Pub Date : 2021-05-05DOI: 10.1108/JPMH-07-2020-0088
Lamia Haque, R. Rosenheck
Purpose While many studies have shown that liver diseases (LD) can be caused or exacerbated by substance use disorders (SUD), few have examined the proportion of adults with LD and SUD who receive mental health and addiction treatment or correlates of such use. Design/methodology/approach Using national Fiscal Year (FY) 2012 data from the United States Veterans Health Administration (VHA), the authors studied all 43,246 veterans diagnosed with both LD and SUD in FY 2012 and compared those who received mental health treatment (n = 30,456; 70.4%) to those who did not (n = 12,790; 29.6%). Findings Veterans who received mental health treatment were less like to be older than 75 years of age, more likely to have served during recent Middle East conflicts (Operation Iraqi Freedom or Operation Enduring Freedom), more likely to have been recently homeless and to have drug dependence as contrasted with alcohol dependence when compared with those who did not receive mental health treatment. Although the majority, 70.4%, received mental health treatment, only 30.6% of the total received specialized addiction treatment, and these veterans were more likely to experience homelessness and have drug dependence diagnoses. Originality/value This is the first study as per the authors’ best knowledge that broadly examines mental health and addiction treatment received by veterans with LD and SUD. High rates of mental health treatment in this population likely reflect the integrated nature of the VHA and its emphasis on providing comprehensive services to homeless veterans. Further research is needed to identify barriers to specialized addiction treatment in this population.
{"title":"Mental health and addiction service use among United States veterans with liver disease nationally in the Veterans Health Administration","authors":"Lamia Haque, R. Rosenheck","doi":"10.1108/JPMH-07-2020-0088","DOIUrl":"https://doi.org/10.1108/JPMH-07-2020-0088","url":null,"abstract":"\u0000Purpose\u0000While many studies have shown that liver diseases (LD) can be caused or exacerbated by substance use disorders (SUD), few have examined the proportion of adults with LD and SUD who receive mental health and addiction treatment or correlates of such use.\u0000\u0000\u0000Design/methodology/approach\u0000Using national Fiscal Year (FY) 2012 data from the United States Veterans Health Administration (VHA), the authors studied all 43,246 veterans diagnosed with both LD and SUD in FY 2012 and compared those who received mental health treatment (n = 30,456; 70.4%) to those who did not (n = 12,790; 29.6%).\u0000\u0000\u0000Findings\u0000Veterans who received mental health treatment were less like to be older than 75 years of age, more likely to have served during recent Middle East conflicts (Operation Iraqi Freedom or Operation Enduring Freedom), more likely to have been recently homeless and to have drug dependence as contrasted with alcohol dependence when compared with those who did not receive mental health treatment. Although the majority, 70.4%, received mental health treatment, only 30.6% of the total received specialized addiction treatment, and these veterans were more likely to experience homelessness and have drug dependence diagnoses.\u0000\u0000\u0000Originality/value\u0000This is the first study as per the authors’ best knowledge that broadly examines mental health and addiction treatment received by veterans with LD and SUD. High rates of mental health treatment in this population likely reflect the integrated nature of the VHA and its emphasis on providing comprehensive services to homeless veterans. Further research is needed to identify barriers to specialized addiction treatment in this population.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42658692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-08DOI: 10.1108/JPMH-06-2020-0075
M. Rekhis, S. Ouanes, Abir Ben Hamouda, R. Rafrafi
Purpose This study aims to assess the awareness about the rights of people with mental illness in the main psychiatric hospital in Tunisia among the service users, the family members and the staff. Design/methodology/approach The Convention of Rights of People with Disabilities mandates that State Parties initiate and maintain campaigns and human rights training to promote understanding of the rights of people with mental illnesses, considered as a main factor for their fulfillment. Service users, family members and staff evaluated, through a survey, the importance of ten rights for persons with mental illness, stated in the convention. Findings Disparities were found in the perception of the different rights by and between the three groups. The highest levels of awareness were associated with the freedom from torture or degrading treatment and the right to live with dignity and respect, whereas the lower importance were assigned to the right to participation in recovery plans, to give consent and to exercise legal capacity. Originality/value The lack of awareness and the poor perception of rights of people with mental illness is one of the barriers to their achievement. More training and awareness raising is necessary.
