration, but emphasised the need for sophisticated governance and resourcing responses from peak bodies and government departments. Originality/value The new knowledge generated by this research resulted in the development of shared practice guidelines to guide practice towards the identification, assessment, response and referral of clients with co-occurring sexual victimisation and AOD use issues. The authors hope that the momentum and goodwill built between the two sectors will be harnessed by policy to drive further collaborative partnerships into the future.
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Rivera, Miguel Macías, and Raúl Rocha Romero. "Medición De Carga Mental De Trabajo En La Industria Automotriz En México." European Scientific Journal, ESJ 12, no. 26 (September 30, 2016): 92. http://dx.doi.org/10.19044/esj.2016.v12n26p92.
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The primary objective of this research was to determine and show the relationship that exists between the mental workload perceived by personnel in the automotive assembly industry and the labor activity performed. The sample was constituted of fifty-six workers and the evaluation consisted of the application of the SCAM Test (Díaz, Hernández, Rolo, Galván, Fraile and Loayssa, 2009), in the employee´s workplace, as well as observation of the activities performed and interviews with some of the workers. This instrument evaluates five dimensions of workload: cognitive demands and information complexity, health consequences for workers, task characteristics, temporal organization of work and work rate. Results show that professionals perceive higher levels of mental workload, in the dimensions of cognitive demands, task complexity, as well as characteristics of the task. In addition to these findings, technicians perceived higher levels in work rate and corresponding health consequences. There is also a relationship between demographic and labor characteristics with the mental load perceived in workers. Furthermore, the environmental characteristics at work were not a significant factor in the perception of mental load in this research.
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Huscroft-D’Angelo, Jacqueline, Stacy-Ann A. January, and Kristin L. Duppong Hurley. "Supporting Parents and Students With Emotional and Behavioral Disorders in Rural Settings: Administrator Perspectives." Rural Special Education Quarterly 37, no. 2 (January 22, 2018): 103–12. http://dx.doi.org/10.1177/8756870517750827.
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One strategy to improve outcomes for students with emotional and behavioral disorders and their families in rural settings is providing parental support. Through interviews with special education administrators and student services personnel representing several rural regions, this exploratory study sought to identify the needs of youth with emotional and behavioral challenges and their families, potential barriers to accessing school and community services, and the feasibility of implementing a phone-based parent-to-parent support program in rural communities. Findings indicated increased efforts in providing mental health services in the school, several service access barriers, and strategies for improving parent support in rural settings.
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Callaly, Thomas, Carmel A. Ackerly, Mary E. Hyland, Seetal Dodd, Melissa O'Shea, and Michael Berk. "A qualitative evaluation of a regional Early Psychosis Service 3 years after its commencement." Australian Health Review 34, no. 4 (2010): 382. http://dx.doi.org/10.1071/ah08731.
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Objective. To outline the major findings of a qualitative evaluation of an Early Psychosis Service 3 years after its establishment. Design. Data to evaluate the service were collected from team meetings, focus groups, individual interviews and questionnaires administered to clinicians, school staff, patients, carers and families. Setting. Barwon Health; Mental Health, Drug and Alcohol Services provide public mental health care to the Geelong, Victoria, region (population 270 000), which is a mixed urban and rural setting. The Early Psychosis Service model implemented involved the placement of two early psychosis workers into each of five adult geographically based Area Mental Health Teams rather than the establishment of a single Early Psychosis Team. Results. The service was found not to adhere to its original design in several key respects. Caseloads and periods of case management were found to be lower and shorter respectively than was originally planned for, caseworkers often experienced isolation and resentment from their adult service coworkers, the service was perceived to be difficult to access and premises not to be youth friendly and communication and engagement with external agencies and service providers was perceived to be poor. Conclusions. The choice of service model, inadequate consultation with stakeholders and inadequate promotion of the service contributed to its failure to reach early expectations. Because of these and other issues, including difficulties distinguishing between early psychosis and non-psychosis, a decision was made to restructure youth services and a separate youth mental health service, which incorporated the Early Psychosis Service function, was established.
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Brijnath, Bianca, Nabita Singh, and Danielle Mazza. "Stakeholder perspectives on the new sickness certificate in Victoria: results from a mixed-methods qualitative study." Australian Health Review 40, no. 1 (2016): 27. http://dx.doi.org/10.1071/ah14136.
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Objective The aim of this study was to present the views of four stakeholder groups, namely general practitioners (GP), employers (EMP), injured workers (IW) and compensation agents (CA), about the content and usability of the draft of the new Victorian sickness certificate. Methods A cross-sectional mixed-methods qualitative study was conducted in GP clinics and community settings in Melbourne, Australia. Interviews were conducted with GPs, EMPs and IWs and one focus group discussion was completed with CAs (n = 29). Data were collected between October and December 2013. Thematic analysis was performed. Results All stakeholders viewed the new draft certificate as an improvement on the old one. GPs saw the certificate as a form of communication, whereas EMPs and CAs saw it as a therapeutic device. GPs continued to certify based on incapacity and provided little information about what IWs could do on return to work. All groups said that assessments for mental health needed more clarity and specificity. GPs, EMPs and CAs also said that the new certificates must be electronically available and integrated into existing medical software to streamline uptake. Conclusions To ensure appropriate use of the new certificate, stakeholders must share a common understanding about its purpose and the certificate must be incorporated into existing medical software. Content on mental health assessment, an area of continued difficulty, needs additional refinement. The new certificate replaced the old certificate in March 2015; after it has been established in clinical practice, an impact evaluation should be completed to determine whether GPs are certifying capacity and earlier return to work. What is known about the topic? When it comes to sickness certification, GPs tend to focus on what injured patients cannot do, rather than what they can do. The new sickness certificate aims to change GP behaviour by focusing the certificate more on capacity (i.e. what the injured patient can do). What does this paper add? Four stakeholder groups agreed that the content and usability of the new certificate has improved. However, they agreed that the assessment of mental health capacity needs further specificity. Dissonances also remain between the stakeholders on the purpose of the certificate. What are the implications for practitioners? Appropriate use of the new certificate requires a common understanding about the purpose of the certificate, training on its appropriate use, incorporation into existing medical software and clarity on mental health assessment.