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

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Estimating consumer parenthood within mental health services: A census approach 估计心理健康服务中的消费者亲子关系:一种人口普查方法
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.3.231
D. Howe, Samantha Batchelor, Katarzyna Bochyńska
{"title":"Estimating consumer parenthood within mental health services: A census approach","authors":"D. Howe, Samantha Batchelor, Katarzyna Bochyńska","doi":"10.5172/jamh.8.3.231","DOIUrl":"https://doi.org/10.5172/jamh.8.3.231","url":null,"abstract":"Abstract The few studies reporting the prevalence of parental mental problems or mental illness estimate that anywhere between 20–50% of clients of mental health services may be parents. The studies often fail to fully describe the population, the children involved, and their exposure to potential risk factors. A recent Department of Community Services review identified that parents with mental health issues are over-represented among maltreating families, and the National Framework for Protecting Australia’s Children emphasised the need to increase the capacity and capability of adult services to identify and respond to the needs of children at risk. This paper describes the historical context, development, and implementation of the Mental Health and Parenting Census which is conducted annually across Central Coast Mental Health Services in New South Wales. In 2008 and 2009, almost one third of clients were identified as parents of children aged 0–17 years. The majority of parents were female, and the most common diagnoses were mood and psychotic disorders. Almost 60% of children were living with the parent with a mental illness on a permanent basis, and over 40% of parents experience low levels of support. The Mental Health and Parenting Census is thought to be the first of its kind to not only determine the prevalence of parenthood amongst active clients of an adult mental health service on a given day, but also to generate contextual information about the parents and the children, including exposure of children to risk factors.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"1 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":"126674011","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: 26
Toward an understanding of how art making can facilitate mental health recovery 了解艺术创作如何促进心理健康的恢复
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.2.183
Theresa Van Lith, Patricia Fenner, M. Schofield
{"title":"Toward an understanding of how art making can facilitate mental health recovery","authors":"Theresa Van Lith, Patricia Fenner, M. Schofield","doi":"10.5172/jamh.8.2.183","DOIUrl":"https://doi.org/10.5172/jamh.8.2.183","url":null,"abstract":"Abstract This pilot study undertook a qualitative exploration using in-depth phenomenological interviews of three experienced art facilitators to explore their views about how art making contributes to mental health recovery. The facilitators came from three mental health recovery programs in Melbourne, Australia, and were engaged in art-making programs ranging from studio art models to art therapy. An interpretative phenomenological approach was used to analyse interview transcripts. The key themes identified were clustered into three groupings. The first focused on explanatory models of how the skills, qualities and approaches of the facilitator assisted recovery. The second grouping focused on transformative characteristics of art making. The third grouping identified wider social benefits of art making. The findings provide a preliminary in-depth exploration into art facilitators’ experiential knowledge and practice wisdom related to the wide-ranging health promoting benefits of art making in mental health recovery programs. It also highlights important skills and competencies required by those facilitating art making programs in mental health recovery contexts. Such data may help to inform policy and design of mental health recovery programs and professional training, and provide a basis for further research in both consumer and practitioner experiences of the role of art making in mental health recovery.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"106 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":"114483089","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: 29
Development and preliminary evaluation of an employment resource for mental health service consumers, families and carers, and clinicians 心理健康服务消费者、家庭和护理人员以及临床医生就业资源的开发和初步评估
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.1.80
M. Harris, Catherine M. Cleary, Joanne C. King, G. Waghorn
{"title":"Development and preliminary evaluation of an employment resource for mental health service consumers, families and carers, and clinicians","authors":"M. Harris, Catherine M. Cleary, Joanne C. King, G. Waghorn","doi":"10.5172/jamh.8.1.80","DOIUrl":"https://doi.org/10.5172/jamh.8.1.80","url":null,"abstract":"Abstract Mental health service consumers, families, carers and clinicians require a locally relevant comprehensive information resource to provide the knowledge necessary for timely access to suitable public funded employment services. The aim of this paper is to report the development and preliminary evaluation of a new vocational rehabilitation information resource for mental health service consumers, families, carers and clinicians. The package comprises an information booklet targeted primarily to consumers, and a train-the-trainer package for clinicians in mental health service settings. We identified the employment-related information needs of target user groups via a series of focus group consultations with consumers, clinicians and vocational specialists. We also reviewed existing resource materials and searched the relevant research literature. The information content and presentation style of a draft information booklet was then market tested via a second series of focus groups. Initial focus groups and reviews provided guidance on the framework, content, communication techniques, and format of the new booklet. Preliminary market testing indicated that the booklet demonstrates adequate levels of content relevance, quality, user acceptability, and potential utility in clinical services and evidence-based supported employment services. Further evaluation of the resource package is indicated. Feedback about the utility of the booklet when applied with mental health service consumers and clinicians, as well with family members and carers, is needed. The utility of the booklet in applied clinical settings where an employment specialist is not available, and in supported employment settings where health professionals are not available, also requires evaluation. Translation of the booklet into other media is also indicated.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"132 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":"115180740","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: 3