{"title":"Human rights of people with mental illness diagnosis: perceptions among service users, family members and health professionals in Tunisia","authors":"M. Rekhis, S. Ouanes, Abir Ben Hamouda, R. Rafrafi","doi":"10.1108/JPMH-06-2020-0075","DOIUrl":"https://doi.org/10.1108/JPMH-06-2020-0075","url":null,"abstract":"\u0000Purpose\u0000This study aims to assess the awareness about the rights of people with mental illness in the main psychiatric hospital in Tunisia among the service users, the family members and the staff.\u0000\u0000\u0000Design/methodology/approach\u0000The Convention of Rights of People with Disabilities mandates that State Parties initiate and maintain campaigns and human rights training to promote understanding of the rights of people with mental illnesses, considered as a main factor for their fulfillment. Service users, family members and staff evaluated, through a survey, the importance of ten rights for persons with mental illness, stated in the convention.\u0000\u0000\u0000Findings\u0000Disparities were found in the perception of the different rights by and between the three groups. The highest levels of awareness were associated with the freedom from torture or degrading treatment and the right to live with dignity and respect, whereas the lower importance were assigned to the right to participation in recovery plans, to give consent and to exercise legal capacity.\u0000\u0000\u0000Originality/value\u0000The lack of awareness and the poor perception of rights of people with mental illness is one of the barriers to their achievement. More training and awareness raising is necessary.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48992901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-17DOI: 10.1108/JPMH-07-2020-0093
Nicole Gray, P. Hasking, M. Boyes
Purpose Non-suicidal self-injury (NSSI) is a growing public health concern. Continued NSSI is often associated with negative outcomes, yet the behaviour usually serves a purpose for individuals who self-injure (e.g. emotional relief). As such, individuals who self-injure often experience ambivalence about the behaviour. The purpose of this paper is to highlight the importance of recognising ambivalence as a natural and expected part of the recovery process. Design/methodology/approach This paper draws on literature regarding NSSI recovery, ambivalence towards stopping the behaviour and challenges for both clients and health professionals. Findings This paper argues that ambivalence towards self-injury can be challenging for both clients and health professionals. Clients may feel shame and sense of failure if they experience a setback; health professionals may experience frustration towards clients who continue to self-injure despite treatment. Originality/value Validation of the clients’ experience can have significant positive outcomes in treatment and help-seeking behaviours. Acknowledgement of client ambivalence during the recovery process will serve to validate clients’ experience and facilitate rapport. Health professionals who accept ambivalence as a natural part of the recovery process may experience less frustration with clients who continue to self-injure.
