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Book part
Publication date: 5 October 2004

Carole Roan Gresenz and Roland Sturm

It is well known that mental health disorders cause substantial functional limitations and disability (Surgeon General, 1999). Less well known is the central role that mental

Abstract

It is well known that mental health disorders cause substantial functional limitations and disability (Surgeon General, 1999). Less well known is the central role that mental health plays in economic disparities. The prevalence of depressive disorders is almost 3 times as high among individuals in the bottom 20% than among individuals in the top 20% of the income distribution, a much steeper gradient than for hypertension, heart disease, arthritis, chronic pain, or the number of medical problems (Sturm & Gresenz, 2002). In addition, individuals with mental disorders are less likely to have savings than individuals with physical health problems and the disparity widens with advancing age (Gresenz & Sturm, 2000).

Details

The Economics of Gender and Mental Illness
Type: Book
ISBN: 978-0-76231-111-8

Article
Publication date: 17 October 2018

Gustavo Santos, Célia Soares, Raquel Rebelo and Paula Ferreira

While awaiting resolution of their legal process, undocumented migrants (UM) face several challenges, including limited access to public health care. The purpose of this paper is…

Abstract

Purpose

While awaiting resolution of their legal process, undocumented migrants (UM) face several challenges, including limited access to public health care. The purpose of this paper is to survey UM attending a detention centre in Oporto (Portugal) to estimate the prevalence of mental health disorders in this population.

Design/methodology/approach

A retrospective chart review was performed with the relevant sociodemographic and clinical data of all UM in the process of coercive removal from Portuguese territory, observed by Doctors of the World, during three years (2014–2016). The Tenth Version of International Classification of Mental and Behavioural Disorders was used for nosological classification.

Findings

In total, 393 detainees were eligible for the study. Most detainees were male (84 per cent) and 76 months was the mean length of stay in Portugal before detention. In total, 29 per cent of detainees were diagnosed with a mental and behavioural disorder. The most prevalent diagnosis was neurotic, stress-related and somatoform disorders (47 per cent). UM with dual diagnosis (28 per cent) led to the articulation with the integrated centres of drug addiction, which provided and monitored opioid substitution therapy. Female UM were more prone to develop any mental and behavioural disorder when compared to men (χ2=7,017; p<0.05).

Research limitations/implications

In total, 9 per cent of the detainees were excluded from this study due to incomplete data on their medical charts. Some detainees presented oppositional behaviour, hostility towards others and refused to be assessed by the medical team. Both situations could have biased the prevalence of mental disorders. Finally, the appropriateness of the western model of mental health disorders (ICD-10) in the study population is controversial, considering the culture-bound phenomenology and syndromes.

Originality/value

This paper identified the most prevalent mental health disorders in UM detained in Portugal. The most prevalent mental health disorders were either stress-related (associated with the detention itself) or related to previous patterns of substance abuse. Given the study outcomes, it is highly recommended to mobilise human and technical resources to provide specialized mental health care to UM at least while detention policies could not be changed.

Details

Journal of Public Mental Health, vol. 17 no. 4
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 27 August 2024

Hamka Hamka, Aniq Hudiyah Bil Haq, Aulia Ramdani, Alfiza Fakhriya Haq, Muslimin Nulipata and Desita Dyah Damayanti

High levels of mental health disorders in students can affect their academic activity. Students should think positively to control the mental health disturbances they experience…

Abstract

Purpose

High levels of mental health disorders in students can affect their academic activity. Students should think positively to control the mental health disturbances they experience. This study aims to address the mental health problems of students by increasing their gratitude because gratitude is the key to facing the problems that a person faces. Therefore, the study focuses on finding the influence of gratitude on student mental health disorders.

Design/methodology/approach

The subjects in this study were 420 students in Eastern Kalimantan using quantitative methods with gratitude scales GQ-6 and DASS-21. Data collection method with online questionnaires to be analyzed with regression analysis.

Findings

The findings of this study empirically show that gratitude has a significant and positive effect on mental health (depression, anxiety, and stress). This shows that gratitude has an important effect on mental health in students. If gratitude is higher, then anxiety and stress decreases significantly. This study aims can serve as a foundation for student mental health improvement programs.

Research limitations/implications

This study was cross-sectional, which makes it impossible to conclude a causal relationship between the variables. Therefore, future research should use more advanced research methods, including longitudinal and experimental studies. Another potential limitation that could bias the results is the fact that the data were based solely on self-reports. Then, the study group included a larger proportion of female students than male students.

Practical implications

This study provides a deeper understanding of the importance of gratitude in maintaining mental health. Gratitude has been shown to have a positive correlation with increased psychological well-being, decreased levels of depression and increased resilience in the face of everyday stress and challenges in college students at private univesity and state university.

Originality/value

This research changes students' mindset to always be grateful by thinking positively during the teaching and learning process at university. Many students complain about the current conditions, especially related to study assignments, differences in the teaching and learning process at school. This study is useful for students to reduce mental health disorders at university.