Volunteering as a community mental health educator: Positives and negatives for recovery 志愿担任社区心理健康教育者:对康复的积极和消极影响
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.2.194
S. Read, D. Rickwood
{"title":"Volunteering as a community mental health educator: Positives and negatives for recovery","authors":"S. Read, D. Rickwood","doi":"10.5172/jamh.8.2.194","DOIUrl":"https://doi.org/10.5172/jamh.8.2.194","url":null,"abstract":"Abstract An advocacy role that is highly visible within the community is that of a consumer educator, when people with lived experience of mental illness use their personal experience to educate others in the community. This study investigated the positives and negatives for recovery of volunteering in an advocacy role as a consumer educator. A phenomenological qualitative research design was chosen, and semi-structured interviews were undertaken with 10 female consumer educators, aged between 20 and 59 years and with a wide range of diagnoses. Transcript s were analysed using a thematic analysis approach to identify themes within the data using a reiterative comparative procedure. The benefits of being a consumer educator far outweighed the negatives and four main themes emerged for the benefits: the unique value of peer support; the personal meaning gained from educating others about mental illness; the benefits of validation and catharsis through telling their story; and the skills gained. Negatives included feeling vulnerable during or after presentations, being fearful of stigma, and dealing with occasional challenges with co-presenters. This is one of the first studies of the effects on consumer educators of telling and re-telling their stories and ‘coming out’ in a public forum. It reveals substantial benefits for consumers in this advocacy role, but also shows that the role is not appropriate for all consumers and ongoing support in terms of screening, training, debriefing and peer support is vital.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"6 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":"130039228","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: 11
Social capital and mental health among Aboriginal Australians, New Australians and Other Australians living in a coastal region 生活在沿海地区的澳大利亚土著、新澳大利亚人和其他澳大利亚人的社会资本和心理健康
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.2.142
H. Berry
{"title":"Social capital and mental health among Aboriginal Australians, New Australians and Other Australians living in a coastal region","authors":"H. Berry","doi":"10.5172/jamh.8.2.142","DOIUrl":"https://doi.org/10.5172/jamh.8.2.142","url":null,"abstract":"Abstract Australian mental health policy emphasises the central importance of social inclusion for promoting mental health and treating illness. Social capital is a commonly used concept for describing and evaluating social inclusion, but its relationship to mental health has not been investigated among groups of differing cultural backgrounds in rural and remote Australia, where need is greatest. The aims of this study were to compare levels of social capital and associations with mental health among Aboriginal Australians, New Australians and Other Australians living in a disadvantaged coastal community and to draw implications for policy and service development. Participants were 963 community members, aged 19–97, randomly selected from a socio-economically disadvantaged coastal Australian region, voluntarily completing an anonymous postal survey. Measures of components of social capital were analysed in terms of general psychological distress and happy feelings using multiple hierarchical linear regression modelling. For all groups, higher levels of participation, more positive perceptions about participation, and greater cohesion were associated with less distress and more happy feelings. In multivariate analyses, greater social capital overall was strongly associated with less distress and more happy feelings, the former particularly for Aboriginal Australians. Different aspects of social capital were related to mental health and wellbeing for different groups. Social capital is essential for good mental health and wellbeing but it is neither evenly shared among different groups nor do the same components of social capital matter, or matter to the same degree, among different groups. Social capital may be particularly important (and sensitive) for protecting Aboriginal people against mental health problems. In that these findings suggest approaches to designing policy and services, these must be tested via careful intervention research.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"7 12 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":"130164278","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: 40
The experience of being a peer outreach volunteer: Benefits and challenges 作为同伴外展志愿者的经历:好处和挑战
Australian e-Journal for the Advancement of Mental Health Pub Date : 2009-01-01 DOI: 10.5172/jamh.8.1.69
R. King, C. Lloyd, A. Clune, R. Allan
{"title":"The experience of being a peer outreach volunteer: Benefits and challenges","authors":"R. King, C. Lloyd, A. Clune, R. Allan","doi":"10.5172/jamh.8.1.69","DOIUrl":"https://doi.org/10.5172/jamh.8.1.69","url":null,"abstract":"Abstract Peer outreach is an emerging form of non-professional consumer-delivered service in the context of psychiatric rehabilitation. This study identified the benefits and challenges of outreach provision as identified by a group of volunteer outreach workers. One on one semi-structured interviews were carried out with twelve members trained as peer outreach volunteers. Interview transcripts were analysed using a consensual qualitative research approach. Outreach workers typically experienced peer outreach as a positive experience both for themselves and for the recipients. Most found the training and support provided to be appropriate and sufficient. Nonetheless, peer outreach workers did encounter difficulties and sometimes felt need for more training and support. The findings have implications for the development of future peer outreach programs. There is scope for enhanced training and/or supervision and a need for further research to investigate ways to optimise peer outreach.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"23 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":"114834487","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: 8
Does family intervention for adolescent substance use impact parental mental health? A systematic review 青少年药物使用的家庭干预会影响父母的心理健康吗?系统回顾
Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.3.186
E. Yuen, J. Toumbourou
{"title":"Does family intervention for adolescent substance use impact parental mental health? A systematic review","authors":"E. Yuen, J. Toumbourou","doi":"10.5172/jamh.7.3.186","DOIUrl":"https://doi.org/10.5172/jamh.7.3.186","url":null,"abstract":"Abstract Adolescent substance abuse is a prevalent problem and both individual and group family interventions are increasingly being used to assist families to cope. A literature review was conducted to identify whether individual and group family interventions for adolescent substance abuse enhance the mental health of parents and other family members. The review also sought to identify direct and indirect effects of family intervention processes on depressive symptoms and general distress. Based on quality criteria a total of nine studies were included. Of these, six quantitatively examined family intervention outcomes on family member mental health, with all six reporting positive effects. Four of the nine studies measured levels of depressive symptoms and three of these four studies reported significant direct effects of family intervention on parental depression. The positive effects were also found in the three qualitative studies included in the review. Indirect therapeutic mechanisms that contributed to mental health improvements included: reduction of stress symptoms, improved coping, improved family functioning, more effective parenting behaviours, attitude changes, perceived changes in relative’s substance use, and improved social support. The available literature suggests that a number of determinants of family mental health may potentially be impacted through family intervention for adolescent substance abuse. However, definitive conclusions cannot be made at this point as the literature is mostly descriptive and there have been few longitudinal studies or randomised controlled trials.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126439390","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: 10
Evaluation of a family-based intervention for siblings of children with a disability or chronic illness 对残疾或慢性病儿童的兄弟姐妹进行以家庭为基础的干预的评估
Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.2.84
R. Giallo, S. Gavidia-Payne
{"title":"Evaluation of a family-based intervention for siblings of children with a disability or chronic illness","authors":"R. Giallo, S. Gavidia-Payne","doi":"10.5172/jamh.7.2.84","DOIUrl":"https://doi.org/10.5172/jamh.7.2.84","url":null,"abstract":"Abstract This paper describes the outcomes of a 6-week family-based psycho-educational intervention for siblings of children with a disability or chronic illness. A randomised controlled trial method was used with 21 siblings (aged 8-16 years) and their parents. Results revealed a decrease in siblings’ emotional symptoms, perceived intensity of daily stress, and use of avoidant coping; a strengthening of family time and routines; and high parental satisfaction with the program. Given the limited number of well-controlled sibling intervention studies, this research is an important step towards developing empirically supported sibling interventions, and is of significance to professionals working with families of children with a disability or chronic illness.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114180439","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: 28
The psychic disequilibrium of adoption: Stories exploring links between adoption and suicidal thoughts and actions 收养的心理失衡:探索收养与自杀想法和行为之间联系的故事
Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.3.207
S. Gair
{"title":"The psychic disequilibrium of adoption: Stories exploring links between adoption and suicidal thoughts and actions","authors":"S. Gair","doi":"10.5172/jamh.7.3.207","DOIUrl":"https://doi.org/10.5172/jamh.7.3.207","url":null,"abstract":"Abstract Past literature has identified mental health issues for adopted people. Equally, research reveals that birth parents have ongoing mental health issues related to adoption grief that increases rather than decreases over time. Limited literature explores links between adoption and suicidal thoughts and behaviours. This exploratory study aimed to provide a space for narratives describing perceived links between adoption and suicide to be aired. Narratives from a purposive sample of 20 participants revealed six themes in relation to the study focus: reality denied, prescribed self, powerlessness, suicidal logic, suicide and turning points. A theoretical discussion is developed in relation to the findings, drawing on Girard’s concept of sacrificial violence, Butler’s notion of performativity, and Kierkegaard’s notion of pathology of spirit.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115051373","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: 10
The recovery journey: Employment support for people with depression and other mental illnesses 康复之旅:为抑郁症和其他精神疾病患者提供就业支持
Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.2.104
I. Munro, K. Edward
{"title":"The recovery journey: Employment support for people with depression and other mental illnesses","authors":"I. Munro, K. Edward","doi":"10.5172/jamh.7.2.104","DOIUrl":"https://doi.org/10.5172/jamh.7.2.104","url":null,"abstract":"Abstract This paper presents the qualitative findings of a larger mixed method study aimed to articulate factors that clients and staff of the Disability Employment Network (DEN) identify in relation to re-engagement into the workforce. The DEN is a supported job training and employment program funded by the Australian Federal Government, established to assist clients with health disabilities, including mental health diagnoses, to seek and retain employment. Two DEN sites participated in the study (one regional and one metropolitan). Semi structured interviews and focus groups were undertaken with seven employment counsellors and 16 clients until data saturation occurred. Analysis of the narrative data identified two overarching emergent concepts articulated by clients and employment counsellors: employment enablers and employment barriers. The notion of recovery and reengagement in the workforce in the context of mental illness is complex. The qualitative results of this study highlight the essential nature of supporting clients’ mental health and vocational needs concurrently through such means as service collaboration, vocational peer support and, importantly, provision of employment support congruent with phase of recovery.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121444841","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: 12
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