Pub Date : 2023-08-03DOI: 10.1108/jpmh-06-2023-0051
Sarah Waters, Hilda Palmer
Purpose The purpose of this paper is to discuss the response of the relevant authorities to evidence that female primary schoolteachers have an elevated suicide risk in the UK. The paper situates the recent tragic death of a primary school head teacher, following an Ofsted inspection at her school, within the wider context of teacher suicide deaths and asks what, if any, action the authorities have taken to prevent avoidable suicide deaths from occurring. Design/methodology/approach The paper examines a recent case of suicide by a primary head teacher within the wider context of statistical data on suicides by primary schoolteachers and in relation to previous cases of suicide linked to a school inspection. Findings The paper suggests that the relevant authorities have failed to act in relation to evidence of high suicide risk amongst female primary schoolteachers and to previous suicide deaths linked to the impact of a school inspection. Without learning from suicide deaths and acting on available evidence, there is a risk that preventable suicide deaths will continue to occur. Originality/value The paper draws together case study evidence and statistical data to make the case for regulatory reform to ensure that work-related suicides are investigated, monitored and prevented.
{"title":"Ofsted suicides: who is responsible for suicide prevention?","authors":"Sarah Waters, Hilda Palmer","doi":"10.1108/jpmh-06-2023-0051","DOIUrl":"https://doi.org/10.1108/jpmh-06-2023-0051","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to discuss the response of the relevant authorities to evidence that female primary schoolteachers have an elevated suicide risk in the UK. The paper situates the recent tragic death of a primary school head teacher, following an Ofsted inspection at her school, within the wider context of teacher suicide deaths and asks what, if any, action the authorities have taken to prevent avoidable suicide deaths from occurring.\u0000\u0000\u0000Design/methodology/approach\u0000The paper examines a recent case of suicide by a primary head teacher within the wider context of statistical data on suicides by primary schoolteachers and in relation to previous cases of suicide linked to a school inspection.\u0000\u0000\u0000Findings\u0000The paper suggests that the relevant authorities have failed to act in relation to evidence of high suicide risk amongst female primary schoolteachers and to previous suicide deaths linked to the impact of a school inspection. Without learning from suicide deaths and acting on available evidence, there is a risk that preventable suicide deaths will continue to occur.\u0000\u0000\u0000Originality/value\u0000The paper draws together case study evidence and statistical data to make the case for regulatory reform to ensure that work-related suicides are investigated, monitored and prevented.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42929866","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 : 2023-07-28DOI: 10.1108/jpmh-10-2022-0105
C. M. Corradi-Webster, Graziela Reis, E. B. Brisola, C. Araujo, É. Ricci, Lívia Sicaroni Rufato, C. Sampaio, Mário César Rezende Andrade, J. Orsi, Rosa Alba Sarno Oliveira, Ana Lúcia Cidade, Políbio Campos, M. N. Costa
Purpose The purpose of this paper is to describe six recovery-oriented peer support experiences and strategies implemented in different regions of Brazil in the past 12 years, and explore challenges to their development and potential for empowerment and citizenship. Design/methodology/approach In this paper, a group of stakeholders in mental health services involving people with lived experience of severe mental illness describe their experiences with services of peer support. These were all conducted in Brazil and in partnership with the International Recovery and Citizenship Collective (IRCC) and The Yale Program for Recovery and Community Health. The authors met monthly to exchange experiences, studies and practices, and six experiences were selected, described, analyzed and compared. A discussion of these experiences, their challenges, impact and potential followed. Findings The explored experiences emphasize that peer support, lived experience leadership and advocacy are feasible in the Brazilian mental health system and can help advance the Brazilian Psychiatric Reform. Research limitations/implications This paper is limited to the experience of researchers already engaged in peer support work in six cities in Brazil. Although they represent several different regions in Brazil, there are areas it has not reached. Further research should address and provide a broader view of peer support and recovery strategies spreading in the country. Social implications These experiences demonstrate the feasibility and acceptability of the recovering citizenship approach to reduce stigma, promote empowerment, autonomy, activism and advocacy, and increase a sense of belonging for those in recovery and marginalized by society. The Brazilian psychiatric reform can benefit from including peer supporters as mental health treatment providers. Originality/value This paper provides a novel view of the state of the art of peer support initiatives in Brazil and can inspire individuals, government and communities as they see and understand the breadth, depth and meanings of these peer support experiences.
