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1.
MMWR Morb Mortal Wkly Rep ; 70(5): 162-166, 2021 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-33539336

RESUMO

In 2019, approximately 51 million U.S. adults aged ≥18 years reported any mental illness,* and 7.7% reported a past-year substance use disorder† (1). Although reported prevalence estimates of certain mental disorders, substance use, or substance use disorders are not generally higher among racial and ethnic minority groups, persons in these groups are often less likely to receive treatment services (1). Persistent systemic social inequities and discrimination related to living conditions and work environments, which contribute to disparities in underlying medical conditions, can further compound health problems faced by members of racial and ethnic minority groups during the coronavirus disease 2019 (COVID-19) pandemic and worsen stress and associated mental health concerns (2,3). In April and May 2020, opt-in Internet panel surveys of English-speaking U.S. adults aged ≥18 years were conducted to assess the prevalence of self-reported mental health conditions and initiation of or increases in substance use to cope with stress, psychosocial stressors, and social determinants of health. Combined prevalence estimates of current depression, initiating or increasing substance use, and suicidal thoughts/ideation were 28.6%, 18.2%, and 8.4%, respectively. Hispanic/Latino (Hispanic) adults reported a higher prevalence of psychosocial stress related to not having enough food or stable housing than did adults in other racial and ethnic groups. These estimates highlight the importance of population-level and tailored interventions for mental health promotion and mental illness prevention, substance use prevention, screening and treatment services, and increased provision of resources to address social determinants of health. How Right Now (Qué Hacer Ahora) is an evidence-based and culturally appropriate communications campaign designed to promote and strengthen the emotional well-being and resiliency of populations adversely affected by COVID-19-related stress, grief, and loss (4).


Assuntos
Ansiedade/etnologia , Grupos de Populações Continentais/psicologia , Grupos Étnicos/psicologia , Disparidades nos Níveis de Saúde , Transtornos Mentais/etnologia , Estresse Psicológico/etnologia , Adulto , Grupos de Populações Continentais/estatística & dados numéricos , Grupos Étnicos/estatística & dados numéricos , Feminino , Humanos , Masculino , Prevalência , Transtornos Relacionados ao Uso de Substâncias/etnologia , Estados Unidos/epidemiologia
2.
Medicine (Baltimore) ; 99(38): e21884, 2020 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-32957309

RESUMO

The Dulong nationality is one of the 5 smallest ethnic minorities in China. The suicide rate among people of the Dulong nationality is very serious. To address this issue, we conducted cross-sectional epidemiological studies on the prevalence of mental disorders in ethnic groups. Studying the unique situation of ethnic minorities can help us better understand their mental state and improve their quality of life.We conducted a cross-sectional epidemiological survey on a minority group in Southwest China. We used the cluster sampling method, and 2129 people were included in the study.The highest 1-month disorder prevalence was for alcohol dependence/abuse (4.16%), and the prevalence of lifelong mood disorders was 9.82%. The results of multivariate analysis showed that women faced a higher risk of mood disorders and anxiety disorders.This epidemiological survey of the prevalence of mental disorders in ethnic minorities in Southwest China provides a significant reference for mental health interventions for other ethnic minorities around the world.


Assuntos
Grupos Étnicos/estatística & dados numéricos , Transtornos Mentais/etnologia , Adolescente , Adulto , Idoso , Alcoolismo/etnologia , China/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Qualidade de Vida , Fatores Sexuais , Fatores Socioeconômicos , Adulto Jovem
3.
Epidemiol Psychiatr Sci ; 29: e154, 2020 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-32787983

RESUMO

Forced migrants are at an increased risk of mental disorder compared to host country populations. To effectively address this, programmatic and policy responses need to be underpinned by rigorous evidence. Drawing on our experience conducting a systematic review of post-migration risk factors for mental disorder among asylum seekers and our appraisal of related systematic reviews, this paper discusses four challenges facing the field: (1)The reliance on Western conceptions of mental health.(2)The investigation, to date, of a relatively narrow range of potential risk factors.(3)The lack of consistency in the measurement and reporting of risk factor variables.(4)The use of the legal term 'asylum seeker' to define study populations.We suggest potential ways forward, including using mental health measures developed in collaboration with communities affected by forced migration, the examination of key risk factors around homelessness and workers' rights, the development of a core set of risk factors to be investigated in each study, and defining study populations using the conceptual category of 'sanctuary seekers' - people who have fled their country and are asking another country for safety and residence.


