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Cultural competence in mental health

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https://www.readbyqxmd.com/read/29331637/development-of-a-multi-dimensional-scale-to-measure-trauma-associated-with-child-sexual-abuse-mscsa-and-its-ramifying-impacts-on-children-a-pilot-study
#1
Vandana Choudhary, Sujata Satapathy, Rajesh Sagar
BACKGROUND: With the rising incidence of CSA in India and absence of culturally competent tool to assess the impact of trauma, there is a dire need for development of a comprehensive scale to assess the impact of trauma on children. Thus, the present study aims to develop a multi-dimensional CSA tool for children aged between 7 and 13 years. METHOD: Qualitative research method of FGD/Key Interviews with 4 group participants (Parents, counsellors, mental health and medical professionals) and in-depth interview with children having history of CSA was conducted along with item pooling from existing scales...
January 4, 2018: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29314366/barriers-to-midwives-and-nurses-addressing-mental-health-issues-with-women-the-mind-mothers-study
#2
Agnes Higgins, Carmel Downes, Mark Monahan, Ailish Gill, Stephen A Lamb, Margaret Carroll
AIM: To explore barriers to midwives and nurses addressing mental health issues with women during the perinatal period. BACKGROUND: Perinatal mental health is considered an important public health issue with health policy internationally identifying the importance of psychological support for women in the perinatal period. Midwives and primary care nurses are ideally positioned to detect mental distress early, but evidence suggests that they are reluctant to discuss mental health issues with women during pregnancy or in the postnatal period...
January 3, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29303396/mental-health-correlates-of-cigarette-use-in-lgbt-individuals-in-the-southeastern-united-states
#3
Christopher F Drescher, Eliot J Lopez, James A Griffin, Thomas M Toomey, Elizabeth D Eldridge, Lara M Stepleman
BACKGROUND: Smoking prevalence for lesbian, gay, bisexual, and transgender (LGBT) individuals is higher than for heterosexual, cisgender individuals. Elevated smoking rates have been linked to psychiatric comorbidities, substance use, poverty, low education levels, and stress. OBJECTIVES: This study examined mental health (MH) correlates of cigarette use in LGBT individuals residing in a metropolitan area in the southeastern United States. METHODS: Participants were 335 individuals from an LGBT health needs assessment (mean age 34...
January 5, 2018: Substance Use & Misuse
https://www.readbyqxmd.com/read/29222136/effects-of-a-culturally-tailored-parenting-support-programme-in-somali-born-parents-mental-health-and-sense-of-competence-in-parenting-a-randomised-controlled-trial
#4
Fatumo Osman, Raziye Salari, Marie Klingberg-Allvin, Ulla-Karin Schön, Renée Flacking
OBJECTIVES: To evaluate the effectiveness of a culturally tailored parenting support programme on Somali-born parents' mental health and sense of competence in parenting. DESIGN: Randomised controlled trial. SETTING: A city in the middle of Sweden. PARTICIPANTS: Somali-born parents (n=120) with children aged 11-16 years and self-perceived stress in their parenting were randomised to an intervention group (n=60) or a waiting-list control group (n=60)...
December 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/29207287/nursing-students-experiences-with-refugees-with-mental-health-problems-in-jordan-a-qualitative-content-analysis
#5
Camilla Dotevall, Elin Winberg, Kristina Rosengren
OBJECTIVES: The aim of this study was to describe Jordanian nursing students' experience of caring for refugees with mental health problems. BACKGROUND: According to refugees' experiences of crisis, a well-educated staff is needed to provide high quality of care due to mental health problems. Therefore, health professionals play an important role in creating an environment that promotes human rights regardless of ethnic origin. SETTINGS, PARTICIPANTS, METHOD: The study comprised eight interviews and was analysed using content analysis, a qualitative method that involves an inductive approach, to increase our understanding of nursing students' perspective and thoughts regarding caring for refugees with mental health problems...
November 28, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29194328/the-power-of-the-frame-systems-transformation-framework-for-health-care-leaders
#6
Kathy A Scott, Janice Pringle
Health care leaders are responsible for oversight of multiple and competing change interventions. These interventions regularly fail to achieve the desired outcomes and/or sustainable results. This often occurs because of the mental models and approaches that are used to plan, design, implement, and evaluate the system. These do not account for inherent characteristics that determine the system's likely ability to innovate while maintaining operational effectiveness. Theories exist on how to assess a system's readiness to change, but the definitions, constructs, and assessments are diverse and often look at facets of systems in isolation...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29184582/challenges-of-nurses-empowerment-in-the-management-of-patient-aggression-a-qualitative-study
#7
Tahereh Ramezani, Sakineh Gholamzadeh, Camellia Torabizadeh, Farkhondeh Sharif, Laaya Ahmadzadeh
Background: Patients' aggression in the mental care setting is a global health problem with major psychological, physical, and economic consequences; nurse empowerment to manage this aggressive behavior is an important step in psychiatric nursing. The aim of this study was to explore psychiatric nurses' experiences of the challenges of empowerment in the management of patients' aggression. Materials and Methods: This qualitative study was performed among 20 nurses working in a major referral psychiatric center in Iran during 2014-2016...
