Australian e-Journal for the Advancement of Mental Health最新文献_第4页

Sleep disruptions and mental health of primary caregivers of persons with disability due to chronic mental and physical conditions in the Australian population 澳大利亚人口中由于慢性精神和身体状况造成的残疾人主要照顾者的睡眠中断和心理健康

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.3.166

L. Lam

{"title":"Sleep disruptions and mental health of primary caregivers of persons with disability due to chronic mental and physical conditions in the Australian population","authors":"L. Lam","doi":"10.5172/jamh.7.3.166","DOIUrl":"https://doi.org/10.5172/jamh.7.3.166","url":null,"abstract":"Abstract This study aimed to investigate the association between sleep disruption and the general mental health of caregivers of disabled people in Australia. It was hypothesised that greater sleep disruption would be associated with poorer mental health amongst caregivers. The study utilised data obtained from a national health survey of a stratified random sample, with the current sample consisting of 687 people living in a private dwelling who identified themselves as the primary caregiver of a person with a disability. In addition to information regarding their primary recipient of care and the broader impact of their caregiving role, sleep disruptions were assessed by responses to a direct question during a personal structured interview. General mental health of caregivers was assessed using the SF-12v2 Health Survey to classify their mental health to one of four linear categories, ranging from ‘severe mental ill-health’ to ‘excellent mental health’. Data were analysed using multinomial logistic regression to cater for the multiple classifications of the outcome. After adjusting for potential confounding factors, results suggested a significant association between sleep disruptions and poor mental health among caregivers. Those who were frequently disrupted in their sleep were about 2.5 times more likely to experience severe mental ill-health (OR: 2.42, 95% CI = 1.28, 4.54) when compared to those whose sleep was not disrupted at all. There was no significant association between occasional disruptions and mental ill-health after adjusting for potential confounders. Results suggested that sleep disruptions can be considered as a potential risk factor for severe mental ill-health among caregivers.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"133 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131435292","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

Polarisation and political correctness: Subtle barriers to consumer participation in mental health services 两极分化和政治正确:消费者参与心理健康服务的微妙障碍

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.3.150

B. Happell

{"title":"Polarisation and political correctness: Subtle barriers to consumer participation in mental health services","authors":"B. Happell","doi":"10.5172/jamh.7.3.150","DOIUrl":"https://doi.org/10.5172/jamh.7.3.150","url":null,"abstract":"Abstract The expectation that consumers and carers are active participants in all aspects of mental health service delivery has been a feature of Australian national mental health policy for more than a decade. More recently consumer and carer involvement has tended to broaden to incorporate education and research roles. While advancements in consumer and carer participation have been made, barriers to maximising the potential of these initiatives have been identified. The negative attitudes of mental health professionals have consistently been recognised as a major impediment to effective consumer and carer participation. Mental health professionals have been described as discriminatory and stigmatising towards consumers of mental health services. The aim of this paper is to consider the potential impact of attitudes that are less obviously negative and therefore arguably all the more powerful. The polarisation of consumers into opposites on the basis of their level of activity, and political correctness carried to the extreme, can render consumer advocacy as inappropriate or ineffective and therefore present major obstacles to consumer activity. Examples of polarisation and political correctness are presented and discussed in terms of their possible undermining of consumer led initiatives.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"44 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":"133005090","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: 32

A preliminary evaluation of the Together Parenting Program – a stand alone component of the Exploring Together Program 对共同养育计划的初步评估-共同探索计划的独立组成部分

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.1.51

S. Burke, M. Soltys, M. Trinder

引用次数: 2

Improving mental health and wellbeing in Scotland: A model policy approach 改善苏格兰的心理健康和福祉:一种模范政策方法

