Search results for ‘Subject term:"mental health problems"’ Sort:
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Correlates and predictors of psychological distress among older Asian immigrants in California
- Authors:
- CHANG Miya, MOON Ailee
- Journal article citation:
- Journal of Gerontological Social Work, 59(2), 2016, pp.77-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Psychological distress occurs frequently in older minority immigrants because many have limited social resources and undergo a difficult process related to immigration and acculturation. Despite a rapid increase in the number of Asian immigrants, relatively little research has focused on subgroup mental health comparisons. This study examines the prevalence of psychological distress, and relationship with socio-demographic factors, and health care utilisation among older Asian immigrants. Weighted data from Asian immigrants 65 and older from 5 countries (n = 1,028) who participated in the California Health Interview Survey (CHIS) were analysed descriptively and in multiple linear regressions. The prevalence of psychological distress varied significantly across the 5 ethnic groups, from Filipinos (4.83%) to Chinese (1.64%). General health status, cognitive and physical impairment, and health care utilisation are all associated (p < .05) with psychological distress in multiple linear regressions. These findings are similar to those from previous studies. The findings reinforce the need to develop more culturally effective mental health services and outreach programmes (Edited publisher abstract)
Anti-discriminatory practice in mental health care for older people
- Editors:
- LANE Pauline, TRIBE Rachel
- Publisher:
- Jessica Kingsley
- Publication year:
- 2017
- Pagination:
- 360
- Place of publication:
- London
Exploring the key issues around anti-discriminatory practice for professionals working in mental health services, this book looks at ways to improve the health and social care of older people from minority and excluded communities. The chapters explore the issues involved in working with individuals from a range of minority groups, such as LGBT people, people with learning disabilities, people from black and minority ethnic communities, homeless people and people with dementia. The chapters cover important theory and research into discrimination, ageing and identity. Contributions from experts in the fields of mental health and working with minority groups provide practical insights into developing anti-discriminatory practice. There is also practical advice on culturally appropriate support for carers, cultural competency in end of life care, working with interpreters, and celebrating diversity, accompanied by supporting practical resources. (Edited publisher abstract)
Ethnic minority, young onset, rare dementia type, depression: a case study of a Muslim male accessing UK dementia health and social care services
- Author:
- REGAN Jemma L.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, pp.702-720.
- Publisher:
- Sage
A case study comprised of formal interviews, formal observations and informal discussions investigated the motivations and experiences accessing dementia care health and social care services for a Muslim, Pakistani male with dementia. Motivations derived from ‘desperation’ and an inability to access support from family or religious community. Experiences of accessing services were mostly negative. Dementia services were ill-informed about how to support persons with young onset dementia, with pre-existing mental health conditions, from an ethnic minority. Education and training to remove barriers to all dementia care services is required for persons with dementia, their families and within dementia services and religious communities. (Publisher abstract)
Results of an interdisciplinary intervention to improve the psychosocial well-being and physical functioning of African American grandmothers raising grandchildren
- Authors:
- KELLEY Susan J., WHITLEY Deborah, SIPE Theresa Ann
- Journal article citation:
- Journal of Intergenerational Relationships, 5(3), 2007, pp.45-64.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia
The participants in this study were predominantly low income African American grandmothers raising one or more grandchildren in the absence of the children’s parent(s). The intervention consisted of social work and nursing case management, participation in monthly support groups and parenting classes, and legal advice for those seeking custody or adoption. The results show statistically significant improvements in psychological distress, family resources, social support and family coping, but not in physical health. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Health and social services for male-to-female transgender persons of color in San Francisco
- Authors:
- NEMOTO Tooru, OPERARIO Don, KEATLEY Joanne G.
- Journal article citation:
- International Journal of Transgenderism, 8(2/3), 2005, pp.5-19.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
This article presents findings from an investigation of health needs, service utilization, and perceived barriers to services among male-to-female (MtF) transgenders of color in San Francisco. Focus groups (n = 48) and survey interviews (n = 332) were conducted with convenient samples recruited from the community. Participants reported a range of health and social services needed during the last year, with African-Americans and Latinas showing particularly strong service needs. Rates of utilizing services were high for basic health care but lower for social services, substance abuse treatment, psychological counseling, and gender transition-related medical services. No significant ethnic group differences in health service utilization were found. Qualitative findings evinced the call for transgender-specific programs and advanced provider training on transgender issues such as hormone use, gender transition, HIV/AIDS care and prevention, substance abuse, and mental health problems. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Direct payments and mental health: new directions
- Authors:
- NEWBIGGING Karen, LOWE Janice
- Publisher:
- Pavilion
- Publication year:
- 2005
- Pagination:
- 93p.
