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The determinants of mental health: a qualitative analysis of health policy documents
- Author:
- SOLIN Pia Crista Milana
- Journal article citation:
- International Journal of Mental Health Promotion, 8(2), May 2006, pp.3-11.
- Publisher:
- Taylor and Francis
This article reports on an exploratory analysis of the determinants of mental health in health policy documents from Finland, Sweden, Denmark, the Netherlands, England and Portugal during 1985-2004. Similarities and differences in mental and somatic health were examined, using qualitative content analysis. The results of the analysis are compared with some frequently applied health determinant conceptualisations and with the conclusions of previous research. The article concludes by pointing out that the determinants of mentally and somatic health are constructed differently, which seems to affect the design of health promotion policy.
Life satisfaction among children in different family structures: a comparative study of 36 western Societies
- Authors:
- BJARNASON Thoroddur, et al
- Journal article citation:
- Children and Society, 26(1), January 2012, pp.51-62.
- Publisher:
- Wiley
Children living in less fortunate economic circumstances can be expected to be less satisfied with life and the association between single parenthood and reduced life satisfaction may be partly due to economic hardship. This paper examines differences in life satisfaction among 184,496 children in different family structures in 36 western countries. Findings revealed that children living with both biological parents reported higher levels of life satisfaction than children living with a single parent or parent–step-parent. Children in joint physical custody reported significantly higher levels of life satisfaction than their counterparts in other types of non-intact families. Difficulties in communicating with parents were strongly associated with less life satisfaction but did not mediate the relation between family structure and life satisfaction. Children in the Nordic countries characterised by strong welfare systems reported significantly higher levels of life satisfaction in all living arrangements except in single father households. While such life events as divorce or single motherhood may be heavily stigmatised in some countries and certain segments within countries, they may well be relatively meaningless in other social contexts. This may be a major source of the considerable variation in life satisfaction among children in living with single mothers or step-parents in different countries.
Betting on a different horse: a qualitative analysis of mental health in health promotion policies
- Authors:
- SOLIN Pia, LEHTO Juhani
- Journal article citation:
- Journal of Mental Health Promotion, 3(3), September 2004, pp.8-17.
- Publisher:
- Pavilion
Aims to analyse the position and role of mental health in health promotion policy. Policy documents from Finland, Sweden, Denmark, the Netherlands, England and Portugal indicate that, although mental health is considered a serious issue, it is problematic in policy terms. Arguments make the case for the importance of mental health within the health promotion agenda, including the classification of mental illness as a public health problem, socio-economic and individual costs of mental health problems, and the view that mental wellbeing is a crucial element of overall health. However, problems of definition and measurement, and a traditional focus on treatment and care, continue to make mental health promotion problematic for policy makers.
Evaluation of comprehensive care of the mentally ill: the transition from mental hospital care to extramural care of the mentally ill in European Community Countries
- Editors:
- FREEMAN Hugh, HENDERSON John
- Publishers:
- Gaskell, Royal College of Psychiatrists
- Publication year:
- 1991
- Pagination:
- 220p.,tables,bibliogs.
- Place of publication:
- London
What do parents expect in the 21st century? A qualitative analysis of integrated youth care
- Authors:
- NOOTEBOOM Laura A., et al
- Journal article citation:
- International Journal of Integrated Care, 20(3), 2020, p.8. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: To provide integrated Youth Care responsive to the needs of families with multiple problems across life domains, it is essential to incorporate parental perspectives into clinical practice. The aim of this study is to advance our understanding of key components of integrated Youth Care from a parental perspective. Methods: Semi-structured interviews were administered to 21 parents of children receiving Youth Care from integrated care teams in the Netherlands. Qualitative content analysis was conducted by means of a grounded theory approach following qualitative reporting guidelines. Results and discussion: Parental perspectives were clustered into six key components: a holistic, family-centred approach; addressing a broad range of needs in a timely manner; shared decision making; interprofessional collaboration; referral; and privacy. Parents emphasized the importance of a tailored, family-centred approach, addressing needs across several life domains, and active participation in their own care process. However, they simultaneously had somewhat opposing expectations regarding these key components, for example, concerning the changing roles of professionals and parents in shared decision making and the value of involving family members in a care process. Professionals should be aware of these opposing expectations by explicitly discussing mutual expectations and changing roles in decision making during a care process. To enable parents to make their own decisions, professionals should transparently propose different options for support guided by an up-to-date care plan. (Edited publisher abstract)
Social work students learning to use their experiential knowledge of recovery. An existential and emancipatory perspective
- Authors:
- WEERMAN Alie, ABMA Tineke
- Journal article citation:
- Social Work Education (The International Journal), 38(4), 2019, pp.453-469.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Aims: To understand the features of experiential knowledge with recovery and the process of social work students learning to use their experiential knowledge of recovery from an existential and emancipatory perspective. Methods: A participatory action research design was used in an applied university social work department in the Netherlands to develop a new curriculum for students using their experiential knowledge. Students were invited to disclose and share their personal experiences of recovery in the classroom and practice. Results: Experiential knowledge of recovery can be articulated as knowledge of finding a new balance in dualities of several existential themes. Social work students shared their experiences in a reflexive way and transcended their individual experiences to develop a critical subjectivity. They experienced their learning process as emancipatory and destigmatizing, but shame came up as a recurring theme. Making use of experiential knowledge sometimes conflicted with expectations of the social worker as a detached professional expert. Conclusion: Experiential knowledge of recovery can be articulated as knowledge of living with existential dualities. Profiling oneself as a social worker with existential knowledge of recovery has paradoxical aspects: it may weaken shame and combat stigmatization, but may reinforce stigma as well. (Edited publisher abstract)
Psychosocial functioning in Dutch foster children: the relationship with child, family, and placement characteristics
- Authors:
- GOEMANS Anouk, van GEEL Mitch, VEDDER Paul
- Journal article citation:
- Child Abuse and Neglect, 56, 2016, pp.30-43.
