Дисертації: "Immigrants Mental health Australia"

1

Ziaian, Tahereh. "The psychological effects of migration on Persian women immigrants in Australia /." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phz64.pdf.

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2

Venner, Heather Angela. "Challenging Mental Health Concerns among Black Caribbean Immigrants." Diss., Virginia Tech, 2015. http://hdl.handle.net/10919/56979.

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Анотація:

The racial and ethnic diversity of the United States continues to evolve due to increases in immigration from nearly all parts of the globe, including the Caribbean region. Like the U.S., this region can also be considered a melting pot of cultures, with the Afro-Caribbean population widely scattered across these island nations. Important to this investigation is the large diaspora population of Black Caribbean immigrants (BCs) in the U.S. who are often viewed as African American simply by virtue of their skin tone and facial features. As such, this racial consolidation does not take into account their distinct history, immigrant experiences, and cultural 'separateness,' particularly with respect to mental health counseling. Current research is limited as to how the racial and ethnic identities of various generations of Black Caribbean immigrants in the U.S have shaped their experiences—and especially how racism in American may be impacting their lives. Moreover, their already limited experience with the counseling process may be undermined by culturally-inappropriate services that do not consider their distinct cultural beliefs and needs. Guided by known and respected clinical standards for multicultural counseling and training for culturally-competent counseling, this qualitative study explored the counseling experiences of eight English-speaking BCs. Themes related to if and how mental health clinicians are actually addressing their racial distinctiveness, ethnic identity, and immigrant experiences were highlighted. Implications for counselors, counselor educators, and Black Caribbean immigrants were summarized.
Ph. D.

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3

Lv, Hua. "Mental Health Status of Asian and Latino/Caribbean Immigrants." Scholarly Repository, 2010. http://scholarlyrepository.miami.edu/oa_dissertations/404.

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This study examines how the migration experience affects the mental health status of recent Asian and Latin American/Caribbean immigrants. It analyzes the relationship between stress among immigrants and their adaptation patterns. Specifically, this study focuses on the psycho-social transition processes associated with migration, examining how disruption of cultural norms, and restructured lifestyle may lead to stress, or other mental health difficulties. In addition, this study highlights "transnationalism," a newly defined adaptation pattern of recent immigrants, especially among Latin immigrants. It focuses on "transnational activity" as a potential mediator of the relationship between immigration stressors and mental health outcomes among recent migrants from Asia and Latin America/Caribbean countries. Previous research has been largely dedicated to two aspects of immigrants' mental health status, post-traumatic stress disorder and acculturative related stress. This study includes both aspects, focusing on both the context of exit and the context of reception to analyze the factors associated with immigrants' mental health problems. Based on previous research, this study incorporates various theories and concepts, including stress theory, acculturation theory, the life course perspective and transnationalism to establish a synthetic model to explain mental health problems. Using the first wave data from New Immigrant Survey, this study includes a broad range of variables, employs logistic regression to examine the effects of pre-migration experiences and post-migration trajectories on symptoms of depression and distress among Asian and Latin American/Caribbean immigrants. Statistical results show that in general Asian immigrants have slightly better mental health than Latino/Caribbean immigrants. Socioeconomic status, gender, pre-migration persecution, social support, acculturation, transnationalism, and sub-ethnicity all predict symptoms of depression among immigrants with the exception of the age at arrival in the U.S. The effects of factors examined in this study vary slightly across ethnic groups. Future research should use longitudinal data in order to track the long-term effects and the patterns of immigrants' incorporation and their mental health status. In addition, the development of more synthetic theories and key concepts are suggested to better understand how the post migration trajectories of each sub-ethnic group within Asian and Latino/Caribbean immigrants' populations are related with their mental health status.

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4

Errázuriz, Concha Antonia. "The mental health of Peruvian immigrants in Santiago, Chile." Thesis, University of Cambridge, 2014. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.708172.

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5

Sardeye, Hamdi. "Mental health of immigrants in Sweden : A scoping review." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-48842.

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6

Gonzalez, Edith. "Salud Mental: The Conceptualization and Experiences of Mental Health among Undocumented Mexican Immigrants." W&M ScholarWorks, 2018. https://scholarworks.wm.edu/etd/1530192672.

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This research study explored how undocumented immigrants define and experience mental health. A review of literature about undocumented Latinx immigrants emphasized that even in high distress, this population underutilizes mental health services. Data were analyzed through the lens of Latinx Critical Race Theory in an effort to conceptualize the role of multiple marginalization on the mental health state of undocumented Latinx immigrants. Eight undocumented Mexican immigrants in one city in a southern state were interviewed using semi-structured, open-ended questions. A transcendental phenomenology method was used to explore how this population experiences mental health. Data analysis revealed five themes that suggest that this population has a negative experience with mental health. The negative experience with mental health was influenced by family, community, and political climate. Additional findings are also discussed, along with implications for counselor education and clinical practice, limitations, and areas for further research.

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7

Alati, Rosa. "The health of migrant youth in Australia : a longitudinal study /." [St. Lucia, Qld.], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17677.pdf.

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8

Olsson, Kristin. "Immigration and Mental Health Issues from an Intersectional Perspective." Thesis, Mid Sweden University, Department of Social Work, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-8330.

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9

Johnson, Dasherline Cox. "Culturally-Sensitive Diagnostic Interviewing Protocol for Somali Immigrants and Refugees." Thesis, Saint Mary's University of Minnesota, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3739831.

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This dissertation investigates the mental health needs of the growing Somali population in Minneapolis and St. Paul, Minnesota by examining clinicians’ views of the challenges they experience conducting mental health assessments for Somali clients. The research describes the development of a multicultural competence model and recent attempts to improve multicultural competence in assessment and treatment strategies. Specific emphasis is placed on the foundation of current theories supporting diagnoses and treatment issues through a review of current literature on cultural aspects of Somali mental health conceptualization. The researcher conducted semi-structured interviews with eight mental health providers who have worked with Somalis, seeking information for how clinicians handle culturally-specific challenges during the assessment process. Results suggest best practice for assessing Somali clients ought to involve the use of trained full-time interpreters. It is also beneficial for clinicians to be aware of the differences in mental health and illness conceptualization between Somali and Western cultures. Findings show strong support for establishing a trusting triadic relationship with the clinician, client, and interpreter. Using slow-engagement practice, indirect open-ended questions, predicated on previous relationship, will improve rapport and obtain desired information. Results from this study have informed the development of a culturally sensitive diagnostic protocol, providing guidance on how to collect information in a manner that helps ease the Somali client into the assessment process. The culturally sensitive form, described in Appendix F, must be used in conjunction with the education of all parties. This research has implications for those seeking to conduct culturally sensitive assessment and treatment by reducing incongruent cultural practices and promoting culturally competent service for Somalis.

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10

Montgomery, Natalie D. "Tensions Along the Path Towards Mental Health Literacy for New Immigrant Mothers: Perspectives on Mental Health and Mental Illness." Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/30728.

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Анотація:

New immigrants to Canada are identified as a vulnerable population in mental health and, as a result, organizations are signaling the need to enhance their mental health supports. The research uses focus groups and questions based on the messaging of a Canadian school mental health program to understand how new immigrant mothers interpret and develop key aspects of their mental health literacy and how they attain parent empowerment. A thematic assessment of the knowledge, interpretation, action and decision-making of the study participants (n=7), all recent immigrants to Canada and mothers of high school students, shows that new immigrant mothers are prepared to follow a path towards mental health literacy. At the same time, however, there are barriers that can block progression towards mental health literacy for this audience. These findings are supported by three umbrella themes: the first main theme “home as haven” espouses maternal roles in mental health maintenance such as protector and communicator, the second main theme “knowledge versus suspicions of mental health and mental illness” represents informed views and support of mental illness and myths and illusions of mental illness, and the third main theme, “additional barriers to mental health literacy” includes the hardships of immigration and fear of knowledge. The study concludes that new immigrant mothers appreciate the importance of fostering mental health understanding and discussion with their children at the same time that they encounter obstacles to the advancement of their mental health literacy. This study is relevant to the field of communication in that it demonstrates the experience of new immigrant mothers as a secondary audience in mental health programming. As the caregivers of their children, they are in position to enforce the messages and health maintenance behaviours of a school-based mental health program aimed at adolescents.