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.3.176

Jennifer Smith‐Merry

{"title":"Improving mental health and wellbeing in Scotland: A model policy approach","authors":"Jennifer Smith‐Merry","doi":"10.5172/jamh.7.3.176","DOIUrl":"https://doi.org/10.5172/jamh.7.3.176","url":null,"abstract":"Abstract This article reports on the development and implementation of a mental health policy framework in place in Scotland, namely the National Programme for Improving Mental Health and Wellbeing. This programme has drawn on worldwide innovations in mental health improvement and represents an holistic mental health promotion policy. The National Programme for Improving Mental Health and Wellbeing is central to the Scottish government’s overall policy aimed at reducing the high levels of mental ill-health encountered by the Scottish population. This article articulates five factors which have created the environment that has allowed this to occur. These are an environment of bureaucratic reformation, a context of significant public scrutiny of high levels of mental ill-health as reflected in the Scottish suicide rate, the creation of a supportive political, policy and legislative framework, the cementing of national initiatives within local services, and the creation of regulatory indicators and a shared understanding of positive mental health. This discussion of the National Programme is offered as a model policy programme in order to provoke debate about what a successful public mental health policy might look like.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"87 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":"123627535","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: 7

Can identified stressors be used to predict profession for mental health professionals? 确定的压力源可以用来预测心理健康专业人员的职业吗?

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.2.97

R. King, C. Lloyd, Verina Holewa

{"title":"Can identified stressors be used to predict profession for mental health professionals?","authors":"R. King, C. Lloyd, Verina Holewa","doi":"10.5172/jamh.7.2.97","DOIUrl":"https://doi.org/10.5172/jamh.7.2.97","url":null,"abstract":"Abstract A difference appears to exist between stressors reported for nurses and allied health professionals working in mental health. Prominent stressors for mental health nurses include workload, administration duties and a lack of resources. Whilst these also appear to be stressors for allied health professionals, the stressor ‘professional self-doubt’ has also been reported for social workers. This study aimed to examine the extent to which community mental health professionals could be identified as belonging to the nursing profession or an allied health profession based on their perceived sources of stress. Ninety-eight community mental health nurses and 85 allied health professionals working in Victoria’s public mental health services completed the Mental Health Professionals Stress Scale. Discriminant analysis was utilised to test the predictive value of stressors to identify profession. The main stressors reported by nurses were workload, a lack of resources and organisational problems. For allied health professionals the highest reported stressors were workload, a lack of resources, client related difficulties and organisational problems. Mental health professionals in this study could not be identified as belonging to the nursing profession or an allied health profession based on their identified sources of stress. It could well be reflective of the shift to homogenous roles in mental health services. With this being the case, there may be benefits in implementing stress reducing strategies at an organisational level.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"1 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":"130294880","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

Ngaripirliga’ajirri: The implementation of Exploring Together on the Tiwi Islands Ngaripirliga 'ajirri:在提维群岛上共同探索的实施

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.1.61

G. Robinson, W. Tyler

{"title":"Ngaripirliga’ajirri: The implementation of Exploring Together on the Tiwi Islands","authors":"G. Robinson, W. Tyler","doi":"10.5172/jamh.7.1.61","DOIUrl":"https://doi.org/10.5172/jamh.7.1.61","url":null,"abstract":"From 1999 to 2003, the Tiwi Health Board, in partnership with University researchers, undertook the implementation of the Exploring Together Program as part of a preventive strategy in response to serious social problems affecting young Tiwi people, their parents and families. The implementation of the program necessitated engagement of Tiwi communities in ways that were responsive to issues such as the local context, culture, and patterns of family life, and at the same time maintained a commitment to the core elements of the intervention as a structured intervention requiring relatively advanced professional skills to achieve consistent high standards of delivery. The delivery team included both Tiwi community members and non-Tiwi personnel. They redeveloped a number of areas of content of the program to ensure adequate recognition of important themes in Tiwi parenting and family life while retaining the key elements of structure and content. The adapted program – Ngaripirliga’ajirri – showed many highly promising outcomes and, within the limits of the research design, indicated that a structured early intervention program can be effective in remote Indigenous contexts.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"32 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":"132695588","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: 24

In young people with a depressive disorder, does diagnostic specificity matter in the prediction of suicidality? 在患有抑郁症的年轻人中，诊断特异性对预测自杀是否重要?

