Australian e-Journal for the Advancement of Mental Health最新文献

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Commentary on consumer and carer participation in a national mental health promotion initiative 关于消费者和护理人员参与国家精神卫生促进倡议的评论
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.3.305
Chris. Alliston, Cecelia Kluge, Elizabeth A Fudge
{"title":"Commentary on consumer and carer participation in a national mental health promotion initiative","authors":"Chris. Alliston, Cecelia Kluge, Elizabeth A Fudge","doi":"10.5172/jamh.8.3.305","DOIUrl":"https://doi.org/10.5172/jamh.8.3.305","url":null,"abstract":"Abstract Current Australian Government policy acknowledges that consumers and carers are an integral component of improving all aspects of mental health, from individual service provision to policy development. However, although the ability of consumers and carers to influence mental health programs and services in Australia has increased over the past decade, the theory of partnership for consumer and carer participation has many challenges when put into practice. The Children of Parents with a Mental Illness (COPMI) national initiative has endeavoured to overcome these challenges and integrate consumer and carer participation across the initiative through a range of strategies. This paper explores and describes how consumers and carers have engaged with the initiative and overcome barriers or worked through ways to negotiate them. Examples and consumer and carer reflections are provided specifically in relation to the development of both public information and workforce development resources. The COPMI national initiative’s experience adds to the body of knowledge that is increasing as consumer and carer participation becomes more integrated across the mental health sector.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116710698","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}
引用次数: 6
A review of engagement of Indigenous Australians within mental health and substance abuse services 审查土著澳大利亚人参与心理健康和药物滥用服务的情况
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.1.16
Stacey L. Berry, T. Crowe
{"title":"A review of engagement of Indigenous Australians within mental health and substance abuse services","authors":"Stacey L. Berry, T. Crowe","doi":"10.5172/jamh.8.1.16","DOIUrl":"https://doi.org/10.5172/jamh.8.1.16","url":null,"abstract":"Abstract Substance misuse is a significant issue in Australia, and a large proportion of individuals with substance misuse disorders have co-existing mental health disorders. There is evidence that Indigenous Australians are more likely than non-Indigenous Australians to experience the adverse effects of alcohol consumption, and that mental health disorders are more prevalent in Indigenous communities than non-Indigenous communities. Indigenous Australians currently do not access mental health and substance abuse services at a level which is consistent with their level of need, and this is largely due to inconsistent or insufficient culturally respectful mental health services. This paper provides a review of relevant literature, which indicates an increasing need for mental health and substance abuse services that are sensitive to the needs of Indigenous Australians, and discusses engagement challenges and what is needed to increase engagement and improve outcomes for these clients. Future research should aim to identify which approaches to mental health and substance abuse service provision are associated with better outcomes for Indigenous clients, and ways of increasing the cultural respectfulness of these services.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132438954","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}
引用次数: 30
The role of empowerment in setting a foundation for social and emotional wellbeing 赋权在为社会和情感健康奠定基础方面的作用
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.1.6
K. Tsey, Desley Harvey, T. Gibson, L. Pearson
{"title":"The role of empowerment in setting a foundation for social and emotional wellbeing","authors":"K. Tsey, Desley Harvey, T. Gibson, L. Pearson","doi":"10.5172/jamh.8.1.6","DOIUrl":"https://doi.org/10.5172/jamh.8.1.6","url":null,"abstract":"Abstract Empowerment and community participation are major strategies, worldwide, for alleviating poverty and social exclusion, thereby reducing health disparities. In Australia, a lack of control, or mastery, has long been widely acknowledged as one aspect of a broader experience of powerlessness that needs to be addressed to reduce the current preventable Indigenous burden of disease and close the health disparity gap. Yet, it is hard to find empirical research examining the nature and attributes of empowerment and how to operationalise and evaluate these in the context of promoting Indigenous health. This paper synthesises the findings of a five-year Family Wellbeing empowerment study aimed at enhancing the capacity of Indigenous Australian people in Cape York, far north Queensland, to take greater control over the issues affecting their health and wellbeing. Documenting and analysing empowering strategies over time can help us to better understand the process of empowerment and ways in which change is generated at multiple levels. The study confirmed existing evidence that the process of empowerment is lengthy, taking years to achieve change beyond the individual level. It also highlighted the importance of initial engagement and personal capacity building, in socially and economically vulnerable communities where people experience relative powerlessness, as a critical foundation for improving the health of the broader community.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133095146","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}
引用次数: 22
Champs 冠军
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.3.296
M. Goodyear, Rose Cuff, D. Maybery, A. Reupert