{"title":"Peer support in Brazil: experiences and strategies of inclusion, empowerment and citizenship","authors":"C. M. Corradi-Webster, Graziela Reis, E. B. Brisola, C. Araujo, É. Ricci, Lívia Sicaroni Rufato, C. Sampaio, Mário César Rezende Andrade, J. Orsi, Rosa Alba Sarno Oliveira, Ana Lúcia Cidade, Políbio Campos, M. N. Costa","doi":"10.1108/jpmh-10-2022-0105","DOIUrl":"https://doi.org/10.1108/jpmh-10-2022-0105","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to describe six recovery-oriented peer support experiences and strategies implemented in different regions of Brazil in the past 12 years, and explore challenges to their development and potential for empowerment and citizenship.\u0000\u0000\u0000Design/methodology/approach\u0000In this paper, a group of stakeholders in mental health services involving people with lived experience of severe mental illness describe their experiences with services of peer support. These were all conducted in Brazil and in partnership with the International Recovery and Citizenship Collective (IRCC) and The Yale Program for Recovery and Community Health. The authors met monthly to exchange experiences, studies and practices, and six experiences were selected, described, analyzed and compared. A discussion of these experiences, their challenges, impact and potential followed.\u0000\u0000\u0000Findings\u0000The explored experiences emphasize that peer support, lived experience leadership and advocacy are feasible in the Brazilian mental health system and can help advance the Brazilian Psychiatric Reform.\u0000\u0000\u0000Research limitations/implications\u0000This paper is limited to the experience of researchers already engaged in peer support work in six cities in Brazil. Although they represent several different regions in Brazil, there are areas it has not reached. Further research should address and provide a broader view of peer support and recovery strategies spreading in the country.\u0000\u0000\u0000Social implications\u0000These experiences demonstrate the feasibility and acceptability of the recovering citizenship approach to reduce stigma, promote empowerment, autonomy, activism and advocacy, and increase a sense of belonging for those in recovery and marginalized by society. The Brazilian psychiatric reform can benefit from including peer supporters as mental health treatment providers.\u0000\u0000\u0000Originality/value\u0000This paper provides a novel view of the state of the art of peer support initiatives in Brazil and can inspire individuals, government and communities as they see and understand the breadth, depth and meanings of these peer support experiences.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47301719","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 : 2023-07-28DOI: 10.1108/jpmh-02-2023-0016
G. Veronese, A. Ismail, F. Mahamid, Basel El-Khodary, Dana Bdier, Marwan Diab
Purpose This study aims to explore the effect of mental health in terms of depression, anxiety, stress, fear of COVID-19 and quality of life (QoL) on the reluctance to be vaccinated in a population of Palestinian adults living in occupied Palestinian territories and Israel. Design/methodology/approach The authors recruited 1,122 Palestinian adults who consented to participate in the study; 722 were females, and the mean age of the sample was 40.83 (SD 8.8). Depression, anxiety, and stress scale (DASS), World Health Organization QoL-BREF, FCov-19 and reluctance to the vaccine scale were administered; hierarchical regression analysis was applied to test vaccine reluctance as a dependent variable, and mental health, fear of COVID-19 and QoL as independent variables. This study hypothesized influence of such variables on the vaccine choice with differences due to the participants’ geographical locations. Findings Findings showed an effect of mental health, particularly depression, QoL and fear of COVID on vaccine reluctance, with depression and fear of COVID in the West Bank and Gaza, while in Israel, QoL played a role in vaccination choices. Research limitations/implications The future needs to be comprehended more thoroughly to discover mutations and fluctuations over time in vaccine hesitancy and the increasing role of psychological distress, diminished QoL and fear of Covid-19. Online recruitment might not have allowed the study to include the most disadvantaged strips of the Palestinian population. Practical implications Human rights perspectives must be considered in public health and public mental health policies to ensure the QoL and well-being for the Palestinian population during and following the pandemic. Social implications The crumbling of the Palestinian health-care system exacerbated the sense of dread among the population and made them less likely to vaccinate. The pandemic-like spread of Covid-19 prompts a plea for the global community to actively advocate for the urgent re-establishment of equity, autonomy and durability of the medical infrastructure in the occupied territories and equal entitlements for the Palestinians in Israel. Originality/value The results demonstrated the importance for public mental health to consider the multiple levels implied in the vaccine refusal in Palestine and Israel among the Palestinian population.