{"title":"The impact of ambivalence on recovery from non-suicidal self-injury: considerations for health professionals","authors":"Nicole Gray, P. Hasking, M. Boyes","doi":"10.1108/JPMH-07-2020-0093","DOIUrl":"https://doi.org/10.1108/JPMH-07-2020-0093","url":null,"abstract":"\u0000Purpose\u0000Non-suicidal self-injury (NSSI) is a growing public health concern. Continued NSSI is often associated with negative outcomes, yet the behaviour usually serves a purpose for individuals who self-injure (e.g. emotional relief). As such, individuals who self-injure often experience ambivalence about the behaviour. The purpose of this paper is to highlight the importance of recognising ambivalence as a natural and expected part of the recovery process.\u0000\u0000\u0000Design/methodology/approach\u0000This paper draws on literature regarding NSSI recovery, ambivalence towards stopping the behaviour and challenges for both clients and health professionals.\u0000\u0000\u0000Findings\u0000This paper argues that ambivalence towards self-injury can be challenging for both clients and health professionals. Clients may feel shame and sense of failure if they experience a setback; health professionals may experience frustration towards clients who continue to self-injure despite treatment.\u0000\u0000\u0000Originality/value\u0000Validation of the clients’ experience can have significant positive outcomes in treatment and help-seeking behaviours. Acknowledgement of client ambivalence during the recovery process will serve to validate clients’ experience and facilitate rapport. Health professionals who accept ambivalence as a natural part of the recovery process may experience less frustration with clients who continue to self-injure.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46217844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-11DOI: 10.1108/JPMH-08-2020-0110
Annika McGivern, S. Shannon, G. Breslin
Purpose This paper aims to conduct the first cross-sectional survey on depression, Resilience, well-being, depression symptoms and concussion levels in equestrian athletes and to assess whether past concussion rates were associated with depression, resilience and well-being. Design/methodology/approach In total, 511 participants from Canada, Republic of Ireland, UK, Australia and USA took part in an international cross-sectional, online survey evaluating concussion history, depression symptoms, resilience and well-being. Findings In total, 27.1% of athletes met clinically relevant symptoms of major depressive disorder. Significant differences were shown in the well-being and resilience scores between countries. Significant relationships were observed between reported history of concussion and both high depression scores and low well-being scores. Practical implications Findings highlight the need for mental health promotion and support in equestrian sport. Social implications Results support previous research suggesting a need for enhanced mental health support for equestrians. There is reason to believe that mental illness could still be present in riders with normal levels of resilience and well-being. Originality/value This study examined an understudied athlete group: equestrian athletes and presents important findings with implications for the physical and mental health of this population.
{"title":"Resilience, well-being, depression symptoms and concussion levels in equestrian athletes","authors":"Annika McGivern, S. Shannon, G. Breslin","doi":"10.1108/JPMH-08-2020-0110","DOIUrl":"https://doi.org/10.1108/JPMH-08-2020-0110","url":null,"abstract":"\u0000Purpose\u0000This paper aims to conduct the first cross-sectional survey on depression, Resilience, well-being, depression symptoms and concussion levels in equestrian athletes and to assess whether past concussion rates were associated with depression, resilience and well-being.\u0000\u0000\u0000Design/methodology/approach\u0000In total, 511 participants from Canada, Republic of Ireland, UK, Australia and USA took part in an international cross-sectional, online survey evaluating concussion history, depression symptoms, resilience and well-being.\u0000\u0000\u0000Findings\u0000In total, 27.1% of athletes met clinically relevant symptoms of major depressive disorder. Significant differences were shown in the well-being and resilience scores between countries. Significant relationships were observed between reported history of concussion and both high depression scores and low well-being scores.\u0000\u0000\u0000Practical implications\u0000Findings highlight the need for mental health promotion and support in equestrian sport.\u0000\u0000\u0000Social implications\u0000Results support previous research suggesting a need for enhanced mental health support for equestrians. There is reason to believe that mental illness could still be present in riders with normal levels of resilience and well-being.\u0000\u0000\u0000Originality/value\u0000This study examined an understudied athlete group: equestrian athletes and presents important findings with implications for the physical and mental health of this population.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46002847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-13DOI: 10.1108/JPMH-03-2020-0019
Thomas Kelley, A. Kessel, R. Collings, Brianna P. Rubenstein, C. Monnickendam, A. Solomon
Purpose The purpose of this paper is to present the findings of a preliminary study based on a novel structured mental health education programme – Innate Health Education and Resilience Training (iHEART) – in a cohort of secondary school adolescents in the UK. Design/methodology/approach A curriculum-based ten-week programme was delivered by trained facilitators. In total, 205 students enrolled in the study. An additional 64 participants were within an age-matched non-intervention control group. A non-randomised control mixed methodology approach was used. All students, pre- and post-programme, completed a quantitative questionnaire – the Warwick-Edinburgh Mental Well-being Survey. Qualitative measures were used to assess participants’ perceptions of changes in their resilience and mental well-being. Findings Those who received the intervention showed a small improvement in mental well-being relative to those who did not, with a similar change in resilience. Qualitative findings regarding impulse control and emotional resilience provided positive findings. Originality/value iHEART may be a promising new intervention offering a step change in mental health education for improving resilience, mental well-being and the ability for participants to navigate psychological challenges.