{"title":"Champs","authors":"M. Goodyear, Rose Cuff, D. Maybery, A. Reupert","doi":"10.5172/jamh.8.3.296","DOIUrl":"https://doi.org/10.5172/jamh.8.3.296","url":null,"abstract":"Abstract Having a parent with a mental illness can create considerable risks in the mental health and wellbeing of children. While intervention programs have been used effectively to reduce children’s psychopathology, particularly those whose parents have a specific diagnosis, little is known about the effectiveness of these early interventions for the wellbeing of children of parents who have a mental illness from a broad range of parents. Here we report on an evaluation of CHAMPS (Children And Mentally ill ParentS), a pilot intervention program offered in two formats (school holiday and after school peer support programs) to children aged 8–12 whose parents have a mental illness. The wellbeing of 69 children was evaluated at the beginning of the programs and four weeks after program completion, on instruments examining self-esteem, coping skills, connections (total, within and outside the family) and relationship problems (total, within and outside the family). Post intervention, there were significant improvements in self-esteem, coping and connections within the family, and reductions in relationship problems. The impact on children’s wellbeing differed according to the intensity of the program (consecutive days or weekly program). The results are discussed in the context of providing interventions for children whose parents have a mental illness and the implications for service provision generally.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114979333","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}
引用次数: 42
Prevention of emotional problems and psychiatric risks in children of parents with a mental illness in the Netherlands: I. The scientific basis to a comprehensive approach 荷兰父母患有精神疾病的儿童的情绪问题和精神风险的预防:1 .综合方法的科学基础
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.3.250
C. Hosman, K. van Doesum, F. Van Santvoort
{"title":"Prevention of emotional problems and psychiatric risks in children of parents with a mental illness in the Netherlands: I. The scientific basis to a comprehensive approach","authors":"C. Hosman, K. van Doesum, F. Van Santvoort","doi":"10.5172/jamh.8.3.250","DOIUrl":"https://doi.org/10.5172/jamh.8.3.250","url":null,"abstract":"Abstract Children of parents with a mental illness are at significant risk of developing mental disorders and other adverse outcomes at some point in their lives compared to children of healthy parents. During the last 20 years, a comprehensive preventive program for children of parents with a mental illness has been developed in the Netherlands through a longstanding national collaboration between prevention practitioners and scientists. This science- and practice-based program has been implemented by all mental health centres throughout the country (see van Doesum & Hosman, 2009 in this issue). This article describes the scientific underpinnings of this multicomponent program. First, the available epidemiological evidence on risk and the impact on children are discussed, regarding whether parental problems result in similar problems in children (i.e., disorder-synchronous outcomes) or in broad-spectrum outcomes. The article further presents the developmental model of transgenerational transmission of psychopathology and discusses the major mechanisms of risk transmission and the evidence-based risk and protective factors linked to these mechanisms. It finally discusses some implications and future challenges for research, knowledge innovation and implications for program development.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129167757","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}
引用次数: 216
An assessment of family care for people living with schizophrenia in Delta State of Nigeria 尼日利亚三角洲州精神分裂症患者的家庭护理评估
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.1.112
C. Ewhrudjakpor
{"title":"An assessment of family care for people living with schizophrenia in Delta State of Nigeria","authors":"C. Ewhrudjakpor","doi":"10.5172/jamh.8.1.112","DOIUrl":"https://doi.org/10.5172/jamh.8.1.112","url":null,"abstract":"Abstract This study aimed to assess attitudes and beliefs affecting family care for people living with schizophrenia. The research design was observational through in-depth interviews and family group discussions. The participants were sixty family members sampled from the five ethnic groups that constitute Delta State in Nigeria. Data were generated via a structured interview schedule and family discussions reflecting Expressed Emotion of family members. The findings show that deeply held cultural beliefs and traditional myths significantly hamper care for family members with schizophrenia. A model of holistic family care is proffered.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122329749","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}
引用次数: 2
Two way approaches to Indigenous mental health training: Brief training in brief interventions 土著人心理健康培训的两种方式:在简短干预中进行简短培训
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.2.135
T. Nagel, C. Thompson, N. Spencer, J. Judd, Robyn Williams
{"title":"Two way approaches to Indigenous mental health training: Brief training in brief interventions","authors":"T. Nagel, C. Thompson, N. Spencer, J. Judd, Robyn Williams","doi":"10.5172/jamh.8.2.135","DOIUrl":"https://doi.org/10.5172/jamh.8.2.135","url":null,"abstract":"Abstract This study aimed to train health care professionals in a mental health assessment and care plan package designed for Aboriginal clients and carers and to evaluate the training and the package. The package has been developed over two years of consultation and encourages a collaborative, culturally appropriate approach to mental health assessment and care planning using motivational counselling techniques and relapse prevention strategies. Seventeen workshops were delivered in a range of settings to 261 service providers between 2006 and 2008. The training used the tools developed through the AIMhi ‘Story Telling Project’ and included multimedia resources, and activities designed to bridge the cross cultural and literacy gap in remote communities, including role play and skills practice. The training was well received and pre- and post-workshop evaluations show that participants found the workshops interesting and useful, and significantly improved in their confidence in assessment and communication, and their knowledge of early warning signs and treatment. The findings suggest a need in both the Indigenous and non-Indigenous workforce for further training, in both undergraduate and postgraduate settings, and in specialist and primary care.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127787717","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}