{"title":"The reluctance to the vaccine, mental health, fear of covid-19 and quality of life among Palestinians: an exploratory comparative study in different geographical areas","authors":"G. Veronese, A. Ismail, F. Mahamid, Basel El-Khodary, Dana Bdier, Marwan Diab","doi":"10.1108/jpmh-02-2023-0016","DOIUrl":"https://doi.org/10.1108/jpmh-02-2023-0016","url":null,"abstract":"\u0000Purpose\u0000This study aims to explore the effect of mental health in terms of depression, anxiety, stress, fear of COVID-19 and quality of life (QoL) on the reluctance to be vaccinated in a population of Palestinian adults living in occupied Palestinian territories and Israel.\u0000\u0000\u0000Design/methodology/approach\u0000The authors recruited 1,122 Palestinian adults who consented to participate in the study; 722 were females, and the mean age of the sample was 40.83 (SD 8.8). Depression, anxiety, and stress scale (DASS), World Health Organization QoL-BREF, FCov-19 and reluctance to the vaccine scale were administered; hierarchical regression analysis was applied to test vaccine reluctance as a dependent variable, and mental health, fear of COVID-19 and QoL as independent variables. This study hypothesized influence of such variables on the vaccine choice with differences due to the participants’ geographical locations.\u0000\u0000\u0000Findings\u0000Findings showed an effect of mental health, particularly depression, QoL and fear of COVID on vaccine reluctance, with depression and fear of COVID in the West Bank and Gaza, while in Israel, QoL played a role in vaccination choices.\u0000\u0000\u0000Research limitations/implications\u0000The future needs to be comprehended more thoroughly to discover mutations and fluctuations over time in vaccine hesitancy and the increasing role of psychological distress, diminished QoL and fear of Covid-19. Online recruitment might not have allowed the study to include the most disadvantaged strips of the Palestinian population.\u0000\u0000\u0000Practical implications\u0000Human rights perspectives must be considered in public health and public mental health policies to ensure the QoL and well-being for the Palestinian population during and following the pandemic.\u0000\u0000\u0000Social implications\u0000The crumbling of the Palestinian health-care system exacerbated the sense of dread among the population and made them less likely to vaccinate. The pandemic-like spread of Covid-19 prompts a plea for the global community to actively advocate for the urgent re-establishment of equity, autonomy and durability of the medical infrastructure in the occupied territories and equal entitlements for the Palestinians in Israel.\u0000\u0000\u0000Originality/value\u0000The results demonstrated the importance for public mental health to consider the multiple levels implied in the vaccine refusal in Palestine and Israel among the Palestinian population.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49058819","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 : 2023-07-26DOI: 10.1108/jpmh-12-2022-0129
Maria Bendtsen Kronkvist, P. Dahlqvist Jönsson, K. Forsberg, M. Sandlund
Purpose The purpose of this study is to describe participation in decision-making among service users with severe mental illness. Design/methodology/approach Service users want to participate in decision-making and in the planning of their care. There are widely known methods, such as shared decision-making, that could be used to facilitate service user participation. Three focus group interviews were conducted with the participation of 14 persons with mental illness and/or substance abuse who were service users at two Swedish Homes for Care and Residence (HVB). Data were analyzed by qualitative content analysis. Findings Two themes emerged: service users’ involvement in decisions is hampered by the professionals’ approach and adequate information and experience of participation means greater empowerment. Research limitations/implications Although it is known that service users would like to have more influence, and that methods like shared decision-making are recommended to empower service users and improve the decision process, research on these matters is limited. Practical implications This study reveals that there is a need of more systematic decisional support, such as shared decision-making, so that service users can be seen as important persons not only in guidelines and policy documents but also in clinical practice. Social implications The findings indicate that service users do not participate in decisions systematically, although policies, guidelines and laws providing that service users should be offered an active part in decision-making with regard to their care and treatment. Originality/value Although it is known that service users would like to have more influence, and that methods like shared decision-making are recommended to empower service users and improve their decision process, research on these matters is limited. The findings indicate that service users do not participate in decisions systematically, even though policies, guidelines and laws are in place stipulating that service users should be offered an active part in decision-making with regard to their own care and treatment. The results of this project bring improvement opportunities to light.