Details

The Journal of Mental Health Training, Education and Practice, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 11 October 2021

Shannon C. King, Amanda L. Rebar, Paul Oliveri and Robert Stanton

Australian paramedics regularly encounter patients experiencing mental illness. However, some paramedics hold negative attitudes towards the use of emergency services in providing…

1058

Abstract

Purpose

Australian paramedics regularly encounter patients experiencing mental illness. However, some paramedics hold negative attitudes towards the use of emergency services in providing care for these patients. Thus, the purpose of the present study was to examine the mental health literacy (MHL) of Australian paramedic students, and the training and experiential factors associated with MHL.

Design/methodology/approach

A cross-sectional online survey was delivered to paramedic students across Australia. A total of 94 paramedic students completed the survey examining MHL, mental health first aid (MHFA) intentions, confidence in providing help, personal and perceived stigma and willingness to interact with a person experiencing mental illness.

Findings

Participants generally had poor MHFA intentions in spite of good recognition of mental health disorders and good knowledge about mental health. Participants also demonstrated low stigmatising attitudes towards mental illness; however, they expressed a lack of willingness to interact with a person experiencing mental illness.

Originality/value

Our findings propose a combination of work-based experience and specific MHFA training may be beneficial to paramedic students to improve care for patients experiencing mental illness.

Details

The Journal of Mental Health Training, Education and Practice, vol. 17 no. 1
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 16 May 2024

Gavin Foster, David Taylor and Stephanie Gough

This study aims to use the database of consumers referred to the dual diagnosis shared care service to examine those connections. The Eastern Dual Diagnosis Service, based in…

Abstract

Purpose

This study aims to use the database of consumers referred to the dual diagnosis shared care service to examine those connections. The Eastern Dual Diagnosis Service, based in Melbourne, Australia, has established a database of consumers with co-occurring mental health disorders and problematic substance use. An examination of mental health and substance-use information obtained over a two-year period in the delivery of dual diagnosis shared care to consumers of mental health services is supporting an improved understanding of substance use and the connections to specific mental health diagnoses of schizophrenia, bipolar disorder and schizoaffective disorder.

Design/methodology/approach

This research uses a quantitative approach to review the prevalence of primary substance use and mental health diagnoses for consumers referred to as dual diagnosis shared care. Reviewed are referrals from adult mental health community and rehabilitation teams operating within a mental health and well-being program between January 2019 and December 2020 inclusive.

Findings

Of the 387 clients referred to the specialist dual diagnosis shared care, methamphetamine, alcohol and cannabis are associated with 89.4% of the primary mental health diagnosis (PMHD). The most common PMHDs are schizophrenia, schizoaffective disorder and bipolar disorder. The most common PMHD and substance-use connection was schizophrenia and methamphetamine. Nicotine was reported to be used by 84% of consumers and often occurred in addition to another problematic primary substance.

Originality/value

Improved dual diagnosis data collection from a community-based clinical mental health service is increasing understanding of the mental health and substance-use relationship. This is now providing clarity on routes of investigation into co-occurring mental health and problematic substance-use trends and guiding improved integrated treatments within a contemporary mental health setting.

Details

Advances in Dual Diagnosis, vol. 17 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 3 October 2019

Kusrini Semarwati Kadar, Andriani Andriani and Darmita Noria Tandi

Mental health should be getting more attention, as mental health problems are increasing and they pose a significant health burden. Government plays an important role in…

181

Abstract

Purpose

Mental health should be getting more attention, as mental health problems are increasing and they pose a significant health burden. Government plays an important role in supporting the implementation of mental health program. The purpose of this paper is to overview the implementation of mental health programs in North Toraja Regency, South Sulawesi Province, Indonesia.

Design/methodology/approach

This paper presents an audit conducted to examine the practice of mental health staff delivering mental health programs in community centers in one sub-district area in Indonesia and describes key areas of work, including promotive, preventative, curative and rehabilitation intervention. Responds from the respondents then was compared to guidelines for mental health practice in community based on Mental Health Law No. 18 (2014). The respondents were all mental health program staff (26 staff) from all community health centers (26 Puskesmas) in the North Toraja region, South Sulawesi (each Puskesmas has one staff responsible for mental health program).

Findings

This study explored programs and services provided for community mental health programs and roles of health staff in implementing programs and delivering services in one rural area. Although most health staff had provided mental health services according to the government guidelines, this study did not identify what the staff actually did in performing this work. Health staff cannot work alone in providing healthcare services, thus support from other sectors and from government is needed to deliver more effective healthcare to people with mental health disorders in the community. For further study, qualitative design is needed to explore more about the actual practice of the mental health staff in Puskesmas.

Originality/value

There is no published information regarding this topic in Indonesia to date. This information is really important for the government to evaluate the implementation of mental health program in Indonesia. However, these findings may only apply in this area, thus cannot be generalized for other regions in Indonesia, even if similar condition occurs in other areas.