- Publisher:
- Elsevier
Foster care is the preferred alternative for out-of-home care, but not necessarily beneficial for foster children's psychosocial functioning. This dilemma leaves researchers with a challenge to find out more about the factors related to foster children's social and emotional functioning. In a sample of 446 Dutch foster children this study examined the extent to which three clusters of characteristics, those akin to the foster child, the foster family, or foster placement, were related to foster children's functioning at the time of research. Multivariate three-step hierarchical regression analyses were performed for three outcome variables: externalising problems, internalising problems, and prosocial behaviour. Results found that all three clusters of foster care characteristics were significantly related to foster children's functioning. Foster placement characteristics, in particular interventions aimed at foster children, explained the largest amount of variance in behaviour problems. Children receiving interventions had more externalising and internalising problems. A possible explanation is that interventions are indicated for those foster children who are in the highest need of additional support. Prosocial behaviour was particularly related to foster family characteristics. The results were mostly in line with international research. Careful screening and monitoring of the social and emotional functioning of foster children may help to identify problems at an early stage. In addition (preventive) support should be offered to those foster children and families who are in need of it. (Edited publisher abstract)
The relation between social network site usage and loneliness and mental health in community-dwelling older adults
- Authors:
- AARTS S., PEEK S.T.M., WOUTERS E.J.M.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(9), 2015, pp.942-949.
- Publisher:
- Wiley
Background: This study aimed to examine whether and how social network sites usage is related to loneliness and mental health in community-dwelling older adults. Method: The study population included community-dwelling older adults aged 60 and over residing in the Netherlands (n = 626). Univariate and multivariate linear regression analyses, adjusted for potentially important confounders, were conducted in order to investigate the relation between social network sites usage and (emotional and social) loneliness and mental health. Results: More than half of the individuals (56.2%) reported to use social network sites at least several times per week. Social network sites usage appeared unrelated to loneliness in general, and to emotional and social loneliness in particular. Social network sites usage also appeared unrelated to mental health. Several significant associations between related factors and the outcomes at hand were detected. Conclusion: In this sample, which was representative for the Dutch population, social network sites usage was unrelated to loneliness and/or mental health. The results indicate that a simple association between social network site usage and loneliness and mental health as such, cannot automatically be assumed in community-dwelling older adults. (Edited publisher abstract)
The disease burden of childhood adversities in adults: a population-based study
- Authors:
- CUIJPERS Pim, et al
- Journal article citation:
- Child Abuse and Neglect, 35(11), November 2011, pp.937-945.
- Publisher:
- Elsevier
There is evidence to show that childhood adversities (such as abuse and neglect, parental psychopathology, and major life events) have considerable effects on the mental and physical health of adults. This study used data from the Netherlands Mental Health Survey and Incidence Study (a national representative population sample survey with 7,056 respondents) to try to estimate the disease burden of childhood adversities. The researchers calculated the disability weighting for each respondent, reflecting the severity of the disease or condition and indicating the proportion of a healthy life year that is reduced by the specific health state of the individual, and the total number of years lost due to disability in the population. They also calculated the years lived with disability for 9 different childhood adversities as well as for major categories of mental disorders and general medical disorders. The study found that all 9 adversities resulted in a significantly increased disability weight, except death of a parent before the age of 16. Adversities in the abuse and neglect category were associated with the highest disability weights, and this category had the highest years lived with disability, indicating how many years in good health are lost. The authors conclude that childhood adversities are more important from a public health point of view than all common mental disorders together, and should be a priority for public health interventions.
Need support and wellbeing during morning care activities: an observational study on resident–staff interaction in nursing homes
- Authors:
- CUSTERS Annette F. J., et al
- Journal article citation:
- Ageing and Society, 31(8), November 2011, pp.1425-1442.
- Publisher:
- Cambridge University Press
One of the main influences on residents' wellbeing and quality of life in nursing homes is the interaction with professional carers. This study investigated to what extent care-givers support the residents' needs of relatedness, autonomy and competence, and how this need support is related to wellbeing. Participants included residents and professional carers of four nursing homes in the Netherlands. Three video-observations of each resident with different cares were made during morning care. Additional data were collected by means of questionnaires. Findings revealed that the needs of residents were mostly fulfilled during care interactions. More support by carers was related to better resident wellbeing. Carers provided more support to residents with stronger functional impairments, and more support was provided by higher-educated carers and carers in higher job functions. The results highlighted the importance of need support for wellbeing, but the contribution to the general subjective wellbeing of residents remained unclear.