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11

Connell, Mong L. "A study of the cultural appropriateness of service delivery models in the Australian mental health system." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2002. https://ro.ecu.edu.au/theses/714.

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This study is an attempt to examine the cultural appropriateness of the mental health system in relation to the Vietnamese refugee community in Australia. Culture and mental health, as widely acknowledged in the field of transcultural psychiatry, are closely linked. No aspect of the diagnosis or treatment methods can be justified without reference to the cultural traditions of the mental health system and the client. In a country like Australia, where multiculturalism is a dominant feature of the society, the need is even greater in incorporating culture into every aspect of the mental health system, if it desires to provide a culturally appropriate service to all immigrant groups. Every immigrant group brings with them different cultural values and attitudes. Included in these are viewpoints about mental health/illness that can diverge distinctly from those belonging to the more prevalent Anglo-Saxon cultural norms. How the illness is perceived as to its cause, treatment to healing are different in most cultures. According to the Australian Bureau of Statistics (1996), Vietnamese immigrants form one of the largest displaced people ever to be accepted into Australia as refugees. Their history of escape from the communist regime in Vietnam have sparked worldwide concerns about the state of their mental health. Their journey of escape is not without torture and trauma. Once settled into a country like Australia, they face many settlement obstacles. The cultural and social adjustments that they have to undergo have made them one of the most vulnerable and disadvantaged immigrant groups in Australia. Faced with such a group that have a high predisposition to mental stress and anxiety, the question lies in whether the Australian mental health system is sufficiently informed and prepared to provide a service which has relevance and meaning to these people. I argue that the system has not adequately provided a service to such a purpose. Although much progress and research has been done, it still operates very much within a Western philosophy. Its traditions, values and attitudes reflect a worldview that make little cultural sense to these people. Its racist assumptions and attitudes which promote cultural superiority of the West has resulted in a system labelled as culturally inefficient. Racism has been socially constructed and entrenched within the system for many years and it's origins are lost in the history of Western culture. Its mental health system is essentially monocultural. Culturally inappropriate diagnostic and treatment programmes and a shortage of professionals with the necessary linguistic, cultural and clinical competencies are just some of the deficiencies that exist within the system. Many training programmes have failed to evoke practitioners into questioning the effectiveness and cultural appropriateness of these fundamental structures supporting existing models of service delivery. This study is done through a discussion of the history of racism, certain important concepts, for example, culture and mental health/illness and the social, historical and political experience of the Vietnamese. The rest of the research focuses on certain specific barriers of accessibility and concludes with how these barriers can be addressed. In doing so, it advocates for a totally non-racist approach from an international to a personal level of service. Only through this approach can the mental health system claim to provide a service that is culturally sensitive and meaningful.

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12

Leão, Teresa Saraiva. "Mental and physical health among first-generation and second-generation immigrants in Sweden /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-812-6/.

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13

Hui, Lin-heung. "A study on the stress and mental health of the adolescents among Hong Kong new arrivals from Mainland China /." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470782.

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14

Jarvis, G. Eric. "Emergency psychiatric treatment of immigrants with psychosis." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33785.

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Objectives. To determine whether the emergency psychiatric treatment of patients with psychosis varies with immigrant status and ethnicity. Methods. Data on immigrant and ethnic status of psychotic patients admitted in 1999 were extracted from records of a general hospital in Montreal. Of the 217 subjects, 97 (44.7%) were immigrants, 125 were Euro-Canadian (57.6%),39 were Asian (18.0%), and 27 were Black (12.4%). All Asians and most Blacks (87%) were immigrants. Measures of emergency psychiatric treatment included use of seclusion, restraints, and medication in the emergency department. Multiple regression models examined the relationship of immigrant status and ethnicity to emergency psychiatric treatment controlling for age, gender, patient height and weight, and mode of emergency department admission (coercive versus non-coercive). Results. Immigrant status and Asian ethnicity were not associated with emergency treatment measures. Coercive mode of emergency department admission (i.e. by police or ambulance) predicted use of seclusion (p < .001) and restraints (p < .05), but being Black was independently and positively associated with received dose of emergency antipsychotic (p < .05). Being Black was also positively associated with police or ambulance contact prior to emergency department presentation (p < .01). Conclusion. While some aspects of the emergency treatment of psychosis seem to occur as a consequence of the mode of admission, the administration of antipsychotic medication may be motivated by patient ethnicity. These results point to the need for training of emergency department staff to reduce potential bias in treatment.

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15

Lee, Tin-wai Grace. "Social support and mental health : a comparison between newly arrived and locally born youth in Hong Kong /." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22331566.

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16

Westman, Jeanette. "Aspects of mental and physical health in immigrants in Sweden : an epidemiological study /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-813-4/.

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17

Lai, Grace Ying Chi. "Stigma Experience among Chinese American Immigrants with Schizophrenia." Thesis, New York University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10688783.

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Анотація:

Stigma has profound consequences on individuals with mental illness, specifically schizophrenia. Individuals who suffer from internalized stigma further struggle with self-esteem, quality of life, and their recovery from mental illness. To avoid rejection and being the target of discrimination, these individuals often practice coping strategies such as secrecy and withdrawal. However, these coping strategies can eventually lead to poor self-image, restricted opportunities in life, and other negative outcomes. Cultural beliefs relating to the concept of face and Confucianism further exacerbate the effects of stigma among Chinese American individuals who suffer from mental illnesses.

This study examined the experiences of stigma and coping strategies used by Chinese Americans with schizophrenia spectrum disorders. The associations between internalized stigma, experienced stigma, loss of face, and coping strategies were also analyzed. Unlike previous studies, this study found that internalized and experienced stigma were not associated with coping strategies used by the Chinese American participants; instead, the cultural construct of loss of face was associated with secrecy as a coping strategy. This study calls for further research on the effects of this cultural construct on one’s recovery.

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18

Mousavi, Asharaf Sadat. "A study of family functioning, mental health and acculturation among immigrants in Britain." Thesis, King's College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.567599.

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19

Ahlinder, Isak. "The impact of labor market insecurity on mental health among immigrants in Europe." Thesis, Umeå universitet, Sociologiska institutionen, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-139991.

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The impact of labor market insecurity on immigrants’ mental health is understudied. This current study investigated whether labor market insecurity, as measured by different employment arrangements, has detrimental impact on immigrants’ depression, and if so, how it compares to the role of unemployment. Furthermore, this study investigated whether labor market insecurity had more detrimental impact on immigrants than non-immigrants. To do so, data from seventh wave of European Social Survey (2014/2015) was divided into three separate immigrant groups; first-generation immigrants, second-generation immigrants and non-immigrants. The results shows that labor market insecurity among immigrants had detrimental impact on mental health. The effects were not restricted to the first- generation immigrants’ mental health, they could also be observed in the second-generation immigrants and among non-immigrants. The results presented in this thesis show that not only unemployment, but also insecure employment arrangement have negative impact on mental health, both among immigrants and non-immigrants.

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20

Wolde, Sam A. "Acculturation, Identity Formation, and Mental Health-Related Issues Among Young Adult Ethiopian Immigrants." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3928.

