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Attitudes to health promotion interventions among patients in mental health services – differences in relation to socio-demographic, clinical and health-related variables
- Author:
- SVEDBERG Petra
- Journal article citation:
- Journal of Mental Health, 20(2), 2011, pp.126-135.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The global burden of mental illness is high, with mental illness affecting 1 in 4 people at some stage during their lives. The high social and economic costs of poor mental health have contributed to a growing recognition of the need for health promotion interventions in mental health services. The aim of this study was to investigate differences in patients' attitudes to health promotion interventions with regard to socio-demographic, clinical and health-related variables. The participants were 141 outpatients in contact with 8 community mental health service units in the county of Halland, Sweden. The participants rated their attitudes to the concept of health promotion interventions in accordance to the Health Promotion Intervention Questionnaire (HPIQ). The results show a clear indication that there are gender differences in attitudes of health promotion interventions in mental health services, with females rating overall health promotion interventions as more important than males did. The article concludes that gender issues have to be considered in health promotion interventions in mental health services and taken into account in the assessment, planning and delivery of the interventions as well as the evaluation of outcomes.
General self-efficacy and its relationship to self-reported mental illness and barrier to care: a general population study
- Authors:
- ANDERSSON Lena M.C., et al
- Journal article citation:
- Community Mental Health Journal, 50(6), 2014, pp.721-728.
- Publisher:
- Springer
This study investigates whether general self-efficacy (GSE) was associated with self-reported mental illness and help-seeking behaviour and barriers to care in a randomized population. The study used a mailed questionnaire completed by 3,981 persons aged 19-64 years who resided in Western Sweden. GSE was measured and logistic regression models calculated, controlling for various sociodemographic variables. Results showed that 25 % of men and 43 % of women reported a lifetime prevalence of mental illness that they felt could have benefitted from treatment. Of those, 37 % of the men and 27 % of the women reported barriers to care. Men and women with low GSE were more likely to suffer from mental illness compared with persons high in GSE, but GSE did not enhance help-seeking behaviour or perceived barriers to care. The most prevalent barriers to care for both sexes were beliefs that the illness will pass by itself, doubt whether treatment works, lack of knowledge of where to go and feelings of shame. Overall, GSE scores did not differ among those who experienced various barriers to care with the exception of two barriers only among women. (Edited publisher abstract)
Staff experience and understanding of working with abused women suffering from mental illness
- Authors:
- BENGTSSON-TOPS A., SAVEMAN B.-I., TOPS D.
- Journal article citation:
- Health and Social Care in the Community, 17(5), September 2009, pp.459-465.
- Publisher:
- Wiley
Thematic interviews were conducted with 13 staff members from various welfare services in Sweden. Data were subject to content analysis. The findings showed that working with abused women was experienced as ambiguous and painful and made the staff act pragmatically. Feelings of ambiguity were mainly related to the lack of theoretical frameworks for interpreting why women with mental illness are exposed to abuse. Painful experiences involved intertwined feelings of distress, frustration, worthlessness, ambivalence and powerlessness. These were all feelings that emerged in the direct encounters with the abused women. In response to the abused women's comprehensive needs, staff members acted pragmatically, implying networking without any sanction from the leaders of the organisation, compliance with routines and taking action in here-and-now situations. By acting pragmatically, staff members could achieve concrete results through their interventions. It is concluded that staff members, working with abused women with mental illness, are in a vulnerable situation and in need of formally accepted and implemented support and legitimacy as well as theoretical knowledge regarding causes and consequences of abuse in this particular group of women.
Encouraging encounters: sick-listed persons’ experiences of interactions with rehabilitation professionals
- Authors:
- MUSSENER Ulrika, et al
- Journal article citation:
- Social Work in Health Care, 46(2), 2008, pp.71-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Long term sickness absence has increased in many countries, and more knowledge is needed about factors that can promote a return to work. Positive interactions with professionals might be one such factor. This study analyses transcripts from 11 semi-structured interviews with people who had experienced long term health-related absence from work, and identifies five important aspects of encounters with professionals: being treated with respect; feeling supported; establishing a personal relationship; perceiving demands as well balanced; and participation in decisions about rehabilitation. Several interviewees expressed the opinion that positive encounters with rehabilitation professionals can promote a return to work. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Parents' experiences of collaboration between welfare professionals regarding children with anxiety or depression: an explorative study
- Authors:
- WIDMARK Catharina, et al
- Journal article citation:
- International Journal of Integrated Care, 13(4), 2013, Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Well-functioning collaboration between professionals in the welfare sector has a strong influence on the contacts with parents of children and adolescents suffering from mental illness, and it is a precondition for the availability of support for these parents. This paper describes how such parents perceive collaboration between professionals in mental health care, social services, and schools. Methods: In this small-scale qualitative study data were collected by in-depth interviews with seven parents of children and adolescents diagnosed with anxiety and depression. The families were selected from the Child and Adolescent Mental Health patient records kept by the Stockholm County Council (Sweden) Results and discussion: The results suggest that when the encounter between parents and professionals is characterised by structure and trust, it is supportive and serves as a holding environment. Parents think that communication links and coordination between professionals from different organisations are needed in the collaboration, along with appropriately scheduled and well-performed joint meetings to create structure in the parent-professional encounter. Parents also think that establishment of trust in this interaction is promoted by individual professionals who are available, provide the parents with adequate information, are skilled, and show empathy and commitment. (Edited publisher abstract)
Caring for mentally ill people in Europe
- Authors:
- VAN OS Jan, NEELEMAN Jan
- Journal article citation:
- British Medical Journal, 5.11.94, 1994, pp.1218-1221.
- Publisher:
- British Medical Association
Despite legislation to harmonise mental health practice throughout Europe and convergence in systems of training there remains an extraordinary diversity of psychiatric practice in Europe. Approaches to tackling substance misuse vary among nations; statistics on psychiatric morbidity are affected by different approaches to diagnosis and treatment of psychiatric disorders; attitudes towards mental illness show definite international differences. Everywhere, though, mental health care for patients with psychotic illness is a "cinderella service", and there is a general move towards care falling increasingly on the family and the community.