Assuntos
Assistência à Saúde Culturalmente Competente , Transtornos Mentais , Refugiados/psicologia , Migrantes/psicologia , Habitação , Humanos , Transtornos Mentais/etnologia , Transtornos Mentais/psicologia , Saúde Mental , Política
5.
BMC Psychiatry ; 20(1): 323, 2020 06 22.
Artigo em Inglês | MEDLINE | ID: mdl-32571270

RESUMO

BACKGROUND: Little is known about the public stigma on mental illness and mental health knowledge (MHK) in China, public stigma and low MHK can negatively affect patients' health and increase the burden of mental disorders on society. This study aimed at investigating the rates of stigma and MHK, the correlates of stigma and MHK, and the association between MHK and stigma among a Chinese population. METHODS: The data is from the Tianjin Mental Health Survey (TJMHS), which involved a large and a representative sample of adult community residents in the Chinese municipality of Tianjin (n = 11,748). In a 12% random subsample (n = 1775) the Perceived Discrimination and Devaluation scale (PDD) and a Mental Health Knowledge Questionnaire (MHKQ) were administered. First, percentages of the responses to the individual items of the PDD and MHKQ were investigated. Second, sociodemographic correlates of PDD and MHK, and the association between stigma and MHK were investigated. RESULTS: We found that a sizable proportion of participants responded that others would hold a negative attitude towards (former) mental patients, especially with regard to engaging in closer personal relationships. Most people were not familiar about the causes, treatments and prevention of mental illness. Resident area, age, education level, Per capita family income and employment status were related to devaluation score and MHKQ score. MHK was negatively associated with public stigma. CONCLUSIONS: There is room for improvement with regard to levels of public stigma and MHK in China. Providing psychoeducation to improve public MHK could also contribute to reduction of public stigma.


Assuntos
Grupo com Ancestrais do Continente Asiático/psicologia , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Transtornos Mentais/psicologia , Saúde Mental/estatística & dados numéricos , Estigma Social , Adulto , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/etnologia , Inquéritos e Questionários
6.
Artigo em Inglês | MEDLINE | ID: mdl-32585992

RESUMO

BACKGROUND: LGBTIQ asylum-seekers face multiple health risks. Yet, little is known about their healthcare needs. In 2016, Berlin opened the only major shelter for LGBTIQ asylum-seekers in Germany. This preliminary study describes health and healthcare utilization by asylum-seekers living in Berlin's LGBTIQ shelter. To identify particular healthcare needs, we compared our results to asylum-seekers from other shelters. METHODS: We surveyed residents of the LGBTIQ shelter and 21 randomly selected shelters in Berlin, using a validated questionnaire in nine languages (n = 309 respondents, including 32 respondents from the LGBTIQ shelter). Bivariate tests and generalized linear mixed models were applied to examine differences in health and healthcare utilization between the two groups. RESULTS: Residents of the LGBTIQ shelter show high rates of chronic and mental illness. They use ambulatory and mental health services more frequently than asylum-seekers from other shelters, including a significantly higher chance of obtaining psychotherapy/psychiatric care in case of need. Emergency room utilization is also higher in the LGBTIQ group. CONCLUSIONS: Asylum-seekers from the LGBTIQ shelter face high chronic and mental health burdens. Tailored services in the LGBTIQ shelter help obtain adequate healthcare; they should be scaled up to maximize their potential. Yet, unmet needs remain and warrant further research.