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Immigration is a contributing factor to population growth in the United States. Ethiopian immigrants who are residing in the United States constitute the second-largest African immigrant group next to Nigeria. The effect of immigrants' identity formation and acculturation process on their social and emotional wellness has drawn behavioral and social scientists' attention. Still, limited research has been devoted to exploring Ethiopian immigrants' acculturation and identity formation processes and how these processes shape 1.5- and second-generation immigrants' perceptions of mental health-related issues. This phenomenological study explored identity formation, acculturation processes, and mental health beliefs in 1.5- and second-generation Ethiopian immigrants. Face-to-face semi-structured interviews were conducted with 12 participants. Inductive analysis was used to determine the emergence of 4 themes: (a) participants' acculturation struggle, (b) ethnic identity challenges, (c) protective factors that helped participants to sustain and overcome the challenges and difficulties they faced through the acculturation and identity formation processes, and (d) heritage-based mental health perceptions. These findings have the potential to generate multicultural awareness among immigrants' parents, social workers, educators, policy makers, and mental health providers regarding the challenges young immigrants encounter during the acculturation and ethnic identity formation processes

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21

Wandera, Apollo. "Investigating Dropout From Mental Health Care Among Somali Immigrants in the United States." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5808.

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African immigrants and refugees drop out of mental health care at a higher rate than other populations in the United States. However, there is a significant lack of research on mental health treatment or reasons for dropping out of mental health treatment among African immigrants and refugees. The purpose of this study was to investigate the lived experiences with mental health treatment of Somali immigrants and refugees living in the United States. Eight Somali immigrants and refugees living in a midwestern state, were interviewed, and their accounts with the mental health system in the United States were recorded. A phenomenological method was used to develop and then to analyze data from the interview questions and generate common themes across participants. The findings revealed that respondents perceived mental health challenges in a negative way. Many respondents thought that such mental health diseases were caused by being cursed or demon possessed, and that these challenges were compounded by culture shock and language barriers for the Somali immigrants and refugees, and they perceived a lack of cultural sensitivity and awareness among mental health providers. Participants also perceived the mental health care system and providers in a negative way, because they believed providers lacked the cultural knowledge to support them. Similar studies reviewed in literature showed a strong interplay of both cultural and religious factors driving the high dropout rate from mental health treatment among immigrants and refugees. Information from this study could help mental health systems and individual practitioners to better understand the barriers and cultural values that can interfere with successful mental health treatment for Somali immigrants and refugees, and aid in expanding the discussion about mental health treatment for African immigrants and refugees.

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22

Ballah-Swaray, Vivian K. "Healthcare disparities and cultural implications in HIV/AIDS care among sub-Saharan African-born immigrants." Thesis, Saint Mary's University of Minnesota, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3739834.

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The primary purpose of this study was to explore ways migration experiences and cultural factors influence how sub-Saharan African-born immigrants diagnosed with HIV access medical and psychological health services in the United States. The study was conducted with African-born immigrants diagnosed with HIV. The participants were all members of a support group. The data was obtained through two focus group interviews. Qualitative methodology with thematic analysis was used. The findings of the study yielded six salient themes: (a) factors contributing to healthcare disparities; (b) emotional distress and psychosocial adjustment; (c) positive emotional wellness and support; (d) education as criteria to eliminate disparities; (e) stigmatization by interpreters; and (f) belief in God. Based on these findings, the following recommendations for reducing healthcare disparities among sub-Saharan African-born immigrants diagnosed with HIV were suggested: (a) provide culturally sensitive services that meet the needs of the population; (2) include clients in selecting their interpreters; and (3) provide in-depth education to clients and patients about their mental health with consideration for cultural meaning. Mental health providers are encouraged to seek some level of understanding about their patients’ perceptions of mental health symptoms and use culturally sensitive resources as an aid in providing services. The use of a collaborative and multidisciplinary team approach to care is likely to improve health seeking behaviors. Suggestions for mental health clinicians and implication for future research are discussed in the last section.

Key Words: healthcare disparities, stigma, HIV/AIDS, African-born immigrants, mental health, support, interpreters, refugees.

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23

Descoteaux, Jill. "Dancers’ Reflections on Their Healthcare Experiences: Perspectives from Australia and the USA." Ohio University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1530538560639848.

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24

van, Vliet Helen E. Psychiatry Faculty of Medicine UNSW. "Mental health prevention: design and evaluation of an internet-delivered universal program for use in schools with adolescents." Awarded by:University of New South Wales. School of Psychiatry, 2007. http://handle.unsw.edu.au/1959.4/31899.

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This research describes the design and evaluation of an internet-based universal program for use in schools with adolescent students to prevent common mental disorders and promote mental health. The research began in response to investigations that showed that rates of mental illness in Australian children, teenagers and adults were high, that these illnesses caused significant burden to individuals and society, and that there were insufficient services to treat. When current interventions are unable to alleviate disease burden it is important to focus on prevention. Mental health prevention should target youth before disorders cause disability and restriction of life choices. A review of the mental health prevention literature supported a universal cognitive behavioural approach in schools. Internet delivery was used to maintain content integrity, enable access to people living in regional and remote areas, and to appeal to young people. Internet delivery makes universal prevention cost effective and feasible. The Intervention Mapping approach was used to direct the design of the program. A feasibility study was conducted to gain opinions from students and teaching staff. Changes were made in light of results from this study and 463 students were then exposed to the program in an effectiveness trial. The effectiveness trial was a before-after design with no control group. Results from this trial provided evidence that the program was acceptable and effective for use by teachers in the intervention schools. Also student behaviour and mood changed in beneficial ways after program administration. Specifically, student reported significantly increased knowledge about stress and coping, use of help-seeking behaviours, and life satisfaction, and significantly decreased use of avoidance behaviours, total difficulties and psychological distress. The study design allows causal inferences to be surmised concerning exposure to the intervention and changes in behaviour and mood, but further evidence is needed before firm conclusions about effectiveness can be posited and generalizations made concerning different populations, settings and times. In conclusion, this thesis provides evidence that a computerised, cognitive behavioural mental health prevention program delivered to adolescent school students by teachers can potentially change student coping behaviours and mood in beneficial ways.

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25

Dhaliwal-Rai, Karin. "Perspectives on mental wellness/health of Punjabi Sikh immigrants in the city of Surrey." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ61549.pdf.

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26

Baker, Cathy Jo. "Smoking Behavior Among Immigrants from the Former Soviet Union." The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1218638322.

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27

Font, Corominas Ariadna. "Riscos psicosocials i la salut mental en treballadors immigrants a Espanya." Doctoral thesis, Universitat Pompeu Fabra, 2012. http://hdl.handle.net/10803/83456.