November 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29142758/ethnic-differences-in-patients-perceptions-towards-isolated-orthopedic-injuries-a-pilot-study
#8
Boris A Zelle, Gurpreet Singh, Deanna L Kitchen, Roberto J Fajardo, Mohit Bhandari, Melissa A Valerio
Background: Patients' perceptions of their healthcare have been reported to influence clinical outcomes following orthopedic trauma. Findings across clinical outcomes have demonstrated significant differences in perceptions towards healthcare between Hispanics and non-Hispanic whites. However, ethnic disparities in perceptions towards orthopedic injuries have not been examined in the literature. Aim of study: The aim of this pilot study is to explore whether Hispanic patients with isolated orthopedic injuries will demonstrate different perceptions towards their injury as compared to non-Hispanic white patients...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29124447/psychiatric-screening-and-interventions-for-minor-refugees-in-europe-an-overview-of-approaches-and-tools
#9
Annerieke Horlings, Irma Hein
Currently hundreds of thousands of minor refugees entered Europe. This group has been exposed to traumatic events pre-, during, and post-migration and is at increased risk of developing psychiatric disorders. In this article, we describe the results of our literature search on screening and interventions for post-traumatic stress disorder (PTSD) in minor refugees, in order to make recommendations for clinical practice. Results show that studies on diagnostic accuracy of assessment instruments and efficacy of mental healthcare interventions in this population are lacking...
November 10, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29109564/discrepancies-in-lesbian-gay-bisexual-and-transgender-patient-care-and-how-pharmacists-can-support-an-evolved-practice
#10
Erin Maxwell, Stephanie Salch, Monique Boliko, Genevieve Anakwe-Charles
We live in an increasingly multicultural society with people from different ethnicities and beliefs. In recent years, we have witnessed a growing group of people who identify as having diverse sexual orientations and gender identities. Members of the lesbian, gay, bisexual, and transgender (LGBT) community have historically been marginalized by the health care industry. The disproportionate prevalence of LGBT health concerns and cultural prejudices may be overlooked by many practitioners. As pharmacists, we are in an optimal position to affect meaningful changes in how we treat, counsel, and interact with all our patients, including with those whose sexual orientation or gender identity differ from ours...
September 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29104237/promoting-mental-health-in-unaccompanied-refugee-minors-recommendations-for-primary-support-programs
#11
Usama El-Awad, Atefeh Fathi, Franz Petermann, Tilman Reinelt
During the last years, the number of refugees around the world increased to about 22.5 million. The mental health of refugees, especially of unaccompanied minors (70% between the ages of 16 and 18 years) who have been exposed to traumatic events (e.g., war), is generally impaired with symptoms of post-traumatic stress disorder, depression, and anxiety. Several studies revealed (1) a huge variation among the prevalence rates of these mental problems, and (2) that post-migration stressors (e.g., language barriers, cultural differences) might be at least as detrimental to mental health as the traumatic events in pre- and peri-flight...
November 1, 2017: Brain Sciences
https://www.readbyqxmd.com/read/29099335/generational-differences-in-internalized-transnegativity-and-psychological-distress-among-feminine-spectrum-transgender-people
#12
Kasey B Jackman, Curtis Dolezal, Walter O Bockting
PURPOSE: This study examined internalized transnegativity and psychological distress in two age groups of transgender individuals who identified their gender identity on the feminine spectrum (rather than congruent with their male sex assigned at birth). Due to greater visibility and acceptance of gender diversity in the United States, we hypothesized that internalized transnegativity would be lower in the younger compared with the older group, and that the younger generation would, therefore, report lower levels of psychological distress than the older generation...
November 3, 2017: LGBT Health
https://www.readbyqxmd.com/read/29078774/the-kessler-psychological-distress-scale-translation-and-validation-of-an-arabic-version
#13
Scott D Easton, Najwa S Safadi, Yihan Wang, Robert G Hasson
BACKGROUND: The Kessler Psychological Distress Scale has been widely used in assessing psychological distress among general and clinical populations from different cultural backgrounds. To our knowledge, however, researchers have not yet validated any translated versions in Arabic. The purpose of this study was to test the reliability and validity of Arabic translations of the ten item (K10) and six item (K6) versions among public sector employees in the Occupied Palestinian Territories...