Assuntos
Doença Crônica/etnologia , Serviços de Saúde/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Transtornos Mentais/etnologia , Qualidade de Vida , Refugiados/psicologia , Minorias Sexuais e de Gênero/psicologia , Adulto , Doença Crônica/psicologia , Feminino , Alemanha/epidemiologia , Acesso aos Serviços de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Transtornos Mentais/psicologia , Refugiados/estatística & dados numéricos , Fatores Socioeconômicos , Inquéritos e Questionários
7.
Psychiatry Res ; 289: 113094, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32405114

RESUMO

Background: : In Latin America there are about 45 million indigenous people in 826 communities that represent 8.3% of the population. An estimated 798,365 Aboriginal and Torres Strait Islander were in Australia, 5,2 million indigenous people living in America and 2,13 million in Canada. Racial/ethnic disparities in mental health service use have increased especially in the context of the new coronavirus pandemic. Thus, we aimed to describe the mental health situation of the indigenous population in the context of the COVID-19 pandemic. Method: : The studies were identified in well-known international journals found in three electronic databases: PubMed, Scopus, and MEDLINE. The data were cross-checked with information from the main international newspapers. Results: : According to the literature, due to the COVID-19 pandemic there is a lack of specialized mental health services and professionals, a restricted access to quality information and a lack of access to inputs, causing negative feelings and it can exacerbate pre-existing mental problems (eg: depression, suicidal ideation, smoking and binge drink). The cultural differences are a risk factor to worsen the mental health of this already vulnerable population. Conclusion: : providing psychological first aid is an essential care component for indigenous populations that have been victims COVID-19 pandemic.


Assuntos
Infecções por Coronavirus/psicologia , Disparidades em Assistência à Saúde , Povos Indígenas/psicologia , Transtornos Mentais/etnologia , Saúde Mental/etnologia , Pneumonia Viral/psicologia , Grupo com Ancestrais Nativos do Continente Americano/psicologia , Austrália/epidemiologia , Betacoronavirus , Infecções por Coronavirus/etnologia , Surtos de Doenças , Feminino , Disparidades nos Níveis de Saúde , Direitos Humanos/psicologia , Humanos , Masculino , Transtornos Mentais/epidemiologia , América do Norte/epidemiologia , Grupo com Ancestrais Oceânicos/psicologia , Pandemias , Pneumonia Viral/etnologia , Fatores de Risco
8.
Br J Psychiatry ; 217(2): 405-407, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32368995

RESUMO

COVID-19 has changed our lives and it appears to be especially harmful for some groups more than others. Black and Asian ethnic minorities are at particular risk and have reported greater mortality and intensive care needs. Mental illnesses are more common among Black and ethnic minorities, as are crisis care pathways including compulsory admission. This editorial sets out what might underlie these two phenomena, explaining how societal structures and disadvantage generate and can escalate inequalities in crises.


Assuntos
Infecções por Coronavirus/etnologia , Disparidades em Assistência à Saúde/etnologia , Transtornos Mentais/etnologia , Pneumonia Viral/etnologia , Humanos , Pandemias , Reino Unido/etnologia
9.
BMC Psychiatry ; 20(1): 250, 2020 05 20.
Artigo em Inglês | MEDLINE | ID: mdl-32434583

RESUMO

BACKGROUND: The mental health of pregnant women, particularly those with elevated risks, has been an issue of global concern. Thus far, few studies have addressed the mental health of pregnant women with threatened preterm labour (TPL). This study investigated the prevalence of self-perceived burden (SPB) among Chinese women hospitalized due to TPL during pregnancy and early postpartum depressive disorders, exploring the effect of SPB and other potential risk factors on the early signs of postpartum depressive disorders. METHODS: A self-reported survey was conducted in the obstetrics department of Anhui Provincial Hospital, China. Women hospitalized with TPL were approached 1 week after delivery. One hundred fifty women were recruited from January 2017 to December 2017. The Self-Perceived Burden Scale (SPBS) and Edinburgh Postnatal Depression Scale (EPDS) were the main measures. Descriptive statistics, Spearman correlations, and a multiple logistic regression were employed for data analysis. RESULTS: SPB and early postpartum depressive disorders were commonly experienced by Chinese women hospitalized with TPL, and SPB was positively and significantly correlated with depressive symptoms. A multiple logistic regression analysis revealed that for the women hospitalized with TPL during pregnancy, the emotional aspect of SPB (OR = 1.42, 95% CI = 1.11-1.83, p = 0.006), age (OR = 1.14, 95% CI = 1.02-1.27, p = 0.023), occupation (OR = 3.48, 95% CI = 1.18-10.20, p = 0.023), the history of scarred uterus (OR = 7.96, 95% CI = 1.49-42.48, p = 0.015), the delivery mode of the present birth (OR = 6.19, 95% CI = 1.72-22.30, p = 0.005), and family support during pregnancy (OR = 0.60, 95% CI = 0.45-0.82, p = 0.001) were significant factors predicting early postpartum depressive symptoms. CONCLUSION: This study indicates that SPB and early postpartum depressive disorders are prevalent mental issues among Chinese women hospitalized with TPL, and that SPB, especially perceived emotional burden, is a strong predictor of early postpartum depressive disorders. Our study suggests the necessity of paying attention to mental health issues, e.g. SPB and postpartum depressive symptoms among hospitalized women with TPL, and providing appropriate interventions at the prenatal stage to prevent adverse consequences.


