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Admission patterns by psychiatric trainees: are women patients as likely as men to be admitted for major mental illness?
- Authors:
- SAJAHAN P.M., McINTOSH A.M., CAVANAGH J.T.
- Journal article citation:
- Psychiatric Bulletin, 24(2), 2000, pp.59-61.
- Publisher:
- Royal College of Psychiatrists
The authors hypothesised that the increased admission rate for men with major mental illness may be the result of men being preferentially admitted by psychiatrists. A questionnaire survey was devised and sent to all psychiatric trainees on the South-East Scotland rotation. The questionnaire contained a series of psychiatric vignettes representing conditions varying in severity of risk. Seventy-eight per cent responded to the questionnaire. Trainees were more likely to admit patients representing a greater degree of risk irrespective of the gender of the patient. The authors conclude that the increasing admission rates for men with major mental illness is unlikely to be due to admission bias by trainees.
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.
Limiting the damage
- Author:
- MILLER Joe
- Journal article citation:
- Mental Health Today, September 2004, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
States that men too have gender-related mental health issues to which workers need to be sensitive and aware. The past two decades have seen growing awareness of the role of gender in mental health, and 'gender-blindness' has not served women well. Perceptions of masculinity are a problem. Presents a fact file on suicide, depression, post-traumatic stress disorder, alcohol and substance abuse, serious mental health problems, victims of violence, crime, high-risk behaviour and AIDS and safe sex. Implications for training are outlined.
Engaging with complexity: providing effective trauma-informed care for women
- Authors:
- WILTON John, WILLIAMS Alec
- Publishers:
- Centre for Mental Health, Mental Health Foundation
- Publication year:
- 2019
- Pagination:
- 26
- Place of publication:
- London
A guide to the principles of gender-sensitive trauma-informed care and how services can put the approach into practice. The resource looks at the concept of trauma, including causes, impact and prevalence and explores the model of trauma-informed care. It discusses four aspects of trauma-informed care in detail - listening, understanding, responding and checking - considering what each of these looks like in practice. It also anticipates some of the challenges services might face on their journey to becoming trauma-informed. It includes a lists of organisations in the UK currently employing trauma-based approaches provides links to resources that may act as a useful starting point for services. The resource is draws on the findings of research and the results of workshop discussions. It was produced by Centre for Mental Health and the Mental Health Foundation in collaboration with the Association of Mental Health Providers, the National LGB&T Partnership and the Race Equality Foundation. (Edited publisher abstract)
Gender and attitudes about mental health help seeking: results from National Data
- Authors:
- WENDT Douglas, SHAFER Kevin
- Journal article citation:
- Health and Social Work, 41(1), 2016, pp.e20-e28.
- Publisher:
- Oxford University Press
Men often express less emotion than women do, are hesitant to express weakness, and seek professional help much less frequently than do their female counterparts. The lack of help seeking is common across characteristics such as age, race, ethnicity, and nationality. Authors used data from the 2006 General Social Surveys mental health module to suggest that the gender gap in help seeking may be rooted in attitudes regarding help-seeking behaviours generally. Using structural equation modeling, the authors linked vignette type (depression and schizophrenia) to the endorsement of help seeking from informal and formal sources. Men showed similar support for informal help seeking regardless of the problem but were less likely to endorse formal help for depression. Furthermore, men were no more or less likely than women to endorse help seeking if the individual in the vignette was male or female. Results show some support for the hypothesis that men are less prone than women to display positive help-seeking attitudes, particularly related to common mental health issues. This may help researchers and clinicians better understand the numerous barriers to men’s help seeking. (Edited publisher abstract)
The role of gender and income in predicting barriers to mental health care in Canada
- Author:
- SLAUNWHITE Amanda K.
- Journal article citation:
- Community Mental Health Journal, 51(5), 2015, pp.621-627.
- Publisher:
- Springer
There have been traditionally low rates of health care utilisation by persons with mental health issues in developed countries such as Canada due to barriers that discourage health care service use such as waitlists, long distances to health services, and stigma that can be associated with seeking help for mental health issues. This project examined barriers to mental health care using data from the Canadian Community Health Survey (N = 4,134) to understand gender and income-related disparities in access to mental health care services. Data were modelled using logistic regression to determine whether gender and household income predicted experiencing barriers to care. There were significant variations in the barriers to care reported by gender and income. Both men and women from low-income households were significantly more likely to report all types of barriers to care. Men were much more likely to report ‘acceptability’ barriers to care that related to their perceptions of mental health issues and usefulness of health care services, whereas women were much more likely to report availability or accessibility issues such as a lack of transportation or childcare. The findings of this study demonstrate that despite universal health insurance, there are significant inequities in access to mental health care for low-income Canadians and differences in the types of barriers to care experienced by gender. (Edited publisher abstract)
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)
Working towards women's well-being: unfinished business
- Author:
- NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2010
- Pagination:
- 76p.
- Place of publication:
- London
Women’s Mental Health: Into the Mainstream (2002) described the mental health needs of women and, with its companion report Mainstreaming Gender and Women’s Mental Health: Implementing Guidance (2003), set out the necessary steps to improve services to meet their distinct needs. Underpinning these recommendations was the principle that gender-awareness should be integrated or mainstreamed into all planning, commissioning, developing, delivering and evaluating of mental health services. The report brings together an account of progress on implementation of the recommendations in providing gender-specific and gender-sensitive mental health services to meet the needs of women. It determines that developments in gender-specific service provision remain patchy, variable and vulnerable, although some significant advances have been made in recognising women’s special needs. The report draws upon 2 national surveys (in 2006 and 2007) of mental health trusts, a wide range of relevant government and national reports and evaluations, and evidence and observations from service users and third sector organisations. This report is likely to be of relevance to policy makers, commissioners, and service providers.
Women and psychiatric treatment: a comprehensive text and practical guide
- Editors:
- HENDERSON Claire, SMITH Catherine, SMITH Shubulade, STEVENS Angela, (eds)
- Publisher:
- Routledge
- Publication year:
- 2006
- Pagination:
- 338p.
- Place of publication:
- London
Provides a practical guide to the challenge of preserving fairness in access and quality of provision of health care and argues that equity is only achievable through greater recognition of gender differences. Taking into account the main variables which influence treatment, such as setting, age and culture, clear suggestions are given for the reform of training, research and provision of services according to gender differences. This practical text offers a thorough investigation of the issues surrounding the treatment of women with mental health problems. It will be welcomed by psychiatrists, clinical psychologists and other mental health workers.
Men and mental wellbeing - encouraging gender sensitivity
- Author:
- WHITE Alan
- Journal article citation:
- Mental Health Review, 11(4), December 2006, pp.3-6.
- Publisher:
- Pier Professional
This article explores whether men experience and express their emotional wellbeing differently to women, and, if so, why this may be the case. The article then discusses how mental health services can be more sensitive to the needs of men and develop more appropriate responses.