{"title":"Evaluation of the iHEART mental health education programme on resilience and well-being of UK secondary school adolescents","authors":"Thomas Kelley, A. Kessel, R. Collings, Brianna P. Rubenstein, C. Monnickendam, A. Solomon","doi":"10.1108/JPMH-03-2020-0019","DOIUrl":"https://doi.org/10.1108/JPMH-03-2020-0019","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to present the findings of a preliminary study based on a novel structured mental health education programme – Innate Health Education and Resilience Training (iHEART) – in a cohort of secondary school adolescents in the UK.\u0000\u0000\u0000Design/methodology/approach\u0000A curriculum-based ten-week programme was delivered by trained facilitators. In total, 205 students enrolled in the study. An additional 64 participants were within an age-matched non-intervention control group. A non-randomised control mixed methodology approach was used. All students, pre- and post-programme, completed a quantitative questionnaire – the Warwick-Edinburgh Mental Well-being Survey. Qualitative measures were used to assess participants’ perceptions of changes in their resilience and mental well-being.\u0000\u0000\u0000Findings\u0000Those who received the intervention showed a small improvement in mental well-being relative to those who did not, with a similar change in resilience. Qualitative findings regarding impulse control and emotional resilience provided positive findings.\u0000\u0000\u0000Originality/value\u0000iHEART may be a promising new intervention offering a step change in mental health education for improving resilience, mental well-being and the ability for participants to navigate psychological challenges.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41335426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-18DOI: 10.1108/jpmh-04-2020-0023
Sergio A. Silverio
Purpose This paper aims to call the public health and mental health communities to action by making women’s mental health a public health priority. Design/methodology/approach This conceptual paper introduces a “Female Psychology” approach to framing and interpreting mental health narratives and public health discourses. It also draws upon lifecourse research as a way of better understanding mental illness. Findings This paper calls for action to prioritise women’s mental health on the public health agenda like has never previously been done before. Research limitations/implications New theoretical bases for research and practice are presented, encouraging the adoption of a “Female Psychology” approach to women’s lifecourses and mental health narratives. Practical implications Suggestions for changes to how we view, diagnose and treat women’s mental health are incorporated, ensuring women’s mental health narratives are placed firmly at the centre of their care and support. Social implications Women’s mental health has long been marginalised and dismissed as exaggerated and/or insignificant, and therefore has not had the economic-, personnel- and time-resource allocated to it, which it so desperately requires. This paper aims to tip the imbalance. Originality/value This paper, though conceptual, offers “Female Psychology” as both a practical and pragmatic approach to improving women’s mental health research, practice, and care. It is the first of its kind to, so directly, call the public health and mental health communities to prioritise women’s mental health.