Assuntos
Depressão/psicologia , Hospitalização/estatística & dados numéricos , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Complicações na Gravidez/psicologia , Gravidez de Alto Risco/psicologia , Adulto , China , Depressão/diagnóstico , Depressão/etnologia , Depressão Pós-Parto/diagnóstico , Depressão Pós-Parto/etnologia , Feminino , Humanos , Recém-Nascido , Transtornos Mentais/etnologia , Trabalho de Parto Prematuro/epidemiologia , Trabalho de Parto Prematuro/etiologia , Período Pós-Parto , Gravidez , Fatores de Risco
10.
BMC Public Health ; 20(1): 341, 2020 Mar 17.
Artigo em Inglês | MEDLINE | ID: mdl-32183773

RESUMO

BACKGROUND: The health of forcibly displaced individuals changes along their migration path and estimates of disease burden are essential to develop health care policies and practices adequately corresponding to their health care needs. This study aims to describe the health status and use of medication among Syrian refugees in two different migration phases: in a transit setting and in a recipient country. Further, we aim to investigate the associations between migration related exposures and both chronic pain and mental health among Syrian refugees. METHODS: This is a cross-sectional study based on survey data collected among 827 adult Syrian refugees in Lebanon and Norway during 2017-2018. The survey instrument included items measuring somatic status (including chronic pain), mental health (using the HSCL-10 and HTQ items), use of medication and migration related exposures. We used descriptive statistics to calculate standardised prevalence proportions and regression analyses to study associations between migration related exposures and health outcomes. RESULTS: The response rate was 85%. The mean age in the sample was 33 years and 41% were women. Half of the participants reported that they had never had any health problems. The prevalence of non-communicable diseases was 12%. Headache and musculoskeletal complaints were the most prevalent conditions reported, with 30% reporting chronic pain lasting for more than six months. Symptoms indicating anxiety and/or depression were presented by 35%, while 7% revealed symptoms compatible with post-traumatic stress disorder. Among those reporting non-communicable diseases a substantial share did not seem to receive adequate treatment. Trauma experiences were associated with both chronic pain and anxiety/depression symptoms, and the latter were also associated with migrating without family members. CONCLUSIONS: Migrant-friendly public health policies and practises should acknowledge migration related risks, address discontinuity in care of chronic conditions and target common complaints such as chronic pain and mental health problems among forcibly displaced individuals.


Assuntos
Emigração e Imigração , Transtornos Mentais/epidemiologia , Doenças não Transmissíveis/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Refugiados/estatística & dados numéricos , Adulto , Ansiedade/epidemiologia , Ansiedade/etnologia , Dor Crônica/epidemiologia , Dor Crônica/etnologia , Dor Crônica/psicologia , Estudos Transversais , Depressão/epidemiologia , Depressão/etnologia , Feminino , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , Líbano/epidemiologia , Masculino , Transtornos Mentais/etnologia , Pessoa de Meia-Idade , Doenças não Transmissíveis/etnologia , Noruega/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Prevalência , Refugiados/psicologia , Análise de Regressão , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/etnologia , Síria/etnologia
11.
N C Med J ; 81(2): 126-129, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32132258

RESUMO

Racial and ethnic disparities in health care occur within broader contexts impacting the youth who present for behavioral health treatment. Clinician bias and clinical uncertainty can influence diagnostic and treatment outcomes. Behavioral health professionals should strive toward effectiveness in the delivery of culturally sensitive interventions to assist in health promotion with youth of color.