引用次数: 22
Australian programs and workforce initiatives for children and their families where a parent has a mental illness 为父母一方患有精神疾病的儿童及其家庭提供的澳大利亚项目和劳动力倡议
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.3.277
A. Reupert, M. Goodyear, K. Eddy, Chris. Alliston, P. Mason, D. Maybery, Elizabeth A Fudge
{"title":"Australian programs and workforce initiatives for children and their families where a parent has a mental illness","authors":"A. Reupert, M. Goodyear, K. Eddy, Chris. Alliston, P. Mason, D. Maybery, Elizabeth A Fudge","doi":"10.5172/jamh.8.3.277","DOIUrl":"https://doi.org/10.5172/jamh.8.3.277","url":null,"abstract":"Abstract The aim of this study was to review the child, parent and family programs and workforce initiatives in Australia that target children and families where a parent has a mental illness. Fifty two individual telephone interviews were conducted with facilitators responsible for 60 child, parent, family and workforce programs across Australia. Interviewees were asked to describe (i) the program provided, (ii) the evidence framework of the program, and (iii) evaluation strategies employed. To supplement this data, three consumers and one carer were interviewed regarding their involvement in programs. Participants were identified through websites, e-discussion lists and snowball recruiting. Audio transcripts from the interviews were qualitatively analysed, using thematic analysis, alongside inter-rater reliability and member checks. Of the 60 identified programs, there were 26 child and adolescent programs, six programs for parents with a mental illness, four family programs and 24 workforce training initiatives. Program facilitators typically drew on their clinical experiences, rather than research, when developing programs. Generally, evaluation strategies were non standardised and/or measured participant satisfaction of programs. There was no systematic way of involving and supporting consumers and carers. Recommendations are made regarding evaluation training, a participation framework for consumers and carers, funding for programs, and the establishment of a formal network for sharing resources and facilitator experiences.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"108 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134421920","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}
引用次数: 20
A survey of occupational therapists providing services under the Better Access to Mental Health initiative 对在更好获得精神健康倡议下提供服务的职业治疗师进行的调查
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.1.95
D. Hitch
{"title":"A survey of occupational therapists providing services under the Better Access to Mental Health initiative","authors":"D. Hitch","doi":"10.5172/jamh.8.1.95","DOIUrl":"https://doi.org/10.5172/jamh.8.1.95","url":null,"abstract":"Abstract The Australian government launched the Better Access to Mental Health initiative in 2006, to help more people access psychological therapies. Occupational therapists can register to offer these services, and this survey aimed to investigate their participation within the first 12 months of operation. Two surveys were conducted with occupational therapists registered to offer Better Access to Mental Health services, at the six and twelve month mark of the initiative. These surveys collected both quantitative and qualitative data. While the demographic profile of occupational therapists remained stable across the surveys, the client population varied over time. Depression and anxiety were the most common conditions treated under this scheme. Occupational therapists reported generally positive attitudes towards the initiative, and did not identify any pressing training needs. However, the current rebate for services was a source of dissatisfaction for many respondents. This survey has established a baseline for further investigation in this area. The provision and outcomes of this particular initiative needs to be a priority for future research to secure occupational therapy’s place in this developing area of practice, thereby providing consumers with greater choice and access to intervention at a primary health level.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114562401","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}
引用次数: 4
‘Who cares?’ An exploratory study of carer needs in adult mental health “谁在乎呢?成人心理健康中照顾者需求的探索性研究
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.1.57
D. McAuliffe, L. Andriske, Elva Moller, M. O’Brien, Pam Breslin, P. Hickey
{"title":"‘Who cares?’ An exploratory study of carer needs in adult mental health","authors":"D. McAuliffe, L. Andriske, Elva Moller, M. O’Brien, Pam Breslin, P. Hickey","doi":"10.5172/jamh.8.1.57","DOIUrl":"https://doi.org/10.5172/jamh.8.1.57","url":null,"abstract":"Abstract Overall, health professionals have been slow to recognise the needs of families and carers, and have tended to marginalise their input in aiding consumer recovery. Despite the rhetoric of carer inclusion in mental health policy, the continued lack of systematic involvement of carers in mental health systems ensures that they remain outside the realm of core business in mental health treatment. Based on dialogues with 31 participants in a series of focus groups who are directly engaged in caring for an adult with a serious mental illness, this study reinforces the need for carer inclusion and legitimacy, and highlights necessary changes to service delivery that acknowledge carer isolation and secondary stigma. The importance of psychoeducation programs, consistency in case management roles, and better information about the interface with legal systems were seen as particularly critical.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126782752","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}
引用次数: 25
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