{"title":"Women’s mental health as a public health priority: a call for action","authors":"Sergio A. Silverio","doi":"10.1108/jpmh-04-2020-0023","DOIUrl":"https://doi.org/10.1108/jpmh-04-2020-0023","url":null,"abstract":"\u0000Purpose\u0000This paper aims to call the public health and mental health communities to action by making women’s mental health a public health priority.\u0000\u0000\u0000Design/methodology/approach\u0000This conceptual paper introduces a “Female Psychology” approach to framing and interpreting mental health narratives and public health discourses. It also draws upon lifecourse research as a way of better understanding mental illness.\u0000\u0000\u0000Findings\u0000This paper calls for action to prioritise women’s mental health on the public health agenda like has never previously been done before.\u0000\u0000\u0000Research limitations/implications\u0000New theoretical bases for research and practice are presented, encouraging the adoption of a “Female Psychology” approach to women’s lifecourses and mental health narratives.\u0000\u0000\u0000Practical implications\u0000Suggestions for changes to how we view, diagnose and treat women’s mental health are incorporated, ensuring women’s mental health narratives are placed firmly at the centre of their care and support.\u0000\u0000\u0000Social implications\u0000Women’s mental health has long been marginalised and dismissed as exaggerated and/or insignificant, and therefore has not had the economic-, personnel- and time-resource allocated to it, which it so desperately requires. This paper aims to tip the imbalance.\u0000\u0000\u0000Originality/value\u0000This paper, though conceptual, offers “Female Psychology” as both a practical and pragmatic approach to improving women’s mental health research, practice, and care. It is the first of its kind to, so directly, call the public health and mental health communities to prioritise women’s mental health.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45503274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-18DOI: 10.1108/jpmh-06-2020-0060
E. Elsden, B. Roe
Purpose The purpose of this study is to explore whether engaging with arts and culture affect depression in adults. This is because depression is the most common mental health disorder. Diversification of mental health services, initiatives in arts in health and social prescribing are providing emerging evidence of benefits relating to depression outcomes. Design/methodology/approach A systematic review design adhering to the preferred reporting items for systematic reviews and meta-analyses reporting guidelines. MEDLINE®, Embase and American psychology association PsycINFO were searched and six studies were deemed eligible. Data extraction and quality appraisal enabled a narrative descriptive summary comparing study design, characteristics, populations and key results relating arts and cultural engagement to depression outcomes. Findings The total number of participants across the studies were 49,197. Three studies reported mean age, 58.78 years (15–99 years). Gender reported by five studies was 52.4% (n = 24,689) female and 47.6% (n = 22,439) male. Five studies found that engaging with arts decreased your odds of having depression. Originality/value This systematic review found emerging evidence that arts and cultural engagement benefits a wider population by reducing depression incidence. Establishing and understanding the association between arts engagement and decreasing depression incidence in a population is relevant to health-care providers, the general population and policymakers alike.
{"title":"Does arts engagement and cultural participation impact depression outcomes in adults: a narrative descriptive systematic review of observational studies","authors":"E. Elsden, B. Roe","doi":"10.1108/jpmh-06-2020-0060","DOIUrl":"https://doi.org/10.1108/jpmh-06-2020-0060","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to explore whether engaging with arts and culture affect depression in adults. This is because depression is the most common mental health disorder. Diversification of mental health services, initiatives in arts in health and social prescribing are providing emerging evidence of benefits relating to depression outcomes.\u0000\u0000\u0000Design/methodology/approach\u0000A systematic review design adhering to the preferred reporting items for systematic reviews and meta-analyses reporting guidelines. MEDLINE®, Embase and American psychology association PsycINFO were searched and six studies were deemed eligible. Data extraction and quality appraisal enabled a narrative descriptive summary comparing study design, characteristics, populations and key results relating arts and cultural engagement to depression outcomes.\u0000\u0000\u0000Findings\u0000The total number of participants across the studies were 49,197. Three studies reported mean age, 58.78 years (15–99 years). Gender reported by five studies was 52.4% (n = 24,689) female and 47.6% (n = 22,439) male. Five studies found that engaging with arts decreased your odds of having depression.\u0000\u0000\u0000Originality/value\u0000This systematic review found emerging evidence that arts and cultural engagement benefits a wider population by reducing depression incidence. Establishing and understanding the association between arts engagement and decreasing depression incidence in a population is relevant to health-care providers, the general population and policymakers alike.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47869005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-10DOI: 10.1108/jpmh-12-2020-109
N. Quinn, L. Knifton
{"title":"Editorial","authors":"N. Quinn, L. Knifton","doi":"10.1108/jpmh-12-2020-109","DOIUrl":"https://doi.org/10.1108/jpmh-12-2020-109","url":null,"abstract":"","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47190861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1108/jpmh-04-2020-0031
R. Taleb, Nayla Kassab, Asmaa Kebbe, Nour Kreidieh
Purpose This study primarily aims to evaluate the mental health literacy (MHL) of the Lebanese adult population in an attempt to yield results that can help fill the gap in the literature and support the development of new strategies to counter mental health stigma. Design/methodology/approach A cross-sectional survey was composed of the Mental Health Knowledge Schedule and select questions from the Community Attitudes toward the Mentally Ill and MHL Scale. The surveys were collected from a representative population of sample size (n = 386) among the different governorates of Lebanon. The participants, aged 18–65 years and literate, were recruited between July 2018 and September 2018 from supermarkets widely distributed across the country. Findings The results showed that the Lebanese population possesses average knowledge and certain stigmatizing attitudes toward mental illnesses. Curricular education and awareness campaigns may help refine the image of mental illness among the population. Originality/value To the best of the authors’ knowledge, this paper is one of the first in Lebanon to assess the MHL of its population as a whole. It gives insight into the common misconceptions about mental illness and patterns of the related stigma that are prevalent in the Lebanese society today.