Assuntos
Disparidades em Assistência à Saúde/etnologia , Transtornos Mentais/diagnóstico , Transtornos Mentais/etnologia , Adolescente , Grupos de Populações Continentais/psicologia , Grupos de Populações Continentais/estatística & dados numéricos , Grupos Étnicos/psicologia , Grupos Étnicos/estatística & dados numéricos , Humanos
12.
Soc Psychiatry Psychiatr Epidemiol ; 55(4): 435-445, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31932903

RESUMO

PURPOSE: European studies demonstrated that immigrant adolescents are at a higher risk for mental health problems than native adolescents, but little is known about the role of socioeconomic status (SES) and gender in this association. This study examined to what extent differences in the mental health problems of non-western immigrant and native Dutch adolescents were explained by adolescents' family affluence and educational level and differed with the adolescents' family affluence, educational level, and gender. METHODS: Adolescents in a Dutch nationally representative sample of 11-16-year old native Dutch (n = 5283) and non-western immigrants (n = 1054) reported on their family affluence, own educational level, conduct problems, emotional symptoms, peer relationship problems, and hyperactivity-inattention problems. RESULTS: Non-western immigrant adolescents were at a higher risk for conduct problems and peer relationship problems than native Dutch adolescents, but family affluence and educational level explained only a very small proportion of these differences. With two exceptions, differences in the mental health problems of non-western immigrants and natives were highly comparable for different family affluence levels, educational levels, and for boys and girls. Only for natives, a higher family SES was related to less conduct problems. Furthermore, only for non-western immigrants a high family SES related to more hyperactivity-inattention problems. CONCLUSIONS: Our findings illustrate that the association between immigration background and adolescent mental health problems is largely independent of SES and gender. Future studies should include other factors to facilitate our understanding of the association between immigration background and adolescent mental health problems.


Assuntos
Emigrantes e Imigrantes/psicologia , Grupos Étnicos/psicologia , Transtornos Mentais/etnologia , Grupos Populacionais/psicologia , Adolescente , Saúde do Adolescente , Criança , Escolaridade , Emigração e Imigração , Emoções , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Países Baixos/epidemiologia , Fatores Sexuais , Classe Social , Fatores Socioeconômicos
13.
Australas Psychiatry ; 28(1): 58-60, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31889449

RESUMO

OBJECTIVES: The objectives of this article are to describe a case highlighting challenges in managing an acute psychiatric presentation, the process of mentorship and the significance of cultural matters influencing family engagement in Vanuatu. METHOD: Case description. RESULTS: This case highlights resourcing constraints facing a small mental health team in the Pacific, the clinical significance of the concept of tabu in a ni-Vanuatu context and the importance of family decision making processes in ni-Vanuatu culture. CONCLUSION: A structured mentoring programme to foster mental health capacity development in Vanuatu can support psychiatric decision-making in complex cases, reflection on the role of culture in formulation and family engagement, and mutual learning.


Assuntos
Assistência à Saúde Culturalmente Competente , Tomada de Decisões , Família/etnologia , Transtornos Mentais/etnologia , Transtornos Mentais/terapia , Serviços de Saúde Mental , Mentores , Grupo com Ancestrais Oceânicos/etnologia , Adulto , Humanos , Serviços de Saúde Mental/economia , Desenvolvimento de Programas , Psiquiatria/educação , Vanuatu
14.
J Relig Health ; 59(1): 257-276, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30661138

RESUMO

Arabic speakers rarely seek the help of professional mental health providers while they heavily rely on religious leaders. However, little is known about the knowledge, beliefs, and attitudes of clerics regarding mental illness. A standardized questionnaire was administered to 115 Christian religious men. Clerics appeared to have an informed, scientifically based understanding of the causes of mental disorders and of the importance of medications in effective treatment. However, several stigmatizing attitudes were identified. Contact with the patients significantly reduced the discrimination. Fear of the unpredictable highlights the need to develop and implement targeted approaches that outreach clergy.