October 27, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29028559/-what-s-the-right-thing-to-do-correctional-healthcare-providers-knowledge-attitudes-and-experiences-caring-for-transgender-inmates
#14
Kirsty A Clark, Jaclyn M White Hughto, John E Pachankis
RATIONAL: Incarcerated transgender individuals may need to access physical and mental health services to meet their general and gender-affirming (e.g., hormones, surgery) medical needs while incarcerated. OBJECTIVE: This study sought to examine correctional healthcare providers' knowledge of, attitudes toward, and experiences providing care to transgender inmates. METHOD: In 2016, 20 correctional healthcare providers (e.g., physicians, social workers, psychologists, mental health counselors) from New England participated in in-depth, semi-structured interviews examining their experiences caring for transgender inmates...
November 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29025818/mental-health-and-addictions-capacity-building-for-community-health-centres-in-ontario
#15
Akwatu Khenti, Fiona C Thomas, Sirad Mohamoud, Pablo Diaz, Oriana Vaccarino, Kate Dunbar, Jaime C Sapag
PROBLEM ADDRESSED: In recent years, there has been increased recognition in Canada of the need to strengthen mental health services in primary health care (PHC). Collaborative models, including partnerships between PHC and specialized mental health care providers, have emerged as effective ways for improving access to mental health care and strengthening clinical capacity. Primary health care physicians and other health professionals are well positioned to facilitate the early detection of mental disorders and provide appropriate treatment and follow-up care, helping to tackle stigma toward mental health problems in the process...
October 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28991850/aligning-education-with-health-care-transformation-identifying-a-shared-mental-model-of-new-faculty-competencies-for-academic-faculty
#16
Jed D Gonzalo, Amarpreet Ahluwalia, Maria Hamilton, Heidi Wolf, Daniel R Wolpaw, Britta M Thompson
PURPOSE: To develop a potential competency framework for faculty development programs aligned with the needs of faculty in academic health centers (AHCs). METHOD: In 2014 and 2015, the authors interviewed 23 health system leaders and analyzed transcripts using constant comparative analysis and thematic analysis. They coded competencies and curricular concepts into subcategories. Lead investigators reviewed drafts of the categorization themes and subthemes related to gaps in faculty knowledge and skills, collapsed and combined competency domains, and resolved disagreements via discussion...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28972971/barriers-to-global-health-development-an-international-quantitative-survey
#17
Bahr Weiss, Amie Alley Pollack
BACKGROUND: Global health's goal of reducing low-and-middle-income country versus high-income country health disparities faces complex challenges. Although there have been discussions of barriers, there has not been a broad-based, quantitative survey of such barriers. METHODS: 432 global health professionals were invited via email to participate in an online survey, with 268 (62%) participating. The survey assessed participants' (A) demographic and global health background, (B) perceptions regarding 66 barriers' seriousness, (C) detailed ratings of barriers designated most serious, (D) potential solutions...
2017: PloS One
https://www.readbyqxmd.com/read/28965489/barriers-and-facilitators-of-the-hiv-care-continuum-in-southern-new-england-for-people-with-drug-or-alcohol-use-and-living-with-hiv-aids-perspectives-of-hiv-surveillance-experts-and-service-providers
#18
Lauretta E Grau, Abbie Griffiths-Kundishora, Robert Heimer, Marguerite Hutcheson, Amy Nunn, Caitlin Towey, Thomas J Stopka
BACKGROUND: Contemporary studies about HIV care continuum (HCC) outcomes within substance using populations primarily focus on individual risk factors rather than provider- or systems-level influences. Over 25% of people living with HIV (PLWH) have substance use disorders that can alter their path through the HCC. As part of a study of HCC outcomes in nine small cities in Southern New England (population 100,000-200,000 and relatively high HIV prevalence particularly among substance users), this qualitative analysis sought to understand public health staff and HIV service providers' perspectives on how substance use may influence HCC outcomes...
October 2, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28942693/training-to-reduce-behavioral-health-disparities-how-do-we-optimally-prepare-family-medicine-residents-for-practice-in-rural-communities
#19
Jennifer S Robohm
Family physicians are a critical part of the healthcare system in rural areas, but little is known about the training they need to more effectively address behavioral health disparities. Practicing family physicians in Montana were surveyed about the behavioral health needs of their patients, the behavioral resources at their disposal, their prioritization of a number of behavioral skills and interventions in the training of family physicians, factors that limit their own use of behavioral skills, and the extent of their behavioral science training...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28891109/strengthening-community-mental-health-competence-a-realist-informed-case-study-from-dehradun-north-india
#20
Kaaren Mathias, Jeph Mathias, Isabel Goicolea, Michelle Kermode
Few accounts exist of programmes in low- and middle-income countries seeking to strengthen community knowledge and skills in mental health. This case study uses a realist lens to explore how a mental health project in a context with few mental health services, strengthened community mental health competence by increasing community knowledge, creating safer social spaces and engaging partnerships for action. We used predominantly qualitative methods to explore relationships between context, interventions, mechanisms and outcomes in the "natural setting" of a community-based mental health project in Dehradun district, Uttarakhand, North India...
September 11, 2017: Health & Social Care in the Community
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