{"title":"Service user participation in decision-making – a qualitative study from a services user’s perspective","authors":"Maria Bendtsen Kronkvist, P. Dahlqvist Jönsson, K. Forsberg, M. Sandlund","doi":"10.1108/jpmh-12-2022-0129","DOIUrl":"https://doi.org/10.1108/jpmh-12-2022-0129","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to describe participation in decision-making among service users with severe mental illness.\u0000\u0000\u0000Design/methodology/approach\u0000Service users want to participate in decision-making and in the planning of their care. There are widely known methods, such as shared decision-making, that could be used to facilitate service user participation. Three focus group interviews were conducted with the participation of 14 persons with mental illness and/or substance abuse who were service users at two Swedish Homes for Care and Residence (HVB). Data were analyzed by qualitative content analysis.\u0000\u0000\u0000Findings\u0000Two themes emerged: service users’ involvement in decisions is hampered by the professionals’ approach and adequate information and experience of participation means greater empowerment.\u0000\u0000\u0000Research limitations/implications\u0000Although it is known that service users would like to have more influence, and that methods like shared decision-making are recommended to empower service users and improve the decision process, research on these matters is limited.\u0000\u0000\u0000Practical implications\u0000This study reveals that there is a need of more systematic decisional support, such as shared decision-making, so that service users can be seen as important persons not only in guidelines and policy documents but also in clinical practice.\u0000\u0000\u0000Social implications\u0000The findings indicate that service users do not participate in decisions systematically, although policies, guidelines and laws providing that service users should be offered an active part in decision-making with regard to their care and treatment.\u0000\u0000\u0000Originality/value\u0000Although it is known that service users would like to have more influence, and that methods like shared decision-making are recommended to empower service users and improve their decision process, research on these matters is limited. The findings indicate that service users do not participate in decisions systematically, even though policies, guidelines and laws are in place stipulating that service users should be offered an active part in decision-making with regard to their own care and treatment. The results of this project bring improvement opportunities to light.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49445814","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 : 2023-06-26DOI: 10.1108/jpmh-07-2023-161
J. Ashton
{"title":"Editorial","authors":"J. Ashton","doi":"10.1108/jpmh-07-2023-161","DOIUrl":"https://doi.org/10.1108/jpmh-07-2023-161","url":null,"abstract":"","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45493358","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 : 2023-06-22DOI: 10.1108/jpmh-12-2022-0128
J. Cresswell-Smith, Pia Solin, K. Wahlbeck, Nina Tamminen
Purpose The purpose of this study is to systematically review how positive mental health literacy has been conceptualised and measured over the last 20 years. Positive mental health recognises the benefits of feeling good and functioning effectively. Developing clarity around conceptualisation and knowledge (or literacy) of what constitutes positive mental health is an area of continued development, and an important step in measuring the impact of mental health promotion. Design/methodology/approach A systematic review of literature was performed to investigate how positive mental health literacy has been conceptualised and measured over the last 20 years. Databases searched included EDS, Scopus, ERIC, PsycINFO, CINAHL and SocIndex with fulltext. Search terms relating to positive mental health were combined with proximity operators within four words denoting knowledge, competence or literacy. Findings A total of 464 records were assessed on title level, with six articles included for final review. The final studies included three measures assessing participants’ knowledge of positive mental health, some of which included more distal themes such as awareness of coping strategies and emotional awareness. One measure, the Mental Health Promoting Knowledge – 10, stood out as the most fitting measure of positive mental health literacy. Research limitations/implications Our review approaches an under reported area of study, highlighting an area in need for further development with a few limitations. When building the search strategy, care was taken to line it up with literacy around positive mental health and its synonyms. The word “mental health” without positive specification was omitted in the final search strategy, increasing the risk of it also omitting potential articles of interest. Practical implications Our findings therefore highlight a knowledge gap in relation to conceptualisations and measures of positive mental health literacy, unfolding an area for further development. A more harmonised understanding of what is meant by positive mental health is an important step towards clarifying the concept and facilitating future study of the topic. Measures of positive mental health literacy could be an important indicator for mental health promotion. Social implications New ways of measuring positive mental health literacy can be a useful way to establish benefits of mental health promotion, taking a salutogenic approach to mental health. Originality/value These findings expose an apparent knowledge gap in relation to conceptualisations and measures of positive mental health literacy, highlighting an area in need for further development. Measures of positive mental health literacy could be an important indicator for mental health promotion.