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Objectius: Analitzar l’exposició a riscos psicosocials dels treballadors assalariats immigrants a Espanya comparant-la amb la dels espanyols i estudiar el paper dels riscos psicosocials en la relació entre la immigració i la salut mental. Mètodes: Estudi transversal realitzat per l’Institut Sindical de Treball, Ambient i Salut (ISTAS) entre el 2004 i el 2005 sobre una mostra representativa de població assalariada resident a Espanya. La informació s’obtingué a través d’un qüestionari estandarditzat administrat per entrevistador a domicili. La grandària de la mostra d’estudi fou de 7.555 treballadors, dels quals 6.868 eren espanyols i 687 eren immigrants. Per les exigències i la inseguretat, l’exposició es va definir segons el tercil més alt, mentre que per les altres dimensions, va ser definida segons el tercil més baix. La salut mental es dicotomitzà en bona i dolenta segons la mediana, que fou 76. Principals resultats: Els treballadors que estaven més exposats als riscos psicosocials van ser els immigrants manuals, especialment, en les baixes possibilitats de desenvolupament (PR: 2,87; IC95%: 2,44-3,73), i les dones immigrants, particularment en el baix control sobre els temps a disposició (PR: 1,72; IC95%: 1,55-1,91). Els treballadors immigrants amb elevades exigències quantitatives (PR: 1,46; IC95%: 1,34-1,59), elevades exigències emocionals (PR: 1,42; IC95%: 1,30-1,56), elevades exigències d’amagar emocions (PR:1,35; IC95%: 1,21-1,50), baixes possibilitats de desenvolupament (PR: 1,21; IC95%: 1,09-1,33), baixos nivells de suport social entre companys (PR: 1,41; IC95%: 1,30-1,53) i baixa estima (PR: 1,53; IC95%: 1,42-1,66) eren els treballadors que percebien pitjor salut mental. Conclusions: Els treballadors immigrants, especialment, els manuals i les dones, eren els més exposats a riscos psicosocials. Els treballadors més exposats als riscos psicosocials eren els que percebien pitjor salut mental. Per a millorar la salut mental dels treballadors, és necessari implementar mesures preventives per tal d’eradicar els riscos psicosocials, especialment dels grups més vulnerables.
Objetivos: Analizar la exposición a riesgos psicosociales de los trabajadores asalariados inmigrantes en España comparandola con la de los españoles y estudiar el papel de los riesgos psicosociales en la relación entre la inmigración y la salud mental. Métodos: Estudio transversal realizado por el Instituto Sindical de Trabajo, Ambiente y Salud (ISTAS) entre el 2004 y el 2005 sobre una muestra representativa de población asalariada residente en España. La información se obtuvo a través de un cuestionario estandardizado administrado por entrevistador en domicilio. El tamaño de la muestra de estudio fue de 7.555 trabajadores, de los cuales 6.868 eran españoles y 687 eran inmigrantes. Por las exigéncias y la inseguridad, la exposición se definió según el tercil màs alto, mientras que por las otras dimensiones, fue definida según el tercil más bajo. La salud mental se dicotomizó en buena y mala según la mediana, que fue 76. Principales resultados: Los trabajadores que estaban más expuestos a los riesgos psicosociales fueron los inmigrantes manuales, especialmente, en las bajas posibilidades de desarrollo (PR: 2,87; IC95%: 2,44-3,73), y las mujeres inmigrantes, particularmente en el bajo control sobre los tiempos a disposición (PR: 1,72; IC95%: 1,55-1,91). Los trabajadores inmigrantes con altas exigéncias cuantitativas (PR: 1,46; IC95%: 1,34-1,59), altas exigéncias emocionales (PR: 1,42; IC95%: 1,30-1,56), altas exigéncias de esconder emociones (PR: 1,35; IC95%: 1,21-1,50), bajas posibilidades de desarrollo (PR: 1,21; IC95%: 1,09-1,33), bajos niveles de apoyo social entre compañeros (PR: 1,41; IC95%: 1,30-1,53) y baja estima (PR: 1,53; IC95%: 1,42-1,66) fueron los trabajadores que percibieron peor salud mental. Conclusiones: Los trabajadores inmigrantes, especialmente, los manuales y las mujeres, eran los más expuestos a riesgos psicosociaels. Los trabajadores más expuestos a riesgos psicosociales eran los que percibieron peor salud mental. Para mejorar la salud mental de los trabajadores, es necesario implementar medidas preventivas para erradicar los riesgos psicosociales, especialmente de los grupos más vulnerables.

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Tansathitaya, Vimolmas. "Selected Health Related Factors and Behaviors among Southeast Asian Immigrants: Tobacco, Mental Health, Healthy Neighborhood Factors, and Health Care Utilization." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1552391701300341.

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McGough, Shirley-Ann. "Facilitating equity in mental health outcomes for Aboriginal people within mainstream mental health services in Western Australia: A grounded theory study." Thesis, Curtin University, 2015. http://hdl.handle.net/20.500.11937/1275.

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This study developed a substantive theory that explores the provision of culturally safe care in a mental health setting and identified factors that inhibit or facilitate the experience. 28 mental health professionals working in mainstream mental health settings in Western Australian were interviewed for this study. The basic social psychological problem shared by participants was the experience of being unprepared. To address this, participants engage in a basic social psychological process of “seeking solutions by navigating the labyrinth”. The findings of this study have implications for service providers, clinical practice, policy and planning, research, education and Aboriginal patients and other key stakeholders.

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Falgàs, Bagué Irene. "Study and comprehension of barriers to mental health in Latino population. Social and cultural factors related to access and retention to mental health services." Doctoral thesis, Universitat Autònoma de Barcelona, 2017. http://hdl.handle.net/10803/461301.

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Introducció: La població llatinoamericana esta permanentment creixent als Estats Units i a Espanya, fet que planteja importants reptes als sistemes de salut pública en ambdós països, des de la limitada accessibilitat als serveis de salut mental i substancies fins a la baixa qualitat i la manca de continuïtat del tractament. La recerca sobre les barreres especifiques de la població llatinoamericana a l’accés i a la retenció als servies de salut mental i de substàncies i el seu rol a la hora de predir l’adherència al tractament es escassa. En aquest projecte de recerca, ens proposem identificar barreres d'accés i retenció i els factors clínics, socials i culturals relacionats a les barreres i als serveis. A més, avaluem com aquests factors i barreres en l'atenció afecten la retenció a un tractament integrador culturalment adaptat per a Llatins amb trastorns de salut mental i substancies. Mètodes: aquest treball de doctorat inclou investigació clínica, amb un estudi d'observació i un d'intervenció i una revisió crítica del tema. Els participants han estat reclutats prospectiva ment a la comunitat en tres ciutats: Boston, Madrid i Barcelona. Després d'examinar els símptomes de salut mental i abús de substàncies, es van recollir dades sobre barreres percebudes, símptomes clínics, coneixements en salut, discriminació i variables sociodemogràfiques. Per el segon estudi, els participants elegibles van ser assignats aleatòriament per rebre el Programa d'Intervenció Integral per a Problemes Duals i Acció precoç (IIDEA), una intervenció de psicoteràpia culturalment sensible basada en la teràpia cognitiva-conductual (CBT), la psicoeducació i el “mindfulness” i es va avaluar l'adhesió a aquesta intervenció. El primer article publicat es un estudi observacional que descriu les barreres a la retenció als serveis de salut mental i substancia en la població llatina i compara diferencies entre els dos països. El segon estudi presenta l’avaluació de la relació entre les barreres percebudes prèviament a rebre el tractament i l’adherència a la intervenció al programa IIDEA. Finalment, es presenta una revisió crítica de la literatura que valora l'accés i la retenció a l'atenció dels immigrants que complementa el projecte de recerca. Resultats: les barreres que reflecteixen l'autosuficiència "Voler solucionar el problema un mateix", la desconfiança en els serveis de salut mental i de substancies, "Pensant que el tractament no funcionarà" i "No estar segur d'on anar o qui ha de veure" van ser els les barreres més freqüentment registrades per als immigrants llatins. Es van trobar diferències en les barreres segons el lloc d’estudi. També es van trobar dues barreres específiques associades a l'ús de serveis de salut mental i de substancies. Pel que fa a la retenció a la intervenció de l'IIDEA, els Llatins que van que presentaven més de tres barreres van mostrar una major finalització del programa en comparació amb els que en presentaven menys, una diferència que va ser significativa. La barrera que reflectia una falta de confiança en els serveis de salut mental i substancies va resultar significativament associada a una major retenció i fins i tot a la finalització del programa. La Educació i la discriminació percebuda van resultar esser predictors per completar el programa IIDEA. La revisió critica de la literatura presenta algunes solucions i alternatives per millorar l’accés i la retenció als serveis de salut mental i de substàncies per a la població immigrant. Conclusions: Aquesta tesi destaca la importància d'avaluar les barreres en l'atenció sanitària en la població immigrant. Es necessària una millor adaptació dels serveis de salut mental i substancies a la població immigrant per tal de superar barreres com l’autosuficiència i la desconfiança i així millorar l'accés i la retenció en l'atenció als serveis de salut mental i substancies.
Background: Growing Latino population in U.S. and Spain poses important challenges for public health systems in both countries, from limited accessibility of behavioral health services to low quality and lack of continuity of care. There is a paucity of research that identifies the specific barriers and their role on predicting adherence to mental health and substance abuse treatment within Latino populations and investigates whether these variables change depending on the host country. In this research project, we aim to identify barriers to access and retention and the clinical, social and cultural factors related to them. Moreover, we assess how these factors and barriers in care influence treatment retention of a culturally adapted integrative therapy for Latinos with behavioral disorders. Methods: This research work included a clinical research body, with an observational and an interventional component and a critical review on the topic. Participants were recruited prospectively in the community in three sites; Boston, Madrid and Barcelona. After being screened for mental health and substance abuse symptoms, data on perceived barriers, clinical symptoms, health literacy, discrimination and socio-demographic variables was collected. Eligible participants were randomized for receiving the Integrative Intervention for Dual Problems and Early Action program (IIDEA), a cultural sensitive psychotherapy intervention based on Cognitive Behavioral Therapy (CBT), psychoeducation and mindfulness. Adherence to this intervention was assessed. The observational study that described barriers to retention to treatment among Latinos was first published. A second study assessing the relationship between previously reported barriers to care and adherence to the IIDEA intervention was written and submitted for publication. Finally, a critical review of the literature assessing access and retention to care among Latino immigrants complemented the research project. Results: Barriers that reflect self-reliance “Wanting to handle the problem on one’s own”, mistrust on behavioral health care systems, “Thinking that treatment would not work”, and “Being unsure of where to go or who to see” were the most frequently reported barriers for Latino immigrants. Differences in reported barriers were found across sites. Two specific barriers were also found to be associated with use of behavioral services. Regarding retention to the IIDEA intervention, Latinos who reported at least one barrier at baseline presented a higher retention to the program compared to those participants who did not report any barrier. Participants that reported more than three barriers showed greater completion of the program compared to those who reported less than three barriers, a difference that was also significant. Mistrust in the behavioral services reported barrier was significantly associated with greater retention in the program. Education and perceived discrimination were found to be predictors for completing the IIDEA program. Conclusions: This thesis points out the importance of assessing barriers in health care. Efforts to improve behavioral health services must be tailored to immigrants ‘context, with attention to overcoming attitudes of self-reliance, cultural mistrust and outreach to improve access to and retention in care among Latino immigrants.