Details

Journal of Public Mental Health, vol. 19 no. 2
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 21 March 2023

Camille Benson, Jacqueline Jane Cameron and Julaine Allan

Integrated care approaches have been recommended for co-occurring substance use and mental health disorders. The purpose of this study is to explore and map the research…

Abstract

Purpose

Integrated care approaches have been recommended for co-occurring substance use and mental health disorders. The purpose of this study is to explore and map the research literature regarding social work and its intersection with co-occurring substance use and mental health disorders.

Design/methodology/approach

An iterative and systematic search of five electronic databases CINAHL, Scopus, PsycINFO, Social Science Database and Medline was conducted to identify studies published between 2002 and 2022. Two reviewers independently screened publications in two successive stages of title and abstract screening, followed by a full-text screening of eligible studies. Data from each included publication were screened and extracted using Covidence.

Findings

A total of 38 eligible studies were included in the final scoping review. The included studies were conducted in eight different counties, including a range of study designs (e.g. cross-sectional, RCT, pilot studies). Only 8 of the 38 studies included people with co-occurring disorders as participants. Study settings were broad, for example, dual-diagnosis, military, homeless, substance use and community-based settings.

Originality/value

A review of the literature surrounding social work practice and its intersection with co-occurring mental health and Alcohol and other drug was warranted to document the evidence on this largely unexplored area of research. This review found that there was a paucity of literature that focused specifically on the role of social work practice in relation to individuals with co-occurring disorders, with a limited number of studies focusing on dual diagnoses.

Details

Advances in Dual Diagnosis, vol. 16 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 19 April 2022

Eleanor Quirke, Vitalii Klymchuk, Nataliia Gusak, Viktoriia Gorbunova and Oleksii Sukhovii

The ongoing armed conflict in Ukraine has had wide-ranging health, social and economic consequences for the civilian population. It has emphasised the need for comprehensive and…

Abstract

Purpose

The ongoing armed conflict in Ukraine has had wide-ranging health, social and economic consequences for the civilian population. It has emphasised the need for comprehensive and sustainable reform of the Ukrainian mental health system. The Ukrainian Government has approved a vision for national mental health reform. This study aims to draw on the lessons of mental health reform in other conflict-affected settings to identify areas of priority for applying the national mental health policy in conflict-affected regions in the direction of better social inclusion of people with mental health conditions (Donetsk and Luhansk regions, directly affected by the conflict).

Design/methodology/approach

A literature review was conducted to identify lessons from implementing mental health reform in other conflict-affected settings. Findings were summarized, and best practices were applied to the national and regional policy context.

Findings

The literature described emergencies as an opportunity to build sustainable mental health systems. A systematic and long-term view for reform is required to capitalise on this opportunity. For better social inclusion, implementation of the concept for mental health and mental health action plans in Donetsk and Luhansk regions should prioritise raising mental health awareness and reducing stigma; developing the capacity of local authorities in the development and coordination of services; tailoring mental health service provision according to the availability of services and population need; targeting the needs of particularly vulnerable groups and embedding the activities of humanitarian actors in local care pathways.

Research limitations/implications

This study summarises the literature on mental health reform in conflict-affected settings and applies key findings to Eastern Ukraine. This study has drawn on various sources, including peer-reviewed journals and grey literature and made several practical recommendations. Nevertheless, potentially relevant information could have been contained in sources that were excluded based on their publication in another language (i.e. not in English). Indeed, while the included studies provided rich examples of mental health reform implemented in conflict-affected settings, further research is required to better understand the mechanisms for effecting sustainable mental health reform in conflict-affected settings

Originality/value

The paper describes opportunities for developing a local community-based mental health-care system in Ukraine, despite the devastating effects of the ongoing war.

Details

Mental Health and Social Inclusion, vol. 26 no. 3
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 1 June 2005

Yvonne Walsh and Alan Frankland

Abstract

Details

Mental Health Review Journal, vol. 10 no. 2
Type: Research Article
ISSN: 1361-9322

Article
Publication date: 3 May 2022

Ariadna Martínez-García

The study aims to determine the contributions of universal school-based educational programs to the current and future worldwide youth mental health condition.

1091

Abstract

Purpose

The study aims to determine the contributions of universal school-based educational programs to the current and future worldwide youth mental health condition.

Design/methodology/approach

A systematic search was conducted in accordance with the PRISMA 2020 guidelines. Academic education and health databases including ERIC, Education Database, APA PsycInfo, APA PsycArticles, Psychology Database, and PubMed were used. Characteristics and outcomes of educational interventions developed in school settings and education potential for mental health promotion were examined.

Findings

Universal school-based mental health educational programs positively affect preadolescents and adolescents. The study review provided further insight into educational programs' characteristics and identified two primary curricula foci: mental health education and development of resiliency traits and skills.

Originality/value

Research on mental health promotion using a pedagogical approach is rare as most studies focus on mental health symptomatology and psychotherapy techniques training.

Details

Health Education, vol. 122 no. 5
Type: Research Article
ISSN: 0965-4283

Keywords

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