{"title":"Conceptualising and measuring positive mental health literacy: a systematic literature review","authors":"J. Cresswell-Smith, Pia Solin, K. Wahlbeck, Nina Tamminen","doi":"10.1108/jpmh-12-2022-0128","DOIUrl":"https://doi.org/10.1108/jpmh-12-2022-0128","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to systematically review how positive mental health literacy has been conceptualised and measured over the last 20 years. Positive mental health recognises the benefits of feeling good and functioning effectively. Developing clarity around conceptualisation and knowledge (or literacy) of what constitutes positive mental health is an area of continued development, and an important step in measuring the impact of mental health promotion.\u0000\u0000\u0000Design/methodology/approach\u0000A systematic review of literature was performed to investigate how positive mental health literacy has been conceptualised and measured over the last 20 years. Databases searched included EDS, Scopus, ERIC, PsycINFO, CINAHL and SocIndex with fulltext. Search terms relating to positive mental health were combined with proximity operators within four words denoting knowledge, competence or literacy.\u0000\u0000\u0000Findings\u0000A total of 464 records were assessed on title level, with six articles included for final review. The final studies included three measures assessing participants’ knowledge of positive mental health, some of which included more distal themes such as awareness of coping strategies and emotional awareness. One measure, the Mental Health Promoting Knowledge – 10, stood out as the most fitting measure of positive mental health literacy.\u0000\u0000\u0000Research limitations/implications\u0000Our review approaches an under reported area of study, highlighting an area in need for further development with a few limitations. When building the search strategy, care was taken to line it up with literacy around positive mental health and its synonyms. The word “mental health” without positive specification was omitted in the final search strategy, increasing the risk of it also omitting potential articles of interest.\u0000\u0000\u0000Practical implications\u0000Our findings therefore highlight a knowledge gap in relation to conceptualisations and measures of positive mental health literacy, unfolding an area for further development. A more harmonised understanding of what is meant by positive mental health is an important step towards clarifying the concept and facilitating future study of the topic. Measures of positive mental health literacy could be an important indicator for mental health promotion.\u0000\u0000\u0000Social implications\u0000New ways of measuring positive mental health literacy can be a useful way to establish benefits of mental health promotion, taking a salutogenic approach to mental health.\u0000\u0000\u0000Originality/value\u0000These findings expose an apparent knowledge gap in relation to conceptualisations and measures of positive mental health literacy, highlighting an area in need for further development. Measures of positive mental health literacy could be an important indicator for mental health promotion.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44114164","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 : 2023-06-13DOI: 10.1108/jpmh-12-2022-0127
Yixuan Li, S. Zeger, A. Elmi, M. Wilder, M. Mccarthy
Purpose Few have studied the relationship between employment and health in the Medicaid population. The purpose of this study is to estimate the impact of job loss on the mental health of working Medicaid beneficiaries. Design/methodology/approach This study conducted a post hoc analysis of 1,538 adult Medicaid beneficiaries enrolled in a prospective cohort study. The authors matched participants who lost their job to participants who remained employed based on demographics, illness severity and social determinants of health. The authors estimated the effect of job loss on the odds of a diagnosis of depression and/or anxiety and self-reported mental health during a one-year follow-up period, stratified by prior history of depression and/or anxiety as documented in the Medicaid claims. Findings Among participants with no preexisting depression or anxiety, the incidence of depression or anxiety was 17% versus 7% (aOR = 2.85; 95% confidence interval (CI): 1.88 to 4.34) between those who lost versus kept their job, respectively, and the mean difference in self-reported mental health was −4.3 (95% CI: −6.02 to −2.58). Self-reported mental health was also poorer between those who lost versus kept their job among participants with preexisting depression and/or anxiety (x = −4.78 (95% CI: −8.90 to −0.66). Research limitations/implications Limitations of this study are as follows: we may not have matched on all factors that influence retaining a job; we do not distinguish between involuntary and voluntary job loss; generalizability is limited; and employment information is based on self-report. Practical implications Our society should invest more resources into supporting low-wage workers such as Medicaid beneficiaries. Social implications Active labor policies that connect people to jobs, help them retain their job and support skills training to secure a better quality job, could reduce health disparities in the Medicaid population. Originality/value Use of both claims and self-reported mental health information to evaluate the impact of job loss on working Medicaid beneficiaries.