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Stein, Jacob R. "Coping and Physical Well-being among First, 1.5, and Second-generation Immigrants of Non-European Descent." Thesis, Pepperdine University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10933508.

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This study brings attention to the growing body of literature examining the role of culture and context in the study of generation-status differences in cross-cultural coping and physical well-being among immigrants to the United State. Prior literature on the unique challenges, stressors, coping strategies, and health outcomes for immigrants provides a basis for hypothesized generation status differences on cross-cultural coping (collectivistic, avoidance, and engagement) and physical well-being (health, safety, and environmental). A sample of 118 male and female first, 1.5, and second-generation immigrants of non-European backgrounds, between the ages of 18 and 35, were recruited from the local community to complete an online questionnaire. Results from the cross-sectional study did not yield support for the hypothesized generational status differences. However, exploratory analyses yielded several significant correlations including a positive relationship between collective coping and the safety dimension of physical well-being. Within-generation exploratory analyses yielded several significant correlations and differences on measures of coping strategies and physical well-being for demographic/contextual factors such as religiosity, age, SES, English fluency, connection to the U.S. culture, education, and ethnicity amongst 1.5 and second-generation immigrants. The empirical investigation of cross-cultural dimensions of coping and physical well-being among immigrants represents a new direction for research. This study also has potential implications for more nuanced understandings of the immigrant paradox, the socioecological perspective of acculturation, collective coping, and inclusion of both objective and subjective experiences of the environment. Implications for theory and practice, methodological limitations, and suggestions for future research are also discussed.

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Giouvanaki, Asimina. "Nature’s Impact on Mental and Physical Wellbeing : A study of the mental and physical health in Greek Immigrants to Sweden." Thesis, Högskolan i Gävle, Avdelningen för humaniora, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36458.

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In the past Man coinhabited harmoniously with nature only to have the balance disturbed with the advent of the Industrial Revolution replacing the green habitat with urban concrete settlements Consequently, the characteristics of the contemporary city pose a set of serious threat to man’s physical and mental health. Crowdedness, lack of apt infrastructure, pollution, noise pollution and rise in temperature are all contributing factors to the Man’s demised health and detachment from previous amicable coexistence with nature. For the past 30 years, extensive research has been conducted studying the correlation between man and nature, and nature’s impact on man’s health. The theory of “Biophilia,” by Edward, O. Wilson, Rachel and Stephen Kaplan’s “Attention Restorative Theory,” and Roger Ulrich’s “Stress Reduction Theory,” have been innovating and contributing towards gaining more understanding of the importance of a green environment in man’s everyday life. As a corollary the above-mentioned theories gave rise to the following quantitative study conducted over a 4-month period, including 81 respondents, in Spring 2020, focusing on whether a natural green environment in Sweden had impacted the mental and physical health in Greek immigrants to Sweden. The findings suggest that comparing the respondents’ life in Greece and respectively in Sweden there was indeed an improvement in the mood and health of the sample groups taking into consideration: how healthy they are, how healthy they feel, how happy they feel in relation to work, time spent in Sweden, marital status and of course the parameters that focus on the part of the natural environment at home and in their neighbourhood in Sweden. There seem to have been a statistically significant improvement in their health compared to when they lived in Greece but there is insufficient evidence to support that some of the parameters examined are responsible for this. Happiness on the other hand seem to possess a statistical important role due to their marital status among others along with the green surrounding environment having an impact on their mental well-being but not their physical health. Therefore, a more sustainable green environment seems to have impacted the overall psychological and physical state of the respondents, but further extensive research is recommended to investigate in depths others factors i.e., psychosomatics, environmental psychology along with nature related theories and studies.

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Suggit, Daniel Richard. "A Clever People: Indigenous healing traditions and Australian mental health futures." Thesis, Canberra, ACT : The Australian National University, 2008. http://hdl.handle.net/1885/12051.

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Indigenous Australians are currently hospitalised for mental health disorders at significantly higher rates than members of the non-Indigenous population. In this context, the development of effective Indigenous mental health service delivery models in remote, rural and urban areas continues to be a national priority. Traditional forms of healing are fundamental to Indigenous societies across Australia. Anthropologists, linguists, psychiatrists, psychologists, psycho-analysists and Indigenous healers themselves have recorded and discussed many localised traditions of healing over the last 100 years. This paper presents an overview of this significant Australian heritage and proposes that the challenges which face mental health service delivery within many Indigenous communities may be addressed in part through the recognition of the intellectual, religious and therapeutic bases of Indigenous healing traditions.

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Nsamenang, Sheri A. "Attitudes Toward Suicide, Mental Health, and Help-Seeking Behavior Among African Immigrants: An Ecological Perspective." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etd/2420.

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The population of Africans in the United States is growing, yet little is known about the impact of migration on the attitudes of African immigrants toward suicide, mental health, and helpseeking behavior. Migration entails movement from one cultural environment to another, and the process requires adaptation to the host country. According to Ecological Theory, interactions between the societal structures, values, and beliefs of the host country, cultural values from the country of origin, and individual-level characteristics may affect mental health-related attitudes and behaviors. As such, the current study used mixed methods, administered via online survey, to investigate socio-cultural predictors of attitudes toward suicide, mental health, and treatment seeking among African immigrants in the United States. In the current study the responses of 227 participants were used for qualitative analyses, and responses from 168 participants were used for quantitative analyses. Qualitative results indicated overall negative attitudes towards suicide and positive attitudes towards suicide prevention. Perceived culture-specific causes of suicide included acculturation difficulties, immigration stress, social causes such as home sickness discrimination, and racism, financial causes such as responsibility to kin in Africa, spiritual causes, and deportation risk. Results from quantitative analyses indicated that identification with African values and behaviors were related to lower levels of anxiety, depression, stress, and culture oriented psychological distress. Higher levels of spirituality and religiousness were associated with a negative attitude toward suicide. Implications for population based suicide prevention efforts for African immigrants and for mental health professionals working with African immigrants are discussed.