- Place of publication:
- Brighton
A review of how take-up of direct payments by people experiencing mental health problems can be increased. Direct payments were introduced in 1997 as a means of increasing the choice and control people have over the care they receive. However, take-up by people experiencing mental health problems has been slow. This project aimed to engage with service users and professionals to raise awareness about direct payments and their potential and to identify positive action to address the barriers to take-up. It also describes the process used to engage with stakeholders, including a national conference and recruiting service users from black and minority ethnic communities to facilitate focus groups. Successful implementation of direct payments in mental health evidently relies on proactive managers who are clear about the task, knowledgeable and committed practitioners, and informed service users and carers who are interested in exploring the options of direct payments. The report identifies action for these thre groups as well as for national policy-making.
Fear, black people and mental illness: a vicious circle?
- Authors:
- KEATING Frank, ROBERTSON David
- Journal article citation:
- Health and Social Care in the Community, 12(5), September 2004, pp.439-447.
- Publisher:
- Wiley
The relationships between black communities and the mental health (MH) services are fraught. Paradoxically, black communities receive the MH services they don't want, but not the ones they do or might want. Black people mistrust and often fear services, and staff are often wary of the black community, fearing criticism, and not knowing how to respond, are fearful of black people, in particular, young black men. The situation is fuelled by prejudice, misunderstanding, misconceptions and sometimes racism. The present paper describes the findings of a study to explore the issues in greater depth. The study was premised on a belief that there are 'circles of fear' which lead to poorer treatment of black communities. A purposive sampling approach was used to seek out groups and individuals in whom the 'circles of fear' were likely to be evident. The findings suggest that there are fears which impact negatively on the interaction between black communities and MH services. Two major themes emerged in this study, i.e. the sources of fear and the consequences of fear. Sources of fear included perceptions of MH services, attitudes to mental illness and diagnosis, and experiences of hospital care. The impact of fear included limited trust, limited engagement and delayed help-seeking behaviour. The study concludes that these fears mar the interactions between these communities and MH services, affect help-seeking behaviour adversely, and lead to restrictive and punitive interventions. Progress will only be made in breaking the 'circles of fear' if there is a systematic change in the experience of black services users at each point in the care pathway.
New approaches to preventing suicide: a manual for practitioners
- Editors:
- DUFFY David, RYAN Tony
- Publisher:
- Jessica Kingsley
- Publication year:
- 2004
- Pagination:
- 382p.,bibliogs.
- Place of publication:
- London
Written by front line professionals in the fields of nursing, mental health, prison services and the law, this text is an essential companion to the government's new suicide prevention strategy. The contributors offer a practical guidance on issues such as risk assessment and management in a range of settings, policy and the legal framework around suicide. Exploring the links between self-harm and suicide, the authors present international approaches to training in suicide prevention for professionals and preventative initiatives targeting wider communities. They debate the legality and morality of assisted self-harm and analyse the rate and causes of suicide among specific groups, including Black and minority ethnic groups, people in custody and people with mental illnesses. This manual provides health, social care and criminal justice professionals with information needed to make a positive contribution to suicide prevention in institutional and community settings.
Are we meeting the psychological needs of Black African HIV-positive individuals in London? Controlled study of referrals to a psychological medicine unit
- Authors:
- MALANDA S., MEADOWS J., CATALAN J.
- Journal article citation:
- AIDS Care, 13(4), August 2001, pp.413-419.
- Publisher:
- Taylor and Francis
The changing pattern of HIV infection in the UK includes an increase in the number of infections acquired as a result of heterosexual contact and Black African individuals represent a sizeable proportion of those affected. In most UK centres for the treatment of HIV infection, clinicians have limited experience in caring for Black African patients, and there is a dearth of information about the recognition and management of mental health problems in this patient group. In this investigation the proportion of Black African individuals looked after in a large centre for the care of HIV infection in London was compared with the proportion of such patients referred for specialist mental health help, the results revealing that Black Africans were almost three times less likely to be referred for specialist mental health care. Reasons for the lesser likelihood of referral to the mental health service are considered, including the possible failure of staff to recognise psychological morbidity in Black Africans, or reluctance and fear on the part of patients to be referred to services that may be perceived as threatening.
Enough respect
- Author:
- GAZE Harriet
- Journal article citation:
- Nursing Times, 4.1.01, 2001, pp.25-26.
- Publisher:
- Nursing Times
NHS psychiatric services have a grim record when it comes to dealing with black and minority ethnic clients. Reports on how some units are beginning to show more respect for cultural and spiritual needs.