{"title":"Job loss negatively impacts the mental health of working Medicaid beneficiaries","authors":"Yixuan Li, S. Zeger, A. Elmi, M. Wilder, M. Mccarthy","doi":"10.1108/jpmh-12-2022-0127","DOIUrl":"https://doi.org/10.1108/jpmh-12-2022-0127","url":null,"abstract":"\u0000Purpose\u0000Few have studied the relationship between employment and health in the Medicaid population. The purpose of this study is to estimate the impact of job loss on the mental health of working Medicaid beneficiaries.\u0000\u0000\u0000Design/methodology/approach\u0000This study conducted a post hoc analysis of 1,538 adult Medicaid beneficiaries enrolled in a prospective cohort study. The authors matched participants who lost their job to participants who remained employed based on demographics, illness severity and social determinants of health. The authors estimated the effect of job loss on the odds of a diagnosis of depression and/or anxiety and self-reported mental health during a one-year follow-up period, stratified by prior history of depression and/or anxiety as documented in the Medicaid claims.\u0000\u0000\u0000Findings\u0000Among participants with no preexisting depression or anxiety, the incidence of depression or anxiety was 17% versus 7% (aOR = 2.85; 95% confidence interval (CI): 1.88 to 4.34) between those who lost versus kept their job, respectively, and the mean difference in self-reported mental health was −4.3 (95% CI: −6.02 to −2.58). Self-reported mental health was also poorer between those who lost versus kept their job among participants with preexisting depression and/or anxiety (x = −4.78 (95% CI: −8.90 to −0.66).\u0000\u0000\u0000Research limitations/implications\u0000Limitations of this study are as follows: we may not have matched on all factors that influence retaining a job; we do not distinguish between involuntary and voluntary job loss; generalizability is limited; and employment information is based on self-report.\u0000\u0000\u0000Practical implications\u0000Our society should invest more resources into supporting low-wage workers such as Medicaid beneficiaries.\u0000\u0000\u0000Social implications\u0000Active labor policies that connect people to jobs, help them retain their job and support skills training to secure a better quality job, could reduce health disparities in the Medicaid population.\u0000\u0000\u0000Originality/value\u0000Use of both claims and self-reported mental health information to evaluate the impact of job loss on working Medicaid beneficiaries.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43297992","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 : 2023-05-31DOI: 10.1108/jpmh-08-2022-0086
F. Wong, Keith Kin-lung Wong, P. Lam, Lok-yan Chin, Cheung-tim. Fung
Purpose This study aims to assess the knowledge and attitudes toward recovering citizenship (RC)/5 Rs and mental illness of people aged ≥18 years in Hong Kong using a telephone survey approach. Design/methodology/approach A questionnaire comprised the Mental Health Knowledge Schedule (MAKS), Short Form-Community Attitudes Toward Mental Illness (SF-CAMI) and questions on attitudes toward RC/5 Rs, was administered on the phone. Findings A total of 1,009 respondents completed the telephone survey. A high mean score of MAKS (4.37 ± 1.08) was found with 68%–94% answering the knowledge items correctly. The mean score of SF-CAMI was 46.50 ± 8.74 with the most positive attitude toward fear and exclusion. Approximately half had heard about a similar concept of RC and 79%–94.3% agreed with people in recovery to possess the 5 Rs. Those with greater knowledge or more positive toward mental illness, or knowing someone in recovery were more supportive toward 5 Rs. Those aged 18–44 years, attained a post-secondary education, were employed, and received a monthly income of US$3,861–6,434 were significantly more positive toward 5 Rs. Originality/value To the best of the authors’ knowledge, this is the first study assessing the views of RC of people in the community. The sample had a good knowledge of mental illness but recognition of recovery from mental illness and a sympathetic view toward people in recovery can be further improved. Besides promotion programs, dissemination of the concept of RC and having people in recovery take up valued roles in the community could potentially facilitate the acceptance of social inclusion and acceptance in the community.