Assuntos
Catolicismo , Clero/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Transtornos Mentais/psicologia , Adulto , Idoso , Estudos Transversais , Humanos , Líbano , Masculino , Transtornos Mentais/etnologia , Saúde Mental , Pessoa de Meia-Idade , Estigma Social , Inquéritos e Questionários
15.
Australas Psychiatry ; 28(1): 16-20, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31282187

RESUMO

OBJECTIVE: To update measures of mental disorders and service use in Pacific people living in New Zealand. METHOD: A narrative review was conducted of available data on the prevalence of mental disorder, psychotropic drug prescribing and service use by Pacific people. RESULTS: The 12-month prevalence of mental disorders in Pacific people was similar to European/Other in 2004. Currently Pacific people report high rates of psychological distress but lower levels of psychiatric disorders. Pacific adults have low rates of drinking but many who drink have a hazardous pattern. While Pacific people previously accessed services less than half the rate of European access, access rates in secondary care are now similar. Pacific people have relatively low rates of psychotropic drug use but these are increasing. CONCLUSION: There is limited evidence about Pacific people's mental health in New Zealand. Patterns of psychopathology and service use may be different from other ethnic groups. Protective factors in Pacific culture should not be undermined when delivering mental health services.


Assuntos
Acesso aos Serviços de Saúde , Transtornos Mentais/etnologia , Transtornos Mentais/terapia , Serviços de Saúde Mental , Grupo com Ancestrais Oceânicos/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/estatística & dados numéricos , Nova Zelândia/etnologia
16.
Australas Psychiatry ; 28(1): 31-33, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31483147

RESUMO

OBJECTIVE: To describe an Indigenous Samoan psychosocial intervention developed to address the mental health needs of affected communities in Samoa following a tsunami. METHOD: A partnership was established between Samoan therapists, Samoan Catholic pastoral workers and non-Samoan mental health clinicians, informed by Samoan concepts of self and wellbeing. The format developed for visits to significantly affected households was based on a Samoan cultural practice known as asiasiga and was carried out by pastoral workers, with daily group supervision and access to mental health professionals. RESULTS: Household visits were offered to affected families in villages throughout southern and eastern Upolu and the island of Manono. There was a high degree of acceptance of the programme by Pulenu'u (village governance leaders) and family leaders and members. CONCLUSIONS: Mental health responses to the needs of Indigenous Pacific communities following a disaster need to be embedded in the values of those communities. The Samoan practice of asiasiga contributed to the high degree of acceptability of this programme. Partnerships with churches, schools and other local organisations are likely to enhance acceptability and participation. More research is required on Indigenous Pacific post-disaster mental health programmes.


Assuntos
Assistência à Saúde Culturalmente Competente , Desastres , Colaboração Intersetorial , Transtornos Mentais , Serviços de Saúde Mental , Assistência Religiosa , Psicoterapia , Tsunamis , Adulto , Assistência à Saúde Culturalmente Competente/organização & administração , Humanos , Transtornos Mentais/etnologia , Transtornos Mentais/etiologia , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Assistência Religiosa/organização & administração , Psicoterapia/organização & administração , Samoa/etnologia
17.
Australas Psychiatry ; 28(1): 21-23, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31523986

RESUMO

OBJECTIVE: To discuss an alternative model for delivering mental health services to Pacific people in general practice. METHODS: Review of primary healthcare models which attempt to integrate behavioural healthcare with general practice. RESULTS: There is some evidence that relationship-based collaborative models may improve both mental and physical health. Such a model has been implemented successfully by Alaskan Native Americans. CONCLUSION: An integrated model of healthcare incorporating Pacific cultural values may reduce stigma and improve engagement and efficacy in delivering mental health treatment to Pacific people, their families and communities.


Assuntos
Assistência à Saúde Culturalmente Competente , Prestação Integrada de Cuidados de Saúde , Transtornos Mentais/etnologia , Transtornos Mentais/terapia , Serviços de Saúde Mental , Grupo com Ancestrais Oceânicos , Atenção Primária à Saúde , Assistência à Saúde Culturalmente Competente/organização & administração , Prestação Integrada de Cuidados de Saúde/organização & administração , Humanos , Serviços de Saúde Mental/organização & administração , Nova Zelândia , Atenção Primária à Saúde/organização & administração
18.
Australas Psychiatry ; 28(1): 55-57, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31530162

RESUMO

OBJECTIVE: The excess burden of mental disorders experienced by Indigenous Australians is complexly overdetermined. Social and political factors contributing to the intransigence of vulnerability are reviewed, and the wider arena of neoliberal political change considered. CONCLUSIONS: The dynamic relationship between disadvantage and mental health vulnerability requires that practitioners should be attuned to both the 'big picture' and 'modest and practical ways' to contribute to reducing the developmental embedding of social disadvantage and transgenerational vulnerability.


