Search results for ‘Subject term:"mental health problems"’ Sort:
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Out for the count?
- Authors:
- DUNNING Jenny, VERNON Patrick, SHRUBB Steve
- Journal article citation:
- Community Care, 25.2.10, 2010, pp.26-27.
- Publisher:
- Reed Business Information
The findings from the latest Care Quality Commission's 'Count Me In' survey shows that efforts to reduce the number of people from ethnic minorities in the mental health system are failing. The first author reviews the findings, while the second two authors debate the way forward.
Mental illness discrimination in mental health treatment programs: intersections of race, ethnicity, and sexual orientation
- Authors:
- HOLLEY Lynn C., TAVASSOLI Kyoko Y., STROMWALL Layne K.
- Journal article citation:
- Community Mental Health Journal, 52(3), 2016, pp.311-322.
- Publisher:
- Springer
People with mental illnesses (PWMI) who are of colour and/or lesbian, gay, or bisexual (LGB) experience mental health disparities, including within mental health treatment programs (MHTPs). Informed by a critical framework with attention to intersectionality and microaggressions, this qualitative study asked 20 PWMI and family members who also are of colour and/or LGB whether they had experienced mental illness discrimination in MHTPs, a possible factor in disparities. Participants were also asked about aspects of MHTPs that supported recovery. Participants reported that they were ignored/not listened to, not viewed as complex individuals, experienced condescension/lack of respect and violations of privacy or other rights, and were presumed to lack intelligence. In addition, identifying mental illness discrimination was complex due to intersections of identities. Despite these perceptions of discrimination, participants described supportive aspects of MHTPs. Implications for practice and research are offered. (Edited publisher abstract)
Evening the odds: employment support, mental health and BME communities
- Author:
- SEEBOHM Patience
- Journal article citation:
- A Life in the Day, 12(4), November 2008, pp.19-22.
- Publisher:
- Emerald
The Sainsbury Centre for Mental Health has recently published a briefing paper on employment support for people from black and minority ethnic communities who have mental health problems. The author of the appear summarises some of the key issues.
"Face" and the embodiment of stigma in China: the cases of schizophrenia and AIDS
- Authors:
- HSIN YANG Lawrence, KLEINMAN Arthur
- Journal article citation:
- Social Science and Medicine, 67(3), August 2008, pp.398-408.
- Publisher:
- Elsevier
The majority of theoretical models have defined stigma as occurring psychologically and limit its negative effects to individual processes. This paper, via an analysis of how "face" is embodied in China, deepens an articulation of how the social aspects of stigma might incorporate the moral standing of both individual and collective actors defined within a local context. The authors illustrate: (1) how one's moral standing is lodged within a local social world; (2) how one's status as a "moral" community member is contingent upon upholding intrapersonal and social-transactional obligations; and (3) how loss of face and fears of moral contamination might lead to a "social death". They first draw from Chinese ethnographies that describe the process of human cultivation before one can achieve fully "moral" status in society. They integrate findings from empirical studies describing how social-exchange networks in China are strictly organised based on the reciprocation of favours, moral positioning and "face". They further ground these Chinese constructs within a theoretical framework of different forms of capital, and discuss the severe social consequences that loss of face entails. By utilising the examples of schizophrenia and AIDS to illustrate how loss of moral standing and stigma is interwoven in China, they propose a model highlighting changes in moral status to describe how stigma operates. They suggest that symbolic restoration of moral status for stigmatised groups takes place as local-level stigma interventions. By analyzing the moral aspects of "face", they propose that across cultures stigma is embedded in the moral experience of participants, whereby stigma is conceived as a fundamentally moral issue: stigmatised conditions threaten what matters most for those in a local world. They further propose that stigma jeopardises an actor's ability to mobilise social capital to attain essential social statuses.
Experiences of mental health discrimination in New Zealand
- Authors:
- PETERSON Deborah, et al
- Journal article citation:
- Health and Social Care in the Community, 15(1), January 2007, pp.18-25.
- Publisher:
- Wiley
The Like Minds, Like Mine project is a New Zealand initiative to combat the stigma and discrimination associated with mental illness. This paper reports on a study undertaken as part of this initiative, and describes the nature of discrimination that people with experience of mental illness face in New Zealand. A written survey was undertaken with people with experience of mental illness from throughout New Zealand, using a mixture of qualitative and quantitative questions. This questionnaire was distributed throughout the country in 2003, using a variety of distribution methods, and 785 responses were received and analysed from people self-identifying as having experienced mental illness. Respondents reported discrimination in all areas of their lives. The most commonly reported areas were discrimination by friends and family (59%), a fear of being discriminated against (46%), and discrimination in looking for employment (34%) and mental health services (34%).