{"title":"Community knowledge and attitudes toward recovering citizenship and mental illness: a telephone survey approach","authors":"F. Wong, Keith Kin-lung Wong, P. Lam, Lok-yan Chin, Cheung-tim. Fung","doi":"10.1108/jpmh-08-2022-0086","DOIUrl":"https://doi.org/10.1108/jpmh-08-2022-0086","url":null,"abstract":"\u0000Purpose\u0000This study aims to assess the knowledge and attitudes toward recovering citizenship (RC)/5 Rs and mental illness of people aged ≥18 years in Hong Kong using a telephone survey approach.\u0000\u0000\u0000Design/methodology/approach\u0000A questionnaire comprised the Mental Health Knowledge Schedule (MAKS), Short Form-Community Attitudes Toward Mental Illness (SF-CAMI) and questions on attitudes toward RC/5 Rs, was administered on the phone.\u0000\u0000\u0000Findings\u0000A total of 1,009 respondents completed the telephone survey. A high mean score of MAKS (4.37 ± 1.08) was found with 68%–94% answering the knowledge items correctly. The mean score of SF-CAMI was 46.50 ± 8.74 with the most positive attitude toward fear and exclusion. Approximately half had heard about a similar concept of RC and 79%–94.3% agreed with people in recovery to possess the 5 Rs. Those with greater knowledge or more positive toward mental illness, or knowing someone in recovery were more supportive toward 5 Rs. Those aged 18–44 years, attained a post-secondary education, were employed, and received a monthly income of US$3,861–6,434 were significantly more positive toward 5 Rs.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this is the first study assessing the views of RC of people in the community. The sample had a good knowledge of mental illness but recognition of recovery from mental illness and a sympathetic view toward people in recovery can be further improved. Besides promotion programs, dissemination of the concept of RC and having people in recovery take up valued roles in the community could potentially facilitate the acceptance of social inclusion and acceptance in the community.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44305053","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 : 2023-05-24DOI: 10.1108/jpmh-09-2022-0094
E. Šumskienė, Violeta Gevorgianienė, Jurga Mataityte-Dirziene, Rasa Geniene
Purpose This paper aims to explore the symbolic meanings of physical places and social spaces for community members with and without disabilities in the process of relocation of people with disabilities into the communities. It particularly focuses on the potential of city events to become places for interacting with each other. Design/methodology/approach The data was gathered using two methods: drawing ecological maps (indicating places a person visits) and conducting interviews with people with disabilities and other community members. The ecological map is based on the theory of Bronfenbrenner (1979, 1986). Empirical data was gathered in four Lithuanian communities by drawing ecological maps and conducting interviews with community members with disabilities (35) and without disabilities (24). Findings Data shows that two groups occasionally overlap in physical locations but seldom interact socially. However, city events which are rare, but provide a clearer structure for persons with disabilities and are attractive to other community members as well, offer a good starting point for inclusion. Research limitations/implications Further research of community places where people with disabilities live and act could focus on, first, the gender differences in people with disabilities participation; second, on the challenging versus nonchallenging community environments and their role in the people with disabilities learning to live and act as community members and citizens. It is also essential to explore the meaning of privacy in the participation of people with disabilities, and the potential of private and less private places to facilitate their inclusion. Practical implications In the context of the ongoing deinstitutionalization, it is essential to identify the means of and desirable support for people with disabilities for their interaction in cafés, markets, bus stops and street corners, which encompass fewer preconditions for preparation. This implies, that practitioners should consider developing the abilities of people with disabilities to cope with the “chaotic order” of social gatherings. However, community-based citizenship implies not only festive city events but participation in decision-making. Thus, social policy actors should consider including people with disabilities in the community councils, increasing information accessibility and thus implementing the vision of an inclusive community. Originality/value The originality and value of the research lies in revealing the “framed” nature of people with disabilities participation. This type of participation is determined by their institutional experience, financial means and whose appearance (“coming in groups”) is frequently noticed by the community members.
