Search results for ‘Subject term:"mental health problems"’ Sort:
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Impact of welfare reforms on minority ethnic communities
- Author:
- FAITHFUL Lesley
- Journal article citation:
- Open Mind, 164, January 2011, pp.6-7.
- Publisher:
- MIND
People with mental health support needs from black and minority ethnic communities are likely to face additional difficulties claiming Disability Living Allowance (DLA) in the context of new reforms. A short case study highlights these difficulties which include languages issues, lack of familiarity with psychiatric terminology and difficulties in accessing culturally appropriate support services.
National perinatal mental health project report: perinatal health of black and minority ethnic women: a review of current provision in England, Scotland and Wales
- Author:
- EDGE Dawn
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 63p.
- Place of publication:
- London
Relatively little is known about whether and to what extent current provision meets the needs of black and minority ethnic women with respect to mental health. This report discusses issues of need that arise out of the overlapping aspects of ethnicity, culture, language and gender with mental health. This represents a useful approach for influencing commissioning and provision of services. This, in turn, can mean that services are better able to respond to the presenting needs of all women. To underpin this, the report calls for better pre- and post-registration training in order to strengthen the understanding and skills of practitioners. It also highlights the importance of a stronger evidence base in terms of clinical as well as service evaluation. Critically, it underscores the requirement to develop and improve care pathways in primary care and in non-statutory provision, as part of an overall framework for improvement.
Potentially harmful practices: using the DSM with people of color
- Authors:
- BARRERA Irán, JORDAN Catheleen
- Journal article citation:
- Social Work in Mental Health, 9(1-6), 2011, pp.272-286.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Diagnostic Statistical Manual of Mental Disorders (DSM) was designed to classify mental disorders and not necessarily to understand them. The manual is especially bereft in its ability to understand the impact of cultural influences on mental disorders. The aim of this article is to create practitioner awareness of the potential for harm when using the DSM as the only tool when diagnosing minority clients with a mental illness. Issues addressed include diagnosing, accuracy, cultural information, revision process, clinical judgment, training, and empirical evidence. A brief discussion of what social workers can do to enhance diagnosing is given, as well as looking at the DSM-5. Finally, a brief summary and recommendations for practitioners, schools of social work, and researchers are provided.
Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis
- Authors:
- LEAMY Mary, et al
- Journal article citation:
- British Journal of Psychiatry, 199(6), December 2011, pp.445-452.
- Publisher:
- Cambridge University Press
A recovery orientation is mental health policy in most Anglophone countries. However the implications of recovery orientation for working practice are unclear and guidelines for developing recovery–based services have only recently become available. Current approaches to understanding personal recovery are primarily based on qualitative research or consensus methods. The aims of this study were to undertake a systematic review of the available literature and to use a modified narrative synthesis to develop a new conceptual framework for recovery. A conceptual framework in this context being a network, or a plane, of interlinked concepts that together provide a comprehensive understanding of the phenomenon and an empirical basis for future recovery-orientated research and practice. A total of 5208 papers were identified, 366 reviewed, and 97 were included in this analysis. The emergent conceptual framework consists of: 13 characteristics of the recovery journey; five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of black and minority ethnic origin showed greater emphasis on spirituality and stigma and identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.
Ethnicity, gender and mental health
- Authors:
- ROBINSON Mark, KEATING Frank, ROBERTSON Steve
- Journal article citation:
- Diversity in Health and Care, 8(2), June 2011, pp.81-92.
- Publisher:
- Radcliffe Publishing
This study investigated specific black and minority ethnic (BME) men's beliefs about mental health and their experiences of mental health services. It considered the complexities of men's gendered identities and the interplay of these with race, ethnicity and cultural influences. Twelve focus groups consisting of men from specific BME groups were held in London and the West Midlands, and the groups included: African-Caribbean, African, Indian, Pakistani, Bangladeshi and Chinese. The findings include BME men's narratives of well-being, which highlight the importance of relational and normative aspects and the influences of gender and ethnicity on aspirations, identity and values. Factors contributing to mental illness relate to gendered and racialised social expectations, economic factors, generational and gender issues, and experiences of services. The authors concluded that a mix of gendered and racialised experiences, including social stigma, the coercive power of institutions, and men's own perceptions of services contributed to cycles of disengagement and isolation for marginalised BME men with mental health problems.
Correlates of psychological distress and major depressive disorder among African American men
- Authors:
- LINCOLN Karen D., et al
- Journal article citation:
- Research on Social Work Practice, 21(3), May 2011, pp.278-288.