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Speldewinde, Peter Christiaan. "Ecosystem health : the relationship between dryland salinity and human health." University of Western Australia. School of Population Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0127.

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Australia is experiencing widespread ecosystem degradation, including dryland salinity, erosion and vegetation loss. Approximately 1 million hectares (5.5%) of the south-west agricultural zone of Western Australia is affected by dryland salinity and is predicted to rise to 5.4 million hectares by 2050. Such degradation is associated with many environmental outcomes that may impact on human health, including a decrease in primary productivity, an increase in the number of invasive species, a decrease in the number of large trees, overall decrease in biodiversity, and an increase in dust production. The resulting degradation affects not only farm production but also farm values. This study examines the effects of such severe and widespread environmental degradation on the physical and mental health of residents. Western Australia has an extensive medical record database which links individual health records for all hospital admissions, cancer cases, births and deaths. For the 15 diseases examined in this project, the study area of the south west of Western Australia (excluding the capital city of Perth) contained 1,570,985 morbidity records and 27,627 mortality records for the 15 diseases examined in a population of approximately 460,000. Environmental data were obtained from the Western Australian Department of Agriculture?s soil and landscape mapping database. A spatial Bayesian framework was used to examine associations between these disease and environmental variables. The Bayesian model detected the confounding variables of socio-economic status and proportion of the population identified as Aboriginal or Torres Strait Islander. With the inclusion of these confounders in the model, associations were found between environmental degradation (including dryland salinity) and several diseases with known environmentally-mediated triggers, including asthma, ischaemic heart disease, suicide and depression. However, once records of individuals who had been diagnosed with coexistent depression were removed from the analysis, the effect of dryland salinity was no longer statistically detectable for asthma, ischaemic heart disease or suicide, although the effects of socio-economic status and size of the Aboriginal population remained. The spatial component of this study showed an association between land degradation and human health. These results indicated that such processes are driving the degree of psychological ill-health in these populations, although it remains uncertain whether this 4 is secondary to overall coexisting rural poverty or some other environmental mechanism. To further investigate this complex issue an instrument designed to measure mental health problems in rural communities was developed. Components of the survey included possible triggers for mental health, including environmental factors. The interview was administered in a pilot study through a telephone survey of a small number of farmers in South-Western Australia. Using logistic regression a significant association between the mental health of male farmers and dryland salinity was detected. However, the sample size of the survey was too small to detect any statistically significant associations between dryland salinity and the mental health of women. The results of this study indicate that dryland salinity, as with other examples of ecosystem degradation, is associated with an increased burden of human disease.

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Hung, Kwong-wai Marion. "Social competence and mental health : a comparison between newly arrived and locally born youth in Hong Kong /." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2233158X.

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Miraudo, Amanda. "Big boys don't cry : understanding barriers to seeking support for mental health problems among adolescent males." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2003. https://ro.ecu.edu.au/theses/1307.

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This study explored the possible barriers encountered by adolescents in developing and achieving positive mental health. Male adolescents in Perth, Western Australia were consulted in an attempt to provide insight into the motivating and inhibiting factors influencing help-seeking as a coping strategy. Barriers to seeking help for mental health problems were investigated through the inductive process of grounded theory (Glaser & Strauss, 1967) to obtain a more detailed understanding of help-seeking than previous studies have provided; The study found that the coping responses most frequently enacted by the adolescent males sampled included avoidance, diversion, and private resolution. Help-seeking was far less frequently enacted, and was suggested to be the course of last resort. The primary barrier to help-seeking was found to be the interviewees' fear of feeling and appearing incompetent in successfully enacting the traditional male role. This primary barrier appeared to stem from the interviewees' socialised perceptions of the ideal male, their perceptions of available help-sources, and their perceptions of those with mental ill-health. These factors thus constitute possible barriers faced by male adolescents in achieving positive mental health and provide insights into key areas that need to be addressed in social marketing strategies. In addition, practical information and recommendations are directed towards adolescents, parents, and educators.

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Tam, King Wa. "Labour, social and health outcomes of immigrants in Australia : effects of language proficiency using the IV approach." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/60256/1/King_Wa_Tam_Thesis.pdf.

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Language has been of interest to numerous economists since the late 20th century, with the majority of the studies focusing on its effects on immigrants’ labour market outcomes; earnings in particular. However, language is an endogenous variable, which along with its susceptibility to measurement error causes biases in ordinary-least-squares estimates. The instrumental variables method overcomes the shortcomings of ordinary least squares in modelling endogenous explanatory variables. In this dissertation, age at arrival combined with country of origin form an instrument creating a difference-in-difference scenario, to address the issue of endogeneity and attenuation error in language proficiency. The first half of the study aims to investigate the extent to which English speaking ability of immigrants improves their labour market outcomes and social assimilation in Australia, with the use of the 2006 Census. The findings have provided evidence that support the earlier studies. As expected, immigrants in Australia with better language proficiency are able to earn higher income, attain higher level of education, have higher probability of completing tertiary studies, and have more hours of work per week. Language proficiency also improves social integration, leading to higher probability of marriage to a native and higher probability of obtaining citizenship. The second half of the study further investigates whether language proficiency has similar effects on a migrant’s physical and mental wellbeing, health care access and lifestyle choices, with the use of three National Health Surveys. However, only limited evidence has been found with respect to the hypothesised causal relationship between language and health for Australian immigrants.

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Munib, Ahmed Mujibur Rahman. "The effects of immigration and resettlement on the mental health of South-Asian communities in Melbourne /." Connect to thesis, 2006. http://eprints.unimelb.edu.au/archive/0002323.

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Vidal, Bertha Carolina. "Developing a clinical tool to treat depression in Spanish-speaking Latin American immigrants in Canada : applying a global mental health perspective for improved mental health outcomes." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/45272.

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This dissertation considers the implications of applying of global health perspective to guide the development of culturally appropriate mental health services in Canada. Recognizing that forces of globalization can both affect determinants of health that vulnerable populations face and the kind of mental health services that are available, I focus on the situation of immigrants in the Greater Toronto Area, a population that has been prioritized for increased access to equity-driven health services, drawing on my personal and professional positionality with the issues examined. This study specifically examines Latin American immigrants, a group that has been identified as a high-growth population at-risk for mental health difficulties. An extensive and comprehensive review of social determinants of health as it relates to the mental health of Latin American immigrants in Canada is conducted, and the availability and effectiveness of patient-centred care for Latin American populations is also reviewed, with particular attention to the standard delivery versus the cultural adaptation of cognitive behavioural therapy – currently regarded as the ‘gold standard’ in psychotherapeutic treatment. Clinical, service delivery, and social policy issues that may arise in providing culturally appropriate, patient-centred care are exemplified in the findings of a secondary qualitative analysis of focus groups that were conducted for a feasibility study for a culturally adapted cognitive behavioural therapy (CA-CBT) for Latin American immigrants in Canada. A key contribution of this work is the synthesis of the foregoing evidence to conclude that the provision of culturally adapted mental health services is necessary but not sufficient to promote the health equity of Latin American immigrant population in Canada. Recommendations for policy, future research, and changes to the philosophy of psychiatric practice are discussed, and the findings are related to debates on the concept of “global mental health” that are currently underway.

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Agarwal-Narale, Tulika. "Mental health of South Asian women : dialogues with recent immigrants on post-migration, help-seeking and coping strategies." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=83958.

