Search results for ‘Subject term:"mental health problems"’ Sort:
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Exploring the contribution of general practice to the mental well-being of black men
- Author:
- WILLIAMS Richard T.H.
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 1(1), June 2008, pp.67-70.
- Publisher:
- Emerald
Despite contemporary concerns arising from high levels of serious mental illness in this group, there is no convincing evidence that the mental well-being of black men is generally poor. Black and minority ethnic users report lower levels of satisfaction with general practice services than the population as a whole. A review of evidence indicates poorer access to effective care in general practice by black and minority ethnic users. It is argued that for general practice to become a service that is culturally competent for multicultural communities the setting of consultations and skills-employed need to maximise patient enablement, and patient profile data, including self-ascribed ethnicity, needs to be developed and utilised for routine race equality audit.
Meeting the primary mental health care needs of elderly Chinese people in the UK: a case for specialist provision
- Author:
- FOONG Andrew
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(4), December 2000, pp.130-133.
- Publisher:
- Pavilion
Reports on the findings of a study into the knowledge and perceptions of primary mental health services among elderly Chinese people in Glasgow that found most were not satisfied with the services of which they were aware, and were unaware of other statutory and voluntary services that might help them. Proposes specialist regional centres to meet this populations cultural needs as a possible solution.
Outcomes of an inner-city HIV mental health programme integrated with primary care and emphasizing cultural responsiveness
- Authors:
- WINIARSKI M.G., BECKETT E., SALCEDO J.
- Journal article citation:
- AIDS Care, 17(6), August 2005, pp.747-756.
- Publisher:
- Taylor and Francis
Effectiveness of HIV-related mental health practice in inner cities has not been adequately documented despite an urgent need for interventions for populations disproportionately affected by the epidemic. This study reports the effectiveness of an HIV mental health programme integrated with primary care and emphasizing cultural responsiveness. A sample of 47 of 188 patients who received psychiatric and psychotherapy services was compared with other subjects. Consumers of project services used mental health care at a higher rate than did comparison subjects. Regression analyses indicated that utilization was related to reduction in reported mental health problems, HIV-related physical symptoms, and use of alcohol and powdered cocaine, as well as to improvement in social functioning. Our clients, individuals often viewed as not likely to avail themselves of or benefit from mental health care, were highly motivated for self-improvement and, given access to competent, convenient and culturally respectful services, improved their well-being in significant domains.
Utilization of psychiatric services integrated with primary care by persons of color with HIV in the inner city
- Authors:
- BUDIN John, et al
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.365-378.
- Publisher:
- Springer
The authors identify the psychiatric diagnoses and utilization patterns of HIV-positive persons of color who received culturally responsive mental health services integrated into a community medical clinic. Ninety-three patients were referred and 86% (n=80) appeared for at least one encounter. Hispanics, compared with African-Americans, and HIV patients, compared with AIDS patients, were more likely to receive psychotropic prescriptions. Patients with six or more visits were defined as high utilizers: they comprised 27.5% of the patients but used 67.3% of the services. Development of a broader range of psychiatric interventions that address diagnoses, utilization, and psychotropics will better meet these patients' needs.
Crossover culture
- Author:
- -
- Journal article citation:
- Community Care, 15.5.03, 2003, pp.56-58.
- Publisher:
- Reed Business Information
Looks at three innovative projects where health and social care professionals have been working together. Features a project providing therapy for drug and alcohol misusers, a project on continence at a day centre for older people; and working with black and ethnic minority volunteers to tackle mental health problems in their communities.
New beginnings: towards patient and public involvement in primary health care
- Editors:
- GILLAM Stephen, BROOKS Fiona
- Publisher:
- Kings Fund
- Publication year:
- 2001
- Pagination:
- 168p.,bibliogs.
- Place of publication:
- London
Explores the issues related to public and patient involvement in primary care. Begins by describing the theoretical and policy contexts that are shaping user involvement currently; why user involvement is regarded as important; and its role in primary care at organisation level and in the individual consultation. Moves on to consider a range of case studies of involvement of different types of user, including women, members of ethnic minorities, older people and people with mental health problems. Concludes with an overview of the challenges remaining and suggestions for future development.
Access to mental health in an inner-city health district. I: pathways into and within specialist psychiatric services
- Authors:
- COMMANDER M.J., et al
- Journal article citation:
- British Journal of Psychiatry, 170, April 1997, pp.312-316.
- Publisher:
- Cambridge University Press
Needs for mental health care are likely to be high in urban areas and purchasers must assess the extent to which these are being met. This article outlines a 'pathways to care' model which provides a framework for this purpose. Results of an epidemiological survey of adults living in deprived multi-ethnic inner-city catchment found that around a third of people with mental health problems did not consult a GP, and half failed to have their problems recognised by their doctor. The survey also found that access to psychiatric services and especially to inpatient care was highly restricted. Diagnosis and ethnicity had a marked influence on the use of specialist service. Concludes that many people with psychiatric morbidity are not receiving treatment either from primary care or specialist services. The high levels of severe morbidity and compulsory admissions highlight the pressures placed on inner-city psychiatric services.
London's mental health: the report for the King's Fund London Commission
- Editors:
- JOHNSON Sonia, et al
- Publisher:
- King's Fund
- Publication year:
- 1997
- Pagination:
- 410p.,tables,bibliog.
- Place of publication:
- London
Presents a comprehensive assessment of the mental health needs of Londoners and shows that these are greater than in other parts of the country. Provides strong evidence that these needs are not being met adequately by current mental health services, and demonstrates that they are working beyond their capacity to cope. Includes sections on: the sociodemographic context; special areas of need for mental health services; mental health services for older people; child and adolescent services in London; substance misuse services; HIV/AIDS related mental health services; mentally disordered offenders; the homeless in London; services in primary care; black and minority ethnic people; levels of in-patient and residential provision; structure and functioning of services; and costs.
Implementing caring for people: the role of the GP and primary healthcare team
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1994
- Pagination:
- 30p.,bibliog.
- Place of publication:
- London
Part of a series of studies looking into the implementation of the NHS and Community Care Act 1990. This paper made recommendations for changes and improvements to the implementation process, where it involves GP's and primary health care teams, under the following headings: referrals for assessment; assessment; care management; discharge from hospital; admissions to care; information systems; black and minority ethnic communities; user and carer experiences; people with mental health problems; working relationships; and commissioning and purchasing.