Mental health ddifficulties and the support needs of social sork students: dilemmas, tensions and contradictions
- Author:
- COLLINS Stewart
- Journal article citation:
- Social Work Education (The International Journal), 25(5), August 2006, pp.446-460.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There are a growing number of students in higher education who experience mental health difficulties and have support needs. The behaviour of small numbers of students on social work programmes indicates also a need to examine the mental health difficulties and needs of social work students. There is only limited factual information on this topic. It is rarely discussed or written about. There is a danger of discriminating against those experiencing such difficulties, especially black or female students. Yet, at the same time, undertaking a social work programme is a demanding experience, as is doing social work itself. Furthermore, on courses leading to a professional qualification, such as social work, there is an obligation to protect the rights of, and assess possible risks to users, as well as to support students. Programmes should give particular attention both to the mental health difficulties and support needs of social work students at selection, during the programme itself and upon conclusion of the programme at a wide range of levels, both within the higher education system and outside that system.
Removing the straight jacket of racism
- Author:
- FERNS Peter
- Journal article citation:
- Community Care, 28.1.99, 1999, pp.6-7.
- Publisher:
- Reed Business Information
Not only are black people over-represented in the mental health system but they have more chance of being subjected to control and incarceration than white people. Puts the case for an approach to black people's mental health that aims to overcome this discrimination.
Heterosexism, racism, and mental illness discrimination: experiences of people with mental health conditions and their families
- Authors:
- HOLLEY Lynn C., et al
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 28(2), 2016, pp.93-116.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Experiencing discrimination related to race/ethnicity, sexual orientation, or having a mental health condition is associated with negative outcomes. Research comparing types of discrimination or considering intersectionalities is lacking. This study reports findings from interviews with people with mental illnesses (PWMI) or family members of PWMI; all study participants also are of color and/or lesbian, gay, or bisexual. Findings include the following: participants experienced multiple forms of discrimination, mental illness discrimination shares characteristics with racism and heterosexism, and heterosexuals and people of color reported more mental illness discrimination than their counterparts. Implications for change advocates, mental health providers, and researchers are offered. (Publisher abstract)
Modeling the relationships between discrimination, depression, substance use, and spirituality with Muslims in the United States
- Authors:
- HODGE David R., ZIDAN Tarek, HUSAIN Altaf
- Journal article citation:
- Social Work Research, 39(4), 2015, pp.223-233.
- Publisher:
- Oxford University Press
Little research has been conducted with Muslims despite the growing size of this population in the United States. This study addresses this gap in the literature by examining the relationship between discrimination and two consequential health outcomes—depression and substance use—in tandem with the protective effects of spirituality on these two outcomes. Drawing from stress and coping theory, a theoretically based model was developed and tested using structural equation modelling with a diverse community sample of Muslims (N = 265). The results indicate that discrimination predicts depression, but not substance use. Spirituality does not function as a mediator but rather exhibits a direct, independent effect on both depression and substance use. The findings underscore the importance of addressing discrimination directed toward Muslims. The results also imply that spirituality may play a critical role in helping Muslims ameliorate depression and substance use in direct practice settings. (Publisher abstract)
Transgender women of color: discrimination and depression symptoms
- Authors:
- JEFFERSON Kevin, NEILANDS Torsten B., SEVELIUS Jae
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 6(4), 2014, pp.121-136.
- Publisher:
- Emerald
Purpose: Trans women of colour contend with multiple marginalisations; the purpose of this study is to examine associations between experiencing discriminatory (racist/transphobic) events and depression symptoms. It uses a categorical measure of combined discrimination, and examines a protective association of transgender identity on depression symptoms. Design/methodology/approach: Data from a subset of trans women of color participants in the Sheroes study were analysed with linear and logistic regression. Associations of depression symptoms with racist and transphobic events, combined discrimination, coping self-efficacy, and transgender identity were assessed with odds ratios. Findings: Exposure to discriminatory events and combined discrimination positively associated with depression symptom odds. Increased transgender identity associated with increased coping self-efficacy, which negatively associated with depression symptom odds. Research limitations/implications: Cross-sectional study data prohibits inferring causality; results support conducting longitudinal research on discrimination's health effects, and research on transgender identity. Results also support operationalising intersectionality in health research. The study's categorical approach to combined discrimination may be replicable in studies with hard to reach populations and small sample sizes. Practical implications: Health programmes could pursue psychosocial interventions and anti-discrimination campaigns. Interventions might advocate increasing participants’ coping self-efficacy while providing space to explore and develop social identity. Social implications: There is a need for policy and health programmes to centre trans women of color concerns. Originality/value: This study examines combined discrimination and identity in relation to depression symptoms among trans women of colour, an underserved population. (Edited publisher abstract)