{"title":"Mental health literacy of the Lebanese population (MHeLLP): a cross-sectional study","authors":"R. Taleb, Nayla Kassab, Asmaa Kebbe, Nour Kreidieh","doi":"10.1108/jpmh-04-2020-0031","DOIUrl":"https://doi.org/10.1108/jpmh-04-2020-0031","url":null,"abstract":"\u0000Purpose\u0000This study primarily aims to evaluate the mental health literacy (MHL) of the Lebanese adult population in an attempt to yield results that can help fill the gap in the literature and support the development of new strategies to counter mental health stigma.\u0000\u0000\u0000Design/methodology/approach\u0000A cross-sectional survey was composed of the Mental Health Knowledge Schedule and select questions from the Community Attitudes toward the Mentally Ill and MHL Scale. The surveys were collected from a representative population of sample size (n = 386) among the different governorates of Lebanon. The participants, aged 18–65 years and literate, were recruited between July 2018 and September 2018 from supermarkets widely distributed across the country.\u0000\u0000\u0000Findings\u0000The results showed that the Lebanese population possesses average knowledge and certain stigmatizing attitudes toward mental illnesses. Curricular education and awareness campaigns may help refine the image of mental illness among the population.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this paper is one of the first in Lebanon to assess the MHL of its population as a whole. It gives insight into the common misconceptions about mental illness and patterns of the related stigma that are prevalent in the Lebanese society today.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/jpmh-04-2020-0031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49028417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-28DOI: 10.1108/JPMH-06-2020-0058
Saimah Yasmin-Qureshi
Purpose A number of initiatives have been developed to ensure easy access to mental health services for Black and Asian Minority Ethnic (BAME) communities. Improving Access to Psychological Therapies (IAPT) is a service that delivers first line interventions for South Asian women; however, little is known about what makes IAPT accessible for this population. This paper aims to explore South Asian women’s experiences of accessing psychological therapy and whether therapy within IAPT helps individuals to re-frame their experiences within their own cultural context. Design/methodology/approach A qualitative approach was used. Semi-structured interviews were carried out with South Asian women who accessed an IAPT service. Ten participants took part in the study and interviews were analysed using thematic analysis. Findings Six themes were identified; access, experience, cultural framework, therapist characteristics, expectations and “sticking with it”. Having a good therapeutic relationship with the therapist was key. While cognitive behavioural therapy (CBT) enabled clients to manage their symptoms, manualised CBT led to a sense of dissatisfaction for some. Clients spoke of having to make a forced choice to either deny their culture or leave their culture at the door to access therapy. Cultural and religious exclusion had a negative impact on therapy particularly for those whose difficulties were related to their cultural or religious context. Practical implications Culture and religion continues to be excluded from psychological therapy for South Asian Women. A cultural shift is required from within IAPT services to maintain engagement for this group. Further clinical implications are discussed. Originality/value While the experiences of Black and Asian ethnic minority groups accessing secondary mental health services has been explored, this study explores and highlights the experiences of South Asian Women accessing therapy in primary care, and uniquely identifies the processes that enable women to engage in therapy.
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