{"title":"People and places: the potential of city events to facilitate the inclusion of people with disabilities in the community life","authors":"E. Šumskienė, Violeta Gevorgianienė, Jurga Mataityte-Dirziene, Rasa Geniene","doi":"10.1108/jpmh-09-2022-0094","DOIUrl":"https://doi.org/10.1108/jpmh-09-2022-0094","url":null,"abstract":"\u0000Purpose\u0000This paper aims to explore the symbolic meanings of physical places and social spaces for community members with and without disabilities in the process of relocation of people with disabilities into the communities. It particularly focuses on the potential of city events to become places for interacting with each other.\u0000\u0000\u0000Design/methodology/approach\u0000The data was gathered using two methods: drawing ecological maps (indicating places a person visits) and conducting interviews with people with disabilities and other community members. The ecological map is based on the theory of Bronfenbrenner (1979, 1986). Empirical data was gathered in four Lithuanian communities by drawing ecological maps and conducting interviews with community members with disabilities (35) and without disabilities (24).\u0000\u0000\u0000Findings\u0000Data shows that two groups occasionally overlap in physical locations but seldom interact socially. However, city events which are rare, but provide a clearer structure for persons with disabilities and are attractive to other community members as well, offer a good starting point for inclusion.\u0000\u0000\u0000Research limitations/implications\u0000Further research of community places where people with disabilities live and act could focus on, first, the gender differences in people with disabilities participation; second, on the challenging versus nonchallenging community environments and their role in the people with disabilities learning to live and act as community members and citizens. It is also essential to explore the meaning of privacy in the participation of people with disabilities, and the potential of private and less private places to facilitate their inclusion.\u0000\u0000\u0000Practical implications\u0000In the context of the ongoing deinstitutionalization, it is essential to identify the means of and desirable support for people with disabilities for their interaction in cafés, markets, bus stops and street corners, which encompass fewer preconditions for preparation. This implies, that practitioners should consider developing the abilities of people with disabilities to cope with the “chaotic order” of social gatherings. However, community-based citizenship implies not only festive city events but participation in decision-making. Thus, social policy actors should consider including people with disabilities in the community councils, increasing information accessibility and thus implementing the vision of an inclusive community.\u0000\u0000\u0000Originality/value\u0000The originality and value of the research lies in revealing the “framed” nature of people with disabilities participation. This type of participation is determined by their institutional experience, financial means and whose appearance (“coming in groups”) is frequently noticed by the community members.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43863269","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 : 2023-05-23DOI: 10.1108/jpmh-12-2022-0124
Tania Dey, A. Cebulla
Purpose This study aims to examine mental health amongst two cohorts of single mothers in Australia before and after major social welfare reforms, which limited single parents’ access to welfare payments to encourage labour market participation. Design/methodology/approach The study analyses The Australian Longitudinal Study on Women’s Health, which surveyed 9,145 women born in the 1970s in 2003, and 8,346 women born in the 1990s in 2019. Findings Compared with other women of similar age, single mothers reported a higher prevalence of depression, anxiety, self-harm and suicidal thoughts and lower levels of mental health, although the magnitude varied between age groups and cohorts. This difference disappeared after controlling for socio-demographic characteristics. Mental health of single mothers improved relative to that of other women between cohorts (1970s cohort surveyed in 2003, aged 25–30 versus 1990s cohort surveyed 2019, aged 24–30) and within the same 1970s cohort (surveyed 2003 and 2018), all else equal. Single mothers from the 1970s cohort aged 40–45 years and those in the 1990s cohort aged 24–30 years old were more qualified and held better jobs than the 1970s cohort at aged 25–30. Stress-related to money, ability to manage on available income and experiencing domestic violence were negatively associated with mental health across all cohorts and ages. Social support had a strong positive association with mental health. Originality/value The study suggests low welfare payment to encourage greater labour market participation is associated with financial distress linked to poor mental health.
{"title":"Mental health of single mothers in Australia","authors":"Tania Dey, A. Cebulla","doi":"10.1108/jpmh-12-2022-0124","DOIUrl":"https://doi.org/10.1108/jpmh-12-2022-0124","url":null,"abstract":"\u0000Purpose\u0000This study aims to examine mental health amongst two cohorts of single mothers in Australia before and after major social welfare reforms, which limited single parents’ access to welfare payments to encourage labour market participation.\u0000\u0000\u0000Design/methodology/approach\u0000The study analyses The Australian Longitudinal Study on Women’s Health, which surveyed 9,145 women born in the 1970s in 2003, and 8,346 women born in the 1990s in 2019.\u0000\u0000\u0000Findings\u0000Compared with other women of similar age, single mothers reported a higher prevalence of depression, anxiety, self-harm and suicidal thoughts and lower levels of mental health, although the magnitude varied between age groups and cohorts. This difference disappeared after controlling for socio-demographic characteristics. Mental health of single mothers improved relative to that of other women between cohorts (1970s cohort surveyed in 2003, aged 25–30 versus 1990s cohort surveyed 2019, aged 24–30) and within the same 1970s cohort (surveyed 2003 and 2018), all else equal. Single mothers from the 1970s cohort aged 40–45 years and those in the 1990s cohort aged 24–30 years old were more qualified and held better jobs than the 1970s cohort at aged 25–30. Stress-related to money, ability to manage on available income and experiencing domestic violence were negatively associated with mental health across all cohorts and ages. Social support had a strong positive association with mental health.\u0000\u0000\u0000Originality/value\u0000The study suggests low welfare payment to encourage greater labour market participation is associated with financial distress linked to poor mental health.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48458176","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}
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