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As Canada, and particularly metropolitan cities like Montreal, becomes increasingly diverse, it is important to explore and understand the culture and needs of immigrant communities. This Masters thesis focuses on the mental health of South Asian immigrant women in Montreal, Quebec. This original research is a qualitative descriptive study based on in-depth interviews with nine women from India and Pakistan. The interviews focus on the intersection of gender and culture with post-migration experiences, help-seeking patterns and coping strategies for distress in South Asian women. The women's narratives provide pertinent information for researchers and practitioners that could be applicable to the design of future research, outreach, health promotion, and models of care on mental health. The following four chapters provide a thorough discussion of the methodology, findings and conclusions.

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Holland, Kate E., and n/a. "Conformity and resistance: Discursive struggles in the Australian mental health field." University of Canberra. Communication, 2007. http://erl.canberra.edu.au./public/adt-AUC20081022.153830.

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This research explores areas of contention in the mental heath field in Australia through a qualitative analysis of voices and practices that can broadly be seen as talking with and talking back to psychiatry. The thesis is informed by key shifts in thinking that underpin postpsychiatry and analyses a set of materials through an interpretive lens of reading psychiatry against the grain (Bracken & Thomas, 2005; Lewis, 2006). In particular, it examines a failed ethics application to conduct research with people diagnosed with a mental illness, an anti-stigma campaign, the practices of some prominent mental health organisations in Australia, a conversation with two members of an emerging consumer/survivor network in Australia, and a television documentary and online discussion forum about an antidepressant medication. The research draws from discourse analytic methods and concepts from social movement framing research to identify factors shaping conformity and resistance to psychiatric doxa in the Australian mental health field. The research identifies the discursive repertoires that characterise the mental health field as a "game" in which competing perspectives vie for recognition. In relation to research ethics committees, the thesis argues that deference to clinical expertise is a potential barrier to cultural studies of psychiatry and a more inclusive agenda in mental heath research and practice. Some practices for ethics committees to consider when reviewing research that involves people who may have been diagnosed with a mental illness are proposed. The research also identifies problematic features of anti-stigma campaigns that direct their efforts toward protecting and promoting the discourse of biomedical psychiatry. A critique of this type of campaign is offered in relation to perspectives from postpsychiatry and social constructionism. On the basis of this research, it is argued that organisations that champion "mental health literacy" are limited in their ability to give voice to the goals and priorities of those who are calling for a more open, reflexive and democratic debate in mental health. The central argument of this thesis is that elevating first-person and postpsychiatry perspectives is necessary in order to interrogate and address the dominance of the medical model in psychiatry and its consequences.

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Carter, Brian D. "Examination of the Mental Health and Family Dynamics in Caribbean Immigrants using the National Survey of American Life." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/101.

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Previous studies have documented an association between mental illness rates and US-nativity, younger age at immigration, and recent immigration status among Caribbean immigrants to the US. This analysis examines these associations with the addition of important demographic controls and two indices of family support and conflict in Caribbean immigrants represented in the National Survey of American Life (n = 1623). The results indicate that previous correlates disappear when the index of family conflict is taken into account. Future efforts should focus on culturally appropriate identification and treatment methods addressing family dynamics in Caribbean immigrants. INDEX WORDS: immigrant mental health, family dynamics, National Survey of American Life.

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Cariello, Annahir N. "INFLUENCE OF CULTURAL STRENGTHS ON THE RELATIONSHIPS AMONG ACCULTURATIVE STRESS, RACISM, AND MENTAL AND PHYSICAL HEALTH IN LATINO IMMIGRANTS." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5413.

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The Latino immigrant population in the United States has grown rapidly, now standing at over 56 million people. Due to this increase in Latino immigrants, investigation of their mental and physical health is crucial. Few studies have investigated conjointly both physical and mental health in Latino immigrant adults. Daily discrimination and acculturative stress have been found to affect the mental and physical health of Latino immigrants. Cultural strengths including social support, religiosity, and enculturation have been linked to Latino immigrant health. In the minority stress model, cultural strengths have been theorized to moderate relationships between discrimination and health. The purpose of this study was to examine the relationships among acculturative stress, discrimination, and mental and physical health. A secondary aim was to examine whether direct and indirect effects among these series of variables are moderated by social support, religiosity, and enculturation. A community sample of 204 Latino immigrants were recruited. Generally, bivariate associations between variables were congruent with previous research. Anxiety was found to mediated the effects of both acculturative stress and discrimination on physical health. Depression was found to mediate the effect of discrimination on physical health. Social support was found to moderate indirect effect of discrimination on physical health through depression. Enculturation moderated the indirect effects of both acculturative stress and discrimination on physical health through anxiety. Results from this study indicate that minority stressors can impact physical health through mental health, and these relationships can be buffered by links to cultural strengths including social support and enculturation.

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Gopalkrishnan, Narayan. "Yoga therapy and the health of refugees." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/2084.

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Refugees settling in Australia have many physical and mental health issues prior to arrival, issues that can be exacerbated by the settlement process. In Australia, the health needs of refugees are largely managed through a biomedical approach involving medication and/or psychotherapy and counseling. This approach stems from a clear separation between systems that deal with physical health issues and those dealing with mental health. The biomedical basis for working with refugee health issues has been useful up to an extent as the framework is very effective at disease control and prevention but is not so effective for chronic disease that is linked to multiple behavioral, socio-cultural as well as biological factors. Further, there are a number of other aspects of refugee health that biomedicine is unable to respond to effectively, such as cultural differences in understandings of health and illness, causality and healing, mind/body duality, as well issues of power relationships and structures. There is increasingly within Western medicine an awareness of the embodied interface between the spiritual, the social, the psychological and the biological being. Scholars argue that an integrated or holistic paradigm that incorporates the different aspects of health, including the biological, the psychological, the social and the cultural, would make for far better outcomes in terms of the health of refugees than the biomedical by itself.This thesis examines the role that yoga therapy, as a complementary therapy, can play in responding to the complex health issues of refugees settling in Australia. The research presented in this thesis utilized qualitative research methodology involving a literature review and document analysis, in-depth interviews and focus groups. The participants included people of refugee background who had taken part in yoga programs in Australia, as well as support workers, medical practitioners and complementary therapists. The thesis describes the perception of the health of refugees settled in Australia among service providers and refugees themselves, and the key factors impacting on this. It further looks at the existing mainstream responses in Australia to the health needs of refugees. It then critically analyses the role that complementary therapies like yoga therapy can play, and concludes that, particularly if they are incorporated within an integrative medicine framework, they have a significant contribution to make towards supporting the health needs of refugees. The thesis argues that holistic systems that address different levels of being and incorporate biomedical systems as well as complementary and alternative medicine systems (CAMs), such as yoga, massage and tai chi, will support the health needs of refugees in a culturally appropriate and effective way. The thesis finally presents recommendations of strategies for future policy and practice.

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Degenhardt, Louisa Psychology Faculty of Science UNSW. "Comorbidity between substance use and mental health in Australia: Relationships of alcohol, tobacco and cannabis use with other substance use and mental disorders." Awarded by:University of New South Wales. School of Psychology, 2001. http://handle.unsw.edu.au/1959.4/18247.