- Publisher:
- Sage
African American men encounter numerous life situations that constitute risk factors for poor mental health. This study aimed to examine the demographic correlates of depressive symptoms, serious psychological distress (SPD), and both 12-month and lifetime major depressive disorder (MDD) among African American men. The demographic factors that were examined include: age; poverty status; years of education; employment status; marital status; and region. The analyses are based on the responses from 1,271 African American men from the National Survey of American Life (NSAL), a comprehensive study of mental health among Americans of African descent conducted from 2001 to 2003. The results provide first-time substantiation of important demographic differences in depressive symptoms, SPD, and 12-month and lifetime MDD among African American men. The findings illuminate the heterogeneity within the African American male population, and demonstrate the need for additional research focusing on within-group differences. A number of implications for practice are discussed.
Prevalence and predictors of service utilization among racially and ethnically diverse adolescents in foster care diagnosed with mental health and substance abuse disorders
- Authors:
- GARCIA Antonio, COURTNEY Mark
- Journal article citation:
- Journal of Public Child Welfare, 5(5), November 2011, pp.521-545.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Focusing on young people about to age out of the foster care system in the midwest United States, this study examined rates of mental health and substance abuse disorders and of mental health and drug/alcohol service use, and also investigated variations and disparities. It involved a descriptive analysis based on data collected from the Midwest Evaluation of the Adult Functioning of Former Foster Youth longitudinal study of 732 young people from foster care in Illinois, Iowa and Wisconsin. Self-report data on symptoms and service receipt were used to identify whether groups of adolescents defined by their race and ethnicity were equally likely to receive services if they had a mental health or substance use disorder. The study findings showed that Caucasians were more likely to receive mental health services than African Americans, although race was not a significant predictor of accessing substance abuse services. The article discusses the results and makes recommendations for further research.
Completing the revolution: transforming mental health and tackling poverty
- Authors:
- CALLAN Samantha, (chair)
- Publisher:
- Centre for Social Justice
- Publication year:
- 2011
- Pagination:
- 254p., bibliog.
- Place of publication:
- London
Mental health difficulties seem to be more prevalent in particular groups such as some Black and Minority Ethnic communities, which are also not well served with services. Grassroots community organisations have sprung up, often started by those who have recovered from mental health difficulties or by friends and relatives who have needed the support provided by smaller organisations. Many community organisations are struggling to provide services, with funding concentrated on hospital services, with little trickling into the community. The report, calls for grass roots services that are ‘effective and evaluated’ to be ‘properly integrated into mental health care pathways’; this will enable the services to be more sustainable and available. Recommendations are made across the following areas: tackling mental ill-health and stigma through a public health approach; trauma and mental health of military; children and young people; BME groups; the role of primary care and; and secondary care – hospital and ‘care in the community’.
Parenting a child with a disability: the role of social support for African American parents
- Authors:
- HA Jung-Hwa, GREENBERG Jan S., SELTZER Marsha Mailick
- Journal article citation:
- Families in Society, 92(4), October 2011, pp.405-411.
- Publisher:
- The Alliance for Children and Families
Having a child with a disability poses a significant risk to parents’ physical and emotional well-being. This risk may vary across different racial and ethnic groups who may face differing caregiving challenges due to their socioeconomic and environmental resources. This study examines the impact of having a child with a disability on parents’ mental and physical health among urban-dwelling African Americans. It also examines the extent to which positive and negative social interactions with family members other than the spouse moderate the impact of child’s disability on parental adaptation. Analyses are based on an African American sample collected in Milwaukee County, Wisconsin collected as part of the Midlife in the United States study (MIDUS). The analytic sample consists of 48 parents of children with a disability and 144 comparison group parents of nondisabled children. The results show that having a child with a disability is associated with more somatic symptoms such as headaches, backaches, and trouble sleeping. However, the negative consequences of the child’s disability on parents’ mental health are reduced when parents receive greater positive support from family.
Therapist effects on disparities experienced by minorities receiving services for mental illness
- Authors:
- LARRISON Christopher R., SCHOPPELREY Susan L.
- Journal article citation:
- Research on Social Work Practice, 21(6), November 2011, pp.727-736.
- Publisher:
- Sage
This article considers the relative contribution of the therapist to clinical outcomes. The aim of the study was to examine if some of the reason clients from racial and ethnic minority groups experience outcome disparities can be explained at the level of their therapists. The study took place at 2 community mental health centres where clients from racial and ethnic minority groups were known to be experiencing outcome disparities. The participants were 98 clients, of whom 19% were from an ethnic minority, and 14 therapists. Data were analysed using a hierarchical linear model with treatment outcomes at level 1, client demographics and clinical factors at level 2, and therapists at level 3. The findings showed substantial therapist effects that moderated the relationship between clients' race and treatment outcomes. Therapists accounted for 28.7% of the variability in outcome disparities. The article concludes that therapists appear to play a substantial role in why disparities occur. Suggestions for further research are discussed.