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.3.143

S. Hetrick, A. Vance, N. Hall

引用次数: 6

Increasing child and adolescent mental health content in undergraduate occupational therapy, social work and nursing programs: Lessons learnt 在本科职业治疗、社会工作和护理课程中增加儿童和青少年心理健康内容:经验教训

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.3.157

Mathijs F. G. Lucassen, I. Doherty, S. Merry

{"title":"Increasing child and adolescent mental health content in undergraduate occupational therapy, social work and nursing programs: Lessons learnt","authors":"Mathijs F. G. Lucassen, I. Doherty, S. Merry","doi":"10.5172/jamh.7.3.157","DOIUrl":"https://doi.org/10.5172/jamh.7.3.157","url":null,"abstract":"Abstract This paper investigates the perceived usefulness of a CD-Rom based child and adolescent mental health teaching resource distributed to educators from undergraduate nursing, occupational therapy and social work programs, and identifies the barriers to incorporating specialist mental health content into comprehensive degree level courses. Specially selected educators from throughout New Zealand responded to a questionnaire about the resource. Results from their feedback indicate that the resource was generally well received and that it was perceived to be useful for teaching at an undergraduate level. However, three main issues appear to be hindering the up-take of the resource in the relevant undergraduate programs: the resource content did not readily integrate into the various existing courses; several practical and additional barriers impeded the up-take and use of the resource; and incorporating a self-directed multi-media based teaching resource into a range of existing degree level programs that used a face-to-face group-based teaching model was perceived to be problematic. Recommendations are offered to assist in overcoming these difficulties in order to increase the extent of child and adolescent mental health teaching delivered at an undergraduate level.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"20 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":"122276283","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

Challenges to relapse prevention: Psychiatric care of Indigenous in-patients 预防复发的挑战:原住民住院病人的精神科护理

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.2.112

T. Nagel, C. Thompson, N. Spencer

{"title":"Challenges to relapse prevention: Psychiatric care of Indigenous in-patients","authors":"T. Nagel, C. Thompson, N. Spencer","doi":"10.5172/jamh.7.2.112","DOIUrl":"https://doi.org/10.5172/jamh.7.2.112","url":null,"abstract":"Abstract Relapse is one of the major contributing factors to the high burden of disability of mental illness. Strategies for relapse prevention are needed. Aboriginal and Torres Strait Islander people continue to be over-represented in mental health care nationwide. Partnerships between Aboriginal Mental Health Workers (AMHWs) and non-Indigenous health professionals can assist in provision of culturally appropriate in-patient care and promotion of self-management and relapse prevention strategies. The Australian Integrated Mental Health Initiative in the Northern Territory (AIMhiNT) aims to improve outcomes for Indigenous people with mental illness. This article reviews the quality of care provided in the Top End in-patient setting, and the involvement of AMHWs in the care of Indigenous people who are hospitalised for mental illness. Findings from a series of clinical file audits (1995, 2001 and 2004) at Royal Darwin Hospital in-patient unit are presented. The files were audited for assessment and care planning activities. The audits reveal that significant improvements in in-patient care between 1995 and 2001 were not sustained in 2004. Recording of social history, and appointment of a case manager, were less likely to occur in 2004 compared with 2001, for both non-Indigenous and Indigenous clients. AMHWs were involved in the care of only 55% of Indigenous clients. Busy in-patient units are at risk of focusing on acute care to the detriment of relapse prevention activities and culturally appropriate care. There is a need to develop models of practice that support relapse prevention for in-patient clients. Key strategies will include improved communication with clients, development of self-management skills, and enhanced partnerships with Indigenous service providers.","PeriodicalId":358240,"journal":{"name":"Australian e-Journal for the Advancement of Mental Health","volume":"11 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":"117074773","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

A preliminary evaluation of the Confident Kids Program – a stand alone component of the Exploring Together Program 对“自信孩子计划”的初步评估——“共同探索计划”的独立组成部分

Australian e-Journal for the Advancement of Mental Health Pub Date : 2008-01-01 DOI: 10.5172/jamh.7.1.41

M. Trinder, M. Soltys, S. Burke

引用次数: 5