Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
Evidence-based practice in mental health care to ethnic minority communities: has its practice fallen short of its evidence
- Author:
- AISENBERG Eugene
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 53(4), October 2008, pp.297-306.
- Publisher:
- Oxford University Press
Evidence-based practice (EBP) has contributed substantially to the advancement of knowledge in the treatment and prevention of adult mental health disorders. A fundamental assumption, based on documented evidence of effectiveness with certain populations, is that EBP is equally effective and applicable to all populations. However, small sample sizes of ethnic minority populations in randomized clinical trials prevent strong and clear conclusions about the effectiveness and generalizability of EBP with regard to people of colour. In addition, the appropriateness of EBPs to ethnic minority communities has rarely been investigated. This article critically examines the applicability and dissemination of adult mental health EBP to diverse ethnic minority populations. It highlights limitations of EBP rooted in its epistemological narrowness, exclusion of communities of colour, and lack of cultural competence and examines whether the practice of EBP has overstepped its evidence. This article presents a framework characterized by pathways of epistemological partnership and substantive inclusion of racial and ethnic minority groups to facilitate the promotion of culturally responsive EBPs and to inform mental health practice and policy implementation.
The impact of racism on mental health: briefing paper
- Author:
- SYNERGI COLLABORATIVE CENTRE
- Publisher:
- Synergi Collaborative Centre
- Publication year:
- 2018
- Pagination:
- 14
Summarises evidence on the impact of racism on mental health, mental illness and its relevance to ethnic inequalities in the experiences and outcomes of mental health services. It sets out evidence and explains some of the nuanced and subtle forms that racism can take, and how it affects health. The briefing discusses how both interpersonal racism and structural racism and disadvantage - such as poverty, unemployment, housing, poor neighbourhoods and schooling opportunities - can have a negative impact on mental health. It also identifies how a lack of recognition and awareness of the role of racism in mental health care can result in services being seen as unwelcoming or stigmatising and can result in people from ethnic minority groups experiencing poorer care, more coercive care, or no care. The briefing will be useful for public, patients, health staff, commissioners and policymakers. (Edited publisher abstract)
Ethnicity and access to an inner city home treatment service: a case-control study
- Authors:
- BOOKLE Matthew, WEBBER Martin
- Journal article citation:
- Health and Social Care in the Community, 19(3), May 2011, pp.280-288.
- Publisher:
- Wiley
Evidence suggests that people from black and minority ethnic groups are more likely to be diagnosed with a mental health problem and are disproportionately represented in mental health inpatient services. The aim of this study, undertaken in a large inner London borough, was to establish whether people of black ethnic origin had equal access to home treatment in a mental health crisis. The researchers selected a random sample of 240 inpatient episodes and compared them with a sample of 77 home treatment episodes over a 12 month period, comparing the circumstances and characteristics of people using the home treatment team and inpatient services. The study found no association between ethnicity and the likelihood of receiving home treatment as opposed to a hospital admission whilst in a mental health crisis, although the findings showed that when admitted to hospital people from black ethnic groups experienced significantly longer admissions than people of white British origin. The authors suggest that further research is required for the early discharge function of home treatment teams to evaluate whether this aspect of care is experienced differently by different ethnic groups.
Racial differences in attitudes toward professional mental health treatment: the mediating effect of stigma
- Authors:
- CONNER Kyaien O., KOESKE Gary, BROWN Charlotte
- Journal article citation:
- Journal of Gerontological Social Work, 52(7), October 2009, pp.695-712.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Empirical research suggests that the stigma of mental illness may exert an adverse influence on attitudes to mental health treatment and service use by individuals with a mental illness, particularly African Americans. However, there has been little research into the impact of stigma on racial differences in attitudes to seeking mental health treatment. This study examined the hypothesis that stigma partially mediates the relationship between race and attitudes to mental health treatment in a community-based sample of 101 African American and White older adults. Controlling for socio-demographic factors, African American older adults were more likely to have negative attitudes to mental health treatment, and they also reported more public and internalised stigma than their White counterparts. As hypothesised, the relationship between race and attitudes toward mental health treatment was partially mediated by internalised stigma, suggesting that internalised stigma may cause older adults to develop negative attitudes about mental health treatment. The partial mediation model was not significant for public stigma, however. Implications for social work research and practice are discussed.
Recovery and minority ethnic men in Edinburgh
- Author:
- OUTSIDE THE BOX
- Publisher:
- Outside the Box
- Publication year:
- 2008
- Pagination:
- 22p.
- Place of publication:
- Glasgow
This report has come from a project looking at the experiences of people from black and minority ethnic (BME) communities in Edinburgh. The project was initiated by the National Resource Centre for Ethnic Minority Health NRCEMH) and Scottish Recovery Network (SRN), which are developing awareness about recovery for people from the BME communities.
Report from the minority ethnic mental health project
- Author:
- OUTSIDE THE BOX
- Publisher:
- Outside the Box
- Publication year:
- 2008
- Pagination:
- 14p.
- Place of publication:
- Glasgow
This report has come from a project looking at the experiences of people from black and minority ethnic (BME) communities in Edinburgh. The project was initiated by the National Resource Centre for Ethnic Minority Health NRCEMH) and Scottish Recovery Network (SRN), which are developing awareness about recovery for people from the BME communities.
Race and mental health: there is more to race than racism
- Authors:
- SINGH Swaran P., BURNS Tom
- Journal article citation:
- British Medical Journal, 23.09.06, 2006, pp.648-651.
- Publisher:
- British Medical Association
Some minority ethnic groups in England and Wales have higher rates of admission for mental illness and more adverse pathways to care. The authors look at whether the resulting accusations of institutional racism with psychiatry are justified. The article covers mental illness in minority groups; compulsory detention in minority groups and consequences of accusations of racism.
Mtetezi: developing health advocacy with African and Caribbean men: summary
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2007
- Pagination:
- 15p.
- Place of publication:
- London
There is a substantial body of evidence pointing to a negative relationship between mental health services and African and Caribbean men, who are under-represented as users of enabling services and over-represented in the population of patients who are admitted to, compulsorily detained in, and treated by mental health services. The consequences of this are poor engagement with mainstream services, restricted choices and high levels of dissatisfaction with mainstream care. The review identified the potential of advocacy to address these issues and to secure access to the most appropriate forms of support.
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)