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Research into the comorbidity (or co-occurrence) of mental disorders is a relatively recent phenomenon. Much of this research has been conducted in clinical samples, which are prone to a range of biases that mean that the patterns observed are not representative of the general population. Although population-level research has previously been carried out, this thesis provides the first examination of comorbidity in the Australian population. This thesis examined the comorbidity of substance use and mental disorders among Australian adults. The major empirical work involved an examination of the patterns of homotypic comorbidity (other substance use disorders) and heterotypic comorbidity (mood disorders, anxiety disorders, and psychosis) of alcohol, tobacco and cannabis in the 1997 Australian National Survey of Mental Health and Well-Being (NSMHWB). These drugs were chosen as they are the most commonly used psychoactive substances in the Australian population. The NSMHWB involved a structured diagnostic interview of mental disorders with a representative sample of Australian adults. Three questions were addressed using this data: (1) What patterns of comorbidity exist between tobacco, alcohol and cannabis use, and other substance use and mental disorders?; (2) Are these patterns of comorbidity explained by common factors?; and (3) Does comorbidity affect the likelihood that mental health treatment has been sought? Similar patterns of homotypic comorbidity were observed for all three substances, and they were not explained by the other factors examined (gender, age, education, relationship status, employment and neuroticism). Cannabis dependence was the most strongly associated with other substance use disorders. Heterotypic comorbidity differed between alcohol, tobacco and cannabis use. Tobacco use predicted increased rates of all three groups of mental disorders (mood, anxiety and psychotic disorders). In the case of alcohol, only alcohol dependence was related to increased rates of all groups of mental disorders; alcohol use and abuse were not associated with heterotypic comorbidity. Any level of cannabis involvement was related to a similarly increased risk of mood and anxiety disorders. Cannabis use was linearly related to the risk of screening positively for psychosis. Common factors did not change the patterns of heterotypic comorbidity of tobacco and alcohol use. However, alcohol, tobacco and other drug use appeared to explain the higher rates of mood and anxiety disorders among cannabis users. Treatment seeking was much more likely among alcohol, tobacco and cannabis users when they had comorbid mental disorders. It was moderately increased when they had comorbid substance use disorders. The second piece of empirical work provided a more detailed examination of comorbid substance use problems among persons with psychosis. This topic was selected due to the limited epidemiological research on this issue, and the relatively large burden of disability that psychosis places upon the individual and the community. NSMHWB data were used to examine the prevalence of comorbid substance use disorders among persons who were likely to have met criteria for psychosis (as assessed by a screener used in the NSMHWB). Multiple regression analyses were used to test possible explanations for the higher rates of substance use disorders observed among persons reporting higher numbers of psychotic symptoms. The odds of alcohol dependence and regular tobacco use increased 1.5 times, and the odds of cannabis dependence increased twice, with each additional psychotic symptom reported, after adjusting for other substance use disorders, other mental disorders and demographic characteristics. Given the debate about the reasons for the association between cannabis use and psychosis, the final study used mathematical modelling to test four hypotheses about relationships between cannabis use and psychosis. Specifically, it examined trends in psychosis that would be predicted given the marked increases in the prevalence of cannabis use that have occurred in Australia over the past thirty years. The results suggested that a causal relationship - in which cannabis use caused psychosis among persons who would not otherwise have developed the disorder - is unlikely to explain the association. There was a better fit to the data provided by the other hypotheses examined, namely, that (a) cannabis use precipitates psychosis among vulnerable individuals; (b) cannabis use increases the risk of relapse among persons with psychosis; and (c) persons with psychosis are more likely to become regular cannabis users (without any effect upon the disorder). This thesis has demonstrated that in Australian adults there is significant comorbidity between alcohol, tobacco and cannabis use and other substance use and mental disorders. These patterns differ across the three substances. Some types of heterotypic comorbidity (e.g. between cannabis use and mood/anxiety disorders) are explained by common factors. The limited range of common factors tested here did not explain homotypic comorbidity. This thesis also suggested that mathematical modelling is a useful approach to consider when examining the plausibility of different relationships between risk factors and mental disorders. A number of hypotheses regarding comorbidity could not be tested using NSMHWB data, such as common genetic and other environmental factors. These can best be tested in research with samples of twins, and using longitudinal designs that assess a wide range of social and environmental factors. The findings of this thesis also have implications for treatment, because persons with comorbid disorders are more likely to seek treatment. There is an absence of validated treatments for persons with comorbid substance use and mental disorders, and more research is needed on this issue.

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Crich, Laura. "Exploring Syrian Refugee Women’s Sexual and Reproductive Health Experiences: A Multi-Methods Qualitative Study in Ottawa, Ontario." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42597.

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Since 2015 Canada has welcomed 44,620 Syrian refugees. The research on Syrian refugees in Canada has mainly focused on their immediate health needs, communicable diseases, and chronic illnesses. Aside from maternal health, the sexual and reproductive health (SRH) needs of Syrian refugee women is undocumented in Canada. To address this gap in the literature we conducted a qualitative study in Ottawa, Ontario that involved in-depth interviews with Syrian refugee women and individuals who provide health services to them. When accessing SRH services Syrian women identified a preference for women providers, faced difficulty adjusting to societal norms during the perinatal period, felt that contraception counselling was not culturally informed, and struggled with their maternal mental health. Key informants mainly echoed these findings and expressed a need for more cultural competency/humility training, interpretation services, and trauma-informed counselling. The path to improving SRH services for Syrian women is complex, but highly warranted.

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Hui, Lin-heung, and 許蓮香. "A study on the stress and mental health of the adolescents among Hong Kong new arrivals from Mainland China." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31250373.

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Wyder, Marianne, University of Western Sydney, College of Social and Health Sciences, and School of Applied Social and Human Sciences. "Understanding deliberate self harm : an enquiry into attempted suicide." THESIS_CSHS_ASH_Wyder_M.xml, 2004. http://handle.uws.edu.au:8081/1959.7/644.

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This study focused on the quantitative and qualitative aspects of suicidal behaviour of 90 people who had come to the attention of the Accident and Emergency Department of Westmead Hospital, Sydney, N.S.W., after an attempt to harm themselves. The risk factors identified in the study were combined with the circumstances and motive of attempt. Participants were regrouped according to whether the problems the respondent described were chronic (longstanding) or acute (pivotal). The participants were further classified according to the persistence of thoughts of self-harm ( impulsive or non-impulsive/deliberate) and the presence or absence of these feelings at the time of the interview (the resolution of the attempt) and the types of problems/situations and triggering events the person described as wanting to escape. By developing strategies and treatments for the problems as they were identified in this study and by raising the awareness that there is help available for these different issues, we may be able to reduce the pain which results in an attempt to self harm.
Doctor of Philosophy (PhD)

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50

Shabani, Agron, and Linda Sverin. "Att bemöta flyktingar med psykisk ohälsa : Ett sjuksköterskeperspektiv." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8792.

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Sverige tar i dagsläget emot en stor andel flyktingar och flertalet av dessa flyktigar lider av psykisk ohälsa. Stress, ångesttillstånd, depression och posttraumatiskt stressyndrom (PTSD) är några diagnoser som förekommer bland flyktingar. För att hjälpa dessa patienter krävs både kulturell och språklig kompetens inom vården. Syftet med denna litteraturöversikt är att beskriva sjuksköterskors erfarenheter av att bemöta flyktingar med psykisk ohälsa. Nio kvalitativa studier och en mixed method studie har används för att presentera resultatet. Studierna är gjorda i Västeuropa och Australien och de utgår från ett sjuksköterskeperspektiv. Axelssons tillvägagångssätt för litteraturstudie valdes som metod för detta arbete. Resultatet beskrivs i två huvudrubriker, Svårigheter för sjuksköterskan i mötet med flyktingar och Det vårdande mötet i psykisk kontext. De svårigheter som identifierats beskrivs i fyra underkategorier: Att kommunicera med flyktingar, Att använda tolk, Att förstå patientens kulturella bakgrund och Att prata om traumatiska händelser. Det vårdande mötet i psykisk kontext beskrivs i två underkategorier: Behovet av kulturell kompetens och Att bedöma symptom. Resultatet visar att sjuksköterskor är i behov av ökad kunskap om kulturella skillnader för att vårda flyktingar med psykisk ohälsa. Symtombilden i psykisk ohälsa varierar beroende kulturellt ursprung och ämnet anses vara tabubelagt i vissa länder. Tolkar anses vara en stor tillgång till att bygga upp en vårdande relation mellan sjuksköterskan och en flyktingpatient, men kan även ses som ett hinder.

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Дисертації з теми "Immigrants Mental health Australia"

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