Assuntos
Assistência à Saúde Culturalmente Competente/etnologia , Transtornos Mentais/etnologia , Transtornos Mentais/terapia , Serviços de Saúde Mental/normas , Grupo com Ancestrais Oceânicos/etnologia , Determinantes Sociais da Saúde/etnologia , Populações Vulneráveis/etnologia , Austrália/etnologia , Humanos
19.
Soc Psychiatry Psychiatr Epidemiol ; 55(4): 487-496, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31542796

RESUMO

PURPOSE: Many aspects related to migration might predispose immigrants to mental health problems. Yet immigrants have been shown to underuse mental health services. The aim of this study was to compare the intensity of psychiatric care, as an indicator of treatment adequacy, between natives and immigrants living in Finland. METHODS: We used nationwide register data that included all the immigrants living in Finland at the end of 2010 (n = 185,605) and their matched controls. Only those who had used mental health services were included in the analyses (n = 14,285). We used multinomial logistic regression to predict the categorized treatment intensity by immigrant status, region and country of origin, length of residence, and other background variables. RESULTS: Immigrants used mental health services less than Finnish controls and with lower intensity. The length of residence in Finland increased the probability of higher treatment intensity. Immigrants from Eastern Europe, sub-Saharan Africa, the Middle East, and Northern Africa were at the highest risk of receiving low-intensity treatment. CONCLUSIONS: Some immigrant groups seem to persistently receive less psychiatric treatment than Finnish-born controls. Identification of these groups is important and future research is needed to determine the mechanisms behind these patterns.


Assuntos
Emigrantes e Imigrantes/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Disparidades em Assistência à Saúde/etnologia , Serviços de Saúde Mental/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Adulto , África ao Sul do Saara/etnologia , África do Norte/etnologia , Emigrantes e Imigrantes/psicologia , Europa Oriental/etnologia , Feminino , Finlândia/etnologia , Humanos , Modelos Logísticos , Masculino , Transtornos Mentais/etnologia , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Oriente Médio/etnologia , Adulto Jovem
20.
Psychiatr Serv ; 71(1): 21-27, 2020 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-31575351

RESUMO

OBJECTIVE: The objective was to examine mental health treatment access disparities between Asians and whites in the United States as well as the role of perceived and objective need and barriers to treatment in these disparities. METHODS: Data are five annual cross-sections (2012-2016) of responses from Asian Americans and whites to the nationally representative National Survey on Drug Use and Health. Multivariate logistic regression analyses adjusting for sociodemographic factors were conducted to compare past-year treatment access rates between Asians and whites across three need subgroups: those with perceived need for treatment, those with past-year serious psychological distress, and those with a past-year major depressive episode. Barriers to treatment were compared between Asians and whites with perceived need. RESULTS: Asians were less likely than whites to have accessed mental health treatment in the past year in all analyses. Compared with Asians with need determined by structured diagnostic instruments, Asians with perceived need had higher rates of mental health care access, but even among respondents with perceived need, the disparity between whites and Asians remained. Regarding barriers to treatment, only one barrier (not knowing where to go for treatment) was more likely to be reported for Asians than whites. CONCLUSIONS: Differences between Asians and whites in perceived need for mental health treatment do not explain the wide disparities in mental health care access between these two groups. Clinical interventions improving the relevance and fit of mental health care and community-based outreach interventions increasing awareness of available services are needed to improve access to mental health treatment among Asians.


Assuntos
Americanos Asiáticos/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Transtornos Mentais/etnologia , Transtornos Mentais/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Feminino , Acesso aos Serviços de Saúde/tendências , Humanos , Modelos Logísticos , Masculino , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Análise Multivariada , Estados Unidos/epidemiologia , Adulto Jovem
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